1 PHASES OF PLANNING & DESIGNING -- 1.1 Hospital Planning -- 1.2 Schematic Design -- 1.3 Construction Documents -- 1.4 Design and Development -- 1.5 MEP Planning -- 1.6 Construction -- 1.7 Equipment Planning -- 1.8 Man Power Planning -- 1.9 Finalising the Standard Operating Procedures -- 1.10 Commissioning Further Reading -- 2 INCEPTION OF THE IDEA Further Reading -- 3 FACTORS ASSESSING FEASIBILITY OF THE HOSPITAL -- 3.1 Demographics -- 3.2 Understanding the Type of Diseases -- 3.3 Community -- 3.4 Healthcare Systems and Hospitals Network -- 3.5 Innovations in Facility Planning and Management -- 3.6 Speciality Facilities and Departments -- 3.7 Medical Tourism -- 3.8 Health Insurance and Empanelment -- 3.9 Catchment Area Further Reading -- 4 4.1 Information to be Generally Provided in DPR -- 4.2 Documents DPR Should Contain -- 4.3 General Contents in DPR -- 4.4 Evaluation of DPR Further Reading -- 5 SITE SELECTION -- 5.1 Size of the Land Required for Hospital -- 5.2 Assessment of the Covered Area Required for Building -- 5.3 Total FAR Allowed -- 5.4 Set Back Area -- 5.5 Maximum Permissible Land Coverage -- 5.6 Maximum Permissible Height of Building -- 5.7 Approach to the Site -- 5.8 Location of the Land -- 5.9 Availability of Transportation -- 5.10 Security -- 5.11 Availability of Utilities TABLE OF CONTENTS SECTION ONE - PLANNING PREPARATION OF DPR (DETAILED PROJECT REPORT) CUM TECHNO COMMERCIAL FEASIBILITY REPORT (TCFR) CHAPTER NO. CONTENTS PAGE NO -- 5.12 Roads Network in the Area -- 5.13 Environmental Pollution -- 5.14 Wind and Earthquake -- 5.15 Flood Protection Further Reading -- 6 6.1 Importance of Planning and Designing -- 6.2 Flexibility and Expandability -- 6.3 Patient Focused Design -- 6.4 Design for Employee Productivity -- 6.5 Accessibility to the Patient -- 6.6 Security and Safety -- 6.7 Sustainability of Resources -- 6.8 Efficiency and Cost-Effectiveness -- 6.9 Adaptation of Technological Advancements -- 6.10 Stress & Fear of Patient and Visitors -- 6.11 Quality Care of Patient -- 6.12 Therapeutic Environment -- 6.13 Cleanliness and Sanitation -- 6.14 Noise reduction -- 6.15 Minimising the Operative/Postoperative and Hospital Infections -- 6.16 Automation Wherever Possible -- 6.17 Environmental Pollution Control -- 6.18 Internal Road -- 6.19 Parking -- 6.20 Wind, Earthquake-Resistant & Flood Protection -- 6.21 Nature Plus Artwork -- 6.22 Colour to be Used -- 6.23 Choice of Building Materials -- 6.24 Flooring Further Reading -- 7 AREA REQUIREMENT & PLANNING -- 7.1 Functional Areas -- 7.2 Room and Space Requirement -- 7.3 Sizes of the Rooms -- 7.4 Zoning -- 7.5 Placement of Zones in the Building Further Reading -- 8 DETAILED ENGINEERING DRAWINGS -- 8.1 Schematic Design -- 8.2 Site Plan -- 8.3 Concept Drawings -- 8.4 Floor Plan Drawings -- 8.5 Cross Section Drawings -- 8.6 Elevation Drawings -- 8.7 Landscape Drawings -- 8.8 Finishing Drawing GENERAL ISSUES TO BE CONSIDERED WHILE DESIGNING HOSPITAL BUILDING CHAPTER NO. CONTENTS PAGE NO -- 8.9 Working Plan Drawings -- 8.10 Section Drawings -- 8.11 Structural Drawings -- 8.12 Column Layout Drawings -- 8.13 Plinth Beam Layout Drawings -- 8.14 Lintel Beam Layout Drawings -- 8.15 Roof Beam and Shuttering Layout Drawings -- 8.16 General Note -- 8.17 