INTRODUCTI
ON
• The last few decades have seen a
spectacular development in the health
& hospital consciousness of the
Indian public.
• Essential hospital service required for
the community cab be met most
economically only with adequate
thought given to planning ,
design,construction & operation of
health care facilities.
• A design expert says- “we’ve gotto design
PLANNING A
HOSPITAL
• Planning is the forecasting and
organizing the activities required to
achieve the desired goals.
• All successful hospitals,without
exception,are built on a triad of good
planning,good design & construction &
good administration.
• To be successful,a hospital requires a great
deal of preliminary study and planning
• It must be designed to serve people and for
promoters to build in the first place &
CONT
..
• It must be staffed with competent and
adequate number of efficient
doctors,nurses & other professionals.
• A strong management is essential for the
daily functioning of a facility & this must
be included in the plans of a new
hospitals.
PLANNING
TEAM
• Hospital administrator
• Specialists from various clinical
branches
• Nursing advisor
• Civil and electrical engineers
• Representative of local body
• Senior architect
OBJECTIVES OF PLANNIG
TEAM
•Existing facilities & its adequacy
•Asses the needs of area
•Needs of new facilities so as to
provide adequate, qualitative
health are services.
MARKET
SURVEY
•One the first tasks of the temporary
organization is to survey the service area of
the proposed hospital.
•Following bodies helps in market survey-
1. Banks
2. CA firms
3. Financial Institutions
4. Consultant
• Since major decisions will be on the result
of the survey,it must be done in a
professional manner.
CONT
..
•Following considerations should be taken
during survey-
Character,needs & possibilities of
communities Type & size of Hospital
Financial condition of
community Occupation
Age distribution
FINANCIAL
PLANNING
• Financial planning must take
precedence over every other
consideration.
• Financial planning must cover the
following three areas:
1. Constructing,Equipping & Furnishing
the Hospital
2. Operating Funds
3. Financial Assistance
• Financial assistance has 2 components-
EQUIPMENT
PLANNING
• Theterm ‘equipment’meansall itemsnecessary
for the functioning of all services of the
hospital.
• It is necessary to consult with the architect
designing the building early so that the
facilities planned will be of sufficient size
to accommodate the equipment & render
the necessary services.
• A room by room equipment list is then
complied & reviewed by the adm,medical
& depart.staff.
SITE
SELECTION
1. Accessibility to transportation &
communication lines
2. Parking facilities
3. Availability of public utilities
4. Proper elevation for drainage & general
sanitary measures
5. Freedom from smoke,noise,vapours &
other annoyances
6. Future expansion
7. Total cost
INTERIOR &
FURNISHING
• In a patient centered environment,design
solutions will respond to the needs of the
patients profile both architecturally and
through material selections.
• Should consider the following-
1. Infection control standards
2. Design story
3. Healing environment
4. Physical environment
5.Organizational
planning
understanding
6. Cost analysis
HOSPITAL
BUILDING
• After completing all preparations for
building a hospital the governing board
issues instructions for the development of
final plans & specification.
• Principle-
# Protection
# Short traffic routes
# Separation of dissimilar
activities # Control
GENERAL
FEATURES
• Environment
• Screened windows
• 4 separate
entrance
• Exit point
• Attractive entrance
• Traffic flow
• Corridors
• Visitors control
• Running physical
part
BED
DISTRIBUTION
• The functions of the hospital revolve around
the total no. of beds & their distribution
within various depart. & services.
• The no. of beds in a hospital is the
yardstick applied when referring to the
size of the hospital, its various services,
occupancy rate,etc.
• Types of bed accomodations
• Bed distribution by services
• Space requirements
Cont
..
• Bed planning:
Population = A x S x 100
365 x PO
• A = number of patients
admissions/1000 populations/year
S = average length of
stay PO = percentage
occupancy
SHAKE DOWN
PERIOD
• After the commissioning of hospital some
time is taken for functional integration of
different units,services,staff,patient &
community.
Machine are tested
Staff recruited & trained
Standard operating procedures are made
Maintenance service is put in place
Materials, linen & stationary procured
• Then starts the routine & regular
functioning
CONCLUSION
“Ahospital isa livingorganism,madeupof many
different parts,having different
functions,but all theses must be in due
proportion & relation to each other & to
the environment to produce the desired
result”