This document discusses medical planning and facility design. It covers several types of feasibility studies needed for new medical facilities, including market studies, technical studies, and financial studies. It also describes factors to consider for the technical study, such as the location, size and ownership of the facility. Hospitals are classified based on their level of care as primary, secondary or tertiary. The document outlines cost considerations and provides formulas for calculating construction costs and payback periods. It also discusses the various phases of project management.
HOSPITAL_MANAGEMENT_STRATEGIES by Dr soumya Patil.pptxDr Soumya Patil
contents
Introduction
Strategic initiatives for Hospitals
Infrastructure of Hospital
Health Information technology
HIT functional units
Benefits of HIT
Essential manpower
Medical equipments for Hospitals
Patient Care
Introduction:
From its gradual evolution through the 18th &n19th centuries the hospital has come of age only recently during the past 50 years
A hospital is an integral part of a social and medical organization, the function of which to provide for the complete health care, both curative and preventive and whose outpatient services reach out to the family and its home environment; the hospital is also a center for training of health workers and biosocial research.
Hospital management is the field relating to leadership, management and administration of public health systems, health care systems, Hospitals and hospital networks in all the primary, secondary and tertiary sectors.
The Clinical Establishments (Registration and Regulation) Act, 2010 has been enacted
by the Central Government to provide for registration and regulation of all clinical establishments in the country with a view to prescribe the minimum standards of facilities and services provided by them.
The minimum standards for Allopathic hospitals Under Clinical Establishment Act, 2010 are developed on the basis of level of care provided, as defined below
General Medical services with indoor admission facility provided by recognised allopathic medical graduate(s) and may also include general dentistry services provided by recognized BDS graduates.
Example: PHC, Government and Private Hospitals and Nursing Homes run by MBBS Doctors etc.
Aims and activities :
Improve the patient experience.
Measure and report quality performance.
Adopt to new payment models.
Address the possible impact of health insurance exchanges.
Work on an approach to population health management.
Focus on clinical integration
Explore new physician alignment strategies.
Respond to an aging population.
some of the strategic issues that must be considered are –
• Regionalization
• Pre- planning consideration
• Need assessment
• Plot ratio
• Design for flexibility and expandability
• Fulfill the demand functions
• Emphasize on patient focused hospital
• Focus on energy conservation
Intelligent buildings
• Create a healing architecture
• Aesthetic – an essential requisite
• Hospital architecture
• Go green
Protection from unwanted and unnecessary disturbances in
order to help speedy recovery
Separation of dissimilar activities
Control – the nurses station should be positioned strategically
to enable proper monitoring of visitors entering and leaving
the ward, infants and children should be protected from theft
and infection etc.
Circulation- all the departments of a hospital must be
properly integrated.
(“separate all departments, yet keep them all together;
separate types of traffic, yet save steps for everybody; that is
all there is to hospital planning “– Emerson Goble)
IT App
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
Saudi Arabia stands as a titan in the global energy landscape, renowned for its abundant oil and gas resources. It's the largest exporter of petroleum and holds some of the world's most significant reserves. Let's delve into the top 10 oil and gas projects shaping Saudi Arabia's energy future in 2024.
HOSPITAL_MANAGEMENT_STRATEGIES by Dr soumya Patil.pptxDr Soumya Patil
contents
Introduction
Strategic initiatives for Hospitals
Infrastructure of Hospital
Health Information technology
HIT functional units
Benefits of HIT
Essential manpower
Medical equipments for Hospitals
Patient Care
Introduction:
From its gradual evolution through the 18th &n19th centuries the hospital has come of age only recently during the past 50 years
A hospital is an integral part of a social and medical organization, the function of which to provide for the complete health care, both curative and preventive and whose outpatient services reach out to the family and its home environment; the hospital is also a center for training of health workers and biosocial research.
Hospital management is the field relating to leadership, management and administration of public health systems, health care systems, Hospitals and hospital networks in all the primary, secondary and tertiary sectors.
The Clinical Establishments (Registration and Regulation) Act, 2010 has been enacted
by the Central Government to provide for registration and regulation of all clinical establishments in the country with a view to prescribe the minimum standards of facilities and services provided by them.
The minimum standards for Allopathic hospitals Under Clinical Establishment Act, 2010 are developed on the basis of level of care provided, as defined below
General Medical services with indoor admission facility provided by recognised allopathic medical graduate(s) and may also include general dentistry services provided by recognized BDS graduates.
Example: PHC, Government and Private Hospitals and Nursing Homes run by MBBS Doctors etc.
Aims and activities :
Improve the patient experience.
Measure and report quality performance.
Adopt to new payment models.
Address the possible impact of health insurance exchanges.
Work on an approach to population health management.
Focus on clinical integration
Explore new physician alignment strategies.
