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HOSPITAL PLANNING

PREPARED &
PRESENTED BY-
AWANTIKA DIWAN
MBA
(HA&HC)
INTRODUCTION
The last few decades have seen a spectacular
development in the health & hospital
consciousness of the Indian public.
Essential hospital service required for the
community cab be met most economically only
with adequate thought given to planning ,
design,construction & operation of health care
facilities.
A design expert says- weve got to design smart
hospitals that respond to present needs while
anticipating future changes.
PLANNING A HOSPITAL
Planning is the forecasting and organizing the
activities required to achieve the desired goals.
All successful hospitals,without exception,are built
on a triad of good planning,good design &
construction & good administration.
To be successful,a hospital requires a great deal of
preliminary study and planning
It must be designed to serve people and for
promoters to build in the first place & sustain later.
CONT..
It must be staffed with competent and adequate
number of efficient doctors,nurses & other
professionals.
A strong management is essential for the daily
functioning of a facility & this must be included in
the plans of a new hospitals.
CLASSIFICATION
1. Private
2. Partnership
3. Private Trust (family)
4. Public Charitable trust
5. Cooperative Society
6. Private Limited Company
7. Public Limited Company
GUIDING PRINCIPLES
High Quality Patient Care
Effective Community Orientation
Economic Viability
Sound Architectural Plan
PLANNING TEAM
Hospital administrator
Specialists from various clinical branches
Nursing advisor
Civil and electrical engineers
Representative of local body
Senior architect
OBJECTIVES OF PLANNIG TEAM
Existing facilities & its adequacy
Asses the needs of area
Needs of new facilities so as to provide adequate,
qualitative health are services.
MARKET SURVEY
One the first tasks of the temporary organization is
to survey the service area of the proposed hospital.
Following bodies helps in market survey-
1. Banks
2. CA firms
3. Financial Institutions
4. Consultant
Since major decisions will be on the result of the
survey,it must be done in a professional manner.
CONT..
Following considerations should be taken during
survey-
Character,needs & possibilities of communities
Type & size of Hospital
Financial condition of community
Occupation
Age distribution
FINANCIAL PLANNING
Financial planning must take precedence over
every other consideration.
Financial planning must cover the following three
areas:
1. Constructing,Equipping & Furnishing the Hospital
2. Operating Funds
3. Financial Assistance
Financial assistance has 2 components-
1. Loan for fixed capital
2. Loan for working capital
FINANCIAL INSTITUTION
NATIONAL LEVEL SPECIALIZED
INDUSTRIAL FINANCIAL
DEVELOPMENT BANK INSTITUTION
1.IDBI 1.TDICI
2.IFCI 2.RCTC
3.SIDBI 3.TFCI
4.IRBI
5.SCICI
CONT..

INVESTMENT OTHER BANKS


INSTITUTION 1.ICICI
1.UTI 2.NABARD
2.GIC 3.SBI
3.LIC
DESIGN TEAM
Hospital Consultant
Architect
Engineers
Structural Engineers
Electrical Engineers
Plumbing Engineers
Hospital Administrator
EQUIPMENT PLANNING
The term equipment means all items necessary
for the functioning of all services of the hospital.
It is necessary to consult with the architect
designing the building early so that the facilities
planned will be of sufficient size to accommodate
the equipment & render the necessary services.
A room by room equipment list is then complied
& reviewed by the adm,medical & depart.staff.
CONT..
CONT..
SITE SELECTION
1. Accessibility to transportation & communication
lines
2. Parking facilities
3. Availability of public utilities
4. Proper elevation for drainage & general sanitary
measures
5. Freedom from smoke,noise,vapours & other
annoyances
6. Future expansion
7. Total cost
INTERIOR & FURNISHING
In a patient centered environment,design solutions
will respond to the needs of the patients profile both
architecturally and through material selections.
Should consider the following-
1. Infection control standards
2. Design story
3. Healing environment
4. Physical environment
5. Organizational planning
understanding
6. Cost analysis
EMERGING HEALTHCARE DESIGNS
Acuity-adaptable patient rooms
In board v/s outboard toilet
Same handed patient rooms
HOSPITAL BUILDING
After completing all preparations for building a
hospital the governing board issues instructions for
the development of final plans & specification.
Principle-
# Protection
# Short traffic routes
# Separation of dissimilar activities
# Control
GENERAL FEATURES
Environment
Screened windows
4 separate entrance
Exit point
Attractive entrance
Traffic flow
Corridors
Visitors control
Running physical part
Fire escape
BED DISTRIBUTION
The functions of the hospital revolve around the
total no. of beds & their distribution within various
depart. & services.
The no. of beds in a hospital is the yardstick
applied when referring to the size of the hospital,
its various services, occupancy rate,etc.
Types of bed accomodations
Bed distribution by services
Space requirements
Cont..
Bed planning:
Population = A x S x 100
365 x PO
A = number of patients admissions/1000
populations/year
S = average length of stay
PO = percentage occupancy
HOSPITAL PROJECT STAGGING
CONT..
OPERATION PROGRAM
SPACE REQUIREMENT OF SOME BASIC
DEPARTMENT
CONT..
SHAKE DOWN PERIOD
After the commissioning of hospital some time is
taken for functional integration of different
units,services,staff,patient & community.
Machine are tested
Staff recruited & trained
Standard operating procedures are made
Maintenance service is put in place
Materials, linen & stationary procured
Then starts the routine & regular functioning of
the hospital.
CONCLUSION
A hospital is a living organism,made up of many
different parts,having different functions,but all
theses must be in due proportion & relation to
each other & to the environment to produce the
desired result

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