HOSPITAL PLANNING TEAM Hospital planning starts with constitution of a planning team.
The Hospital Administration
Specialists from various clinical branches
Civil and Electrical Engineers
Representative of local body
OBJECTIVE OF PLANNING TEAM
Existing facilities and its adequacy
Asses the needs of the area
Need of new facilities so as to provide adequate, qualitative health care services
to people as per their need.
COMPONENTS OF HOSPITAL PLANNING HOSPITAL PLANNING FEASIBILITY STUDY PROJECT PLANNING & IMPLEMENTATION SHAKE DOWN PERIOD COMMISSIONING STRATEGIC PLANNING
FEASIBILITY STUDY FEASIBILITY DATA COLLECTION NEED ASSESMENT TRANSPORT & COMMUNICATION WATER SUPPLY & ELECTRICITY DEMOGRAPHIC PATTERN ENVIRONMENTAL STUDY PRIORITIZATION OF NEED SITE SELECTION
DATA COLLECTION DATA DEMOGRAPHIC DATA EXTENT UTILIZATION OF PRESENT FACILITIES GEOGRAPHIC DATA DISEASE PATTERN METRIOLOGICAL DATA EXISTING FACILITIES
DEMOGRAPHIC PATTERN A.
Type of Residents – High, Middle, Low Class.
Extent of people to be covered – villages, towns
Peoples, Beliefs, Attitude and Practices and Culture
Availability of Rest Houses, Hotels & Daram Shalas.
What is the type of health need (Preventive, curative, rehabilitation,
general care or specialty care.
For which vulnerable group (old, children, women, specified disease group)
Economic status and source of earning.
Extent of utilization of present health care facilities.
Level of leadership and motivation among people.
Housing and education facility for hospital staff family.
C. SITE SELECTION
Availability of sufficient land depending on size of the hospital and its future
25 beds – 5 acre, 100 bed – 15 acre 200 bed – 25 acre
500 beds – 50 acre 750 bed – 80 acre 1000 bed – 100 acre Approx.
Must have good approaching roads.
Soil condition suitable for construction, Not land fill area.
Proper drainage of rain water.
Subsoil water and mineral level.
D. ENVIRONMENTAL STUDY
(i) Area must have clear sun shine, avoid big buildings, trees near by.
Climate should be moderate.
No near by noise or smoke emitting industries.
Flow of fresh air.
Away from roads with heavy traffic.
E. AVAILABILITY OF ELECTRICITY
Electric sub station in close vicinity.
Availability of 3 phase electric supply with adequate load (1 kw/ bed/ day)
Dedicated electric supply line.
Stand by generator.
F. WATER SUPPLY AND SANITATION
Availability of deep table subsoil water.
Adequate water supply from corporation/ Jal board (400 liters/ bed/ day.
Good maintained sewerage system (300-400 liter/ bed/ day)
Easy access to sewerage treatment plant.
Facility for Bio- Medical Waste Disposal near by.
G. TRANSPORT AND COMMUNICATION
Better to have close access to Rail Head or Bus Stand.
24 hours public transport and private taxis available.
Near by telephone exchange/ line with adequate number of pairs.
Easy access to transmission towers for uninterrupted communication.
PROJECT PLANNING AND IMPLEMENTATION PROJECT PLANNING PROPOSAL OUTLINE (why this project) TENDERING & AWARD OF CONTRACT ARCHITECT BRIEF APPROVAL OF THE PROJECT RESOURCE ALLOCATION SFC/ EFC (Standaing Finance Committee) (Expenditure Finance committee) LAND ACQUISITION DETAILED PROJECT PROPOSAL CONSTRUCTION PLANNING
A. PROJECT OUTLINE
Why to under take the project.
Justify with statistics
How people are going to benefit.
Acceptance of project by local people
Minimum size of the project.
B. DETAILED PROJECT PROPOSAL
Size, shape and location of the project, availability of land and size.
Type of services proposed to be provided (General/ Specialty Service)
Approximate capital and recurring cost (lakh/ bed.)
C. PROJECT APPROVAL
Once the project is prepared it should be sent to higher authorities for administrative approval indicating the approximate capital cost.
D. RESOURCE ALLOCATION
Once the administrative approval is received then proposal is made for
An Expenditure Finance Committee (EFC) memo is prepared.
The EFC memo is placed before the Standing Finance Committee (SFC) for financial sanction .
LAND ACQUISITION ACTIVITIES LAND PURCHASE LAND CLEARANCE & NON-ENCUMBRANCE CERTIFICATE CHANGE OF LAND USE (Agriculture/ Residential/ Rural/ Urban) REGISTRATION & TRANSFER DEPARTMENTAL CLEARENCE FOR LAND USE
ARCHITECTURE BRIEF A brief of the complete construction plan to be given to the architect.
Design Specific Functional Area
Inter – relation between various areas
Preparation of drawings and models
Electricity and Air Conditioning
Lifts, Fire Fighting
Finalization after discussion with planning team
TENDERING AND AWARD OF CONTRACT
Once the design is finalized.
A global tender is issued in two bid system.
Bids are examined by the planning team.
Finally the contract is awarded to prospective contractor/ construction agency.
STRATEGIC PLANNING While the construction is on progress simultaneous strategic planning are started for staffing, equipments, machineries and furniture . STAFFING MEDICAL DOCTORS SANITATION STAFF NURSING STAFF ADMN. STAFF TECHNICAL STAFF NURSING ASSISTANT KITCHEN STAFF
MACHINARY EQUIPMENTS MATERIAL PLANNING HEAVY EQUIPMENT STATIONARIES & REAGENTS LINENS INSTRUMENTS TRANSPORT, DRUGS AND DISPOSABLES FURNITURES INVESTIGATION MACHINES Process of procurement and staff selection are made as per codal formalities.
Once the construction is completed
Installation of air conditions, lifts
Equipments and Machinery
Recruitment of Staff
The hospital is commissioned
Advertisement is made in paper
Publicity in local area
Date of inauguration is finalized
SHAKE DOWN PERIOD After the commissioning of hospital Some time is taken for functional integration of different units, services, staff, patient and community. This period is called shake–down period .
Machine are tested
Staff recruited and trained
Standard operating procedures are made
Maintenance service is put in place
Materials, linen and stationary procured
Then starts the routine and regular functioning of the hospital.
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