Respond to an aging population.
some of the strategic issues that must be considered are –
• Regionalization
• Pre- planning consideration
• Need assessment
• Plot ratio
• Design for flexibility and expandability
• Fulfill the demand functions
• Emphasize on patient focused hospital
• Focus on energy conservation
Intelligent buildings
• Create a healing architecture
• Aesthetic – an essential requisite
• Hospital architecture
• Go green
Protection from unwanted and unnecessary disturbances in
order to help speedy recovery
Separation of dissimilar activities
Control – the nurses station should be positioned strategically
to enable proper monitoring of visitors entering and leaving
the ward, infants and children should be protected from theft
and infection etc.
Circulation- all the departments of a hospital must be
properly integrated.
(“separate all departments, yet keep them all together;
separate types of traffic, yet save steps for everybody; that is
all there is to hospital planning “– Emerson Goble)
IT App
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
Saudi Arabia stands as a titan in the global energy landscape, renowned for its abundant oil and gas resources. It's the largest exporter of petroleum and holds some of the world's most significant reserves. Let's delve into the top 10 oil and gas projects shaping Saudi Arabia's energy future in 2024.
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Traditionally, dealing with real-time data pipelines has involved significant overhead, even for straightforward tasks like data transformation or masking. However, in this talk, we’ll venture into the dynamic realm of WebAssembly (WASM) and discover how it can revolutionize the creation of stateless streaming pipelines within a Kafka (Redpanda) broker. These pipelines are adept at managing low-latency, high-data-volume scenarios.
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6th International Conference on Machine Learning & Applications (CMLA 2024) will provide an excellent international forum for sharing knowledge and results in theory, methodology and applications of on Machine Learning & Applications.
Welcome to WIPAC Monthly the magazine brought to you by the LinkedIn Group Water Industry Process Automation & Control.
In this month's edition, along with this month's industry news to celebrate the 13 years since the group was created we have articles including
A case study of the used of Advanced Process Control at the Wastewater Treatment works at Lleida in Spain
A look back on an article on smart wastewater networks in order to see how the industry has measured up in the interim around the adoption of Digital Transformation in the Water Industry.
NUMERICAL SIMULATIONS OF HEAT AND MASS TRANSFER IN CONDENSING HEAT EXCHANGERS...ssuser7dcef0
Power plants release a large amount of water vapor into the
atmosphere through the stack. The flue gas can be a potential
source for obtaining much needed cooling water for a power
plant. If a power plant could recover and reuse a portion of this
moisture, it could reduce its total cooling water intake
requirement. One of the most practical way to recover water
from flue gas is to use a condensing heat exchanger. The power
plant could also recover latent heat due to condensation as well
as sensible heat due to lowering the flue gas exit temperature.
Additionally, harmful acids released from the stack can be
reduced in a condensing heat exchanger by acid condensation. reduced in a condensing heat exchanger by acid condensation.
Condensation of vapors in flue gas is a complicated
phenomenon since heat and mass transfer of water vapor and
various acids simultaneously occur in the presence of noncondensable
gases such as nitrogen and oxygen. Design of a
condenser depends on the knowledge and understanding of the
heat and mass transfer processes. A computer program for
numerical simulations of water (H2O) and sulfuric acid (H2SO4)
condensation in a flue gas condensing heat exchanger was
developed using MATLAB. Governing equations based on
mass and energy balances for the system were derived to
predict variables such as flue gas exit temperature, cooling
water outlet temperature, mole fraction and condensation rates
of water and sulfuric acid vapors. The equations were solved
using an iterative solution technique with calculations of heat
and mass transfer coefficients and physical properties.
Using recycled concrete aggregates (RCA) for pavements is crucial to achieving sustainability. Implementing RCA for new pavement can minimize carbon footprint, conserve natural resources, reduce harmful emissions, and lower life cycle costs. Compared to natural aggregate (NA), RCA pavement has fewer comprehensive studies and sustainability assessments.
Final project report on grocery store management system..pdfKamal Acharya
In today’s fast-changing business environment, it’s extremely important to be able to respond to client needs in the most effective and timely manner. If your customers wish to see your business online and have instant access to your products or services.
Online Grocery Store is an e-commerce website, which retails various grocery products. This project allows viewing various products available enables registered users to purchase desired products instantly using Paytm, UPI payment processor (Instant Pay) and also can place order by using Cash on Delivery (Pay Later) option. This project provides an easy access to Administrators and Managers to view orders placed using Pay Later and Instant Pay options.
In order to develop an e-commerce website, a number of Technologies must be studied and understood. These include multi-tiered architecture, server and client-side scripting techniques, implementation technologies, programming language (such as PHP, HTML, CSS, JavaScript) and MySQL relational databases. This is a project with the objective to develop a basic website where a consumer is provided with a shopping cart website and also to know about the technologies used to develop such a website.
