This document discusses hospital planning and design. It notes that proper planning, design, construction and administration are key to a successful hospital. The planning process involves assessing community needs, conducting market surveys, developing financial plans, selecting sites, designing interior spaces, and planning departments and bed distribution. An effective planning team considers guidance principles like quality patient care and economic viability. The goal of planning is to forecast activities needed to achieve desired goals and design a hospital that serves both patients and administrators.

1. PREPARED &
PRESENTED BY-
AWANTIKA DIWAN
MBA
(HA&HC)
HOSPITAL PLANNING

2. INTRODUCTION
• The last few decades have seen a spectacular
development in the health & hospital
consciousness of the Indian public.
• Essential hospital service required for the
community cab be met most economically only
with adequate thought given to planning ,
design,construction & operation of health care
facilities.
• A design expert says- “we’ve got to design ‘smart’
hospitals that respond to present needs while
anticipating future changes.

3. PLANNING A HOSPITAL
• Planning is the forecasting and organizing the
activities required to achieve the desired goals.
• All successful hospitals,without exception,are built
on a triad of good planning,good design &
construction & good administration.
• To be successful,a hospital requires a great deal of
preliminary study and planning
• It must be designed to serve people and for
promoters to build in the first place & sustain later.

4. CONT..
• It must be staffed with competent and adequate
number of efficient doctors,nurses & other
professionals.
• A strong management is essential for the daily
functioning of a facility & this must be included in
the plans of a new hospitals.

5. CLASSIFICATION
1. Private
2. Partnership
3. Private Trust (family)
4. Public Charitable trust
5. Cooperative Society
6. Private Limited Company
7. Public Limited Company

6. GUIDING PRINCIPLES
• High Quality Patient Care
• Effective Community Orientation
• Economic Viability
• Sound Architectural Plan

7. PLANNING TEAM
• Hospital administrator
• Specialists from various clinical branches
• Nursing advisor
• Civil and electrical engineers
• Representative of local body
• Senior architect

8. OBJECTIVES OF PLANNIG TEAM
•Existing facilities & its adequacy
•Asses the needs of area
•Needs of new facilities so as to provide
adequate, qualitative health are services.

9. MARKET SURVEY
•One the first tasks of the temporary organization is
to survey the service area of the proposed hospital.
•Following bodies helps in market survey-
1. Banks
2. CA firms
3. Financial Institutions
4. Consultant
• Since major decisions will be on the result of the
survey,it must be done in a professional manner.

10. CONT..
•Following considerations should be taken during
survey-
Character,needs & possibilities of communities
Type & size of Hospital
Financial condition of community
Occupation
Age distribution

11. FINANCIAL PLANNING
• Financial planning must take precedence over
every other consideration.
• Financial planning must cover the following three
areas:
1. Constructing,Equipping & Furnishing the Hospital
2. Operating Funds
3. Financial Assistance
• Financial assistance has 2 components-
1. Loan for fixed capital
2. Loan for working capital

12. FINANCIAL INSTITUTION
NATIONAL LEVEL
INDUSTRIAL
DEVELOPMENT BANK
1.IDBI
2.IFCI
3.SIDBI
4.IRBI
5.SCICI
SPECIALIZED
FINANCIAL
INSTITUTION
1.TDICI
2.RCTC
3.TFCI

13. CONT..
INVESTMENT
INSTITUTION
1.UTI
2.GIC
3.LIC
OTHER BANKS
1.ICICI
2.NABARD
3.SBI

14. DESIGN TEAM
• Hospital Consultant
• Architect
• Engineers
Structural Engineers
Electrical Engineers
Plumbing Engineers
• Hospital Administrator

15. EQUIPMENT PLANNING
• The term ‘equipment’ means all items necessary
for the functioning of all services of the hospital.
• It is necessary to consult with the architect
designing the building early so that the facilities
planned will be of sufficient size to accommodate
the equipment & render the necessary services.
• A room by room equipment list is then complied
& reviewed by the adm,medical & depart.staff.

16. CONT..

17. CONT..

18. SITE SELECTION
1. Accessibility to transportation & communication
lines
2. Parking facilities
3. Availability of public utilities
4. Proper elevation for drainage & general sanitary
measures
5. Freedom from smoke,noise,vapours & other
annoyances
6. Future expansion
7. Total cost

19. INTERIOR & FURNISHING
• In a patient centered environment,design solutions
will respond to the needs of the patients profile both
architecturally and through material selections.
• Should consider the following-
1. Infection control standards
2. Design story
3. Healing environment
4. Physical environment
5. Organizational planning
understanding
6. Cost analysis

20. EMERGING HEALTHCARE DESIGNS
• Acuity-adaptable patient rooms
• In board v/s outboard toilet
• Same handed patient rooms

21. HOSPITAL BUILDING
• After completing all preparations for building a
hospital the governing board issues instructions for
the development of final plans & specification.
• Principle-
# Protection
# Short traffic routes
# Separation of dissimilar activities
# Control

22. GENERAL FEATURES
• Environment
• Screened windows
• 4 separate entrance
• Exit point
• Attractive entrance
• Traffic flow
• Corridors
• Visitors control
• Running physical part
• Fire escape

23. BED DISTRIBUTION
• The functions of the hospital revolve around the
total no. of beds & their distribution within various
depart. & services.
• The no. of beds in a hospital is the yardstick
applied when referring to the size of the hospital,
its various services, occupancy rate,etc.
• Types of bed accomodations
• Bed distribution by services
• Space requirements

24. Cont..
• Bed planning:
Population = A x S x 100
365 x PO
• A = number of patients admissions/1000
populations/year
S = average length of stay
PO = percentage occupancy

25. HOSPITAL PROJECT STAGGING

26. CONT..

27. OPERATION PROGRAM

28. SPACE REQUIREMENT OF SOME BASIC
DEPARTMENT

29. CONT..

30. SHAKE DOWN PERIOD
• After the commissioning of hospital some time is
taken for functional integration of different
units,services,staff,patient & community.
Machine are tested
Staff recruited & trained
Standard operating procedures are made
Maintenance service is put in place
Materials, linen & stationary procured
• Then starts the routine & regular functioning of
the hospital.

31. CONCLUSION
“A hospital is a living organism,made up of many
different parts,having different functions,but all
theses must be in due proportion & relation to
each other & to the environment to produce the
desired result”