Factors Affecting Location of multi specialty hospital

8/9/2019 Factors Affecting Location of multi specialty hospital

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FRANCIS JOSEMBA (IB)19 TH FEB’ 2015

FACTORS AFFECTING

LOCATION OFMULTI- SPECIALTY

HOSPITALS


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• Introdut!on• Bu!"d!n# $ttr!%ut&'

• I''u&' !n $!"!t "o$t!on

• G&n&r$" *ro&'' o $!"!t "o$t!on

• L&+&"' o d&!'!on

O,TLINE


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RA-IOLOG.NE,ROLOG.CAR-IOLOG.

M,LTI/SECIALT. HOSITAL

G.NAECOLOG.

BLOO- BAN

CT SCAN

-ERMATOLOG.

ENT

GASTROENTEROLOG.

MICROASC,

IMM,NISATIO

S.CHIATR.S,RGICALONCOLOG. TRA,MA CARE ,ROLOG.

ORTHOE-ICS AE-IATRICS ,LMONOLOG


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BUILDING ATTRIBUTESR$rd"&'' o t3&!r "o$t!on4 '!&4 or %ud#&t4 $"" 3o'*!t$"' '3ou"d 3$+& &rt$

$ttr!%ut&'7

•Efciency and Cost-Eecti!eness

•"#e$i%i#ity and E$&anda%i#ity

•T'e(a&e)tic En!i(on*ent

•C#ean#iness and Sanitation

•Accessi%i#ity

•Cont(o##ed Ci(c)#ation

•Aest'etics

•Sec)(ity and Sa+ety

•S)staina%i#ity


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Efciency and Cost-Eecti!enessAn &8!&nt 3o'*!t$" "$out '3ou"d•ro6ot& 't$: &8!&n % 6!n!6!!n# d!'t$n& o n&&''$r tr$+&" %&t;&&

u'&d '*$&'•A""o; &$' +!'u$" 'u*&r+!'!on o *$t!&nt' % "!6!t&d 't$: •In"ud& $"" n&&d&d '*$&'4 %ut no r&dund$nt on&'7 T3!' r&


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"#e$i%i#ity and E$&anda%i#ityS!n& 6&d!$" n&&d' $nd 6od&' o tr&$t6&nt ;!"" ont!nu& to 3$n#&4 3o'*•Fo""o; 6odu"$r on&*t' o '*$& *"$nn!n# $nd "$out

•,'& #&n&r! roo6 '!&' $nd *"$n' $' 6u3 $' *o''!%"&4 r$t3&r t3$n 3!#3" •B& '&r+&d % 6odu"$r4 &$'!" $&''&d4 $nd &$'!" 6od!&d 6&3$n!$" $n''t&6'•D3&r& '!& $nd *ro#r$6 $""o;4 %& d&'!#n&d on $ 6odu"$r ''t&6 %$'!'4 'uA Ho'*!t$" Bu!"d!n# S't&67 T3!' ''t&6 $"'o u'&' ;$">/t3rou#3 !nt&r't!t!$%&t;&&n ou*!&d oor' or 6&3$n!$"4 &"&tr!$"4 $nd *"u6%!n# d!'tr!%ut!*ro?&t'4 t3!' *ro+!d&' ont!nu!n# $d$*t$%!"!t to 3$n#!n# *ro#r$6' $nd n&r't/o't *r&6!u64 ! *ro*&r" *"$nn&d4 d&'!#n&d4 $nd %!d7 T3& A Ho'*!t$"

S't&6 $"'o $""o;' +&rt!$" &=*$n'!on ;!t3out d!'ru*t!on' to oor' %&"o;7•B& o*&n/&nd&d4 ;!t3 ;&"" *"$nn&d d!r&t!on' or utur& &=*$n'!on or !n't$*o'!t!on!n# 'ot '*$&' 'u3 $' $d6!n!'tr$t!+& d&*$rt6&nt'4 $d?$&nt to 'u3 $' "!n!$" "$%or$tor!&'7

http://www.cfm.va.gov/til/spclRqmts.asphttp://www.cfm.va.gov/til/spclRqmts.asp


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•Using familiar and culturally relevant materials wherever consistent with sanitation and ot•Using cheerful and varied colors and textures, keeping in mind that some colors are inap

interfere with provider assessments of patients' pallor and skin tones, disorient older or imor agitate patients and staff, particularly some psychiatric patients .

