You are on page 1of 24

Equipment Planning Synchronised

with Hospital Design and


Construction

by

Dr. Ruth Sengonzi & Claudio


Meirovich
5th E. Africa Regional Healthcare Engineering Conference &
Exhibition 16-18th November 2016 - Nairobi
Introduction
 Project Backgrounds
 Question
 Traditional Work Scheme
 Challenges of Traditional Work Scheme
 Integrated Work Scheme
 Advantages of the Integrated Work Scheme
 Scope of Work
 Pre-installation works
 Computerized Planning Tools and Applications
 Conclusion
Project Backgrounds
 MKCCA Project: 3 donor-funded hospitals in the City of
Kampala
 Equipment value for the new hospitals: 35 -38%
 Equipment value for the rehabilitated hospital: 70%
 Dr Owen King EU Hospital St Lucia: co-funded by EU
and the Govt. of St. Lucia
 Equipment Value: 40%
 Projects scheduled for completion within 24months
 Delays partly due to lack of synchronization between
planning, design, construction, procurement &
installation of medical equipment
Question
• How is it possible that given the functional
importance and investment value of the
medical equipment, it is not managed and
synchronized with the construction works in
the right way?
Traditional Work Scheme
• Does not consider link between medical
equipment and built infrastructure
• Is not attentive to special works for equipment
to be installed
• Assumes a parallel work flow where
construction and equipment installation run in
parallel or as consecutive activities
• Fails and comes along with a several problems
= negatively impact time and budget
Traditional Work Scheme
Traditional Work Scheme
 The planning team may have a physician or
biomedical engineer who work independently.
 Forecast based on the needs and budgets reduced
without the equipment team’s knowledge.
 Design is updated and changes are not reported until
the works start.
 "Standard" needs of ventilation, temperature and
humidity without consulting the specific requirements
of the planned equipment.
 Heavy equipment that later requires structural
reinforcements.
Challenges of the Traditional
Work Scheme
 Architecture solutions do not match purchased
equipment requirements.
 The equipment is not considered when planning
works ending with the removal of partitions,
doors, windows and walls in order to get the
heavy equipment in.
 Drawings of equipment sizes do not match
planned/acquired equipment.
 Installation of equipment is considered to last
just the final 3 months.
Integrated Work Scheme
Integrated Work Scheme
 Use planning tools that allow for integration and
collaboration
 Identify the magnitude of the project in order to
define the work team
 Define the scope of the works to be carried out
 Participate in the definition/discussion/changes
of the functional plan
 Participate in the definition/discussion/changes
of the architectural solution.
Advantages: Integrated Work
Scheme
 Definition of the requirements of installations in
conjunction with sanitary engineering, installations and
telecommunications equipment.
 Participate in the purchase and installation strategy
together with the architects and the client during the
design phase.
 Supervise the pre-installation and subsequently the
purchase, installation and commissioning of the
equipment.
 Document the entire process to facilitate its future
management and maintenance.
 Evaluate the results obtained and propose
improvements for future projects.
Scope of Work
 Analyze the Functional Plan and propose technological
options/alternatives (especially in critical areas, surgical
block and in diagnostic imaging).
 Scale the main equipment according to the expected use.
 Make a preliminary budget estimate based on the
functional plan.
 Develop the equipment plan for the entire hospital
("Room by Room").
 Prioritize and incorporate the equipment based on VEN
categorization of the Equipment Plan.
 Write the technical specifications of all the equipment.
Scope of Work
 Make room layout plans ( "Room by Room Layouts")
 Prepare the room by room pre-installation
requirements
 Make generic plans of equipment and furniture
installation.
 Coordinate design changes with the Architecture and
Engineering departments
 Perform the selection/contracting of equipment
 Develop the pre-installation and equipment
installation schedule
 Supervise the reception, installation and start-up of
the equipment
Pre-installation requirements
 Electrical and lighting
 Insulation for operating theatres and special laboratories.
 Hot and cold water
 Steam for sterilization, laundry and kitchen
 Medical gases
 Ventilation, air conditioning, humidity
 Vapor extraction for hoods, biosafety cabinets, anaesthesia
tables
 Armor for radiology, radiotherapy, brachytherapy
equipment
 Wall and ceiling reinforcements for anchoring equipment
and furniture
Computerized Planning Tools and Applications:
Room Editor
Computerized Planning Tools and Applications:
FF+E Details Editor
Computerized Planning Tools and Applications:
C-Sheets
Computerized Planning Tools and Applications:
Asset Data Collector (Testing & Commissioning)
Computerized Planning Tools and Applications: Asset
Data Collector (Testing & Commissioning)
Computerized Planning Tools and Applications:
Reports
Conclusion
• Equipment should be considered as an integral
part of the project requiring adequate resources
& planning time to avoid surprises during
installation
• The hospital equipment planning team should
be incorporated and the process integrated
from facility’s conception to completion and
commissioning.
• The planning team should include members
with diverse skills to contribute specialized
knowledge which improves planning;
equipment solutions; reduction in costs and
installation times
Conclusion
• The use of an integrated work scheme
enables smooth information flow; budget
control; synchronization of the
equipment procurement & installation
with the civil works
• BIM/Computer tools and applications
enable better management of complex
data associated with the design,
construction, equipping, up to full
operationalization of a health facility
Thank You/Gracias/Asante Sana
Equipment Planning Synchronized
with Hospital Design and
Construction

by

Dr. Ruth Sengonzi & Claudio


Meirovich
5th E. Africa Regional Healthcare Engineering Conference &
Exhibition 16-18th November 2016 - Nairobi