Project and Operations Management-Hospital Construction

1. PROJECT &
OPERATIONS
MANAGEMENT
CIA 3

2. ELIXIR
Multispeciality
Hospital

3. PROJECT OUTLINE
➔ Introduction
➔ Background of Area
➔ Malappuram - Why ?
➔ Transportation facility
➔ Population-density of 2,083 per square km

4. SOURCES OF FUNDS
1 2 3 4

5. PARTICULARS APPROX. AMOUNT ALLOCATION
(IN INR)
LAND ACQUISITION 200 CRORES
TENDER CONFIDENT GROUP 250 CRORES
PARKING 3 CRORES
CANTEEN (OUTSOURCING) 1 OUTLET 2 CRORES
PROMOTION (OFFLINE & ONLINE) 8 CRORES
LEGAL CONSIDERATIONS INCLUDING APPROVALS 0.5 CRORES
PHARMACY 5 CRORES
MAINTENANCE 3.5 CRORES
EQUIPMENTS MEDICAL 50 CRORES
EQUIPMENTS SERVICES & SAFETY 5 CRORES
SALARY & WAGES PROFESSIONALS & OTHERS 14 CRORES
RESERVES 57.5 CRORES
TOTAL BUDGET PHASE 1 600 CRORES

6. PHASES
PHASE 4
INNOVATION PHASE
PHASE 3
DIVERSIFICATION
PHASE
PHASE 2
EXPANSION PHASE
PHASE 1
INITIAL PHASE

7. PROJECT APPROVAL
›Registration under the clinical establishment act, 2017
›Registration under companies’ Act, 2013
›Director Index No (DIN NO) for each director
›Registration under societies registration act, 2001 if needed
›Locations of the Hospital
›Permits for Land and construction
›Permits for electricity and water, sewage, bio-medical waste
›Fire and Health License
›FSSAI license for operating a kitchen
›Pharmacy registration for medical shop
›Vehicle registration for ambulances

8. Other important license
required..?
›Regulations Building Permit and Licenses (From the Municipality)
›No objection certificate from the Chief Fire Officer "License under Bio-Medical
Management and Handling Rules, 1998.
›No objection certificate under Pollution Control Act.
›Narcotics and Psychotropic substances Act, 1985
›License for the Blood Bank (To be displayed in the Blood Bank)
›Transplantation of Human Organs Act 1994(If applicable)

9. LAND ACQUISITION

10. Location
➢ Nearness to the existing or potential patients
➢ Convenient to the patients
➢ Easy accessibility
➢ Visibility from highway increases the brand value of the hospital

11. EASE OF COMMUTATION
KANNUR TO CALICUT CALICUT TO MANJERI

12. Size
➢ Consideration to further development and growth
➢ Better parking facilities
➢ Taller buildings to save the land usage
➢ Legal requirements

13. Cost
➢ Budget based buying of the land
➢ 40 Acres of land costs 200 cr (5L for 1 cent)
➢ Excess cost on new project than the re-building
➢ Time of completion

14. Construction Plan of a
Hospital

15. Construction Plan of a Hospital
Two Principles to be considered while planning construction of a
hospital:
★ Safety
★ Control and circulation
How should a hospital building be ?
★ Environmentally friendly
★ Minimum expenditure on energy like light
★ Proper emergency exits and fire alarms
★ Disabled friendly

16. Legal requirements:
★ Building rules for construction - KMBR
★ Regulations building permit and licenses from the Municipality
★ License from DMO
★ License from concerned local corporation authorities

17. Basic necessities to be considered while
constructing:
★ Approval from town and country planning department
★ Stair case
★ Fire escape stairs
★ Fire detection instruments
★ Water tanks
★ Off street parking space

18. Components of a Construction Plan:
★ Design of construction
★ Number of floors
★ Facility for each floor
★ Designing of OPD
★ Designing of emergency exit
★ O.T and investigation facilities
★ Space for expansion
★ Parking, Canteen, Dispensary
★ Hospital Hygiene
★ Prayer room

19. Area of Hospital:
★ Total area - 6,50,000 sq. ft
★ Building area - 62,700 sq. mtr
★ Floor Area - 12,540 sq. mtr

20. Floor Area Allocation:
★ OPD - 12% to 18%
★ Wards - 37% to 45%
★ Diagnostics and Therapeutic - 18% - 22%
★ Administration - 8% to 12%
★ Service departments - 15% to 20%

21. Floor Area Detailed Breakup:
★ Nursing
★ Nursery
★ Labour room
★ OT
★ Radiology
★ Pharmacy
★ CSSD
★ House -keeping and maintenance
★ Staff facilities

22. Bed Plan:
★ 400 beds in total
★ One bed requires 100 sq. ft
★ Total floor area will be total number of beds needed in a floor *10

23. Bed distribution:
★ Medical - 30% to 40%
★ Surgical - 25% to 30%
★ Orthopedics - 5%
★ Obs and Gynae - 15% to 18%
★ Pediatrics - 10% to 12%
★ ENT and Eye - 10% to 15%

24. Corridors:
★ Main corridor should allow passage of two beds with persons on sides.
★ More than 2.5 m width

25. Tendering and Award of
contract

26. Tendering and Award of contract
❖ Invite bids for large projects.
❖ Objective - eliminate favoritism and corruption in awarding
works to construction companies.
❖ By the help of tender, client can compare different prices quoted
by various contractors for a work.
❖ It is always the low price and experienced contractor wins the
tender.
❖ DLF, Larsen & Toubro, Confident Group participated in the
tender.