Excavation Drawing -- 8.18 Electrical Drawings -- 8.19 Plumbing Drawings -- 8.20 Fire Fighting and Detection Drawings -- 8.21 Shop Drawings -- 8.22 Furniture Layout Drawings -- 8.23 Furniture Design Drawings -- 8.24 Hospital Signage Drawings -- 8.25 As-Built Drawings -- 8.26 PERT Charts Further Reading -- 9 PREPARATION OF CONSTRUCTION DOCUMENTS -- 9.1 Definition of Construction Documents -- 9.2 Contents of Construction Document -- 9.2.1 General information about the hospital project -- 9.2.2 Construction contract agreement -- 9.2.3 Scope of Work (SOW) -- 9.2.4 Construction schedule -- 9.2.5 General conditions -- 9.2.6 Special conditions -- 9.2.7 Specifications -- 9.2.8 Bill of Quantities (BOQ) -- 9.2.9 Cost estimate -- 9.2.10 Drawings -- 9.2.11 Other Documents Further Reading -- 10 DESIGN OF THE MAIN ENTRANCE GATE TO THE HOSPITAL -- 10.1 Main Entrance Gate Further Reading -- 11 ENTRANCE LOBBY OF THE HOSPITAL -- 11.1 Location of the Entrance Lobby -- 11.1.1 The infrastructure of the Entrance Lobby -- 11.2 Services in the Lobby -- 11.3 Reception and Enquiry Counter -- 11.4 Help Desk, Registration, and Admission and Discharge Counters -- 11.5 Cash Counter -- 11.6 Cafeteria -- 11.7 Pharmacy SECTION TWO- DESIGN & DEVELOPMENT CHAPTER NO. CONTENTS PAGE NO -- 11.8 Other Service in the Entrance Lobby -- 11.9 Public Utility for Patient/visitors -- 11.10 Prayer Room/Meditation Spaces -- 11.11 Self-Service Kiosks -- 11.12 Interiors of the Entrance Lobby -- 11.13 Entrance Gates to the Lobby -- 11.14 Signage and Wayfinding in the Lobby -- 11.15 Acrylic or Glass Partitions -- 11.16 General Issues Related to Entrance Lobby -- 11.17 Outside entrance lobby -- 11.17.1 Screening Areas -- 11.17.2 Hand Wash/Sanitizer Stations -- 11.17.3 Face Masks / Shoe Covers Dispensers -- 11.18 Reduction of people landing in the entrance lobby Further Reading -- 12 EMERGENCY SERVICES -- 12.1 Location of Emergency Department -- 12.2 Size of the Emergency Department -- 12.3 Areas Required for Emergency Department -- 12.4 Entrance of the Emergency Department -- 12.4.1 Main Gate -- 12.4.2 Entrance Door to the Emergency Department -- 12.4.3 Outside entrance lobby -- 12.4.4 Screening Areas -- 12.4.5 Hand Wash/Sanitizer Stations and Face Mask Dispenser -- 12.4.6 Decontamination area -- 12.4.7 General Waiting -- 12.4.8 Ambulance Control -- 12.5 Reception -- 12.6 Triage and Resuscitation -- 12.6.1 Location of Triage -- 12.6.2 Size of Triage -- 12.6.3 Infrastructure of Triage -- 12.6.4 Bed Layout in Triage -- 12.6.5 Furniture/Equipment/Instruments in Triage -- 12.6.6 Doors and Windows -- 12.6.7 Hand Washing -- 12.6.8 Central Medical Gas Supply -- 12.6.9 Electrical Points in Triage -- 12.6.10 Other Communication Points in Triage -- 12.6.11 Curtain Partitions -- 12.6.12 Doctors Duty Rooms in Triage -- 12.7 Patient Handling Zone with Resuscitation -- 12.7.1 Location of Patient Handling Zone -- 12.7.2 Categories of Patient Handling Zone -- 12.7.3 Size of Patient Handling Zone -- 12.7.4 Infrastructure of Patient Handling Zone -- 12.7.5 Bed Layout in Patient Handling Zone -- 12.7.6 Isolation Rooms/Units/Area in Patient Handling Zone -- 12.7.7 Resuscitation Rooms in Patient Handling Zone -- 12.7.8 Furniture/Equipment/Instruments in Patient Handling Zone CHAPTER NO.