• Admitting ample natural light wherever feasible and using color-corrected lighting in interi

closely approximates natural daylight •roviding views of the outdoors from every patient bed, and elsewhere wherever possible

of nature scenes are helpful where outdoor views are not available•"esigning a #way-finding# process into every pro$ect. atients, visitors, and staff all need

they are, what their destination is, and how to get there and return. A patient's sense of co

encouraged by making spaces easy to find, identify, and use without asking for help. %uildcolor, texture, and pattern should all give cues, as well as artwork and signage.

T'e(a&e)tic En!i(on*ent

http://www.wbdg.org/resources/daylighting.php?r=hospitalhttp://www.wbdg.org/resources/psychspace_value.php?r=hospitalhttp://www.wbdg.org/resources/psychspace_value.php?r=hospitalhttp://www.wbdg.org/resources/daylighting.php?r=hospital


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C#ean#iness and Sanitation

Ho'*!t$"' 6u't %& &$' to "&$n $nd 6$!nt$!n7 T3!' !' $!"!t$t&d %

•A**ro*r!$t&4 dur$%"& n!'3&' or &$3 unt!on$" '*$&

•C$r&u" d&t$!"!n# o 'u3 &$tur&' $' doorr$6&'4 $'&;or>4 $nd n!'3 tr

to $+o!d d!rt/$t3!n# $nd 3$rd/to/"&$n r&+!&' $nd ?o!nt'

•Ad&


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Accessi%i#ity

A"" $r&$'4 %ot3 !n'!d& $nd out4 '3ou"d

•Co6*" ;!t3 t3& 6!n!6u6 r&!n# #"$'' ;$""' $nd door' to 6$>

*r&'&n& o%+!ou'

http://www.wbdg.org/design/accessible.phphttp://www.usdoj.gov/crt/ada/adahom1.htmhttp://www.access-board.gov/guidelines-and-standards/buildings-and-sites/about-the-aba-standards/aba-standardshttp://www.access-board.gov/guidelines-and-standards/buildings-and-sites/about-the-aba-standards/aba-standardshttp://www.usdoj.gov/crt/ada/adahom1.htmhttp://www.wbdg.org/design/accessible.php


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Cont(o##ed Ci(c)#ationA 3o'*!t$" !' $ o6*"&= ''t&6 o !nt&rr&"$t&d unt!on' r&


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Aest'eticsA&'t3&t!' !' "o'&" r&"$t&d to r&$t!n# $ t3&r$*&ut! &n+!ron6&nt (3o6&"!>&$ttr$t!+&7) It !' !6*ort$nt !n &n3$n!n# t3& 3o'*!t$"' *u%"! !6$#& $nd !'t3u' $n !6*ort$nt 6$r>&t!n# too"7 A %&tt&r &n+!ron6&nt $"'o ontr!%ut&' to%&tt&r 't$: 6or$"& $nd *$t!&nt $r&7 A&'t3&t! on'!d&r$t!on' !n"ud&•Inr&$'&d u'& o n$tur$" "!#3t4 n$tur$" 6$t&r!$"'4 $nd t&=tur&'•,'& o $rt;or>•Att&nt!on to *ro*ort!on'4 o"our4 '$"&4 $nd d&t$!"•Br!#3t4 o*&n4 #&n&rou'"/'$"&d *u%"! '*$&'•Ho6&"!>& $nd !nt!6$t& '$"& !n *$t!&nt roo6'4 d$ roo6'4 on'u"t$t!onroo6'4 $nd o8&'•Co6*$t!%!"!t o &=t&r!or d&'!#n ;!t3 !t' *3'!$" 'urround!n#'

http://www.wbdg.org/design/aesthetics.phphttp://www.wbdg.org/resources/daylighting.php?r=hospitalhttp://www.wbdg.org/resources/daylighting.php?r=hospitalhttp://www.wbdg.org/design/aesthetics.php


