Promoting and Building a New Hospital

1. Preliminary Survey (Temporary orgn)

Engage consultancy firm

Hospital consultant/expert
 Promoting and Building a New Hospital

What makes patients choose a particular hospital

•Availability of specialties on a full time basis

•Range of services offered under one roof
•Availability of the latest technology and sophisticated equipment
•Personalized care given by friendly and courteous staff
•Overall hospital reputation
•Travel time to reach there
•Proximity of the hospital
•Status of roads and transport facilities
•Religious affiliations and social orgn and custom
 Promoting and Building a New Hospital

Shy away from hospital

•Building not constructed as a hospital

•Unhygienic surroundings
•Inaccessibility or poor location because of security risk, no parking,
nuisance factors
•Inadequate size or obsolete construction
•Inadequate medical care, staff and equipment, limited services,
admission restrictions, no 24/7 service
 Promoting and Building a New Hospital

Study of existing hospital facilities( area wise)

•Bed capacity
•Physical condition of facilities
•Occupancy rate
•Bed distribution
•Volume and kind of hospital services
•Full time specialists and advanced Equipment
•Quality of facilities and services
 Promoting and Building a New Hospital

Study of required staff and services

•Internal medicine, general surgery, pediatrics, obstetrics &gynecology

– traditional services
•Specialists – eye,ENT,dermatology,radiaolgy,pathology,urology etc.
•Nurses and professional staff –trained
•Qualified lab technicians and clinical biochemists
•Committed and promising people
•CEO- MHM,MBA
 Promoting and Building a New Hospital

2. Financial Planning( planning for funds)

•Costruction, eqipping and furnishing the hospital

•Operating funds
•Financial assistance

3. Equipment Planning

•Fixed and movable equipment

•Room by room equipment list by administrative, medical and
deptmental staff.
•Familiar with the building plan
 Promoting and Building a New Hospital

4.Permannet Hospital organisation ( based on conclusions

of the survey)

•Project is finalized
•Decide type of organisation
•Charter and GB
•Raising funds for construction
•Employment of architect/consultant/HA
•Selection of site
•Wile construction, owners initiate to select and organize medical staff
 Promoting and Building a New Hospital

5.Operational Plan and Functional Plan

•OP-written Programme – requirements of the hospital’s needs to the

next phase of planning
•Planning of physical facilities on a functional basis.
•Functional plan based on operational and economy.
•Proper plng and designing is more imp than economy of construction
 Promoting and Building a New Hospital

6. Facility Master Plan( 5-10 years)

•Long range facility plan – expansion, remodeling to new programmes

•FMP developed before department locations are decided
•No FMP- hospital face delay, cost overrun and obsolescence
•FMP defines the institute’s role, future Programme goals, market
•Translates hospital’s role and goals into defined physical space plan
•FMP covers demographic study, socio-economic and health care
characteristics, core competencies, organizational plan, size & physical
facilities, financial feasibility.
 Promoting and Building a New Hospital

Key elements of FMP

•Site analysis
•Evaluation of existing facility
•Projection of future facility needs
•Programme and service utilization
•Development of options/alternatives
•Construction budget & schedule
•FMP is very effective tool for all physical planning, renovation,
expansion & modernization programmes
•Predicts the need for beds, replacements or service base adjustments
 Promoting and Building a New Hospital
The FMP – The process

Mission

Projection
Growth targets Of Primary goals
(ST & LT) facility needs

Review FMP
of previous
plans

Financial feasibility
Debt & Building
borrowing Programme
potential potential
 Promoting and Building a New Hospital

7. Design Team
•Hospital Consultant
•Architect-translate the clinical and administrative needs into
architectural and engineering realities.
•Engineers-structural, electrical, plumbing
•Hospital Administrator

Surgical suite, nursing unit,ccu/icu,entrance lobby and OP dept,emrgemncy

dept, diagnostic radiology/imaging dept, cardiac catheterization lab,phisical
therapy, CSSD and laundry.
Promoting and Building a New Hospital

7. Design Development Stage

Production documents: Working drwings,Specification,Tender

documents
The Hospital site: accessibility toTransporation &
communication, Parking facilities, availability of public utilities,
good sanitary syste,freedome from noise, smoke etc,future
expansion, total cost
Bed distribution by service
Types of bed accommodation
Space requirements
Promoting and Building a New Hospital

7. Design Development Stage

The usually accepted minimum space occupied by the bed itself

and access is about 9.29 sqm(100 sqft).
Total hospital area = 8 to 10 times that for beds alone
200 bed hospital = 9.29x10x200= 18580 sqft.
Promoting and Building a New Hospital

8. Planning the Hospital Building

Rules:
1. Protection
2. Shortest traffic routes
3. Seperation of dissimilar activities
4. Control
Promoting and Building a New Hospital

8. Building contract and contract documents

9. Furnishing and equipping the hospital

10. Purchase of Capital Equipment

11. Ready to operate stage

12. Before opening the hospital

13. Commissioning and Inauguration