case study of Fortis hospital,gugaon

1. CASE STUDY OF HOSPITAL
FORTIS HOSPITAL

2. INTRODUCTION OF FORTIS HOSPITAL , GURGAON
Fortis Memorial Research Institute
Location : sector 44, Gurgaon
Site area : 43,303 sq. m.
Built – up area : 65,961 sq.m.
FAR : 1.52
Principal Architect : Ar. Rajinder kumar,
Rajinder Kumar Associates, New Delhi
▪ Fortis Memorial Research Institute, Gurgaon (FMRI) is a flagship hospital
of the Fortis Healthcare Limited.
▪ FMRI is a multi super-speciality, hospital.
▪ FMRI is a set on an 11 –acre campus.
▪ It has 430 functional beds, with a further planned increase in beds to
1000.
▪ FMRI is accessible easily by road, It can also be reached using Delhi
Metro, as the hospital is located opposite to the HUDA city metro station
DEPARTMENTS -
▪ Minimal Access, Bariatric & GI Surgery
▪ Plastic Surgery
▪ Ophthalmology
▪ Pulmonology
▪ Plastic Surgery
▪ Dental Sciences
▪ Internal Medicine
▪ Cosmetic & Plastic Surgery
▪ Invasive Cardiology
▪ Paediatrics
▪ Minimal Assess Surgery (Gynae)
▪ C-DOC
▪ Neonatology
▪ IVF
▪ Liver Transplant, GI & Hepato Pancreato
Biliary Surgery
▪ Mental Health & Behavioural Science
▪ Radiation Oncology
▪ Radiology
▪ Rheumatology
▪ ENT
▪ Gastroenterology & Hepatobiliary Sciences
NO. OF BEDS- 430
FACILITIES-
TUMMY LUCK
A multi-cuisine food court
General care beds: 250
ICU beds : 100
OPD chamber- 80
CRECHE
A day care and an activity centre for
children.
MEDITORIUM
An auditorium for knowledge sharing
programme R & R LOUGE
Rest options with recliners, private
cubicles, shower, and locker facilities
for attendants.
HEALTH4U
Preventive programme with lifestyle
Interventions including tailor-made
health screenings. FORTIPLEX
Movie lounge▪ The main aim of
hospital is creating
a environment not
to give feeling of a
boring hospital.

3. HARYANA
INDIA
GURGAON
APPROACH AND CONNECTIVITY
SATELITE VIEW OF THE SITE

4. FORTIS HOSPITAL
30 M WIDE SECTOR MAIN ROAD
NETAJI SUBHASH MARG
SECTOR 44 ROAD
ROAD WITHIN SECTOR
GURGAON BUS STAND
6.6 KM VIA MEHRAULI –GURGAON
ROAD
HUAD CITY CENTRE
400 M VIA SECTOR ROAD
RAILWAY STATION
GURGAON RAILWAY STATION 9.7 KM
HUDA CITY
CENTRE BUS STOP
HUDA CITY CENTRE BUSTOPS
120 M
NEAREST GURGAON BUS STAND NEAREST METRO STATION
ROAD CONNECTIVITY MAP
NEAREST AIRPORT
NEAREST RAILWAY STATION
NEAREST BUS STOP
INDIRA GANDHI INTERNATIONAL AIRPORT
120 KM 30 MIN
APPROCHES TO THE HOSPITAL
FORTIS HOSPITAL
MAX HOSPITAL
PARAS HOSPITAL
MEDANTA
HOSPTAL
SHEETLA
HOSPITAL
ARVY HOSPITAL
UMKAL HOSPITAL
NEAR BY HOSPITALS