This document will discuss each of the underlying technologies to create and implement an e- commerce website.
2. The role of the Biomedical engineer in preparing
feasibility studies for medical facilities :
Feasibility
Studies
Executive
Studies
Market
Studies
Technical
Studies
Cost
Studies
Market Studies
Technical Studies
Financial Studies
Executive Studies
3. Determine the goal of establishing and designing a hospital in the
target area.
In other words, is there a need to provide medical services in the
chosen area?
Studying the location.
Competition studies (in the case of private hospitals).
Study the population density of the target site.
Analyzing the data and information collected.
5. 1- Ease of access and being located near to main streets and
public vehicles.
2- Obtaining sources of water, electricity and diversed services.
3- The nature of the soil and the level of groundwater.
(Egyptian Code of Soil Mechanics).
4- The possibility of expansion and future extension.
6. 1- Climatic studies (favorable and unfavorable winds) - sunshine -
temperature.
2- Environmental pollution (air - noise).
3- Exposure to electromagnetic waves (such as near power stations
and mobile towers).
7. 1- Real state Prices (related to the cost and the financial
study).
2- Building regulations and laws to avoid building
violations.
8. • These factors depend on the specification of the hospital (the
location of the public or central hospital is different from the
educational one and from the private one,,,,, and so on.
• As each function requires different components and departments,
and therefore different requirements for the site (especially the
required space).
9. TECHNICAL STUDIES
The technical study can be defined as the study related to all technical aspects
related to the project, as it includes determining the size of the project and the
technical specifications of the hospital, preparing the employment tables and
manpower needed in the hospital.
It is also a classification study in which the hospital is classified in terms of
ownership, level of care, and size.
The more accurate the technical studies are , the more accurate the financial study
will be , and the project target will be achieved.
11. Primary
• These facilities provide health care in the field of preventive medicine,
medical education and therapeutic medicine in its simplest form.
• An example of this: family medical centers - rural health units. (15 thousand -
50 thousand people).
Secondary
• It is the one that provides specialized treatment services and is a hospital,
but in a simplified form (clinics - laboratories - x-rays).
• Example: Chest Diseases Hospital in Dekrnes. (100 thousand - 250 thousand).
Tertiary
• It is the one that provides treatment services in its largest form, such as
general, university and central hospitals, or a critical specialty to serve an
entire region. An example of this is (Oncology Center in Mit Ghamr) - Abu Al-
Rish Children's Hospital.
13. private
sector • EX. Dar Al Fouad Hospital.
governmen
t
sector
• EX. Police hospital.
Health
insurance
• EX. Benha Health Insurance Hospital.
Belongs to
companies
and
associations
• EX. Arab Contractors Hospital.
14. The construction cost of the hospital is calculated by the number of beds or by m2.
The estimated value (for buildings, electromechanical and finishes), if the calculation is
done on m2, the cost of m2 will be (2200 to 6500 dollars), and this varies according to the
type of finishing and the location of the hospital, and the cost of medical devices reaches
40% of the hospital cost.
But if the calculation counts on the bed , the cost of the bed, (including buildings,
finishes, electromechanical and medical equipment) ranges from 350,000 to 500,000
dollars.
Studying the preparation of the required medical staff and the required competencies.
Study the administrative team of the project.
Study the required medical equipment and the percentage of loss.
Studying the cost of licenses is among the cost studies.
15. Financial studies considerations :
• Assets (whether it is from the shareholders’ money or through bank
financing).
• Hospital expenses (fixed - variable).
• Revenues.
• Profit margin calculation. capital cycle.
• Payback period.
16. The formula for calculating the payback period:
It means the period of time required to recover the initial cost of the investment from
the cash flows that represent the sources of recovery of this investment.
Payback period = original investment value / annual net cash flow
17. • It is the study of project implementation management
the definition of project management, which is:
It is a process or activity bound by time, that has a start date and
an end date, and the project here is defined as the building
designed and equipped specifically for health care by a
specialized team of doctors and nursing staff and with the
assistance of another team of technicians using specialized
medical tools and devices for the purpose of providing the
necessary and customized health care for patients, which
includes diagnosis and treatment.
19. التخطيط
Project plan
Concept Development
Primary Ideas (concept)
التصميم
Document preparation
Design Development
Primary Design
طرح
المناقصة
The announcement of the tender is made through (a direct invitation to
contractors - receiving quotations).
التنفي
ذ مرحلة
Reports and supervisor’s
edits.
Implementation plan
for each contractor.
Determine the teamwork by
the project manager. .
Planning
Design
Tender
Offering
Execution
Supervision and Forecasting Project Close.