Hospital planning and designing

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HOSPITAL PLANNING AND DESIGNING

DR. PRIYANKA SRIVASTAVA

DEPARTMENT OF HOSPITAL ADMINISTRATION

S.G.P.G.I.M.S. Lucknow

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CONTENT

•INTRODUCTION

•EMERGING ISSUES

•STRATEGIC ESSENTIALS

•IMPACTING FACTORS

•STEPS IN PLANNING

•DESIGN BRIEF

•EXPRESSION OF INTEREST

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CONTENT

• REQUESTS FOR PROPOSAL

• MASTER PLAN

• SPACE PROGRAMMING

• HOSPITAL PROJECT FEASIBILTY REPORT

• ARCHITECTS BRIEF

• DETAILED PROJECT REPORT

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INTRODUCTION• Hospital building differs from other building types in the complexity

of functional relationships that must exist between the various parts of

the hospital.

• Apart from providing right environment for patients and care

providers ,it should also be sensitive to the needs of visitors.

• It is thus imperative to examine the emerging issues, analyze the

challenges, appreciate the emerging trends and study the various

strategic options available for planning, designing and constructing a

hospital.

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EMERGING ISSUES

1. Epidemiological and demographic changes

2. Enhanced expectations of patients

3. Emphasis on ambulatory/ day care

4. Enhanced standards

5. Changing function of hospital

6. Advancement in medical sciences

7. outsourcing

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STRATEGIC ESSENTIALS

• some of the strategic issues that must be considered are –

• Regionalization

• Pre- planning consideration

• Need assessment

• Plot ratio

• Design for flexibility and expandability

• Fulfill the demand functions

• Emphasize on patient focused hospital

• Focus on energy conservation

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STRATEGIC ESSENTIALS contd….

• Intelligent buildings

• Create a healing architecture

• Aesthetic – an essential requisite

• Hospital architecture

• Go green

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IMPACTING FACTORS

• Socio – economic profile of community

• Health profile of the region

• Local regulations

• Source of finance

• Choice of technology

• Climatic zones

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STEPS IN PLANNING

Need assessment

Feasibility report

Architects brief

Request for proposal

Appointment of consultant

Detailed project report

Notice inviting tender

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STEPS IN PLANNING contd….

Award of work

Construction of building, services and facilities, equipment purchase and

manpower selection and recruitment

Stage of commissioning

Shake down process

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HOSPITAL DESIGNING

• The main guideline while designing the hospital is ‘FORM

FOLLOW FUNCTION’.

• All architectural and aesthetic design should be secondary in nature

• According to the function of the department the designing to be made

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EXPRESSION OF INTEREST

• The brief description of project

• Salient features

• Approx project cost

• Conditions for pre qualification

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REQUEST FOR PROPOSAL

• Background of the project

• Architects brief

• Best practices in medical architecture

• Limitations

• Methodology and time frame

• Contract conditions

• Local regulations

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MASTER PLAN

• Overall site

• Departmental boundaries

• Major entry and exit points

• Vertical transport

• Inter - departmental corridors

• Location of critical zones

• Energy conservation

• Future site development

• Appropriate way finding

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MASTER PLAN contd…..

• Services master plan

• Project decision

• Outline brief

• Opportunities and constraints

• Options considered

• Evaluation criteria

• Recommended options

• Executive summary and recommendation

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SPACE PROGRAMMING

• Process in which the specific requirements of a department are

identified.

• Department’s space table is developed

• Circulation/conversion factors

• Total building gross square footage (BGSF) is calculated

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HOSPITAL PROJECT FEASIBILITY REPORT

• View of health scenario at national, regional, and local levels

• Vital statistics data

• Health needs assessment

• Site/location of proposed health care delivery

• Type of health care facility

• Approximate costs and source of funding

• SWOT analysis

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ARCHITECTS BRIEF

• It is written document which explains the operational policies, types

of services provided, inter relationships and interdependency of each

facility. It includes –

• Site information

• Functional content

• Workload

• staffing

• Equipment

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ARCHITECTS BRIEF contd…

• Polices and procedure

• Schedule of accommodation

• Zoning

• Financial aspects

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DETAILED PROJECT REPORT

• Background of the project

• Limitations

• Financial statement

• Labour deployment

• Detail estimate of the project

• PERT chart

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DETAILED PROJECT REPORT contd….

• List of medical equipment and specification

• Man power requirement

• Running ,maintenance and operational cost

• Budgetary projection

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Thank you