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Sec)(ity and Sa+etyIn $dd!t!on to t3& #&n&r$" '$&t on&rn' o $"" %u!"d!n#'4 3o'*!t$"' 3$+& '&*$rt!u"$r '&ur!t on&rn'•rot&t!on o 3o'*!t$" *ro*&rt $nd $''&t'4 !n"ud!n# dru#'

•rot&t!on o *$t!&nt'4 !n"ud!n# !n$*$!t$t&d *$t!&nt'4 $nd 't$: •S$& ontro" o +!o"&nt or un't$%"& *$t!&nt'•u"n&r$%!"!t to d$6$#& ro6 t&rror!'6 %&$u'& o *ro=!6!t to 3!#3/+u"n&rt$r#&t'4 or %&$u'& t3& 6$ %& 3!#3" +!'!%"& *u%"! %u!"d!n#' ;!t3 $n !6*o!n t3& *u%"! 3&$"t3 ''t&67

http://www.wbdg.org/design/secure_safe.phphttp://www.wbdg.org/design/secure_safe.php


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SCOE OF ME-ICALSERICES• Inr&$'!n# *o*u"$t!on

• H&$"t3 on'!ou'n&''

• M$n$#&6&nt *r$t!&'


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•

L$r#& !n+&'t6&nt• Co6*&t!t!+& $*$!t

• Str$t! n$tur&

• rot $nd &:&t!+&n&''

• O*&r$t!n# o6*"&=!t(&ono6! &n+!ron6&nt)• M&&t utur& d&6$nd $ur$t&"

• E=*$n'!on o**ortun!t!&'

• M$r>&t '3!t o *o*u"$t!on

DH. LOCATION -ECISION MATTE


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C3$n#&' !n t3& &ono6!&n+!ron6&nt

Int&rn$t!on$" "&+&" o6*&t!t!o

o6*$n!&'7Lo$t!on !n ountr!&' d!:&r&nor!#!n o t3& o6*$n $r& $ '!tu$t!on or %!# o6*$n!&'7

A**&$r$n& o n&; 6$r>&t' $un!$t!on o ot3&r'7Inr&$'& o o6*&t!t!on *r&''

Lo#!'t!' $tor' $r& 6or& !6*o6*"&=7Co6*$n!&' $r& r&+!&;!n# t3&"o$t!on' !n ord&r not to "oo'&o6*&t!t!+&n&''7

$n#&' !n t3& &ono6!+!ron6&nt Tr$n'*ort$t!on $nd IT d&+&"o*6&nt7

H&"*' !n t3& !nt&rn$t!on$"!$t!on o t3&o*&r$t!on' 3!#3&r #&o#r$*3!$"d!+&r'!t !n "o$t!on d&!'!on'7

T&nd&n to "o$"!& "o'& to t3&6$r>&t' &6*3$'!' !n u'to6&r'&r+!&4 d!r&t u'to6&r ont$t4 $'td&+&"o*6&nt o n&; *rodut'4 $'td&"!+&r-u& to &=!%"& t&3no"o#!&'4o6*$n!&' 3$+& t3& *o''!%!"!t o't$rt!n# u* 6or& *"$nt' $t $ '6$""&r'!&7

J7I7T7 S't&6'7So6& !ndu'tr!&' $r& or!n# t3&!r'u**"!&r' $nd u'to6&r' to "o$t& t3&!r$!"!t!&' !n $ "o'& $r&$ to r&du&


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• ro=!6!t to Cu'to6&r'

• Bu'!n&'' C"!6$t&

• Tot$" Co't'

• Inr$'trutur&

• u$"!t o L$%our

• Su**"!&r'

• Ot3&r F$!"!t!&'

• o"!t!$" R!'>'

• Go+&rn6&nt B$rr!&r'

• Tr$d!n# B"o>'

• En+!ron6&nt$" Ru"$t!on

• Ho't Co66un!t

• Co6*&t!t!+& Ad+$nt$#&

ISS,ES IN FACILIT. LOCATION


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• F$!"!t!&' $+$!"$%"& !n t3& *$rt!u"$r *"$&7

