The check list covers Hospital Design and Construction for Hospital owners, Doctors who want to set up their small hospitals. It covers aspects of Project Management, Medical Planning, Construction and Operations of Hospitals. This check list helps avoid design and planning mistakes that can cost a project financially.
2. • Market Study
• How to operate the facility
• Formation of appropriate entity, as per Bank loan etc
• Zero in on Property - Change in land use etc
• Mobilize funds (Debt/Equity ratios) , if not immediately available must be
in pipeline
• Form an internal Core team - key decision making team
• Hire Appropriate consultants (Architectural, MEP, PMC Liasoning etc.)
• Have approvals in place
• Contractors and Vendors (must be qualified if not hired as early as
possible)
• Make available smooth flow of funds
• Finalize the MEP services
• Avoid overdesigned MEP services - get the right advise
• Avoid unwanted Medical equipment (For e.g. why to buy a 128 slice CT if
you don’t need it now )
• Luxurious finishes can be avoided (without compromising infection
control, go for non-luxury finishes because they incur high operating costs
• Material Selection process must be optimized
• Clearances for Medical equipment must be figured out in planning stage
itself
• Service workshop or Plant ops space must be planned, most planners miss
it
• Have one 'Engg services control room' , from where all engineering
services can be controlled and shut-down for e.g. in case of emergency)
3. • Third Party peer review of MEP services is a must
• Med gas manifold space must be planned properly acc to code and space
clearance requirements
• Storage spaces must be factored in (for different kinds of scraps , some
scraps are fire hazard)
• MLC reporting room in Emergency department, mostly this is missed by
planners
• Space for floor secretaries (office spaces)
• Overall HR plan of hospital must be kept in mind while planning
• Enough/Adequate Patient, Visitor and staff toilets must be factored in
• Waiting areas - there must be enough -optimized waiting spaces allocated
• Accreditation norms - JCI NABH etc.
• Ramp must be provided in case of emergency , elevators will not work,
hence ramps must be planned to evacuate patients
• Diaper changing rooms in public waiting areas must be planned
• Accessible toilets in required measure must be included
• Changing rooms for patients in diagnostic settings etc. must be designed
well
• Janitor closet or housekeeping rooms get missed most of the times and
must be remembered in planning
• Long lead-time items like AHUs and LINACs must be planned and ordered
well in advance
• Changes in Design at a later stage will cost money to the owner
• Green building principles are a must for hospital
4. • Start with the End in mind
• Statutory approvals must be in place in advance
• Contractors and Vendors must be on board well in advance
• Changes during construction : always cost money to owner
• Post - Commissioning - As built drawings must be in scope of vendors - for
later stage operation-time coordination , where the pipelines are running etc.
(to be marked after installation)
• Routing of Engineering services must be documented
• Waterproofing of wet areas / avoid wet areas to e planned above sensitive
equipment areas
• As-built photos must be preserved, take pictures of areas above false-ceiling
and preserve them.
• Control valves of Med gases etc. must be in prominent places so as to
conveniently control them
• Dust control must be done, off-gasing must be done to eradicate the
construction - smells , VOC etc. - to Avoid Sick building syndrome
• AC drain lines must be designed
• Spare breakers must be left in Distribution Boxes for future increases in loads
• Access to service shaft must be factored in
• Labelling of service lines to identify for facility team to maintain
• PLAN WELL BUILD EASY
