Sanjeev B Chougule
Asst. Professor
Dept. of Hospital Administration
The planning of hospitals is structured to realise this
integration of Technology and cultural practices with
immediate and long term objectives of the healthcare
plan
Master Plan
Multidisciplinary technology
Human resources
Various economic, social …
Immediate objectives
Long term objectives
Medical charge
Type of healthcare services to be provided
The level of Sophistication to be provided
Allocation of Resources(capital & Revenue budgets)
Functional Master Plan
Physical facility: which compromises of various
buildings and building blocks, engineering services,
hospital utility services and support services
Departmenetation plan delinating various activities
into comprehensive groups
Equipment Plan providing for all needed Medical &
Allied equipment
Manpower planning providing for staff, technical,
nursing administrative staff.
Hospital Supply system: medical & surgical supplies,
sterile supplies & other needed supplies for house
keeping, catering & maintenance
Hospital Administration Structure:
Medical Administration Structure:
Phasing plan
Architectural Master Plan
Area statement
Magnitude & pattern of traffic: detailing requirement
of access, corridors, lifts, ramps, inter building
connections etc.
Service system plan: detailing dept. wise requirement
of engg. services.
Hospital utility plan: detailing requirement of catering
services, laundry, CSSD, Piped medical gases, BMW
including incinerator & HK
Interior plan
Exterior & landscaping plan
Commissioning: detailing dept wise requirement for
integration of various services & utility to deliver
patient care.
MP is dyanamic process which provides stability
to the planning process from phase to phase.
Process of Planning the Hospital
[Link] delivery system as per the proposed
Healthcare plan
[Link]
[Link] system to monitor the healthcare
delivered.
The process of hospital planning comprises of the
following
Functional Analysis for Master Planning
Planning of Hospital Building & it services
Planning the hospital building utility services
Planning the hospital equipment
Planning the hospital manpower.
ORGANISING FOR PLANNING
Developing a decision making mechanism
Selecting the professional hospital planning team
Appointment of Hospital Consultant
Organizing for internal review of planning
documentation
Organising the hospital planning team and
formulating operating procedures.
Developing a decision making mechanism
Governing Board
Special user committee
Building committee
Project Manager
Hospital planning team
Includes……
A complete team possess capabilities in the following
areas.
1. Functional planning – provided by hospital
consultant(Medical Director)
2. Financial Feasibility
3. Architectural & Engineering Services
4. Project management Engineers(Construction
Management)
Appointment of Hospital Consultant
Have comprehensive knowledge of Healthcare delivery
process.
Management techniques
Knowledge about community
Various codes and regulations applicable
Provides services in
Programme (functional) development for planning of
new hospitals & healthcare facilities or upgraduation
of the existing hospitals & healthcare facilities,
including generation of design parameters for
engineering systems and sub systems.
Problem solving, product development, Marketing,
General & Medical staff relations, internal
organisational conflicts, medical audit, internal
administration, & services system administration.
Writing of hospital manuals, disaster manuals,
standards and various policies
Organizing for internal review of
planning documentation
GB
External independent consultants – other areas like
structural engineers, gas pipeline, project, computer
system…
Committees
Organising the hospital planning
team and formulating operating
procedures
Generate detailed project & feasibility
Introduction
Proposal
Location
Size of the hospital
Promoters background
Date of commencement/completion
Technical analysis
Specialiation, catchement area, work load, demographic
parameters
Facility available, assumptions,
Details of site:
Location
size of the hospital,
specific use of land
Site characters
Permissible floor space index(FAR)
Ground coverage
Building height
Total permissible built up area
Road access
Water supply
Sewage treatment
Telephone lines
BMW
Functional Plan
Functional Ares
IPD
OPD
Clinic support services
Other support services
Hospital Access point
Emergency & casualty
Hospital drop up points
Waste disposal zone
Stores receiving area
licences
Functional Analysis for Master
Planning
[Link] the proposed hospital- new/upgrade
[Link] the proposed or the existing site
[Link] carpet area for each dept.
4. Determine plinth area
5. Determine dept locations
[Link] project cost
Architects brief
It is a written document which explains the
operational policies, types of services to be provided,
inter relationship & interdependency of each facility. It
is a written expression of the clients need as expressed
in consultation with various professionals including
architect & engineers
It should include mission of the healthcare facilities,
philosophy of services, development plans and
oragnisation.
Site Information:
Bearings boundaries, tomography and surface area.
Landmarks
Existing utilities
Nearest city, airport
Weather
Functional Content
Sizes, function & content of departments. No. of beds,
OT’s
Major equipments planned
Intramural & extramural communication
Work & traffic flows.
Workload
It should specify timings of various departments as
well as peak periods of work
Staffing
No. of workers…
Equipment: Type of medical equipments & quantity
should be enumurated
Policies & Procedure
Patients & staff movement
Supply delivery
Services, laundry, cssd, diet
Fire protection
Mains and standby
Lighting
Infection control
Pollution control
Future expansion plans
Schedule of accomodation
Zoning
Phasing
Financial Aspects”
references
Handout: Nous Hospital Consultants(p) Ltd. New
Delhi
