Hospital Equipment Planning

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Equipment Planning, Inc. recommends that at the outset of each project, that we sit down with the client and identify project goals, including clinical priorities, budget, schedule and phasing (if any). Equipment planning services offered in this phase include:

Initial Strategy and Program Meeting
Develop Equipment Master Plan. Addressing Clinical Priorities, Budget, Schedule and Phasing
Technology Assessment
Develop Overall Equipment Plan

Hospital Equipment Planning

  1. 1. EQUIPMENTPLANNINGMr.Mahboob Ali KhanMHA CPHQ USA HARVARD UNIVERSITY
  2. 2. EQUIPMENTPLANNINGA Good equipment planningincludes careful Attention to fixedand movable equipments that willbe needed in operations The lack of planning will resultWastage of millions of rupeesReduced Operational efficiencyLower standards of patient care
  3. 3. WHOMRESPONSIBILITY? (a) It is the responsibility of Hospitalconsultant (OR Hospital Administrator incase H. consultant not engaged) todetermine all the items of equipmentsnecessary, & then write their specification,recommended bids (tender) & purchaseaccording to hospitals policy.(Expendable, non-expendable & capitalsequipments) (b) The Architect is responsible for theBuilt in equipments.
  4. 4. WHEN & IN WHICH STAGEEQUIPMENTS PLANNING ISDONE ?(i) Equipments planning is doneEarly in design dev. Stage. Thisplanning involves.(a) A series of Meetings ofMedical staffHODs &Other Staffsto discuss the needed equipments
  5. 5. (b) Preparing Room by RoomEquipment List(c) Review of this list byAdministratorMedical staffDepartmental headsAnother detailed Equipmentsplanning is necessary at finalFURNISING & while actuallyEQUIPPING the hospitals
  6. 6. DESIGNING OF EQUIPMENTSA set of black line points of workingDrawing (Floor Plans only) should besecured from Architect and markedup in advance all Gross equipmentsshown to scale & identifiedIt is done in designing phase
  7. 7. NATURE OF EQUIPPING THEHOSPITALSIt is an extensive andexhaustive work because itinvolves not only the degree buta variety of technical knowledge.There are innumerableexpandable items, which shouldbe procured and stoked insufficient quantities.
  8. 8.  There is no preformed procuring systemin the new hospitals (if compared with anold existing running hospital) The problem is compounded by installingequipments apart from purchasing them.Important considerations are-Timing of deliveryWarehousingUnpackingAssembling
  9. 9. IMPORTEDEQUIPMENTScreates more complex problems like(a) Needs, approvals and licenses.(b) Bureaucratic hurdles needed tobe crossed(c) costly items(d) Lead time is longer.(e) Delay can cause losses inmillions.
  10. 10. COSTINGIn a Modern General Hospital theequipping cost is around 40% oftotal project cost.(a) 20% is invested onmechanical and electricalinstallations(b) 20% is invested on medicalequipments
  11. 11. TYPES OFEQUIPMENTS(a) Built- in Equipments(b) Depreciable equipments (Non-expandable)(c)Non-depreciable equipments(Expandable)(d) Capital Equipments
  12. 12. BUILT INEQUIPMENTSIt’s the Architect’s ResponsibilityIncluded in construction contractsList includesCabinets & counters inPharmacyLaboratoryOther parts of hospitals
  13. 13. Fixed kitchen Equipments.(lines) & (Channels)ElevatorsDumb waitersSterilizers, BoilersIncinerators.Air Conditioning/Deep freezersSurgical lighting etc
  14. 14. (B) NON-EXPENDABLEEQUIPMENTSOR Depreciable EquipmentsDef: The Equipments that have a life of 5yrs of > 5 yrs are k/a Non-ExpendableequipmentsThese equipments are not purchasedthrough construction contractsThese large items of furniture andEquipments have a reasonable fixedlocation in the hospital building but arecapable of being moved
  15. 15. EXAMPLES OF DEPRECIABLEEQUIPMENTS(i) Surgical Apparatuses (ii) Diagnostic & Therapeutic Equipment (iii) Lab & pharmacy Equipment . (iv) Office Equipment Typewriter, Intercoms Computers/Electronic exchanges (v) General use surgicals Refrigerator Physiotherapy equipments Suction machines
  16. 16. (vi) Diagnostic and TherapeuticEqpts. LikeSw diathermy, X-Ray machineCutlery, ECG machineRespirators, IncubatorsMonitoring EqptsUltra sound machineRespirators