5. NEARBY AREAS OF THE HOSPITAL
Metro
Amity School
Oyster Park
Vivanta
RESIDENTIAL
FORTIS
HOSPITAL
FORTIS
HOSPITAL

6. TERI GRIHA RATING
▪ Air- conditioned area : 26,254 sq.m
▪ Non- Air- conditioned area : 44,612 sq.m
▪ Energy consumption reduction : 33% reduction in
energy consumption compared to TERI GRIHA
benchmark
▪ EPI : 154 KWh/ sq.m/year
▪ Renewable energy installed on site : Rated capacity of
solar PV installed on site is 25 KWp
▪ TERI GRIHA provisional rating : 4 stars
The following strategies were adopted to reduce the building impact on the natural
environment :
▪ Sustainable site planning
▪ Top soil from the site, which was not very fertile was stacked, preserved, made fertile with the
addition of manure and re- laid on the landscape areas.
▪ Consolidation of all site services along the transportation corridors minimizes the site disturbances.
▪ Surface parking is provided with 100% grass pavers reduce the heat island effect on site.
▪ Sufficient plantation done at the site reduces the noise levels considerably and enhances exterior
environmental quantity.
▪ Reduction in water consumption (compared to GRIHA benchmark) :
▪ Low flow plumbing fixtures used to minimize the building water consumption reduction by 63%.
▪ Drip Irrigation system adopted on the site along with native plant species to cut short the
landscape water consumption by 50%.
▪ 100% Treated water from sewage treatment plant is reused for cooling towers and irrigation
purposes.
▪ Reduction in energy consumption (compared to GRIHA benchmark) while maintaining occupant comfort :
▪ For achieving visual comfort
▪ Ingress of daylight in patient areas & Waiting areas.
▪ Landscape in sync with the Architectural spaces to provide visual comfort.
▪ For achieving thermal comfort
▪ Use of AAC blocks, Double Glazing & Roof insulation.
▪ Renewable energy technologies installed on site :
▪ Solar Photovoltaic Panels for 25 K Wp are installed at site.
▪ Solar Water heaters for 8000 litres are also installed to meet the surplus hot water requirement
after heat recovery system.
▪ Use of low energy materials :
▪ Autoclaved Aerated Concrete blocks
are used for the construction of
building.
▪ Cement with sufficient percentage of
fly ash had been used for the
construction.
▪ Low embodied energy construction
materials and finishes have been used
in the hospital interiors.
Non-Air-conditioned areaAir-conditioned area

7. VERTICAL DISTRIBUTION OF SPACES -
Typical Floor
Third Floor (patient beds 67)
Service floor
Second floor (surgical floor 10 OT. ICU BEDS 92)
First floor (maternity ICU 62 beds, wards, ICU
relatives
Upper ground (maternity, atrium lobby)
Lower ground (diagnostics, OPD, ER)
Basement (parking, plant rooms)
DISTRIBUTION OF SPACES FLOOR-WISE
PLOTBOUNDARY

8. SITE PLAN-
Service
Yard
-8800
-2750
Oxygen
plant
Service-
entry/exit
Maternity
entry/exit
Maternity ward
drop off
Maternity ward
Parking (71 cars)
Emergency
drop off
Emergency
entry/exit
Oncology
drop off
OPD
Entry/exit
Main OPD
drop off
Emergency parking
(36 cars)
Ramp up and down
for parking
Service entry
drop off Emergency
parking (36 cars)
FORTIS HOSPITAL
Site area : 43,303 sq.m
Built-up area : 65,961 sq.m
FAR : 1.52
Surface parking : 143 cars
+1500
-2750 Total no. of entry/exit in the building-
▪ OPD entry- at lower ground floor to the OPD
▪ Main entry- at upper ground floor
▪ Emergency entry- at lower ground floor
▪ Service entry- at upper ground floor
▪ Oncology OPD entry- at upper ground floor
Total no. of entry/exit in the site-
▪ OPD entry- at lower ground floor
▪ Maternity entry- at upper ground floor
▪ Emergency entry- at lower ground floor
▪ Service entry- at upper ground floor
E
W
S
N

9. Service
Yard
-8800
-2750
Service-
entry/exit
Maternity
entry/exit
Emergency
entry/exit
OPD
Entry/exit
+1500
-2750
E
W
S
N
EAST
SOUTH
WEST
SUN DIAGRAM
BUILDING ORIENTATION STUDY
▪ The main Façade of the building is facing
North-West Direction
▪ The service areas are provided in the
South-East Direction
▪ The bed tower extending up to G+5 is
providing shade to the rest portion of the
building from sunrays coming from south
direction.
▪ The Atrium in the center of the building is
receiving diffused light from north
direction .
▪ Healing gardens are provided in North
direction shaded all the time from
sunrays.
▪ Heavy plantation is done at site
boundaries to absorb most of the noise
coming from the vehicles outside.

10. BASEMENT PLAN
LINAC (Radiation therapy)
used for treatment of
oncology has 1 to 1.5
meters thick wall
Total parking in the basement-
LINAC (Radiation therapy)
▪ 280 cars parking
▪ 51 two wheeler parking
E
W
S
N
Admin area
Service yard
Mechanical therapy
Radiation therapy
Lifts and services
HVAC Plant Room
Water Supply
And Fire Fighting
Pump
D.G.Room
LT Panel Room
BASEMENT IS USED FOR-
▪ The basement is used for engineering
services plant room like HVAC, LT panel
room, DG room, Pump rooms etc.
▪ And it is also used for radiation therapy used
in oncology treatment.
▪ And for parking and HR department and
staff areas.

