Tg hospital planning v12

TG
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com
CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION.
1

Holistic
Healthcare
Clinical
Research
Medical
Education
Hospitality
AYUSH for
Prevention and
Rehab
Medical Value
Travel and
Logistics
Direct
Connectivity
to Airport
Strategic Alliance
with global Insurance
and legal entities
Strategic Alliance
with global Pharma,
Biotech and CRO
Strategic Alliance
with leading medical
education brands
Managed by an elite
hospitality and
entertainment brand
Strategic Alliance
with local spas
and resorts
Recognition/Approvals
from Accreditation body,
Govt, Municipal, Travel
and Security Agencies
TG FORCE MULTIPLIER FRAMEWORK: HEALTHCARE ECOSYSTEM EVOLUTION
Key is to align such investments
into a truly symbiotic framework
to leverage the full value of the
portfolio.
Power of synergy–
consumption of one service
automatically creates a
demand for the other.
Developing markets provide
a, never before seen,
unique opportunity for the
healthcare industry to
become truly holistic and
patient centric.
TG VISION OF HOLISTIC HEALTHCARE FACILITY
2

DR PANKAJ GUPTA
Dr Gupta is a qualified Dental Surgeon with an
Executive MBA from IIMB. He also has a PG Diploma
in Computers and a Special Diploma in Bioinformatics.
Dr Gupta is a NABH and ISO certified consultant. He
has applied Healthcare Quality standards for
Healthcare process optimization.
Dr. Gupta has over 2 decades of Healthcare industry
experience which enabled process improvements, IT
cost reduction, organization change management, and
business transformation through implementation of
Healthcare-IT solutions for Hospitals, Life-sciences
and Pharma companies.
Dr Gupta has been on the academic advisory board of
IIHMR Delhi, a leading healthcare management
institute.
Dr Gupta is a member of the ICT subgroup of SIC in
Health, part of the National Innovation Council under
the Prime Minister’s Office, GOI
Dr Gupta is a Board Member of HIMSS India Chapter.
Dr Gupta is Health Innovator in Residence @ The
International Centre for Health Innovation, Richard
Ivey School of Business, The University of Western
Ontario.
As a founder of Taurus Glocal Consulting Dr Gupta leverages healthcare business
knowledge and technology insight to provide business transformation across all
healthcare stakeholders.
Has played a vital role in meta data and data standards consulting with Ministry of
Health and family welfare, Govt of India.
Clinical transformation of Max Healthcare using IT as a change agent. Handled the
complete ITO as the P&L leader from Perotsystems.
As part of Infosys - Healthcare-IT standards consulting for a large HIS company in US.
As part of Infosys - Provided strategy consulting to a large pharmaceutical packaging
company to conceptualize and build the first ever online comprehensive chronic care
management program.
Developed EHR product for Infosys as part of the Canada eHealth go to market
strategy.
Setting up of captive offshore centre for CERNR, a market leader in Hospital
information systems, for R&D, cost arbitrage and market outreach.
At FCG, Conceptualized and implemented business transformation services for large
US hospitals e.g. by building 24/7 IT operations support.
As part of Satyam – Setup the PMO and implemented the first FDA validated offshore
services centre in India for a UK based Pharma company.
As part of Applied Biosystems Inc., a sister concern of Celera Genomics - Led a project
for building an intelligent configurator to support the selection of DNA molecules for the
Microarray plates, involved in the Human Genome project.
PARTNER, TAURUS GLOCAL CONSULTING
4

MARTIN FISET
Martin is a famous Architect and hospital planner
from Canada with experience as planning
consultant and project manager across Canada, US
and abroad.
Martin has over 40 yrs of experience in healthcare
facilities programming and planning consultancy.
In India Martin has the credibility of planning DM
Healthcare MedCity Kochi, GM Modi Hospital Delhi,
JayPee Institute of Medical Sciences GNoida, and
Medanta MediCity Gurgaon.
It is a synergistic partnership that combines Martin's
healthcare facilities programming and planning
consultancy and TG's strengths in IT planning,
people and process planning, healthcare functional
infrastructure planning, NABH/JCI standards
consulting and overall program management.
He has specialized in Healthcare Architecture during his masters and is an Architect by
education.
He has an extensive experience of the Healthcare Industry and has handled projects
that included, functional and space programming, and detailed departmental planning
for large and small healthcare facilities in Ontario, Alberta, Quebec and New
Brunswick, and, in the United States, in Washington, Baltimore, and Philadelphia in
early stages of his career .
He has established & is leading Fiset Hospiconsult inc. since 1998 as President which
offers facilities programming and design services to the healthcare sector.
He is skilled in Architecture, Planning, Master Planning, Hospitals, Feasibility Studies,
Strategic Planning, Architectural Design, Space Planning, Public Speaking,
Programming, Concept Design, Teaching, Design Development, Project Planning that
adds it to his versatility in handling different domains of healthcare projects.
He has also been invited and provided lectures on hospital planning and functional
space programming in India, the USA and Canada as well as France, Argentina and
Chile.
This is a Sample profile – the live project may have the same or similar skilled professional
5
INTERNATIONAL ADVISOR - HEALTHCARE INFRASTRUCTURE ARCHITECTURE

HOSPITAL IT PLANNING AND OPERATIONS
7
HOSPITAL’S
NAME
LOCATION SCOPE OF SERVICES PERIOD ROLE
MAX
HEALTHCARE
GROUP OF
HOSPITALS
8 Hospitals
existing in Delhi
NCR and 4 new
Hospitals in
North INDIA
Total IT Outsourcing: Planning, Implementation and Support
- including Equipment Planning, Hardware, Software,
System Integration, Services.
2009-2010 P&L Leader for
Perotsystems,
Client Executive for
Max Healthcare
CERNER’S
HOSPITAL
CUSTOMERS
Across
USA
Engineering new solutions and Support services - Bug Fixing
and Call Center support for US Hospitals.
2005-2006 Client Executive
and Engineering
Manager
UHHS, CLEVELAND OH,
USA
Planning, Implementation and Support for the software
application portfolio for the IT Dept. Includes planning,
implementation and Integration with Hospital Equipments.
2003-2005 Project Manager
with FCG
UMMHC, BOSTON,
USA
with FCG
NYU MEDICAL
CENTRE
NY,
USA
with FCG
NY BLOOD
BANK
NY,
USA
with FCG
ARDENT
HEALTHCARE
NM,
USA
with FCG
DR GUPTA’S EXPERIENCE
*These projects are done by the respective TG Consultants but not necessarily under TG brand

HEALTHCARE TECHNOLOGY AND HEALTHCARE QUALITY PROJECTS
DONE BY TG
PROJECTS* CUSTOMER
Public Health IT study done with national health systems resource
centre [NHSRC], as a background study for ICT sub-group of Health
SIC and inputs to the 12th Plan.
Consultant for Health Domain Meta Data and Data Standards [MDDS]
development project with MOHFW, and NHSRC as project secretariat.
MOHFW, Govt of India
TG has worked with Hospitals for IT Strategy Consulting, PMO,
Product Selection, Vendor Selection, Change Management
Worked with Angel Funds and large PE/VC, to advise on their
Healthcare investments in India.
TG has worked with Chain of Clinics for IT Strategy Consulting, PMO,
Product Selection, Vendor Selection, Change Management
Indian Cancer Society Delhi Branch has appointed TG as the
Comptroller of Data and IT Systems
Indian Cancer Society,
Delhi Branch
TG is working in healthcare management education: Dr Gupta has
been on the academic advisory board of international institute of
healthcare management and research [IIHMR] Delhi and is a visiting
faculty to Apollo Medvarsity and Chitkara University.
TG has been doing product management consulting for consolidating
the Healthcare Application portfolio of TCS
Advisors to the Board of Top 3 Hospital Chains in Saudi Arabia and
PMO for building and commissioning 3 new Hospitals.
Cant Disclose Name due to NDA
8
*TG believes in a Partner Ecosystem based on trust and integrity. TG treats all its vendors, collaborators and customers as valuable partners.
Seiler Holdings

HEALTHCARE ARCHITECTURE PROJECTS
SERVICE PROVIDED CUSTOMER
Chief Architect for the Hospital facility DM Healthcare MedCity, Kochi
Chief Architect for the Hospital facility GM Modi Hospital, Delhi, India
Chief Architect for the Hospital facility and program
monitoring
Medanta MediCity, Gurgaon (Haryana),
India
Chief Architect for the Hospital facility JayPee Medical College
management
University of Montreal Medical Centre,
Montreal (Quebec), Canada
management
University of Maryland Medical Centre,
Baltimore, USA
management
20 Large Hospitals across 40 Years
*These projects are done by the respective TG Consultants but not necessarily under TG brand
9
MARTIN FISET’S EXPERIENCE

B R O W N F I E L D
H O S P I T A L S
EXISTING HMIS - Layer
eHealth/mHealth on top
eLearning, ePublishing
Knowledge Community
Practice Management on Mobile
Patient Management on Mobile
Appointments/Scheduling on Cloud
Nurse Rostering on Cloud
OPD Pharmacy on Cloud
In Patient Pharmacy on Cloud
Procurement, Stores and Supply
Chain Management on Cloud
G R E E N F I E L D
H O S P I T A L S
Phase 1 – HMIS Essential
Components
 eLearning, ePublishing,
 Knowledge Community
 Clinical Suite on Mobile
 Patient Management on Mobile
 Appointments/Scheduling on Cloud
 HR management on Cloud
 OP/IP Pharmacy on Cloud
 Supply Chain on Cloud
Phase 2 HMIS Development on
Demand
INTEGRATED DIGITAL HOSPITAL
HEALTHCARE FACILITY PLANNING

Phase1: Focused
Engagement for
assessment, planning,
and design
Phase2: Follow-up every
month to monitor and
mentor the
implementation of
recommendations
Phase3: Review
Quarterly, Half
Yearly and
Yearly to ensure
value is
delivered
Sign the
contract
with TG
TG will mobilize
the team
TG will visit the
site for initial
assessment
Onsite engagement for
detailed assessment,
planning and design
Full functional design of the
hospital
Need approvals on the Phase1 to
move to the Phase2
VISION TO HOSPITAL COMMISSIONING ROADMAP
12

Activity What we do
Hospital Planning - Service mix – Determination of the breadth and depth of services to
be offered in the facility – clinical, non clinical, support services
- Facility configuration – Determination of the type and
number of clinical facilities in the hospital (beds, ICU’s, OT’s, etc)
Architecture Design - Green Building concepts, Energy saving concepts
- Facility design as per workflow and standards (NABH, JCI, LEAN)
- Facility Planner works with interior designers and architects
- IT and Equipment Planner works with interior designers and architects
- Full Architecture Drawings
Technology and
Equipment planning
- Equipment plan (number, type and phasing) – BOQ, Tender
- IT Roadmap, BOQ, Tender
- IT Hardware and Network design, BOQ, Tender
-- Vendors selection guidelines
People planning - Workforce planning
- HR plan including recruitment, retention and attrition
Operations planning - Quality process as per NABH, NABL, FDA, NACO, BARC Guidelines
- Define the workflow in the hospital – clinical and support functions
- Involvement in planning and implementation of clinical services
- Plan support services - (kitchen, laundry, housekeeping, supply chain,
bio-medical waste management, medical gases, chemical drainage,
medical fire safety designing, etc)
GREEN-FIELD HOSPITAL PLANNING – DEFINITION AND DESIGN
EXTENSIVE HOSPITAL
PLANNING SAVES COST
IN THE LONG RUN
TG offers unique combination of
healthcare, management and IT
for hospital planning
TG designs the hospitals from people,
process and technology
perspective
TG has a top down approach; we start
from the vision of the promoters
Provide Documentation and Project
Plan to get regulatory approvals
as per Healthcare Facility
Standards – NABH/JCI, NABL,
NACO, BARC etc.
TG will build Governance structure to
monitor the progress as per Roles
and Responsibilities
TG will offer its force multiplier
framework– holistic healthcare,
medical value travel, medical
education and research
13

OPERATIONS PLANNING IN HOSPITAL
Protocol/ SOP Action
Protocol/SOP Design - Each step will be documented to reduce waiting time and remove wastage.
- Clinical Workflow design
- Non clinical Workflow design
Organization Structure - Define the organisation structure, hierarchy, departments, support functions etc. as
per the NABH and JCI guidelines
Healthcare Facility Standards –
NABH/JCI, NABL, NACO, BARC etc.
- Provide Documentation and Project Plan to get regulatory approvals as per
Healthcare Facility Standards – NABH/JCI, NABL, NACO, BARC etc.
Deliverables - Provide the SOP in the Quality Management System for the Hospital
- Actual accreditation process will happen in due course of time and is not included in
this deliverable
14

PEOPLE PLANNING IN HOSPITAL PLANNING
People Action
HR Structure Definition - Create a document that describes responsibilities and structure of all
people in the organization.
- Common skills- e.g. nurses, OPD receptionist, OPD Manager, Ward
Boys etc
- Specialist skills- e.g. Heads of various departments, Consultants and
staff specific for each Department.
- Management skills- e.g. Board members, Senior Management (CEO,
CFO), Middle Management.
- Define who does what job; and who manages whom; and who reports
to whom.
Job Descriptions of Top
Management
- Job Description of Top management - CEO, COO, CIO, CFO and
Department Heads etc.
Job Description of Staff - Job description of all the consultants and hospital staff
Customer Service - Define the customer service standards - Patient spends only 10 min
with the doctor whereas spends the rest of the day with the staff. All the
hospital staff has to be trained for giving same experience to the
patient.
Training - Staff Training Plans to provide good quality service.
Career Path - Provide rewards, promotion and growth for the staff to prevent them
from leaving the hospital
15

EQUIPMENT PLANNING
16
Detailing of Medical Equipments
Detailed document for the diagnostic facilities (X-Ray, USG, MRI, CT Scan, Pathology Lab etc) as in a
detailed BoQ, along with their specifications
Preparing detailed Bill of Quantity and Technical Specifications of all the medical equipments in areas
like wards, Operation Theatres, Blood Banks, Emergency, ICCU, HDU, Laundry, Kitchen, Centralized
Sterilization Unit, Ambulance Service, Security Station, Mortuary, Nursing Unit, Medical Unit,
Pharmacy, Stores and Dispensaries, OPD, Reception and Payment Counters, Registration Counter,
Discharge and Payment Counters, Administrative Wing, Finance Section, House Keeping facilities,
Fire and Safety Wing, Patient Waiting Halls, Mechanical and Electrical Wing
Giving inputs in designing the facility as per the medical services requirements. It includes putting all
the medical equipments installation requirements in the architectural drawings of the building with the
help of Client' onboard Architect
Budgeting of all the medical equipments to avoid shortfalls late in the project
Detailed document for the Medical
Gas Pipeline System & Liquid
Oxygen Plant
System Design & Specifications
Detailed BOQ
Complete Tender Document
Pneumatic Chute for Medicine
Supply
Detailed BOQ
Detailed Document for Nurse Call
Bell System
Detailed BOQ
Detailed Document for Modular
Operation Theater
Detailed BOQ

TECHNOLOGY IN HOSPITAL PLANNING
Technology Action
Software - Select the Hospital software upfront, so that it matches with hospital design, architecture and
workflow. It is very expensive to change later.
- HIS, MIS, Pharmacy, EMR, LIS, RIS, PACS, ERP etc.
Selection of Medical and
Non Medical Equipment
and Devices
- Select medical devices such as radiology, imaging, diagnostic, monitors, ventilators etc that can
be integrated with Hospital software, hardware and network. It is very expensive to change later.
- Plan for non-medical equipment as per the hospital workflows
Hardware - Allocate space for Data centers, Network cabinets, wiring and ports as per the number of
laptops/desktops required in each Department and ward. It is very expensive to change later.
- EPABX System, MATV, CCTV, Audio-Visual, Bar Coding & RFID if required
Network Calculate the network load as per OPD/IPD load. Plan for internal and external network while
hospital is being designed. Engage a network wiring expert and ISP for network along with
hospital electrical wiring. It is very expensive to change later.
Deliverable - The team will do the IT Roadmap, Equipment planning and vendor selection guidelines.
- Deliver the BOQ, Tender Documents
- The cost of the software, hardware, implementation, project management will be borne by
the customer separately.
17

IT IN THE HOSPITAL CAN GAIN SPACE AND REDUCE COST
I T I S A H A N D M A I D E N
O F D I G I T A L H O S P I T A L S
Choosing the right technology platform for a
healthcare organization is a truly
complex decision.
Multivariate environment with cultural
challenges typically cloud and obstruct
implementation and adoption.
TG builds a ‘flexible’, ‘dynamic’, long-term
IT roadmap that is totally aligned to
business needs
TG believes that IT can be a key catalyst for
clinical transformation across healthcare
organizations.
A T R U L Y D I G I T A L H O S P I T A L
R E Q U I R E S T O T A L C L I N I C A L
T R A N S F O R M A T I O N
Hospital
Information
System
Clinical
Lab
Radiology
Pharmacy
MIS
ERP
HEALTHCARE IT PORTFOLIO MANAGEMENT
18
Gain more space and reduce cost by introducing technology:
• Don’t need space to store paper records
• Don’t need to store consumables and medicines at every sub store
and point of use
• Optimize resource utilization – beds, equipment, people, facility etc.

GOVERNANCE MODEL
Half Yearly
Quarterly
Monthly
Weekly
• Report to <Client>
Board
•Executive Council
•Governance Council
•Clinical Reference Group
•Project Status Report
•Operations Review
Board Nominee
Executive Council
<Client> CEO
<Client> Medical
Director
TG Partner
TG Principle
Clinical Dpt. Reps
PMO Nominee
All PMO Members
Dpt. Reps
PMO Nominee
Essential Attendees
Others can be invited
How will it get done?

GOVERNANCE COMMUNICATION MODEL
Executive Council
<Client> CxO
<Client> CxO
TG Partner
TG Principal
Clinical Reference Group
Representative from each Clinical Dept.
PMO Nominee...
Governance Council
Representatives from each Support Department
PMO Nominee..
•Alignment of business and project strategy
and resolution of directional issues
•Overall direction setting and approvals at
key milestones
• Will provide project guidance and direction
setting to the PMO from a clinical perspective
• Will provide project guidance and direction setting
to the PMO from an operational perspective.
• Joint determination of critical areas and inter-dependencies.
Joint responsibility for completing work tasks and joint
development of solutions.
Joint PMO
TG PMO Coordinator [Full Time]
TG PMO Mentor [Part Time]
<Client> PMO Leaders
Board Oversight
<Client> Board Nominee
<Client> Executive Council Members
• Bring Collaborative leverage with industry
• Value Generation and ROI goal settings
• Ensure Board Level Value Generation
Updates
• Key Budget Updates and Approvals
Change Control Board
1 Nominee from each
of GC, CRG and PMO

Role Primary Responsibilities
• Board Oversight • Executive council will report to the <Client> Board through a Board Nominee
• This meeting will be held at least once every 6 months.
• However the meeting can be called earlier if there is a logjam or emergency in decision making process.
• The board oversight will have veto powers over Executive Council
• Executive Council • Define engagement goals and set expectations in the organization
• Build executive and organizational commitment within the organization
• Allocate financial, human and other required resources for the program
• Resolve high level issues between the lower councils of governance model
• Challenge assumptions and identify risks
• Governance Council • Will provide operational SOP’s and associated operational data to PMO across projects
• Will provide operational impact analysis (benefits/detractors) of projects / changes run by the PMO to Executive
Council.
• Will provide one representative as a signing authority on the Change Control Board .
• Clinical Reference Group • Responsible for clinical content and workflows to PMO across projects
• Will provide clinical impact analysis (benefits/detractors) of projects / changes run by the PMO to Executive
Council
• Will provide one representative as a signing authority on the Change Control Board
• Joint PMO • TG will appoint PMO coordinator and PMO Mentor to run the PMO
• <Client> will appoint 2 senior members from their leadership team
• Head of the PMO will be jointly decided by the PMO members
• TG Partner/Principal Consultants will guide the PMO for execution of the projects
• Provide best practices experience
• Drive the engagement and manage the program
• Monitor and measure results on a day-to-day basis
• Responsible for participating in and reviewing all IT application and IT infrastructure projects
ROLES AND RESPONSIBILITIES

Tg hospital planning v12

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