The document outlines principles for effective hospital planning at various levels. It discusses the need to provide high quality patient care through appropriate facilities, staffing, and review processes. Hospitals should also maintain effective community orientation by ensuring access to services, participating in preventative programs, and keeping the community informed of goals. Economic viability requires sound financial management, consistent service objectives, expansion based on need, and funding to replace equipment without excessive costs. Orderly planning involves short and long-term objectives set by administrators with advisor support. Architectural plans must consider site size, traffic flow, efficient design, and concepts like infection control.

1. PRINCIPLES OF
HOSPITAL PLANNING

2. PRINCIPLES IN PLANNING
• A hospital is responsible to render an essential service. In fulfilling this responsibility, hospital
planning should be guided by certain universally acknowledged principles.
• The principles are useful irrespective of the level of planning, i.e. whether at the national level, state
level or individual hospital level.

3. PATIENT CARE OF A HIGH QUALITY
• Patient care of a high quality should be achieved by the hospital through adopting following
measures.
• 1. Provision of appropriate technical equipment and facilities necessary to support the hospital’s
objectives.
• 2. An organizational structure that assigns responsibility appropriately and requires accountability
for the various functions within the institution.
• 3. A continuous review of the adequacy of care provided by physicians, nursing staff and
paramedical personnel and of the adequacy with which it is supported by other hospital activities.

4. EFFECTIVE COMMUNITY ORIENTATION
• Effective community orientation should be achieved by the hospital through adopting following
measures:
• 1. A governing board made up of persons who have demonstrated concern for the community and
leadership ability.
• 2. Policies that assure availability of services to all the people in the hospital’s service area.
• 3. Participation of the hospital in community programmes to provide preventive care.
• 4. A public information programme that keeps the community identified with the hospital’s goals,
objectives and plans.

5. ECONOMIC VIABILITY
• Economic viability should be achieved by the hospital through taking these measures:
• 1. A corporate organisation that accepts responsibility for sound financial management in keeping with
desirable quality of care.
• 2. Patient care objectives that are consistent with projected service demands, availability of operating
finances and adequate personnel and equipment.
• 3. A planned programme of expansion based solely ondemonstrated community need.
• 4. A specific programme of funding that will assure replacement, improvement and expansion of facilities
and equipment without imposing too much cost burden on patient charges.
• 5. An annual budget plan that will permit the hospital to keep pace with times

6. ORDERLY PLANNING
• Orderly planning should be achieved by the hospital through the following.
• 1. Acceptance by the hospital administrator of primary responsibility for short and long-range
planning, with support and assistance from competent financial, organisational, functional and
architectural advisors.
• 2. Establishment of short and long-range planning objectives with a list of priorities and target dates
on which such objectives may be achieved.
• 3. Preparation of a functional programme that describes the short-range objectives and the facilities,
equipment and staffing necessary to achieve them.

7. SOUND ARCHITECTURAL PLAN
• A sound architectural plan should be achieved by the hospital through the following:
• 1. Engaging an architect experienced in hospital design and construction.
• 2. Selection of a site large enough to provide for future expansion and accessibility of population.
• 3. Recognition of the need of uncluttered traffic patterns within and without the hospital for
movement of hospital staff, patients, and visitors and for efficient transportation of supplies.
• 4. An architectural design that will permit efficient use of personnel, interchangeability of rooms
and provide for flexibility.
• 5. Adequate attention to important concepts such as infection control and disaster planning.