CONTENTS PAGE NO -- 12.7.9 Doors and Windows of Patient Handling Zone -- 12.7.10 Hand Washing in Patient Handling Zone -- 12.7.11 Central Medical Gas Supply -- 12.7.12 Electrical Points in Patient Handling Zone -- 12.7.13 Other Communication Points in Patient Handling Zone -- 12.7.14 Curtain Partitions -- 12.7.15 Doctors Duty Rooms in Patient Handling Zone -- 12.8 Treatment/Procedure Room/Minor Operation Theatre -- 12.8.1 Furniture/Equipment/Instruments in Minor OT -- 12.8.2 Doors and Windows -- 12.8.3 Hand Washing -- 12.8.4 Central Medical Gas Supply -- 12.8.5 Electrical Points in Minor OT -- 12.9 Procedure and Diagnostic Setup -- 12.1 Emergency Operation Theatre Complex -- 12.11 Day Care Observation Ward -- 12.11.1 Location of Emergency / Observation Ward -- 12.11.2 Size of Emergency / Observation Ward -- 12.11.3 Issues of Infrastructure of Emergency / Observation Ward -- 12.11.4 Bed Layout in Emergency / Observation Ward -- 12.11.5 Isolation Room in the Emergency / Observation Ward -- 12.11.6 Furniture/Equipment in Emergency/Observation Ward -- 12.11.7 Doors and Windows -- 12.11.8 Hand Washing -- 12.11.9 Central Medical Gas Supply -- 12.11.10 Electrical Points in Observation Ward -- 12.11.11 Other Communication Points in Observation Ward -- 12.11.12 Curtain Partitions -- 12.12 Other Issues Relating to Emergency Department -- 12.13 Disaster Plan -- 12.13.1 Factors for Disaster Plan Further Reading -- 13 OUTPATIENT DEPARTMENT -- 13.1 Location of the OPD -- 13.2 Schemes of the Layout of the OPD -- 13.2.1 Single Corridor OPD -- 13.2.2 Double Corridor OPD -- 13.2.3 Clustered OPD Block -- 13.3 Infrastructure Requirement in the OPD -- 13.4 Reception & Enquiry Counter -- 13.5 Registration Counter -- 13.6 Waiting Lobby/Hall -- 13.7 Examination Rooms -- 13.8 Procedure/Treatment Rooms -- 13.9 Support Rooms -- 13.10 General Issue While Designing the OPD -- 13.11 Number of OPDs Required -- 13.12 Consultation Room -- 13.12.1 Size of the OPD Room -- 13.12.2 Door and Windows -- 13.12.3 Hand Washing CHAPTER NO. CONTENTS PAGE NO -- 13.12.4 Furniture -- 13.12.5 Instrument and Equipment -- 13.12.6 Electrical Points and Communication Ports -- 13.12.7 Curtain Partitions -- 13.13 Procedure /Treatment Room -- 13.13.1 Size of the Procedure / Treatment Room -- 13.13.2 Door and Windows -- 13.13.3 Hand Washing -- 13.13.4 Furniture -- 13.13.5 Instrument and Equipment -- 13.13.6 Electrical Points and Communication Ports Further Reading -- 14 INTENSIVE CARE UNITS -- 14.1 Types of ICU's -- 14.2 Number of Beds in a Single Unit of ICU -- 14.3 Location of Intensive Care Units -- 14.4 Infrastructure of ICU -- 14.5 Size of the ICU -- 14.6 Sizing Considerations -- 14.7 Patient Care Zone -- 14.7.1 Bed Layout in ICU Hall -- 14.7.2 Isolation Room/Units/Area in ICU -- 14.7.3 Furniture in ICU -- 14.7.4 Equipment -- 14.7.5 Tools & Instruments -- 14.7.6 Doors and Windows -- 14.7.7 Nursing Station -- 14.7.8 Hand Hygiene -- 14.7.9 Toilets -- 14.7.10 Air Conditioning System of ICUs -- 14.7.11 Central Piped Medical Gas Supply -- 14.7.12 Electrical Points in ICU -- 14.7.13 Other Communication Points in ICU -- 14.7.14 Curtain Partitions -- 14.8 Procedure & Treatment Room -- 14.8.1 Location of Treatment/Procedure Room -- 14.8.2 Size of Treatment/Procedure Room -- 14.8.3 Issues related to the Infrastructure -- 14.8.4 Furniture in Treatment/Procedure Room -- 14.8.5 Equipment -- 14.8.6 Tools & Instruments -- 14.8.7 Doors and Windows -- 14.