This document discusses medical planning and facility design. It covers several types of feasibility studies needed for new medical facilities, including market studies, technical studies, and financial studies. It also describes factors to consider for the technical study, such as the location, size and ownership of the facility. Hospitals are classified based on their level of care as primary, secondary or tertiary. The document outlines cost considerations and provides formulas for calculating construction costs and payback periods. It also discusses the various phases of project management.
2. The role of the Biomedical engineer in preparing
feasibility studies for medical facilities :
Feasibility
Studies
Executive
Studies
Market
Studies
Technical
Studies
Cost
Studies
Market Studies
Technical Studies
Financial Studies
Executive Studies
3. Determine the goal of establishing and designing a hospital in the
target area.
In other words, is there a need to provide medical services in the
chosen area?
Studying the location.
Competition studies (in the case of private hospitals).
Study the population density of the target site.
Analyzing the data and information collected.
5. 1- Ease of access and being located near to main streets and
public vehicles.
2- Obtaining sources of water, electricity and diversed services.
3- The nature of the soil and the level of groundwater.
(Egyptian Code of Soil Mechanics).
4- The possibility of expansion and future extension.
6. 1- Climatic studies (favorable and unfavorable winds) - sunshine -
temperature.
2- Environmental pollution (air - noise).
3- Exposure to electromagnetic waves (such as near power stations
and mobile towers).
7. 1- Real state Prices (related to the cost and the financial
study).
2- Building regulations and laws to avoid building
violations.
8. • These factors depend on the specification of the hospital (the
location of the public or central hospital is different from the
educational one and from the private one,,,,, and so on.
• As each function requires different components and departments,
and therefore different requirements for the site (especially the
required space).
9. TECHNICAL STUDIES
The technical study can be defined as the study related to all technical aspects
related to the project, as it includes determining the size of the project and the
technical specifications of the hospital, preparing the employment tables and
manpower needed in the hospital.
It is also a classification study in which the hospital is classified in terms of
ownership, level of care, and size.
The more accurate the technical studies are , the more accurate the financial study
will be , and the project target will be achieved.
11. Primary
• These facilities provide health care in the field of preventive medicine,
medical education and therapeutic medicine in its simplest form.
• An example of this: family medical centers - rural health units. (15 thousand -
50 thousand people).
Secondary
• It is the one that provides specialized treatment services and is a hospital,
but in a simplified form (clinics - laboratories - x-rays).
• Example: Chest Diseases Hospital in Dekrnes. (100 thousand - 250 thousand).
Tertiary
• It is the one that provides treatment services in its largest form, such as
general, university and central hospitals, or a critical specialty to serve an
entire region. An example of this is (Oncology Center in Mit Ghamr) - Abu Al-
Rish Children's Hospital.
13. private
sector • EX. Dar Al Fouad Hospital.
governmen
t
sector
• EX. Police hospital.
Health
insurance
• EX. Benha Health Insurance Hospital.
Belongs to
companies
and
associations
• EX. Arab Contractors Hospital.
14. The construction cost of the hospital is calculated by the number of beds or by m2.
The estimated value (for buildings, electromechanical and finishes), if the calculation is
done on m2, the cost of m2 will be (2200 to 6500 dollars), and this varies according to the
type of finishing and the location of the hospital, and the cost of medical devices reaches
40% of the hospital cost.
But if the calculation counts on the bed , the cost of the bed, (including buildings,
finishes, electromechanical and medical equipment) ranges from 350,000 to 500,000
dollars.
Studying the preparation of the required medical staff and the required competencies.
Study the administrative team of the project.
Study the required medical equipment and the percentage of loss.
Studying the cost of licenses is among the cost studies.
15. Financial studies considerations :
• Assets (whether it is from the shareholders’ money or through bank
financing).
• Hospital expenses (fixed - variable).
• Revenues.
• Profit margin calculation. capital cycle.
• Payback period.
16. The formula for calculating the payback period:
It means the period of time required to recover the initial cost of the investment from
the cash flows that represent the sources of recovery of this investment.
Payback period = original investment value / annual net cash flow
17. • It is the study of project implementation management
the definition of project management, which is:
It is a process or activity bound by time, that has a start date and
an end date, and the project here is defined as the building
designed and equipped specifically for health care by a
specialized team of doctors and nursing staff and with the
assistance of another team of technicians using specialized
medical tools and devices for the purpose of providing the
necessary and customized health care for patients, which
includes diagnosis and treatment.
19. التخطيط
Project plan
Concept Development
Primary Ideas (concept)
التصميم
Document preparation
Design Development
Primary Design
طرح
المناقصة
The announcement of the tender is made through (a direct invitation to
contractors - receiving quotations).
التنفي
ذ مرحلة
Reports and supervisor’s
edits.
Implementation plan
for each contractor.
Determine the teamwork by
the project manager. .
Planning
Design
Tender
Offering
Execution
Supervision and Forecasting Project Close.