2. Planning a Hospital
Planning is the forecasting and organizing the activities
required to achieve the desired goals.
All successful hospitals are built on a triad of good planning,
good design and construction and good administration.
To be successful, a hospital requires a great deal of
preliminary study and planning.
4. Objectives of planning team
Review
existing
facilities
Assess for new
facilities as per
need
Need
Assessment
5. Following are the pointers one needs to keep in
mind to set up new hospital :
1. Site selection
2. Services
3. Permits
4. Planning of infrastructure
5. General features
6. Licence
7. Cost set up
6. Site selection
• Accessibility to transportation
• Parking facilities
• Availability of public utilities
• Proper elevation for drainage and general sanitary measures
• Future expansion
7. Services
• General medicine
• Pediatric
• Orthopedic
• Gynecological services and birth centres
• Pharmacy
• Pathology lab
• Cardiology
• General surgery
• Uro and Nephro service
8. Permits for hospital
1. Land and Construction
• Numerous documents need to be approved like land deed , architect’s plan
etc.
• Land allotted for agriculture can not be used.
2. Electricity and Water
• Permission has to be taken from the local governing body to obtain electric
meters and water supply
3. Sewage
• Proper disposal of waste requires a well planned sewage and drainage
system , which is done after permission is sought from the local board.
9. 4. Biomedical waste
• This is very vital aspect and permission of municipal corporation is
required for installing incinerators required to dispose of medical
waste and body parts.
5. Fire and Health licence
• Fire licence is necessary to prove that the hospital will not cause and
damage or loss of life and needs to be procured from the local
municipal council.
• Procuring a health licence is vital to provide health care to the
patients.
10. Planning of Infrastructure
• Doctors , their qualifications and registration numbers recorded.
• Nurses and working shifts discussed and set
• Medical equipment and instruments purchased
• Computers and other hardware devices set up
• Engineers and staff required for maintanance, plumbing,medical gas
pipelines,air conditioning etc.
11. General Features
• Environment
• Screened windows
• 3-4 separate entrance
• Exit point
• Attractive entrance
• Traffic flow
• Corridors
• Visitors control
• Fire escape
12. Licence
• Regulation building permit and licences
• NOC from the chief fire officer, licence under bio z-medical management
and handling rules,1998.
• NOC under the pollution control act.
• Narcotics and psychotropic substances Act,1985.
• Vehicle registration certificates
• Atomic energy regulatory body approvals
• MTP Act,1971
• Drugs and cosmeticsAct,1940
• Electricity Act,1998
• ESI Act,1948
• Environment protection Act,1986
13. • Fatal accidents Act,1855
• Guardians and wards Act,1890
• Indian nursing council Act,1947
• Also one must check whether pharmacists are registered with the a
pharmacy council of india.
• Insecticides Act,1968
• Pharmacy Act,1948
• Protection of human rights Act,1993
• Registration of births and deaths Act,1969
• Urban land Act,1976
• Right to information Act,2005
14. Cost set up
• Two per-determinants:
1. The intended capacity of the health care facility.
2. The level of health care the facility intends to offers.