11. LOWER GROND FLOOR LOWER GROUND FLOOR IS USED FOR
▪ OPD
▪ Oncology OPD
▪ Laundry
▪ CSSD
▪ Radiology
▪ Emergency
▪ Physiotherapy department
Total area of lower
ground floor –
7864.890 SQ.M.
E
W
S
N
Laundry
CSSD
Emergency
Entry
Swimming
pool
Physiotherapy
Gym
OPD
entry
Lower G.F.
Laundry
Radiology
OPD
Physiotherapy
Oncology

12. UPPER GROUND FLOOR
UPPER GROUND FLOOR IS USED FOR-
▪ Maternity ward
▪ SPA
▪ kitchen
▪ Food court
▪ Finance department
▪ Shop arcade
▪ Health check-up area
Total area of lower ground floor –
7864.890 SQ.M.
E
W
S
N
SPA
Food court
Finance Deptt.
Maternity ward
Kitchen
Shops
Health check-up
Kitchen
Finance
deptt.
Waiting
Maternity
Ward
Food Court
Health
check-ups
SPA
Shops
Shops
SPA
Waiting
Food Court
Reception

13. FIRST FLOOR
FIRST FLOOR IS USED FOR -
▪ Maternity Surgical & LDR
▪ Chemo and dialysis
▪ Auditorium
▪ General wards
▪ Blood bank/Lab
Total area of first floor –
6828.190 SQ.M.
Auditorium
General ward
Maternity surgical
Blood bank/lab
chemo/Dialysis
E
W
S
N
Ward
Blood
bank &
LAB
Maternity
Surgical &
LDR
Chemo &
Dialysis
Auditorium
WARD WARD
AUDITORIUM
BLOOD DONAR
DIALYSIS

14. SECOND FLOOR
FIRST FLOOR IS USED
FOR-
▪ Surgical suite
▪ ICU
▪ Cath labs
Total site area of
second floor-
6828.190 SQ.M.
CATH LAABS
ICU
OT area
Cath labs
E
W
S
N
ICU
Cath Labs
OT Area
OT OT
POST OT

15. SINGLE PATIENTROOM
DOUBLE PATIENTROOM
LIFT AND STAIRCASE
Third and fourth floor are used for-
THIRD AND FOURTH FLOOR
▪ Single patient room
▪ Double patient room
Total area of third and
fourth floor-
1944 SQ.M.
Total no. of beds on both
floor –
140
DOUBLE PATIENT ROOM
SINGLE PATIENT ROOM
CORRIDORS
RR LOUNGE
E
W
S
N
Single Patient Room
Double Patient Room RR Lounge

16. NURSE STATION& CU/DU
MANAGEMENT
AMINSTRATION
SUITE
DELUX PATIENT ROOM
LIFT AND STAIRCASE
FIFTH FLOOR
Total area of third and forth floor-
1808 SQ.M.
Total no. of beds on both floor- 140
E
W
S
N
DELUXE ROOM
PRESIDENTIAL SUITE
SUITE ROOM
PRESIDENTIAL SUITE
Suite Room
Deluxe RoomPresidential Suite

17. PENUMATIC CONTROL SYSTEM PENUMATIC CONTROL SYSTEM
▪ Pneumatic tubes (or capsule pipelines; also known as
pneumatic tubes Transport or PTT) are systems that propel
cylindrical air or by partial vacuum.
▪ They are used for transporting solid objects, as opposed to
conventional pipelines, which transport fluids.
SENDING STATION
RECEIVING SYSTEM

18. SECTIONS -

19. FIRE FIGHTING
FIRE FIGHTING
INSIDE THE
BUILDING-
In case of fire
Smoke detector
detect the fire and
raise the alarm
Then the sprinklers get
activated having access from
overhead tank (if it fails)
Then the sprinklers jockey
pump get activated
If it is not sufficient then second
sprinklers jockey pump starts
FIRE FIGHTING OUTSIDE THE
BUILDING-
In case of fire
Hydrant pumps get
activated
If it is not sufficient
second hydrant pump
gets activated
IF electricity is switched
down then diesel pump
starts the hydrant pump
If electricity is switched
down then diesel tank
starts the pump
Fire tank capacity - 1.5 lakh litre
Sprinklers used are with red colored bottle
FIRE CONTROL SYSTEM-
Fcs Tells In Which Zone Fire Is Spread
And Raise The Alarm Installed In Every
Floor
Pipelines To Carry Water
During Fire Connected From
U.G. Tank
Control Panel Pump
Fhc Outlets Are Given
On The Periphery Of
The Site
Exhaust Ducts To Carry
Smoke Above
If it is also not
sufficient then
FHC is used ▪ FHC Is Operated
Manually By Fire Man
Only.
▪ It Is Also Having Water
Access From Under
Ground Fire Tanks