Professional Documents
Culture Documents
Construction of Hospital
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Table of Contents
Executive summary ......................................................................................................................... 4
Background ..................................................................................................................................... 4
Project Objective............................................................................................................................. 5
Project Management Plan Purpose ................................................................................................ 5
Project Deliverable .......................................................................................................................... 5
Project Milestones .......................................................................................................................... 5
Scope Form ................................................................................................................................. 6
Project Costing Management ......................................................................................................... 8
Project Time Management ............................................................................................................. 8
Description of the Project mapping tools ................................................................................... 8
Network Diagram ...................................................................................................................... 11
Probability Analysis ................................................................................................................... 12
Project Quality Management........................................................................................................ 19
Project Quality Tools ................................................................................................................. 20
Project Risk Management ............................................................................................................. 20
SWOT analysis ........................................................................................................................... 20
Major risks................................................................................................................................. 21
Project Communication Management ......................................................................................... 21
Project Procurement Management .............................................................................................. 22
Types of contract Use ............................................................................................................... 23
Standardized Procurement Documentation ............................................................................. 23
Procurement Constraints .......................................................................................................... 24
Contract Approval Process ........................................................................................................ 24
Decision Criteria ........................................................................................................................ 25
Vendor Management ................................................................................................................ 25
Performance Metrics for Procurement Activities..................................................................... 25
Monitoring and Control ................................................................................................................ 26
Project Closure Phase ................................................................................................................... 26
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Confirm work is done as per the requirements ........................................................................ 26
Complete procurement closure ................................................................................................ 26
Gain formal acceptance ............................................................................................................ 26
Complete final performance reporting..................................................................................... 27
Index and archive records ......................................................................................................... 27
Update lessons learned ............................................................................................................ 27
Hand-off completed product .................................................................................................... 27
Release the resources ............................................................................................................... 27
Authorization ............................................................................................................................ 27
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Executive summary
In a developing country the necessity of a proper health care is unparalleled. Adding to the
contribution of the general population’s health and wellbeing, hospitals are also important
contributors to the economy of the community where it serves. With a total of 50 + hospitals in
the D.G. Khan, of which most are private hospitals, it seems that the health situation in the city
is optimal. This however is not the case. As the state of hospitals and the services being
provided to the general public are not meeting the standards, so building a Multi-specialty
hospital in the vicinity of D.G. Khan and surrounding villages seems not only entirely relevant
but also necessary. The primary objective of the hospital will be to provide affordable and
quality health care to the masses and to uplift community’s health standards.
The report offers an inside view of the analysis of the project using project mapping tools such
Background
Health problems in D.G. Khan roots back to the lack of balance in its development. It is
not a question of debate that the health situations in the rural parts of the D.G. Khan are worse
than that of its more developed counterparts. Although programs conducted in the rural areas
have been improving the conditions, it does not have any effect on the migrating population. At
present, D.G. Khan is facing a dire problem of population growth which is having a significant
impact on the health of the entirety of its inhabitants. Inhabitants of outer districts and zones
(mostly from the rural areas) who have relocated themselves in D.G. Khan find themselves
living in locations where facilities are inadequate- the reason being the inexpensive cost of
living in these locations. The idea is to build a multi-specialty hospital in the proposed location
to facilitate the residing population.
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Project Objective
To establish a multispecialty hospital that offers preventive and curative health care services.
The hospital will be 200-beded, modern and technologically advanced, offering a wide range of
medical, surgical and diagnostic services.
Project Management Plan Purpose
The goal of project planning is to better define the scope of work of a project in order to meet
both the owners' expectations and the project requirements in terms of budget, time, and
performance
Project Deliverable
Table 1 Hospital Deliverables
Sr
# General Organization Specialized Safety standards
Treatments, cares, Examination
1 Rooms Operation Theater Electrical installation
2 Administration Rooms Post Operation Unit Gas installation
3 Technical and storage zones Maternity unit Lightening
Treatment zone with
4 Waste water discharge Unit beds Sanitarian installation
5 Restaurant Radiology Sterilization zone
Storage locals for anesthesia
6 Park Surgical Unit rooms
7 Parking Medical Shop Ventilation
Project Milestones
Milestone Name Milestone Description
Planning and initiation Planning and initiation
Approvals Obtain official approvals
Design and schedule Prepare construction designs, drawings, specifications and
schedules
Contract document Prepare contract document and bill of quantities
Vendor solicitation Solicitation of proposals from contractors and vendors
Signing of contract Evaluation of proposal and signing of contract agreement
agreement
Execution of construction Mobilization of civil contractors and execution of
activities construction activities
Machinery and equipment Supply, delivery and installation of machinery and
equipment
Installation Supply, delivery and installation of furniture and fittings
Closure of the project Closure of the project
Table 2 Milestones
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Scope Form
Project Title: Project Proposal Hospital Construction Project Number: 01
Project Leader/Manager: Asif Ali Anticipated Project Start Date: 1 July 2020
Team Members:
1. Asif Ali
2. Sania Nouman
3. Zubair Habib
Purpose of Project:
The goal of project planning is to better define the scope of work of a project in order to
meet both the owners' expectations and the project requirements in terms of budget, time,
and performance
Background:
Health problems in D.G. Khan roots back to the lack of balance in its development. It
is not a question of debate that the health situations in the rural parts of the D.G. Khan are
worse than that of its more developed counterparts. Although programs conducted in the
rural areas have been improving the conditions, it does not have any effect on the migrating
population. At present, D.G. Khan is facing a dire problem of population growth which is
having a significant impact on the health of the entirety of its inhabitants. Inhabitants of
outer districts and zones (mostly from the rural areas) who have relocated themselves in D.G.
Khan find themselves living in locations where facilities are inadequate- the reason being the
inexpensive cost of living in these locations. The idea is to build a multi-specialty hospital in
the proposed location to facilitate the residing population.
Responsibilities
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are responsible for developing and implementing a
timeline their team will use to reach its end goal.
Team leaders ensure they reach their goals is by
delegating tasks to their members, including
themselves
Project team members' duties include
documenting current or potential processes by
identifying and mapping needs, providing advice in
an area of expertise, collaborating to achieve the
aims and goals of the project, or training others to
Project Team Members establish change
Deliverables:
Sr
# General Organization Specialized Safety standards
Treatments, cares,
1 Examination Rooms Operation Theater Electrical installation
2 Administration Rooms Post Operation Unit Gas installation
3 Technical and storage zones Maternity unit Lightening
Treatment zone
4 Waste water discharge Unit with beds Sanitarian installation
5 Hotel Radiology Sterilization zone
6 Park Surgical Unit Storage locals for anesthesia rooms
7 Parking Medical Shop Ventilation
Stakeholders:
Includes the owners and facility users, project management, team members, facilities
managers, designers, shareholders, public administration, workers, subcontractors, services
suppliers’ competitors, banks insurance companies, media, community.
Cost of the Project Total (in Rs.)
