The document outlines the process for planning a new hospital, including forming a planning team, conducting feasibility studies, and implementing the project. Key steps involve assessing community health needs, selecting an appropriate site, developing construction plans, procuring equipment and staff, and commissioning the new facility once built. The planning process aims to establish adequate healthcare services through strategic planning and consideration of factors like infrastructure, resources, and community demographics.

1. HOSPITAL PLANNING DR.N.C.DAS

2. HOSPITAL PLANNING TEAM Hospital planning starts with constitution of a planning team. The Hospital Administration Specialists from various clinical branches Nursing Advisor Civil and Electrical Engineers Representative of local body Senior Architect

3. OBJECTIVE OF PLANNING TEAM Existing facilities and its adequacy Asses the needs of the area Need of new facilities so as to provide adequate, qualitative health care services to people as per their need.

4. COMPONENTS OF HOSPITAL PLANNING HOSPITAL PLANNING FEASIBILITY STUDY PROJECT PLANNING & IMPLEMENTATION SHAKE DOWN PERIOD COMMISSIONING STRATEGIC PLANNING

5. FEASIBILITY STUDY FEASIBILITY DATA COLLECTION NEED ASSESMENT TRANSPORT & COMMUNICATION WATER SUPPLY & ELECTRICITY DEMOGRAPHIC PATTERN ENVIRONMENTAL STUDY PRIORITIZATION OF NEED SITE SELECTION

6. DATA COLLECTION DATA DEMOGRAPHIC DATA EXTENT UTILIZATION OF PRESENT FACILITIES GEOGRAPHIC DATA DISEASE PATTERN METRIOLOGICAL DATA EXISTING FACILITIES

7. DEMOGRAPHIC PATTERN A. Type of Residents – High, Middle, Low Class. Affordability Status Extent of people to be covered – villages, towns Peoples, Beliefs, Attitude and Practices and Culture Availability of Rest Houses, Hotels & Daram Shalas. B. What is the type of health need (Preventive, curative, rehabilitation, general care or specialty care. For which vulnerable group (old, children, women, specified disease group) Economic status and source of earning. Extent of utilization of present health care facilities. Level of leadership and motivation among people. Housing and education facility for hospital staff family. NEED ASSESMENT

8. C. SITE SELECTION Availability of sufficient land depending on size of the hospital and its future expansion. 25 beds – 5 acre, 100 bed – 15 acre 200 bed – 25 acre 500 beds – 50 acre 750 bed – 80 acre 1000 bed – 100 acre Approx. Must have good approaching roads. Soil condition suitable for construction, Not land fill area. Proper drainage of rain water. Subsoil water and mineral level. D. ENVIRONMENTAL STUDY (i) Area must have clear sun shine, avoid big buildings, trees near by. Climate should be moderate. No near by noise or smoke emitting industries. Flow of fresh air. Away from roads with heavy traffic.

9. E. AVAILABILITY OF ELECTRICITY Electric sub station in close vicinity. Availability of 3 phase electric supply with adequate load (1 kw/ bed/ day) Dedicated electric supply line. Stand by generator. F. WATER SUPPLY AND SANITATION Availability of deep table subsoil water. Adequate water supply from corporation/ Jal board (400 liters/ bed/ day. Good maintained sewerage system (300-400 liter/ bed/ day) Easy access to sewerage treatment plant. Facility for Bio- Medical Waste Disposal near by.

10. G. TRANSPORT AND COMMUNICATION Better to have close access to Rail Head or Bus Stand. 24 hours public transport and private taxis available. Near by telephone exchange/ line with adequate number of pairs. Easy access to transmission towers for uninterrupted communication.

11. PROJECT PLANNING AND IMPLEMENTATION PROJECT PLANNING PROPOSAL OUTLINE (why this project) TENDERING & AWARD OF CONTRACT ARCHITECT BRIEF APPROVAL OF THE PROJECT RESOURCE ALLOCATION SFC/ EFC (Standaing Finance Committee) (Expenditure Finance committee) LAND ACQUISITION DETAILED PROJECT PROPOSAL CONSTRUCTION PLANNING

12. A. PROJECT OUTLINE Why to under take the project. Justify with statistics How people are going to benefit. Acceptance of project by local people Minimum size of the project. B. DETAILED PROJECT PROPOSAL Size, shape and location of the project, availability of land and size. Type of services proposed to be provided (General/ Specialty Service) Approximate capital and recurring cost (lakh/ bed.)

13. C. PROJECT APPROVAL Once the project is prepared it should be sent to higher authorities for administrative approval indicating the approximate capital cost. D. RESOURCE ALLOCATION Once the administrative approval is received then proposal is made for financial sanction. An Expenditure Finance Committee (EFC) memo is prepared. The EFC memo is placed before the Standing Finance Committee (SFC) for financial sanction .

14. LAND ACQUISITION ACTIVITIES LAND PURCHASE LAND CLEARANCE & NON-ENCUMBRANCE CERTIFICATE CHANGE OF LAND USE (Agriculture/ Residential/ Rural/ Urban) REGISTRATION & TRANSFER DEPARTMENTAL CLEARENCE FOR LAND USE Rural Development Department Urban Development Authority State Pollution Control Board Local Municipal Corporation Electricity Board/ Jal Board

15. CONSTRUCTION PLAN Design of Construction No. of floor Facility for each floor Designing of OPD, Emergency, Indoors O.T and investigation facilities Supportive and Ancillary Services Space for Expansion Auxiliary Areas, Parking, Canteen, Dispensary, Dharamsala etc

16. ARCHITECTURE BRIEF A brief of the complete construction plan to be given to the architect. Design Specific Functional Area Inter – relation between various areas Preparation of drawings and models Electricity and Air Conditioning Lifts, Fire Fighting Water Supply Finalization after discussion with planning team

17. TENDERING AND AWARD OF CONTRACT Once the design is finalized. A global tender is issued in two bid system. Bids are examined by the planning team. Finally the contract is awarded to prospective contractor/ construction agency.

18. STRATEGIC PLANNING While the construction is on progress simultaneous strategic planning are started for staffing, equipments, machineries and furniture . STAFFING MEDICAL DOCTORS SANITATION STAFF NURSING STAFF ADMN. STAFF TECHNICAL STAFF NURSING ASSISTANT KITCHEN STAFF

19. MACHINARY EQUIPMENTS MATERIAL PLANNING HEAVY EQUIPMENT STATIONARIES & REAGENTS LINENS INSTRUMENTS TRANSPORT, DRUGS AND DISPOSABLES FURNITURES INVESTIGATION MACHINES Process of procurement and staff selection are made as per codal formalities.

20. COMMISSIONING Once the construction is completed Installation of air conditions, lifts Equipments and Machinery Recruitment of Staff The hospital is commissioned Advertisement is made in paper Publicity in local area Date of inauguration is finalized

21. SHAKE DOWN PERIOD After the commissioning of hospital Some time is taken for functional integration of different units, services, staff, patient and community. This period is called shake–down period . Machine are tested Staff recruited and trained Standard operating procedures are made Maintenance service is put in place Materials, linen and stationary procured Then starts the routine and regular functioning of the hospital.

22. HOSPITAL ADMINISTRATION MADE EASY http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS