Infrastructure is the most important decision in a healthcare / hospital setting that a healthcare organizer has to take. This is a capital intensive component of a hospital and the decisions once taken are costly to revise both in terms of money and discomfort to all stake holders.
It is therefore very important to avoid all those costly mistakes while planning/ redesigning infrastructure. The first step is to understand that “Form must follow function” and not vice-versa. You do not allocate space/ rooms for various functions but you plan and design spaces after defining the present and future functions.
Next comes space allocation as per the various guidelines and statutory requirements, never forgetting the very important allocations for support & ancillary services. It is a common observation in constructed hospitals to find space allocated for clinical functions while support and ancillary functions are forgotten, hence are allocated temporary structures, often with temporary partitions all over a new hospital building. The functional relationship between various hospital departments is forgotten, resulting in mismatch, unnecessary duplication of services and a lot of recurrent manpower cost over the life time.
Then the zoning concept of various facilities/ departments is not considered while designing a hospital resulting in defective facility, high infection rates, discomfort to all, lack of patient privacy and unsafe facilities for both the provider and consumer of healthcare.
Doors, windows, ventilators, walls thickness, radiation protection, wall & floor finishes, ventilation, air-conditioning, lighting, patient and logistic transport system, Corridors, storage spaces, parking, water capacity calculations and appropriate storage, Sanitary fittings, disable friendly toilets, BMW storage and movement planning, STP and ETP provisions, AHUs, Fire safety systems, electricity load calculation wiring distribution system and back up etc are the components that need elaborate planning and execution on ground.
The attendant and patient waiting areas, planning of unilateral flow of clients, avoiding criss-cross of traffic within the building, keeping the high traffic areas in the hospital near to the entry/ exit and close to the ground, keeping intensive services on higher floors, proper planning of OTs taking great care of zoning and including all functions in the planned space, keeping the vital AC/ Ventilation ducts short in length to avoid unnecessary loss of energy during transmission, Exit plan during a disaster etc also need to be planned carefully.
Most of the hospitals now or in future would like to go ahead with some form of quality accreditation. The various ethical and space requirements need to be included in the structure of the hospital. This is best done by engaging with the experts in this field, BOC being a clear choice here.
Duplication of facilities due to improper planning is a very big one time and recurrent cost that any healthcare facility must avoid. This can be achieved by proper planning of the facility at drawing board stage itself. Blue ocean consultants is the most appropriate group that can help in achieving all this, being a group of young, dynamic, experienced and formally qualified hospital planners, architects, doctors and quality experts.
The right time to engage Blue Ocean Consultants is at the drawing board stage planning of the hospital even before a single structure is built. However it is never too late to engage with BOC as the solutions exist even at a later stage to avoid further damaging situation. It is never too late to engage with BOC, that is just a phone call/ email away.
Consultancy for redesigning of the existing hospital/nursing home structure is also undertaken.
The building infrastructure project for new hospital planning are taken up in two stages both being exclusive of one another, client can opt for stage 1 alone or both stage 1 & 2.
Scope of services provided
- Capturing of user requirements.
- Expanding and finalization of user requirements after extensive discussions and deliberations.
- Finalization of project brief.
- Preparation of Master Plan.
- Discussions and finalization of Master Plan (Floor wise distribution of services and facilities etc.)
- Preparation of Preliminary drawings of hospital complex as per existing planning norms and applicable building-bye-laws & as per NABH requirements etc.
- Discussions and deliberations on these Preliminary drawings
- Finalization of Preliminary drawings.
- Preparation of preliminary cost estimates based on CPWD rates after approval of (8) above.
- Preparation of 3D views (3 nos.)
- Preparation of basic working drawings i.e. Detailed Plans, elevations & sections after approval of (8) above
- Submission of drawings to local municipal authorities for approval if required. This is to be done by the client organization.
- Preparation of Structural drawings with complete details of foundations, columns, beams, slabs, staircases, projections, boundary walls etc.
- Preparation of Detailed Drawings – i.e. Doors / windows, Toilets, Kitchens, Nurse’s Stations, Elevational treatment, flooring details, terracing, and other relevant details etc.
- Preparation of plumbing layouts for utilities, Kitchens, toilets, overhead and underground water storage tanks, Scheme for sewage disposal, location of Manholes and G.T.’s, rain water disposal / harvesting etc.
- Design and preparation of electrical layouts, location of main and sub distribution boards, intercom / EPABX, security systems, nurse call system, LAN system, provision of Backup (Generator) supply and lifts.
- Design and preparation of HVAC, Fire detection and fire fighting drawings.
- Co-ordination with Project Management Agency / Site Engineers for the period of engagement.
- Preparation of detailed / explanatory drawings if required by contractor
- Approval of shop drawings as submitted by contractor.