Land cost 25 Acre 110 Crore rupees
Construction Cost 217800 sq. feet (5 Acre) 185 Crore rupees
Machinery & Equipment 150 Crore rupees
Furnishing 35 Crore rupees
Vehicle (5 ambulance and others) 5 Crore rupees
Contingencies -5% construction cost 5 Crore rupees
Recruitment 8 Crore rupees
Advertising 2 Crore rupees
Total Cost 500 Crore rupees
Operations & Support: Government of the Punjab is the owner of the hospital and is
responsible to maintains
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Risk type Risk response
Shortage of Contracts to be finalized well ahead of time
time
Quality Maintenance of strict selection criteria in choosing subcontractors,
assurance Setting of penalties for violation of agreements, Purchase of Branded
materials
Weather Keep check the weather forecasts and the tools for water proofing
Natural disaster Insurance
Labor dispute Plan out scenarios with concerned committee for timely action
Market Inflation Contract and agreements with suppliers and or backups in place
Approvals:
Requested by:
____________________________________________________________________________
Printed name, Signature, Date
Approved by:
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Prepare construction designs, drawings, specifications and C A, B 13
schedules
Prepare contract document and bill of quantities D C 8
Solicitation of proposals from contractors and vendors E D 9
Evaluation of proposal and signing of contract agreement F E 8
Mobilization of civil contractors and execution of construction G F 35
activities
Supply, delivery and installation of machinery and equipment H G 8
Supply, delivery and installation of furniture and fittings I G 9
Closure of the project J H, I 12
A further understanding can be gained through the Work Breakdown Structure below
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Hospital Construction
1. Planning & 2. Obtain 3. Prepare 4. Prepare 5. Solicitation 6. Evaluation 7. Mobilization 8. Supply, Delivery 9. Supply, 10. Closure of
Initiating Official construction contract of proposals of proposal of civil and installation of Delivery and the project
Approval design, drawings, document and from and signing contractors and machinery installation of
specifications and bill of contractors of contract execution of equipment furniture and
schedules Quantities and vendors agreement construction fittings
activities
1.1 Company 2.1 Receive 3.1 Design and 8.1 Installation 9.1 Installation 10.1 Project
Registration approvals for drawings Audit
construction
1.2 Feasibility 2.2 Receive 3.2 Specification/ 10.2
Study approvals Scheduling Preparation of
from Medical project report
Council
1.3 Preparation 10.3 Handing
of cost estimate over the
and budget project
1.4 Land
Procurement
Table 4 Work Break Down Structure (WBS)
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The network diagram on node is constructed using the value in the table. Along with the
duration of each task, the table also entails the early start and finish, late start and finish times,
standard deviation, variance, optimistic and pessimistic durations.
The relevant data are also used in the calculation of probability. It has been found that the
probability of completion in case of crashing the project in 25 months is only 12.51%, whereas
extending the project up to 29 months allows for an 87.49% chance of completion. It has also
been found that meeting the targeted project completion time of 25 months has a probability
of 50%. Further there exists a probability of 99% if the project is extended up to 31 months.
Gantt charts and histograms using both early start- early finish times and late start- late finish
times are constructed and furthermore Gantt chart and Histogram are also used for the
purpose of resource smoothing. The resource smoothing is the result of their existing only two
tasks- B and I outside the critical path. The duration of the two tasks are used to minimize the
use of resources during the task B and I. It can be seen that while there are 10 units of
resources used in the task B in the early start and late start Gantt charts, there are only 5 units
of resources used in the resource smoothing Gantt chart for task B. This has been accomplished
by using the entirety of the duration of the task and using 5 units of resources in each day.
Similar is the case for task- I.
Network Diagram
Table 5 Network Diagram
Project Duration= 27 Months
Critical Path = A, C, D, E, F, G, H, J
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Table 6 Mean Time of Critical Path
Code Predecessors TO TL TP TE S.D Variance ES EF LS LF Total
(σ) (σ2) Float
A - 0 2 4 2 0.67 0.4489 0 2 0 2 0
B - 1 1 1 1 0 0 0 1 1 2 1
C A, B 0 2 4 2 0.67 0.4489 2 4 2 4 0
D C 2 3 4 3 0.33 0.1089 4 7 4 7 0
E D 0 2 4 2 0.67 0.4489 7 9 7 9 0
F E 1 1 1 1 0 0 9 10 9 10 0
G F 6 9 12 9 1 1 10 19 10 19 0
H G 4 6 8 6 0.67 0.4489 19 25 19 25 0
I G 2 4 6 4 0.67 0.4489 19 23 21 25 2
J H, I 1 2 3 2 0.33 0.1089 25 27 25 27 0
Probability Analysis
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The probability of completing the project in 25 months is 12.51%.
