The document outlines the essential standards and guidelines for designing hospitals according to the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It emphasizes the importance of compliance with safety regulations, facility management, and emergency planning to provide a secure environment for patients and staff. Specific standards and requirements for structure, safety protocols, and facility management practices are detailed for achieving full accreditation.

1. Designing Hospitals According To NABH Standards Dr. B. KrishnamurthyMD DA FRCADirector, Acute Care Services, Kaveri Hospitals, Chennai.Principal Assessor , NABH Lead Auditor, QMSLead Auditor, EMS

2. The Peter Principle “In A Hierarchy Every Employee Tends To Rise To His Level Of Incompetence”

3. IntentThe HCO Shall Provide A Safe And Secure Environment For Patients , Their Families, Staff And Visitors.

4. Comply With Relevant Rules And Regulations, Laws And Bye Laws And Facility Inspection Requirements.

5. Plan For Emergencies Within The Facilities And The Community.Intent- Contd.The HCO Shall Plan For Safe Water, Electricity, Air-conditioning, Medical Gases And Vacuum Systems.

6. Plan For Management Of “HAZMAT”.

7. Ensure the HCO Is A No Smoking Zone.

8. Program For Clinical And Support Service Equipment And Management. NABH StandardsAccess, Assessment and continuity of Care (AAC)Patient Rights and Education (PRE)Care of Patient (COP)Management of Medication (MOM)Hospital Infection control (HIC)Continuous Quality Improvement (CQI)Responsibility of Management (ROM)Facility Management and Safety (FMS)Human Resource Management (HRM)Information Management System (IMS)National Accreditation Board for Hospitals and Healthcare Providers5

9. FMS Standards Summary

10. FMS ChapterStandards 09

11. Objective Elements 43

12. To Get Full Accreditation

13. No Individual Standard

14. Should Have More Than One Zero

15. Average Score For The Individual Standard

16. Should Be More Than 5

17. The Overall Average Score For All The Standards

18. Must Exceed 7

19. Average Score For Individual Chapters

20. Should Be More Than 7References Relevant State & Local Body RegulationsIndian Standards IS 12433 Part IIS 12433 Part IIIS 10905 Part IIS 10905 Part IIIS 10905 Part IIIIPHS ( Indian Public Health Standards )For PHCsFor 30 - 100 BedsFor 101 - 200 Beds For 201 - 300 BedsFor 301 - 500 Beds IS 10500 ( For Potable Water )National Building CodeManufacture, Storage & Import Of Hazardous Chemical ( Amendment ) Rules, 2000

21. Space Requirements As Per IS 12433 ( Part 2 ): 2001

22. IS-12433-basic Requirement For Hospital Planning Up To 100 Beds.

23. IS 10905 For Basic Requirements For General Hospital Buildings.Suggests Minimum Of 7 Sq. Mt. Per Bed

24. Inter Bed Distance

25. 2.25 M From Centre To Centre

26. 1.2 M Edge To Edge.

27. 200 Mm Clearance At Head End

28. Easy Trolley Movement

29. Space For Bed Side Furniture For Patients.

30. Privacy For Procedures.Hospitals Are Classified As Group C-1 In NBC

31. Corridors 2400 Mm / 7.8 Feet

32. Doors Width 2 Meters

33. Staircase Width 6.6 Feet / 2 Meters

34. Fire Exit Doors 3.35 X 2 Feet Width And 7.5 Feet In Height, Two Leaf, 30 Meters Distance For Travel, Open Outwards.

35. Floor Indication Board 0.5m X 0.5mNational Building Code

36. NBC Of India Specifications ( 2005 )Part 4: Fire & Life Safety180 Page DocumentClassification Of Building As Per Fire Safety

37. Fire Zones

38. Types Of Construction

39. General Requirements