Sanjeev B Chougule

Asst. Professor
Dept. of Hospital Administration
 The planning of hospitals is structured to realise this
integration of Technology and cultural practices with
immediate and long term objectives of the healthcare
plan
Master Plan
 Multidisciplinary technology
 Human resources
 Various economic, social …
 Immediate objectives
 Long term objectives
 Medical charge
 Type of healthcare services to be provided
 The level of Sophistication to be provided
 Allocation of Resources(capital & Revenue budgets)
Functional Master Plan
 Physical facility: which compromises of various
buildings and building blocks, engineering services,
hospital utility services and support services
 Departmenetation plan delinating various activities
into comprehensive groups
 Equipment Plan providing for all needed Medical &
Allied equipment
 Manpower planning providing for staff, technical,
nursing administrative staff.
 Hospital Supply system: medical & surgical supplies,
sterile supplies & other needed supplies for house
keeping, catering & maintenance
 Hospital Administration Structure:
 Medical Administration Structure:
 Phasing plan
Architectural Master Plan
 Area statement
 Magnitude & pattern of traffic: detailing requirement
of access, corridors, lifts, ramps, inter building
connections etc.
 Service system plan: detailing dept. wise requirement
of engg. services.
 Hospital utility plan: detailing requirement of catering
services, laundry, CSSD, Piped medical gases, BMW
including incinerator & HK
 Interior plan
 Exterior & landscaping plan
 Commissioning: detailing dept wise requirement for
integration of various services & utility to deliver
patient care.
MP is dyanamic process which provides stability
to the planning process from phase to phase.
Process of Planning the Hospital
 1.Healthcare delivery system as per the proposed
Healthcare plan
 2.Infrastructure
 3.Regulatory system to monitor the healthcare
delivered.
 The process of hospital planning comprises of the
following
 Functional Analysis for Master Planning
 Planning of Hospital Building & it services
 Planning the hospital building utility services
 Planning the hospital equipment
 Planning the hospital manpower.
ORGANISING FOR PLANNING
 Developing a decision making mechanism
 Selecting the professional hospital planning team
 Appointment of Hospital Consultant
 Organizing for internal review of planning
documentation
 Organising the hospital planning team and
formulating operating procedures.
Developing a decision making mechanism
 Governing Board
 Special user committee
 Building committee
 Project Manager
Hospital planning team
 Includes……
A complete team possess capabilities in the following
areas.
1. Functional planning – provided by hospital
consultant(Medical Director)
2. Financial Feasibility
3. Architectural & Engineering Services
4. Project management Engineers(Construction
Management)
Appointment of Hospital Consultant
 Have comprehensive knowledge of Healthcare delivery
process.
 Management techniques
 Knowledge about community
 Various codes and regulations applicable
Provides services in
 Programme (functional) development for planning of
new hospitals & healthcare facilities or upgraduation
of the existing hospitals & healthcare facilities,
including generation of design parameters for
engineering systems and sub systems.

 Problem solving, product development, Marketing,

General & Medical staff relations, internal
organisational conflicts, medical audit, internal
administration, & services system administration.
 Writing of hospital manuals, disaster manuals,
standards and various policies
Organizing for internal review of
planning documentation
GB
 External independent consultants – other areas like
structural engineers, gas pipeline, project, computer
system…
 Committees

Organising the hospital planning
team and formulating operating
procedures
 Generate detailed project & feasibility
 Introduction
 Proposal
 Location
 Size of the hospital
 Promoters background
 Date of commencement/completion
 Technical analysis
Specialiation, catchement area, work load, demographic
parameters
Facility available, assumptions,
Details of site:
Location
size of the hospital,
specific use of land
Site characters
 Permissible floor space index(FAR)
 Ground coverage
 Building height
 Total permissible built up area
 Road access
 Water supply
 Sewage treatment
 Telephone lines
 BMW
Functional Plan
 Functional Ares
 IPD
 OPD
 Clinic support services
 Other support services
Hospital Access point
 Emergency & casualty
 Hospital drop up points
 Waste disposal zone
 Stores receiving area
licences
Functional Analysis for Master
Planning
 1.Define the proposed hospital- new/upgrade
 2.Analyse the proposed or the existing site
 3.Determine carpet area for each dept.
 4. Determine plinth area
 5. Determine dept locations
 6.Determine project cost
Architects brief
 It is a written document which explains the
operational policies, types of services to be provided,
inter relationship & interdependency of each facility. It
is a written expression of the clients need as expressed
in consultation with various professionals including
architect & engineers
 It should include mission of the healthcare facilities,
philosophy of services, development plans and
oragnisation.
 Site Information:
 Bearings boundaries, tomography and surface area.
 Landmarks
 Existing utilities
 Nearest city, airport
 Weather
Functional Content
 Sizes, function & content of departments. No. of beds,
OT’s
 Major equipments planned
 Intramural & extramural communication
 Work & traffic flows.
Workload
 It should specify timings of various departments as
well as peak periods of work
Staffing
 No. of workers…
 Equipment: Type of medical equipments & quantity
should be enumurated
Policies & Procedure
 Patients & staff movement
 Supply delivery
 Services, laundry, cssd, diet
 Fire protection
 Mains and standby
 Lighting
 Infection control
 Pollution control
 Future expansion plans
 Schedule of accomodation
 Zoning
 Phasing
 Financial Aspects”
references
 Handout: Nous Hospital Consultants(p) Ltd. New
Delhi