Completed within 29 months
Equation 2 Probability Analysis
When X= 29 months
We have, Z: (X-)/T
= (29-27)/1.73
= 1.15
Now,
P<X29) = P(Z1.15)
= P(z0) +P (0 Z 1.15)
= 0.5+0.3749
= 0.8749
= 87.49%
Hence, the probability of completing the project in 29 months is 87.49%.
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Interval in which there is only 1% change of being exceeding
Equation 4 Probability Analysis
We have, Z: (X-)/T
99% = (X-27)/1.73
2.33 = (X-27)/1.73
X-27 = 2.331.73
X-27 = 4.0309
X = 27+4.0309
X = 31.0309
X = 31 months
Hence, the probability of completing 99% of project is 31 months.
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Gant chart (Early Start- Early Finish)
Figure 1 Gant chart (Early Start- Early Finish)
Duration in Months
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Gant Chart (Late Start- Late Finish)
Figure 3 Gant Chart (Late Start- Late Finish)
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Histogram (Late Start- Late Finish)
Number of Personnel
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Histogram (Resource Smoothing)
Figure 6 Histogram (Resource Smoothing)
Number of Personnel
Duration in Months
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Project Quality Management
The Quality Management System defines and identifies the Policies, Plans, Procedures and
templates used to ensure a consistent product output to the same exceptionally high standard
every time undertakes an activity, which in this case a Major Government Project. This plan is a
steering statement of intent used to identify the tools and resources required to comply with
and exceed customer expectations.
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Project Quality Tools
Some of the most important and most commonly used quality tools are:
1. Plan–Do–Check–Act Cycle
2. Fishbone Diagram
3. Pareto Chart
4. Scatter Diagram
5. Decision Matrix
6. Flowchart
7. Stratification
8. Control Chart
9. Histogram
10. Brainstorming
11. Tree Diagram
There are more than a few benefits and dis-benefits that have to be taken into consideration
during and after the construction of the hospital. Not all the dis-benefits can be averted but if
kept in check it can be dealt with and will not cause much difficulty. Considering the constraints
that the project is stacked against, it might face challenges related to costs, working conditions,
supervision etcetera. However, the project also has a variety of benefits that deserves a
mention. A breakdown of the benefits and dis-benefits along with the opportunities and threats
are given in the SWOT analysis below.
SWOT analysis
Table 8 Swot Analysis
Strengths Weaknesses
• Highly skilled professionals • Outsourcing (dependency on
• Use of advanced equipment’s and contractors and suppliers)
technology • Location (Distance from suppliers
• Committed management team relatively greater and route suffers
• High employee benefits from poor traffic conditions)
Opportunities Threats
• The only hospital in the location • Time shortage
• Good opportunity for growth • Weather effects
• Economic outlook • Material price uncertainty
• Publicity and recognition of the entire • Labor uncertainty
project and the Greenhill city area
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Major risks
The following risk factors might act as constraints for the project if the mentioned responses
are not realized. (Probability and impact are rated on a scale of 1-5, 5 being the highest)
Project Communication
Communication Communication Frequency of Responsible
Stakeholder Notes
Methods Type Communication Person
Both team &
Project Kick off Start of the Client kick off
Meeting/Paper PMO
meeting project meeting
recommended
Key
Stakeholders
Included
Project
Electronic
Extranet Ongoing PMO schedule,
documents
deliverables,
Change
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Request log,
issue log
Review Status,
Milestone
Executive Monthly (1st
Client Account met, earned
Steering Meeting/Paper Wednesday of
Executive
Committee
Manager value
Each Month)
indicators, Key
issues
Review
project status,
Electronic Weekly Friday schedule
Client Status Meeting Project
documents
Sponsor Report
(Email) 2pm Manager change
request,
issues
Provide input
for
Development Weekly Friday Project
Status Meeting Meeting/Paper subsequent
Team 11pm Manager
meeting with
client sponsor
Client Electronic After every 2
News Letter PMO
Manager documents weeks on Friday
Account Informal
Client Monthly/End of (Monthly)
Manager&
Sponsor/Key Client Survey Physical Survey
Stakeholders each Phase Project Formal (End
Manager of each phase)
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• How procurement and contracts are coordinated with project scope, budget, and
schedule
• Any constraints pertaining to procurement
• Direction to sellers on baseline requirements such as contract schedules and work
breakdown structures (WBSs)
• Vendor Management
• Identification of any prequalified sellers if applicable
• Performance metrics for procurement activities
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Procurement Constraints
There are several constraints that must be considered as part of the project’s procurement
management plan.
