PREPARED &
PRESENTED
BY-
AWANTIKA
DIWAN MBA
HOSPITAL
PLANNING
INTRODUCTI
ON
• 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 gotto design
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 &
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.
CLASSIFICAT
ION
1. Private
2. Partnership
3. Private Trust (family)
4. Public Charitable
trust
5. Cooperative Society
6. Private Limited
Company
7. Public Limited
Company
GUIDING
PRINCIPLES
• High Quality Patient Care
• Effective Community
Orientation
• Economic Viability
• Sound Architectural Plan
PLANNING
TEAM
• Hospital administrator
• Specialists from various clinical
branches
• Nursing advisor
• Civil and electrical engineers
• Representative of local body
• Senior architect
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.
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.
CONT
..
•Following considerations should be taken
during survey-
Character,needs & possibilities of
communities Type & size of Hospital
Financial condition of
community Occupation
Age distribution
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-
FINANCIAL
INSTITUTION
NATIONAL LEVEL SPECIALIZED
INDUSTRIAL FINANCIAL
DEVELOPMENT
BANK
1.IDBI
2.IFCI
3.SIDBI
4.IRBI
5.SCICI
INSTITUTION
1.TDICI
2.RCTC
3.TFCI
CONT
..
INVESTME
NT
INSTITUTI
ON 1.UTI
2.GIC
3.LIC
OTHER
BANKS
1.ICICI
2.NABARD
3.SBI
DESIGN
TEAM
• Hospital Consultant
• Architect
• Engineers
Structural
Engineers
Electrical
Engineers
Plumbing
Engineers
• Hospital
Administrator
EQUIPMENT
PLANNING
• Theterm ‘equipment’meansall itemsnecessary
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.
CONT
..
CONT
..
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
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
EMERGING HEALTHCARE
DESIGNS
• Acuity-adaptable patient
rooms
• In board v/s outboard toilet
• Same handed patient
rooms
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
GENERAL
FEATURES
• Environment
• Screened windows
• 4 separate
entrance
• Exit point
• Attractive entrance
• Traffic flow
• Corridors
• Visitors control
• Running physical
part
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
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
HOSPITAL PROJECT
STAGGING
CONT
..
OPERATION
PROGRAM
SPACE REQUIREMENT OF
SOME BASIC DEPARTMENT
CONT
..
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
CONCLUSION
“Ahospital isa livingorganism,madeupof 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”
hospitalplanning-130528040750-phpapp02 (2).pptx

hospitalplanning-130528040750-phpapp02 (2).pptx

  • 1.
  • 2.
    INTRODUCTI ON • The lastfew 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 gotto design
  • 3.
    PLANNING A HOSPITAL • Planningis 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 &
  • 4.
    CONT .. • It mustbe 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.
    CLASSIFICAT ION 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 QualityPatient 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 •Existingfacilities & 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 firsttasks 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 shouldbe taken during survey- Character,needs & possibilities of communities Type & size of Hospital Financial condition of community Occupation Age distribution
  • 11.
    FINANCIAL PLANNING • Financial planningmust 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-
  • 12.
    FINANCIAL INSTITUTION NATIONAL LEVEL SPECIALIZED INDUSTRIALFINANCIAL DEVELOPMENT BANK 1.IDBI 2.IFCI 3.SIDBI 4.IRBI 5.SCICI INSTITUTION 1.TDICI 2.RCTC 3.TFCI
  • 13.
  • 14.
    DESIGN TEAM • Hospital Consultant •Architect • Engineers Structural Engineers Electrical Engineers Plumbing Engineers • Hospital Administrator
  • 15.
    EQUIPMENT PLANNING • Theterm ‘equipment’meansallitemsnecessary 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.
  • 17.
  • 18.
    SITE SELECTION 1. Accessibility totransportation & 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 • Ina 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-adaptablepatient rooms • In board v/s outboard toilet • Same handed patient rooms
  • 21.
    HOSPITAL BUILDING • After completingall 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 • Screenedwindows • 4 separate entrance • Exit point • Attractive entrance • Traffic flow • Corridors • Visitors control • Running physical part
  • 23.
    BED DISTRIBUTION • The functionsof 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.
  • 26.
  • 27.
  • 28.
    SPACE REQUIREMENT OF SOMEBASIC DEPARTMENT
  • 29.
  • 30.
    SHAKE DOWN PERIOD • Afterthe 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
  • 31.
    CONCLUSION “Ahospital isa livingorganism,madeupofmany 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”