1. HOSPITAL PLANNING
AND DESIGNING
DR. PRIYANKA SRIVASTAVA
DEPARTMENT OF HOSPITAL ADMINISTRATION
S.G.P.G.I.M.S. Lucknow
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2. CONTENT
•INTRODUCTION
•EMERGING ISSUES
•STRATEGIC ESSENTIALS
•IMPACTING FACTORS
•STEPS IN PLANNING
•DESIGN BRIEF
•EXPRESSION OF INTEREST 2

3. CONTENT
• REQUESTS FOR PROPOSAL
• MASTER PLAN
• SPACE PROGRAMMING
• HOSPITAL PROJECT FEASIBILTY REPORT
• ARCHITECTS BRIEF
• DETAILED PROJECT REPORT
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4. INTRODUCTION
• Hospital building differs from other building types in the complexity
of functional relationships that must exist between the various parts of
the hospital.
• Apart from providing right environment for patients and care
providers ,it should also be sensitive to the needs of visitors.
• It is thus imperative to examine the emerging issues, analyze the
challenges, appreciate the emerging trends and study the various
strategic options available for planning, designing and constructing a
hospital. 4

5. EMERGING ISSUES
1. Epidemiological and demographic changes
2. Enhanced expectations of patients
3. Emphasis on ambulatory/ day care
4. Enhanced standards
5. Changing function of hospital
6. Advancement in medical sciences
7. outsourcing 5

6. STRATEGIC ESSENTIALS
• some of the strategic issues that must be considered are –
• Regionalization
• Pre- planning consideration
• Need assessment
• Plot ratio
• Design for flexibility and expandability
• Fulfill the demand functions
• Emphasize on patient focused hospital
• Focus on energy conservation 6

7. STRATEGIC ESSENTIALS contd….
• Intelligent buildings
• Create a healing architecture
• Aesthetic – an essential requisite
• Hospital architecture
• Go green
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8. IMPACTING FACTORS
• Socio – economic profile of community
• Health profile of the region
• Local regulations
• Source of finance
• Choice of technology
• Climatic zones
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9. STEPS IN PLANNING
Need assessment
Feasibility report
Architects brief
Request for proposal
Appointment of consultant
Detailed project report
Notice inviting tender 9

10. STEPS IN PLANNING contd….
Award of work
Construction of building, services and facilities, equipment purchase and
manpower selection and recruitment
Stage of commissioning
Shake down process
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11. HOSPITAL DESIGNING
• The main guideline while designing the hospital is ‘FORM
FOLLOW FUNCTION’.
• All architectural and aesthetic design should be secondary in nature
• According to the function of the department the designing to be made
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12. EXPRESSION OF INTEREST
• The brief description of project
• Salient features
• Approx project cost
• Conditions for pre qualification
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13. REQUEST FOR PROPOSAL
• Background of the project
• Architects brief
• Best practices in medical architecture
• Limitations
• Methodology and time frame
• Contract conditions
• Local regulations 13

14. MASTER PLAN
• Overall site
• Departmental boundaries
• Major entry and exit points
• Vertical transport
• Inter - departmental corridors
• Location of critical zones
• Energy conservation
• Future site development
• Appropriate way finding 14

15. MASTER PLAN contd…..
• Services master plan
• Project decision
• Outline brief
• Opportunities and constraints
• Options considered
• Evaluation criteria
• Recommended options
• Executive summary and recommendation
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16. SPACE PROGRAMMING
• Process in which the specific requirements of a department are
identified.
• Department’s space table is developed
• Circulation/conversion factors
• Total building gross square footage (BGSF) is calculated
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17. HOSPITAL PROJECT FEASIBILITY
REPORT
• View of health scenario at national, regional, and local levels
• Vital statistics data
• Health needs assessment
• Site/location of proposed health care delivery
• Type of health care facility
• Approximate costs and source of funding
• SWOT analysis 17

18. ARCHITECTS BRIEF
• It is written document which explains the operational policies, types
of services provided, inter relationships and interdependency of each
facility. It includes –
• Site information
• Functional content
• Workload
• staffing
• Equipment
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19. ARCHITECTS BRIEF contd…
• Polices and procedure
• Schedule of accommodation
• Zoning
• Financial aspects
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20. DETAILED PROJECT REPORT
• Background of the project
• Limitations
• Financial statement
• Labour deployment
• Detail estimate of the project
• PERT chart
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21. DETAILED PROJECT REPORT
contd….
• List of medical equipment and specification
• Man power requirement
• Running ,maintenance and operational cost
• Budgetary projection
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22. Thank you
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