  17. 17. (C) EXPENDABLE (NON-DEPRECIABLE) EQUIPMENTS These Equipments have life span < 5 yrs Recurring in use & low cost equipments. These equipments are purchased through other thanconstruction contracts. Examples are Kitchen utensils Chinaware Table ware Surgical instruments Catheters Linen, sheets, Blankets Lamps, Wastebins etc.
  18. 18. PREPARING THEEQUIPMENT LIST The list of expandable and non-expandableitems is prepared by H. consultant & H.Administrator Steps in preparing the list are (i) consider each Room as a separate Eutily inthe plane (ii) Make a compressive Room by Roomeqpments
  19. 19. LIST WITH ADDITIONAL ITEMSREQUIRED Detailed specifications must be given During design stage Should test the space needed for each itemof the eqpts on the list in drawings
  20. 20. IMPORTANTCONSIDERATIONHospital interest lies inpurchasing minimum neededEqupts & Hospital consultantcan help in it.
  21. 21. SELECTING THEEQUIPMENTS Selection of Technical, Scientific andMedical Eqpts requires careful Analysis ofthe needs of each department andconscientions study that will result inselection of needed equpts. The present day High-tech medical eqpt.is mind-boggling to even medical expertsthat the H. consultant and H. Admi. maybe easily stumped out
  22. 22.  Departmental heads satisfied with the Type &should be fully satisfied with the Type &Quality of eqpt. So they should consultingbefore selections of equpts. Indiscrimnatory procurements of eqpts. maybe a wastage and liability to the hospital.
  23. 23. TIMING OF PURCHASE,ORDER & DELIVERY Are exceedingly important (i) Delivery Instructions should be keyedto the building completion schedules (ii) H. Adm may ask a central Generalstore space & adjoining room formtemporary storage of eqpts fromcontractor 6 months before opening & 3months before completion schedule
  24. 24.  (iii) These spaces can be used as work centerfor equipping operation. Time schedule and Performance Agreementswill be helpful in their concern If there is Delay in construction, the suppliershould be notified to delay supplies. The storage places should be protected fromweather, Theft and damage but should notobstruct the construction
  25. 25. SYLLABUSPreparing eqpts list for the newhospitals(a) Building equipment (In built eqpts)(b) Non expendable (Depreciable)Locally availableImportedExpendable equpt (no depreciable)Capital equipments – CT scan/MRI
  26. 26. EQUIPMENTPLANNINGHospitals planning includecareful Attention to Fixed andimmovable eqpts that will beneeded in operationLack of plannings can involveWastage of lakhs of rupeesReduced operative efficiency &Low standards of pt. care
  27. 27. RESPONSIBILITY OF It is the Responsibility of Hospital consultant(OR H. Administrator in case H. Consultantnot engaged) to determine all the items ofeqpts necessary, write their speciation,recommend bids & the purchase accerding tohospital policy. The domains of hospitalsconsultant/Adm. Is expendable, nonexpandable & capital eqpts. The Architect is responsible for the Built inequipments
  28. 28. WHEN THE PLANNING ISDONE First Equipment planning is dore early in thedesign development stage. The planninginvolves (i) A series of meetings medical staff, HODs &other staff to discuss the needed equpts (ii) Preparing Room by Room eqpt list (iii) Review of this list by Administrator medical& departmental staff. Another detailed equipment planning innecessary at Actual Furnishing & equippingthe hospital
  29. 29. DESIGNING THEEQUIPMENTA set of black line points ofworking drawings (floor plansonly) should be secured fromArchitect & market up inadvance, All Gross shown toseale & identifiedDone in Designing phase
  30. 30. NATURE OF EQUIPPINGWORK It is an exhaustive work because it involvesnot only degree but a variety of technicalknowledge. There are innumerable expendable itemswhich should be procured & stocked insufficient Quantities No well procuring system in a new hospital(c/f purchasing in an running hospital) This problem is compounded by timing ofdelivery, ware housing, unpackingAssembling & installing eqpt apart frompurchasing
  31. 31. IMPORTED EQPTSPoses more complex problem(a) Needs Approvals & license(b) Burecratie hurdles needed to becrossed(c) Costly items(d) lead time will be longer(e) Delay can cause loss in lakhs
  32. 32. THANK YOU ALL

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