Professional Documents
Culture Documents
UNIT - 2
Introduction
• Hospital building differs from other building types in the
complexity of functional relationships that must exist between
the various parts of the hospital.
• The goal of health service is to improve the health status of a
given population
–The service must safeguard equity and fairness of access
–It should be responsive to the perceived health needs of
the community
• It should achieve this goal through the provision of efficient and
effective health service
–The health service needs to take into account available
resources and the available means and methods of health care
Factors in hospital planning
Stage of commissioning
Shake down process
Expression of Interest (E.O.I)
• Brief description of project
• Salient features
• Architects brief
• Constraints/ Limitations
• Contract Conditions
• Local Regulations
Architects Brief - MASTER PLAN
• Overall site
• Departmental boundaries
• Energy conservation
• Project decision
• Outline brief
• Options considered
• Evaluation criteria
• Recommended options
identified.
• Circulation/conversion factors
• Functional content
• Workload
• staffing
• Equipment
• Schedule of accommodation
• Zoning
• Financial aspects
DETAILED PROJECT REPORT
• Background of the project
• Limitations
• Financial statement
• Labour deployment
• PERT chart
• The module(s) used to determine the shape and size of this grid is the
module(s) used to house the various kinds of inpatient facilities (rooms +
toilets) conceptualized by the designer.
In the example given below you can see how the planning grid modules (in red) of
3.90 M x 8.50 M is determined by the accommodation desired for a single bed
patient room, a double bed patient room and their toilets.
• Expanding on this with the addition of the access corridor and stringing the
rooms out in a line, as in the plan below, we see how the planning grid starts
taking form.
• Looking more closely at this plan we can see something important has been
determined, namely, the positions of the columns that will support the
building.
• We can thus see how the structural grid (in blue), the network of lines
defining the location of columns, has been derived from the planning grid.
• The structural grid need not necessarily be the same as the planning grid, but
is usually derived from it.
• Next example, we can see that the designer has decided to twist the
entire inpatient tower block at an angle to the horizontal / vertical one.
This is just one example of how the planning grid could take almost any
conceivable shape depending on what the designer wants to do with it
2. In semi-urban or rural situations, where the land available is very
likely to be larger with respect to the built-up area desired,
determining the planning grid is another ballgame, one with
much greater flexibility in the rules.
• This ‘concept’ is also an ordering tool, and will have been used to
determine the form of the hospital in even the previous example
of the urban site, but with less freedom.
BED DISTRIBUTION
• The functions of the hospital revolve around the total no. of
beds & their distribution within various depart. & services.
• Space requirements
• Bed planning:
Population = A x S x 100
365 x PO
PO = percentage occupancy
SPACE REQUIREMENT OF SOME BASIC DEPARTMENT
SITE SELECTION
1. Accessibility to transportation & communication lines
2. Parking facilities
6. Future expansion
7. Total cost
Stack diagram
This shows the distribution of the facilities in the various floors
Depreciable This includes equipment that has a life of five years or more and is
equipment not purchased through construction contracts. These are large
pieces of furniture which have a relatively fixed location and are
capable of being moved e.g., diagnostic and therapeutic
equipment, laboratory instruments, office furniture etc.
Non depreciable These are small items with a low unit cost and life span of less than
equipment five years. These are generally under the control of the store room
and are bought through other than construction contracts. They
include kitchen utencils,surgical instruments,linen,waste baskets
etc.
INTERIOR & FURNISHING
In a patient centered environment,design solutions will respond to
the needs of the patients profile both architecturally and through
material selections.
Should consider the following-
1. Infection control standards
2. Design story
3. Healing environment
4. Physical environment
5. Organizational planning understanding
6. Cost analysis
HOSPITAL BUILDING
• After completing all preparations for building a hospital the governing
board issues instructions for the development of final plans &
specification.
• Principle-
# Protection
# Short traffic routes
# Separation of dissimilar activities
# Control
GENERAL FEATURES
• Environment
• Screened windows
• 4 separate entrance
• Exit point
• Attractive entrance
• Traffic flow
• Corridors
• Visitors control
• Running physical part
• Fire escape
COMMISSIONING
• Once the construction is completed Installation of air conditions, lifts
Equipments and Machinery Recruitment of Staff
• The hospital is commissioned Advertisement is made in paper Publicity
in local area Date of inauguration is finalized.
•Official Opening
–Should be undertaken about 3 to 6 months after full
occupation has been achieved
–This provides an opportunity for staff to become used to
their new working environment
SHAKE DOWN PERIOD
• After the commissioning of hospital Some time is taken for
functional integration of different units, services, staff, patient
and community.
- This period is called shake–down period .
• This period can be shorter if adequate time and thought have
gone into planning and execution
–The period may last from a few months to a year
• This period will identify the necessity of additions, alterations and
modifications
–Staffing schedule may need readjustment
• Machine are tested Staff recruited and trained Standard
operating procedures are made Maintenance service is put in
place Materials, linen and stationary procured
• Then starts the routine and regular functioning of the hospital.