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Project Plan For

HeartCare
Hospital
(Faridabad)

By Group 1
Aditya, Aparna, Kimberlee, Neha K,
Neha Sinha, Srushty
NEED TO FOCUS
ON CVDs

Focus on Cardiovascular diseases:


• Rate of DALYs for ischemic heart disease was 4,244 per 10,0000 people.
• Haryana has mortality rate of 200 per 100,000 people due to coronary
heart disease. 

Source : Haryana: Disease Burden Profile, 1990 to 2016


Major
Cardiac Coronary Artery Disease (CAD)
Diseases and Myocardial Infarction
their
Hypertensive heart disease
Characteristic
s
Coronary Artery Disease (CAD) Myocardial Infarction Hypertensive heart disease

Prevalence:  14% in the urban and 7% in the rural populations Higher in males, 7.88% and slightly lower in Overall prevalence-29.8%. 33% urban and
females, 6.63%  25% rural.

Patient demographics and  Mostly males, mainly located in metros and majority, age group Men aged 45 or older and women aged 55 or Men aged 45 or older and women aged 55
characteristics of 40–64,major comorbidities -hypertension older, Smoking and long-term exposure or older. Advancing age,
and diabetes mellitus. to secondhand smoke, High blood pressure obesity/overweight, male sex, socioeconomic
are some other factors responsible status and consumption of alcohol.
for heart attack.

Diagnosis Electrocardiogram (ECG),Exercise stress test, Cardiac  Blood tests, Echocardiography, Systolic blood pressure readings on both days
catheterization and angiogram, Cardiac CT scan.  catheterization, Stress testing.           is ≥140 mmHg and/or the diastolic blood
pressure readings on both days is ≥90 mmHg.

Critical care req: Continuous monitoring and intensive care. Depending on severity of the attack it can Continuous monitoring and intensive care.
range from moderate to very high.

Treatment  ACE inhibitors, such as beta blockers or calcium channel Surgery, Cardiac catheterization, Balloon ACE inhibitor, Diuretic, Beta blocker,
blockers, Statins Aspirin or other anticoagulants. Angioplasty angioplasty, Stent placement, Bypass surgery.  Antihypertensive drug, Calcium channel
and stent placement, Coronary artery bypass grafting. blocker and Vasodilator.

ALOS:  4-5 days 3-5 days 3-4 days


Prognosis It is treatable, but there is no cure. It means that once Around 20 percent of patients aged 45 and Risk of mortality and is often described as a
diagnosed with CAD, the patient has to learn to live with it for older will have another heart attack within silent killer. If left untreated- risk of
the rest of his life. By lowering the risk factors the patient can five years of their first. Follow-up atherosclerotic disease in 30% of people and
live a full life despite CAD. appointments and medications. organ damage in 50% of people within 8-10
years after onset.

Market Price:  Rs 2.5 lacs- 4 lacs INR 1.75 lac to 4.25 lac  INR 1-1.5 Lacs
Equipment:  Stents, a balloon catheter, sheath, stent and guide wire Monitors, catheters and pacemakers Sphygmomanometer

Specialists: Cardiologist  Cardiologist, cardiac surgeon  Cardiologist, Physician


Secondary Research on Faridabad
Population in 2011 :  18,10,000
Population Growth Rate : 2.775%

Primary Catchment Area: (5-10 km) Projected Population

City 2021 2025 2030 3,066,622

Ballabgarh 2,59,860 2,80,379 3,08,321 2,669,328

2,388,885
Tigaon 24991 27841 31865

Total  2,84,851 3,08,220 3,40,186

Secondary Catchment Area: (10-30 km)


City 2021 2025 2030
Palwal 1305806 1428780 1598907
Sohna 195511 213069 237250
Badarpur 187158 203722 226502
Total 1501317 1641849 1836157
2021 2025 2030

Source : Census of India 2011


Population Analysis and Market
Estimation
Total Population 23,88,885 Market Size Estimation 2021 2025 2030
Population (Growth rate: 355515 456569
Primary Catchment (millions) 2.78%)
Population 2,33,972
397325
Secondary catchment Target 100% 355515 456569
Population 13,51,801 population  397325
Population (Primary-100% + Prevalence 10% 35552 45657
Secondary 50%) 30,64,786 (CVD) 39733
APL Population % 80% Incidence 1.1% 3911 4371 5022
APL Population 24,51,828 Outcome 10% 3555 4566
3973
Population (age >55 yrs.) 14.5% Market size (P+I-O) 35907 46114
Target Population 3,55,515 (millions) 40130
Existing Supply of Beds for Cardiac
Specialty 
Metro Heart Institute – 50
TOTAL SUPPLY OF CARDIAC BEDS IN
SSB Heart and Multi-speciality Hospital – 40 FARIDABAD = 300
Fortis escorts – 30
Shri Balaji heart centre – 30
Meditrina hospital - 20 
Asian Hospital – 20
Sarvodaya hospital – 30
Supreme Hospital – 35
Asian Institute of Medical Sciences – 35
QRG Health City – 30
Demand Supply ALOS of CVDs = 4 days
Gap of Cardiac Existing Supply = 300

Beds in the City

2021 2025 2030


Target Population 35907 46114
40130
Annual Bed Days Required (ALOS* TP) 143628 160520 184454
Available Bed Days (300*365*80%) 87600 87600 87600
Deficit bed days 56028 72920 96854
Bed Gap ( deficit/365/80%) 192 250 332
1. Total Bed Strength of Hospital = 150

(Reason – To cater the deficient of 192 bed, our hospital will


serve to 150 patients. As some patients have the facility to
visit hospitals in nearby metro cities like Delhi, Noida,)

2. Planned number of ORs = 4

Recommendations:

3. Planned Number of ICU beds = 13


(2 ICU – Surgical ICU & Step Down ICU)
Assumptions
For no. of OR For no. of ICUs
Specifics REMARKS • Approximate ICU beds
Bed Strength  150 to General Beds ratio in
Surgical Beds  90 60% a Hospital:
Total Surgical bed days in a year 32850 (2-10 ICU beds) per 100
At optimal capacity 26280 80% General Beds.
• Assuming the ratio to be
ALOS  6570 4
9:100.
No. of surgeries per day 24 289 working days • No. Of Beds in our
No. of surgeries per OR 6 Duration of surgery (2)/ Hospital: 150
functional hours of OR(12) • Therefore, required no.
Of ICU beds will be 13
No. of ORs required  4 24/6
Cardiology Speciality - Requirements

Non-invasive Chest Pain


Reception Outpatient Cardiac
diagnostic Evaluation
Area facilities Emergency
services Area

General Catheter Design


Coronary Care
Cardiology Cardiac OT Laboratories Considerations
Unit (CCU)
Ward i.e. Cath-Lab for Cath lab

General
Cardiology Day Cardiac
Consideration
Care Rehabilitation
Points, etc
Lack of Data for Cardiac diseases
for the city of Faridabad. So, we
had to assume many values
based on Haryana state's data.
Limitations
Faridabad being in the NCR
region face a huge threat from
the other NCR cities like NOIDA,
Gurugram, etc.
REFERENCES

• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776843/
• https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0178334
• https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-016-0189-3
• https://pubmed.ncbi.nlm.nih.gov/27372534/#:~:text=In%20India%2C%20studies%20have%20repor
ted,%25%2D4%25%20in%20urban%20populations
.
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3408699/
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994761/
• https://www.narayanahealth.org/coronary-artery-disease
• https://www.tandfonline.com/doi/full/10.1080/14779072.2021.1941872

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