Medical Terminology to Be Mastered By BIM Design 1. General Project Description a.

At inception the hospital is currently conceived as a specialized care fee-for-service tertiary level facility with accommodation for integrated outpatient clinics that will be situated within a master planned mixed-use medical development.

b. The master planned mixed-use medical development is part of new urban center master planned by the government. The hospital will be the Phase I anchor of the mixed-use medical development. Future phases of campus development will be developed in tandem with a rational metamorphosis of the hospital. Future thinking should include, but certainly not be limited to, relocation of outpatient clinics into surrounding medical office buildings and the possibility of creating an on-campus managed care continuum. c. Health Insurance penetration in Vietnam is growing but currently limited to perhaps 2.7% of population the acceptance of insured patients domestically and internationally and what corresponding impact that might have needs to be considered, however.

d. The design of the facilities shall embrace lean operations & logistics and a digital hospital framework. e. The design of the hospital shall foster and support a holistic delivery method: i. Patient-focused; high-touch; emphasizing the positive impact of the wellness milieu on clinical outcomes ii. Integrating medicine, technology & nursing iii. Nurturing healthy life-styles and complementary therapeutic practices including personal hygiene, nutrition, recuperative and relaxation therapies, recreational and spiritual healing f. For contextual information only: The master planned mixed-use medical development is 167,216.9 square meters. Preliminarily the permissible land and building uses are: i. Medical Facilities ii. Outpatient Clinics iii. Short Stay Units iv. Tertiary Care v. Surgical Facilities vi. Physiotherapy Facilities vii. Convalescent Facilities viii. Independent, Congregate Care & Assisted Living Facilities ix. Medical Equipment Services and Supply Facilities x. Medical Training Facilities xi. Dormitories xii. Restaurants g. Specific to the hospital project to be designed under this RFP: Subject to final master plan amendment submission and approval the parameters for the hospital site, at the time of release of this RFP, are: i. Building Site Area: 14,489 square meters

ii. Maximum Permissible Construction Area: 7,248 square meters iii. Maximum Permissible GFA: 69,250 square meters iv. Maximum Permissible Density (Construction Area / Building Site): 50% v. Maximum Number of Stories: 12 vi. Maximum Land Use Coefficient (GFA/Building Site Area): 4.7 h. Preliminarily the following specialized medical services are being considered for the hospital (subject to financial feasibility & business plan analysis) include: i. Epidemiology Health Screening 1. Including support services such as mammography, GI endoscopy, etc. 2. 3. Evaluation of basic systems function: respiratory, circulatory, nervous, muscle, endocrine, renal, active exploration, active learning Phase I: 5 clinics

a. Emergency examination and triage b. Major and minor surgical consultation; Same Day Surgery
Admission

c. Outpatientexamination, consultation and treatment; follow-up

examination, consultation and treatment for diseases like diabetes, goiter, hypertension, hepatitis, and artificial anal, obstetric and other chronic conditions needing long-term followup treatment. For some customers disease requires special technology and highly qualified doctors.

d. Post-surgical examination and monitoring e. General medical examination

i. Vaccination of all kinds. 4. Patient Care Coordination: Direct and manage integrated clinics and satellite local clinics for the management of discharged patients (1 in old areas of Hanoi, some in major cities to the north).

ii. Chronic Disease Management Center 1. Chronic Disease Management (respiratory, hyper-tension, diabetes) 2. 1. 2. 3. Including renal services/ hemodialysis center, etc. A major profit center in Vietnam healthcare Preventative exam, diagnostics and care planning & coordination Post interventional care iii. Cardiovascular Prevention & Disease Management Center

iv. Trauma Care high on the list: closed head & neurological injuries (motor vehicle accidents) 1. Including neurosurgery/orthopedics/ general surgery/urology, etc. 2. Ambulance and Emergency Services:

a. Phase I: 3 roomsfor trauma care, life support, on-site

emergencies

b. Sufficient facilities and technical conditions to stabilize patients

i. First aid, resuscitation medical conditions (pregnancy, heart, kidney - urinary, stroke, digestive ...) after accidents, trauma from the outside into the hospital and for patients and inpatients in the hospital when needed. v. Surgery 1. General surgical, laparoscopic surgery for tumor diseases, digestive diseases, liver, urinary-male sex, trauma 2. Orthopedic, cardiac surgery, vascular, goiter.... 3. Cardiovascular intervention unit 4. Transfusion 5. Phase I: build and equip 5-8 surgical rooms: a. 2-4 general surgical room (emergency)

b. 1-2 specialized obstetric surgical rooms c. 1 surgical room for ear-nose-throat and eyes d. 1 special surgical room, using high-tech (with 1 room using X-ray
equipment). 6. Preliminary number of surgery patients: 10 to 25 cases / day. 7. 30 pre-op / post-op beds including 5 bed ICU vi. Internal Medicine 1. Phase I: 70 beds including 10 special care a. Inpatient treatment & care for patients with digestive diseases, heart, lung, kidney - urinary, nervous, osteoarthritis, cancer, endocrine ... b. Pain Management vii. Maternity (this is a major profit center in Vietnam healthcare) 1. Phase I: 30 beds

a. Medical examination and treatment: gynecologic and

laparoscopic surgery, surgical treatment of gynecological diseases. b. Implementation of techniques for family planning, such as sterilization, IUD, abortion for women and vasectomy for men. c. Prenatal care, prenatal diagnosis, monitoring the health of pregnant women, to monitor pregnancy until birth (package).

d. Surgery to terminate pregnancy.

e. Check and care for normal newborn care and treatment of premature infants, low birth weight, morbidity.

f. Treatment of infertility (emphasis on future technology / in vitro

fertilization). viii. Pediatrics

1.

Phase I: 30 beds a. Medical examination and treatment

b. Patient literature and instructions on how to prevent diseases in

pediatrics ix. ENT / Ophthalmology 1. Phase I: 20 beds a. Outpatient diseases of the ear, nose, throat, larynx b. Medical examination, treatment and advice of the nasal-sinus allergies c. Emergency surgery of traumatic ear, nose and throat-larynx with modern facilities and high technology: micro-surgery, cochlear implants, Laser technology applications, endoscopic means of diagnosis, treatment of ear, nose, and throat-larynx

d. Medical examination and treatment of eye disease.

e. Treatment of weakness for many reasons - engineered optical

correction and exercise machine. f. Treatment of cataract surgery by Phaco. birth defects, eye injury. h. Cornea replacement x. Oral and Maxillofacial Surgery 1. Phase I: 10 beds a. Medical treatment of the teeth and mouth b. Surgical diseases of the teeth, gums c. Orthodontics, dental implants, dentures.

g. Corrective Refractive Surgery (eximer laser) to remedy disability,

d. Surgery for jaw-face

xi. Physical Therapy and Rehabilitation 1. Phase I: 10 beds

a. Nursing, treatment and rehabilitation for inpatient and outpatient

by means of physical therapy, aquatic therapy, massage ...

b. Therapies such as:

i. Exercise therapy including Osteopathy ii. Electrical therapy: types of high frequency voltage, light, low power frequency iii. Aquatic Therapy iv. Occupational Therapy v. Orthopedic appliances

xii. Radiation Oncology (probably to be planned for today but future implemented) xiii. Laboratory 1. 2. Full function diagnostic and testing Hematology and Blood Transfusion service for surgical blood transfusion when needed, including implementation activities for blood draw, transportation, storage, and supply to all diagnosis and treatment areas

3. Biochemistry 4. Clinical Microbiology 5. Histology (pathologic anatomy): sample collection only xiv. Diagnostic Imaging 1. Perform all types of diagnostic images:

a. X ray: normal uses and X-ray protection method b. - CT-Scanner (spiral) normal uses X-ray protection method
c. Normal ultrasound, 3D ultrasound, 4D ultrasound color Doppler ultrasound.

d. Diagnostic endoscopy, endoscopic intervention, endoscopic ultrasound. e. MRI or SPECT forward with SPECT / CT in the future.

f. Imaging support
i. PACS

ii. Ability to carry out exchanges and consultations,

including multi-center international (Telemedicine)