27. ❖ Confident group has quoted the lowest grid.
❖ Tender amount is 250 crores.

28. ARCHITECTURAL
BLUEPRINT

29. The Building

30. Interiors - Per floor

34. DEPARTMENTS
MEDICAL
DOCTORS
NURSING
STAFF
ADMINIST
RATIVE
STAFF
TECHNICAL
STAFF
ACCOUNTS
& HR
OTHER
DEPARTME
NTS
STRATEGIC PLANNING

35. MEDICAL DOCTORS
● CARDIAC SCIENCES
● ORTHOPAEDICS & RHEUMATOLOGY
● NEUROSCIENCES
● NEPHROLOGY & UROLOGY
● ONCOLOGY
● GASTROENTEROLOGY
● INTEGRATED LIVER CARE
● GYNAECOLOGY
● NUTRITION AND DIETETICS
● ENT
● OPHTHALMOLOGY
● GENERAL SURGERY
ADMINISTRATIVE STAFF
● ADMISSION UNIT
● ACCOUNTS
● HR Etc.
TECHNICAL STAFF
● LABORATORY
● RADIOLOGY DEPARTMENT
● PHARMACY

36. OTHER DEPARTMENTS
1. ACCIDENT AND EMERGENCY
2. WARD/ROOMS
3. BURN UNIT
4. ICU/CCU
5. LABOUR ROOM
6. ISOLATION WARD
7. DEPARTMENT OF VIROLOGY
8. MORTUARY

37. EQUIPMENT PLANNING
BUILT-IN
EQUIPMENTS

38. COMMISSIONING
➔Installations
➔Recruitment
➔Meetings
➔Testing
➔Designing
➔Advertisements

39. SHAKE DOWN PERIOD
After the commissioning of hospital some time is taken
for functional integration of different units, services,
staff, patient and community.
› Machine are tested
› Staff recruited and trained
› Standard operating procedures are made
› Maintenance service is put in place
› Materials, linen and stationary procured

40. HOSPITAL NOISE CONTROL
MEASURES

41. HOSPITAL NOISE CONTROL MEASURES
Reduce equipment noise
Room design imitating nature
Increase distance between patient and noise source
Screens between patients
Ceilings and wall absorbers that meet hygiene standards
Installing ambient white-noise machines
Replacing overhead staff paging systems with wireless headsets

42. Safety and Control measures
*Identification checks
*Personal information security
*Infections
*Electrical appliance checks
*Food safety
*Medication safety
*Keeping valuables safe
*Keeping children safe

43. SAFETY STANDARDS REQUIREMENTS
● ELECTRICAL INSTALLATION
● GAS INSTALLATION
● LIGHTING
● VENTILATION
● SANITARIAN INSTALLATIONS

44. SPECIAL CONSULTATIONS
● Legal consultant :
Adv. K. M. Reji Mohan (B.A. LLB )(MBA, Msc. Psychology, M.A.
Human Rights)
● Operations consultant:
Kritharth Puthusery (MHA) (Asst. Hospital Operations Officer,
Yenepoya Medical College, Mangalore)
● Architectural consultant:
Rakesh Ravi (Civil engineering diploma, B.Tech civil in B.Arch)

45. REFERENCES
https://www.slideshare.net/NcDas/planning-for-a-new-hospital
https://www.slideshare.net/mobile/jssclinic/hospital-project-report
https://www.slideshare.net/iamsinghsandeep/final-hospital-planning-and-layout-ppt
https://en.wikipedia.org/wiki/Malappuram
https://www.wbdg.org/building-types/health-care-facilities/hospital
https://www.gilbaneco.com/blog/healthcare/eleven-steps-for-a-successful-hospital-construction-project/
https://www.korteco.com/wp-content/uploads/2019/04/Healthcare-construction-start-to-finish.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621822/
https://remit.com.au/10-best-hospitals-in-australia/
https://astermedcity.com/
https://www.netdoctor.co.uk/health-services/nhs/a4502/a-to-z-of-hospital-departments/
https://www.disabled-world.com/definitions/hospital-departments.php

46. https://www.newsclick.in/kerala-budget-2019-live-update
https://economictimes.indiatimes.com/news/economy/policy/budget-rs-61398-crore-
allocated-for-health-sector-rs-6400-crore-earmarked-for-ab-
pmjay/articleshow/67794662.cms?from=mdr