• T3& o't 4*r!& $nd n$tur& o t3& "$nd7

• N$tur& o ot3&r %u!"d!n#' $round t3& 3o'*!t$"7

• T3&r& '3ou"d not %& ot3&r 3o'*!t$"' $round t3& *$rt!u"$r t3$t *ro+!d& '!6!"$r '&r+!&'7

•

T3& $+$!"$%!"!t o "$%or7• Tr$n'*ort $!"!t!&' '3ou"d %& $&''!%"& 7

• Su**ort!+& ,n!t'7

• Ot3&r F$!"!t!&' "!>& D$t&r4 E"&tr!!t4 G$'777&t '3ou"d %&on'!d&r&d7

SITE OF HOSITAL


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• H$+& to '&& t3& on+&n!&n& o t3& *&o*"&7

• ro=!6!t t3rou#3 3&$*&'t 6od& o tr$n'*ort7

• Co66un!$t!on S't&6 3$+& to '&& ! t3&r& !' t3&r& $r& *o"!'t$t!on4 u&" 't$t!on4 r& '&r+!& 't$t!on&t7

• Ho'*!t$"' '3ou"d %& r&& ro6 $"" t*&' o *o""ut!on' "!>& no!'&;$t&r&t7 !7&7 !t '3ou"d %& &o r!&nd"7

• Con'!d&r t3& ro'' !n&t!on ro6 t3& 3o'*!t$"7

• M$r>&t!n# $!"!t!&' "!>& 6&d!$" '3o*' 4'tor&'4 3ot&"'&t '3$+$!"$%"&7

• Lo$"!t *$rt!!*$t!on '3ou"d %& &n'ur&d 4 !7& t3& "o$"!t 'u**'3ou"d %& #$!n&d7

LOCATION OF HOSITAL

GENERAL ROCESS IN FACILIT.


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GENERAL ROCESS IN FACILIT.LOCATION• Cr&$t!on o $ 6u"t!unt!on$" t&$6 to *&ror6 t3& 'tud7

• r&"!6!n$r $n$"'!'7

• Stud o t3& o6*$n’' 'tr$t!&' $nd t3& *o"!!&' o t3& o6*$n to tr$t3&6 !nto F$!"!t Lo$t!on r&


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L&+&"' o -&!'!on'7

Market Region

Subregion

Community

Sites

Market Potential

Market Share

Operating Cost

Transport Cost (RM)

Taxes

Raw material costs

Labor Cost an !"ailability

!ccess to market#materials

Material Cost

Labor Cost an !"ailability

Taxes

!"ailability o$ public ser"ices

!"ailabilty o$ sitesCommunity amenities

!ccess to transport %etwork

Site Characterics

Taxes

!"ailability o$ public ser"ices

Lan an ac&uisition costs

Construction Costs


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GOERNMENT


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In t3!' '*$&4 !n'&rt $ *o"!t!$"

$ndor *3'!$" 6$* o our 't$t&7o!nt out t3& 't$t& $*!t$"7

Not& C3&> out C"!* $rt $nd M&d!$on o8& On"!n& $t3tt*o8&76!ro'ot7o6"!*$rtor 6$*' $nd ot3&r #r$*3!' oour 't$t&7

MAS


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ECONOM.


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DEATHER


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NAT,RAL RESO,RCES


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NAT,RAL RESO,RCES4 CONTIN,E


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C3oo'& on& *"$& !n our 't$t& t3$t

;ou"d %& !nt&r&'t!n# to +!'!t7 T&"";3&r& !t !' "o$t&d !n t3& 't$t& $nd;3 !t ;ou"d %& !nt&r&'t!n# to +!'!t7

Not& .ou $n u'& M!ro'otInt&rn&t E=*"or&r to nd!nor6$t!on $%out our '!t&7

LACES TOISIT


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• C3oo'& t3r&& ;&"" >no;n r&'!d&nt' o our 't$t&7 T&"" ;3d!d to %&o6& $6ou'7

FAMO,S EOLE


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• T&"" $%out t3& 't$t& 6otto $nd ;3$t 6$>&' t3!' 't$t& '*

STATE MOTTO


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• L!'t t3& r&'our&' ou u'&d or our r&'&$r37

DORS CITE-

Documents

Factors Affecting Location of multi specialty hospital