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Order of Magnitude Estimator 
for Public Hospitals, etc. 
1 October 2014
• IUSS Guideline Norms and Standards are 
intended to replace the old SAH Norms but not as 
absolute rather a guideline. 
• Norms have three components: 
– Need norm – population driven 
– Area norm – based on service requirements, HT 
– Cost norm – area*rate/m² 
• Cost norms are linked to time and programme for 
planning and construction will influence norm 
cost for a specific project – therefore linked to a 
base date. 
• Planning units are the common denominator for 
the three components. Strategic (Service) PU 
versus Departmental (Functional) PU
OoM Estimator = application of cost 
norm = quick and easy budget for 
hospital at initiation stage of project 
• 2014_07_11 OoM ESTIMATOR New Hospital 
IUSSonline.xlsx 
• 2014_07_11 OoM ESTIMATOR New Clinic 
IUSSonline.xlsx 
• 2014_07_11 OoM ESTIMATOR Upgrade 
Hospital IUSSonline.xlsx 
• 2014_07_11 OoM ESTIMATOR Upgrade 
additions to Clinic IUSSonline.xlsx
How did we determine cost norms? 
• Analysis of cost of a number of hospitals into locations 
or departments and into building elements linked to 
base dates determined the rate per m² 
• JS Elemental breakdown .xlsx 
• Determine norms bottom up. Currently rate/m² was 
determined by analysis of recently built hospitals. 
Acknowledge Ken, Steve and Riaan. 
• Next phase: Design of ideal hospital departments 
which will then be measured and costed. Ongoing 
analysis of new hospital projects to inform norms. 
• So what? 
• ALL consultants to measure, estimate and report per 
department per element including E &M
Gazette 116 – 17 February 2014
Gazette 512 30 June 2014
Measurement in locations and 
elements 
• Made compulsory by Gazette 116 
• Detailed in document “Professional Service 
Provider instructions for Quantity Surveyors 
and Architects” 
• 2014-03-31-IUSS-Space-guideline-QS-Architect- 
Instruction-development.pdf 
• The above will apply equally to E&M 
Engineers
Detail Hospital Estimator under 
development (not peer reviewed) 
• Purpose: Developed for use of project 
consultants and others to compare designed 
project against norms 
• It uses more input and should be more accurate 
• Will align with FAST(briefing tool) Facility 
Assembly Schedule Toolkit 
• 2014_07_18 DETAIL NEW HOSPITAL ESTIMATOR 
unprotected.xlsx
Maintenance Order of Magnitude – 
working with building elements and 
desk top assessments 
• 30 Sept 2014 CLINIC Maintenance 
Estimator.xlsm 
• 30 Sept 2014 Limpopo HOSPITAL 
MAINTENANCE.xlsm
Questions?????? 
Thank you

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Public Hospital Order of Magnitude Estimator Guide

  • 1. Order of Magnitude Estimator for Public Hospitals, etc. 1 October 2014
  • 2. • IUSS Guideline Norms and Standards are intended to replace the old SAH Norms but not as absolute rather a guideline. • Norms have three components: – Need norm – population driven – Area norm – based on service requirements, HT – Cost norm – area*rate/m² • Cost norms are linked to time and programme for planning and construction will influence norm cost for a specific project – therefore linked to a base date. • Planning units are the common denominator for the three components. Strategic (Service) PU versus Departmental (Functional) PU
  • 3.
  • 4. OoM Estimator = application of cost norm = quick and easy budget for hospital at initiation stage of project • 2014_07_11 OoM ESTIMATOR New Hospital IUSSonline.xlsx • 2014_07_11 OoM ESTIMATOR New Clinic IUSSonline.xlsx • 2014_07_11 OoM ESTIMATOR Upgrade Hospital IUSSonline.xlsx • 2014_07_11 OoM ESTIMATOR Upgrade additions to Clinic IUSSonline.xlsx
  • 5. How did we determine cost norms? • Analysis of cost of a number of hospitals into locations or departments and into building elements linked to base dates determined the rate per m² • JS Elemental breakdown .xlsx • Determine norms bottom up. Currently rate/m² was determined by analysis of recently built hospitals. Acknowledge Ken, Steve and Riaan. • Next phase: Design of ideal hospital departments which will then be measured and costed. Ongoing analysis of new hospital projects to inform norms. • So what? • ALL consultants to measure, estimate and report per department per element including E &M
  • 6.
  • 7. Gazette 116 – 17 February 2014
  • 8. Gazette 512 30 June 2014
  • 9. Measurement in locations and elements • Made compulsory by Gazette 116 • Detailed in document “Professional Service Provider instructions for Quantity Surveyors and Architects” • 2014-03-31-IUSS-Space-guideline-QS-Architect- Instruction-development.pdf • The above will apply equally to E&M Engineers
  • 10. Detail Hospital Estimator under development (not peer reviewed) • Purpose: Developed for use of project consultants and others to compare designed project against norms • It uses more input and should be more accurate • Will align with FAST(briefing tool) Facility Assembly Schedule Toolkit • 2014_07_18 DETAIL NEW HOSPITAL ESTIMATOR unprotected.xlsx
  • 11. Maintenance Order of Magnitude – working with building elements and desk top assessments • 30 Sept 2014 CLINIC Maintenance Estimator.xlsm • 30 Sept 2014 Limpopo HOSPITAL MAINTENANCE.xlsm