How to start a Hospital rough analysis

1. PLANNING A HOSPITAL PROJECT
ACHARYA NAGARJUNA UNIVERSITY
HOSPITAL ADMINISTRATION STUDENTS
2014-2016
Y15HA20001-Y15HA20026

2. 2
THINGS YOU NEED FOR YOUR PROJECTTHINGS YOU NEED FOR YOUR PROJECT
• Project planner
• Project report preparation
• Fund arrangement assistance
• Architecture (Designer)
• Mechanical, Electrical, Plumbing assistance
• Interior designing assistance
• Equipments planning & procurement assistance
• Staff planning & recruitment assistance
• Assistance in commissioning
• Assistance in running the hospital & Insurance tie ups

3. 3
SOME QUESTIONS FOR YOUSOME QUESTIONS FOR YOU
• WOULD YOU DO IT ALL OF THIS ON YOUR OWN?
• WOULD YOU HIRE A SPECIALIST FOR EACH OF THESE SERVICES?
• WOULD YOU HIRE A TEAM THAT CAN PROVIDE YOU ALL THESE SERVICES?
• WOULD YOU WAIT TILL YOU FIND A COMPETITION WITH A BETTER HOSPITAL NEAR YOURS?
• DO YOU THINK YOU DESERVE A HOSPITAL WITH BETTER INFRASTRUCTURE COMPLYING ALL
STANDARDS?
• DO YOU THINK PEOPLE’S NEEDS HAVE CHANGED?
• DO YOU THINK PEOPLE HAVE BETTER PAYING CAPACITY NOW?
• YOU THINK YOU COULD GENERATE MORE REVENUE MERELY BY INCREASING THE NUMBER
OF BEDS?

4. 4
SOME MYTHSSOME MYTHS
• FOLLOWING THE GUIDELINES IS TIME CONSUMING
• PLANNING AS PER GUIDELINES IS EXPENSIVE
• NOBODY FOLLOWS GUIDELINES
• I CAN STILL HAVE A BETTER FACILITY WITHOUT FOLLOWING
GUIDELINES
• NOT FOLLOWING GUIDELINES DOES NOT EFFECT MY PATIENT
BASE

5. 5
FACTORS IMPACTING THE PROJECTFACTORS IMPACTING THE PROJECT
Feasibility
Population Future plan
Location benefits
Size
Demographics
SWOT analysis
Competition
Paying capacity
Specialities
Infrastructure
Drain in & Drain
out
Insurance
Disease patternManpower Gap analysis

6. 6
LETS LOOK AT SOME FACTSLETS LOOK AT SOME FACTS
• ACCREDITATION HELPS YOU IN PROJECTING YOUR HOSPITAL AS A BRAND
• HELPS YOUR HOSPITAL RETAIN THE EMPLOYEES
• EMPLOYEE SATISFACTION IS MORE IN SUCH HOSPITALS
• MARKETING WITH COMPANIES & CORPORATES IS EASY
• WIDE VISIBILITY OF YOUR HOSPITAL
• PATIENT SATISFACTION IS INCREASED & WORD OF MOUTH MARKETING INCREASES
• LOCAL AUTHORITIES HAVE LESS CONTROL IN YOUR HOSPITAL PLANS
• BETTER RATES CAN BE OFFERED TO CLIENTS
• CORPORATES CAN BE RETAINED FOR A LONGER TIME
• COMPETITION FROM OTHER HOSPITALS IS MINIMIZED

7. 7
IDEAL BED MIXIDEAL BED MIX
Note: Bed Mix depends on which Specialty you are focusing on

8. 88
IDEAL FUNCTIONAL BRIEFIDEAL FUNCTIONAL BRIEF

9. 9
CRITICAL CARE AREACRITICAL CARE AREA
• THIS IS AN AREA YOU CAN BE PROUD OF IN YOUR HOSPITAL
• Ideal OT (Modular OT) needs to be 20 X 20 X 10 (Clear working height)
• The Laminar flow needs another 2 -3 feet above this height
• Air vents : To be placed 6 inches - 1 feet above the floor level
• Flooring :
Anti bacterial & Anti static
Easy to clean
Coving on the corners
Joint-less flooring
Ideally EPOXY or VINYL flooring with above
properties
• Walling : Homogenous surface for easy cleaning
• Door : Stainless steel door having 5-6 feet width
• Ceiling : Laminar air flow with HEPA Fliters
• Air changes : 20-25 changes/hour
• Humidity : 40 % – 50%

10. 1010
ICU DESIGNICU DESIGN
• The Design should consider the following 3 aspects/area:
(Linen storage, Visitors
waiting, Equipment storage
etc)
(Doctors room, Change area,
Nursing Workstation,
Recordkeeping, Pantry, Rest
rooms, Counselling area)

11. 11
PROJECT STRATEGY - CHOOSE HEALTHY MATERIALSPROJECT STRATEGY - CHOOSE HEALTHY MATERIALS
Recyclable ceilings
sustainably harvested wood
Low emitting paints &
wall coverings
Hypoallergenic floors

12. 12
EQUIPMENT PLANNINGEQUIPMENT PLANNING

13. 13
CAN BUILDING HELP YOU CURE?CAN BUILDING HELP YOU CURE?
• Research shows patent recovery much faster
• Connectivity to outside environment
• Better daylight and views
• Healing benefits for the patient
• Better indoor air quality
• No sick building syndrome
• Increase fresh air ventilation

14. 14
PROJECT TIMELINEPROJECT TIMELINE
BUFFER – 2 TO 3 MONTHS
2016 2017
HOSPITAL PROJECT MILESTONES
TASKS JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG
Project report
Architectural plans
Plan Approval
Site adjustments
Marking & Excavation
Structure-Plinth level
Basement Slab
Ground slab
First slab
Second slab
Third slab
Walling + Plastering
Carpentry
Lift,Electrical + Plumbing
False ceiling, Flooring,
Daddoing, Skirting
Nurse call,MGPS, HVAC,
Carpentry,Door window, Elevation
Equipments Planning
Painting, Fixtures, Finishing
Pre-Commissioning
activities+Eqp.pro

15. 15
CONCLUSIONCONCLUSION
• ITS OK TO HAVE LESS NUMBER OF ROOMS BUT BETTER ROOMS
• DON’T FOCUS ON THE LOWER & MIDDLE CLASS ONLY. RECOGNITION COMES FROM THE
UPPER CLASS POPULATION ALSO
• HAVE THE BED MIX WHICH CATERS TO ALL CLASSES OF POPULATION
• YOUR INFRASTRUCTURE DEFINES YOUR FUTURE GROWTH
• YOU WORK SMARTLY THAN DOING HARD WORK WITH BETTER INFRASTRUCTURE
• THE GROWTH YOU SEE IN A BETTER HOSPITAL IS FASTER THAN A CRAMPED UP & NON
GUIDELINES COMPLIANT HOSPITAL
• WITH CORPORATES, YOUR IDENTITY IN THE MARKET IMPROVES & WITH THIS, YOU CAN
EXPAND YOUR SERVICES
• YOU CAN THINK OF OPENING THE ANOTHER HOSPITAL IN THE NEARBY TOWN/DIFFERENT
LOCATION IN THE SAME CITY/TOWN
• THIS WILL HELP YOU IN RAISING EQUITY & EXPAND YOUR BUSINESS

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