These constraints will be included in the RFP and communicated to all vendors in order to
determine their ability to operate within these constraints. These constraints apply to several
areas which include schedule, cost, scope, resources, and technology:
Schedule:
• Project schedule is not flexible and the procurement activities, contract administration, and
contract fulfillment must be completed within the established project schedule. All
procurement activities and contract awards must support the approved project scope
statement. Any procurement activities or contract awards which specify work which is not
in direct support of the project’s scope statement will be considered out of scope and
disapproved.
Cost:
• Project budget has contingency and management reserves built in; however, these reserves
may not be applied to procurement activities. Reserves are only to be used in the event of
an approved change in project scope or at management’s discretion.
Resources:
• All procurement activities must be performed and managed with current personnel. No
additional personnel will be hired or re-allocated to support the procurement activities on
this project.
Technology:
• Parts specifications have already been determined and will be included in the statement of
work as part of the RFP. While proposals may include suggested alternative material or
manufacturing processes, parts specifications must match those provided in the statement
of work exactly.
Contract Approval Process
The first step in the contract approval process is to determine what items or services will
require procurement from outside vendors. This will be determined by conducting a cost
analysis on products or services which can be provided internally and compared with purchase
prices from vendors. Once cost analyses are complete and the list of items and services to be
procured externally is finalized, the purchasing and contracts department will send out
solicitations to outside vendors. Once solicitations are complete and proposals have been
received by all vendors the approval process begins. The first step of this process is to conduct
a review of all vendor proposals to determine which meet the criteria established by the project
team and the purchasing and contracts department. For these larger purchases the contract
review board will meet to determine which contract will be accepted. The Contract Review
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Board consists of representatives from the project team, purchasing and contracts department,
finance, and the PMO
Decision Criteria
The criteria for the selection and award of procurement contracts under this project will be
based on the following decision criteria:
- Ability of the vendor to provide all items by the required delivery date
- Quality
- Cost
- Expected delivery date
- Comparison of outsourced cost versus in-sourcing
- Past performance
These criteria will be measured by the contracts review board and/or the Project Manager. The
ultimate decision will be made based on these criteria as well as available resources.
Vendor Management
The Project Manager is ultimately responsible for managing vendors. In order to ensure the
timely delivery and high quality of products from vendors the Project Manager, or his/her
designee will meet weekly with the contract and purchasing department and each vendor to
discuss the progress for each procured item. The purpose of these meetings will be to review all
documented specifications for each product as well as to review the quality test findings. This
forum will provide an opportunity to review each item’s development or the service provided in
order to ensure it complies with the requirements established in the project specifications. It
also serves as an opportunity to ask questions or modify contracts or requirements ahead of
time in order to prevent delays in delivery and schedule. The Project Manager will be
responsible for scheduling this meeting on a weekly basis until all items are delivered and are
determined to be acceptable.
1 – Unsatisfactory
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2 – Acceptable
3 – Exceptional
In addition to rating each vendor, actual values will be noted in order to build a past-
performance data base for selecting vendors for future procurement activities.
Some of the outputs of the Monitor and Control Project Work include:
• Change Requests (including CAPA and defect repairs, CAPA – Correct and Preventive
Actions)
• Updates to the project management plan
• Updates to project documents
We should consider some closing process group activities Now let’s review them one-by-one
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Complete final performance reporting
The final performance of the project is calculated and recorded. These include cost
performance, schedule performance, quality performance.
Authorization
Approved by the Project Sponsor:
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