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Hospital Planning and Medical Equipment Design*
Presented By:
Adham R Ismail, MS, MBA, PhDAdham R Ismail, MS, MBA, PhDRegional Adviser, Health Technology and Biomedical Devices (HMD)
Eastern Mediterranean Regional Office (EMRO)World Health Organization (WHO)
* This presentation was prepared using slides provided by Eng. Saeed Abu-Lawi, Universal Hospital Services (UHS), Amman, Jordan.
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HOSPITAL PLANNING AND DESIGN
• Hospitals are complex type of buildings; • It comprises of a wide range of services.• Diversity is reflected in breadth and specificity
of regulations, codes, and oversight that
OVERVIEW
38th World Hospital Congress, Oslo 18-20 June 2013
govern hospital construction and operations. • The wide-range of functions - including highly
complicated mechanical, electrical, and telecommunications systems - requires specialized knowledge and expertise.
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• Typically, hospital design incorporates directinput from owner and key hospital staff earlyon in the process.
• The designer, however, has to advocate forpatients, visitors, staff, and suppliers who do
HOSPITAL PLANNING AND DESIGN
OVERVIEW (Cont..)
38th World Hospital Congress, Oslo 18-20 June 2013
patients, visitors, staff, and suppliers who donot generally have direct input in the design.
• Good hospital design integrates functionalrequirements with needs of its various users.
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• Basic form of a hospital is ideally divided -according to functions - into 3 zones:• Nursing Zone: Bed-Related Inpatient
Functions • Clinical Zone: Outpatient-Related Functions,
HOSPITAL PLANNING AND DESIGN
Hospital Zones
38th World Hospital Congress, Oslo 18-20 June 2013
• Clinical Zone: Outpatient-Related Functions, Diagnostic and Treatment functions
• Support Zone: Service Functions
Physical relationships between these functions determine the hospital configuration.
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HOSPITAL PLANNING AND DESIGN
Hospital Relationships
38th World Hospital Congress, Oslo 18-20 June 2013
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HOSPITAL PLANNING AND DESIGN
STAGES OF DESIGN
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HOSPITAL PLANNING AND DESIGN
STAGES OF DESIGN
38th World Hospital Congress, Oslo 18-20 June 2013
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HOSPITAL PLANNING AND DESIGN
Design Brief & Operational Policies
• They should include• A statement of functional content;• Statements of principal operational policies affecting the
whole hospital (material handling, catering, etc);• Operational policies for each department outlining:
38th World Hospital Congress, Oslo 18-20 June 2013
• Operational policies for each department outlining:objectives, functions and requirements;
• A schedule of accomodation (or Functional SpaceProgram, FSP) for each department and service in theform of a list of activity spaces or rooms;
• Equipment schedules (or Bill of Quantities, BOQ) andlevel of technology.
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FSP of an entire Hospital
38th World Hospital Congress, Oslo 18-20 June 2013
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Zoning Plans
Staff Circulation
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Patient Circulation
Visitor Circulation
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Stacking Diagram
HOSPITAL PLANNING AND DESIGN
38th World Hospital Congress, Oslo 18-20 June 2013
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• During the design stage :1. To determine quantities, sizes, throughput of
essential and complementary medical or non-medical related equipment (e.g. furniture,generator, incinerator, etc.)
Medical Equipment Planner RolesHOSPITAL PLANNING AND DESIGN
38th World Hospital Congress, Oslo 18-20 June 2013
generator, incinerator, etc.)2. To determine electromechanical requirements
for medical equipment (RDRS)3. To provide technical specifications of medical
and non-medical related equipment.
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• During construction stage (Supervision):1. Pre-qualification of contractors.2. Evaluation of submitted equipment specification.3. Review of shop drawings and on-site coordination of
equipment requirements with other disciplines4. Coordinate delivery schedule with contractors.
HOSPITAL PLANNING AND DESIGN
Medical Equipment Planner Roles
38th World Hospital Congress, Oslo 18-20 June 2013
4. Coordinate delivery schedule with contractors.5. Site survey and inspection.6. Ensure proper execution of pre-installation
requirements.7. Physical inspection, testing, installation supervision
and commissioning of delivered equipment.8. Coordinate training of end-users by suppliers.
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Their Purpose is to : • Assess suitability of drawings as per space allocations,
functional relationships, circulation patterns, etc.
• Detail the architectural drawings, in terms of medical
Equipment Planning: 1:100 Loaded Floor Plans
HOSPITAL PLANNING AND DESIGN
38th World Hospital Congress, Oslo 18-20 June 2013
• Detail the architectural drawings, in terms of medical planning requirements.
• Help the electromechanical engineers in their preliminary concept design.
• Generate room and equipment schedules, bill Of quantities, and cost estimates.
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Equipment Planning, 1:100 Loaded Floor Plans, I.C.U Department
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Equipment Planning, 1:100 Loaded Floor Plans – I.C.U Room
HOSPITAL PLANNING AND DESIGN
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Equipment Planning, 1:100 Loaded Floor Plans – OT
HOSPITAL PLANNING AND DESIGN
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Equipment Planning, 1:100 Loaded Floor Plans – Delivery Room
HOSPITAL PLANNING AND DESIGN
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Equipment Planning: BOQ
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The Purpose of these drawings is to show:• Equipment and furniture loading in plans and elevations
as deems necessary.• Planned equipment and furniture description and
quantities for the activity space/room.• Typical electromechanical service outlets requirement:
1:20/1:50 Loaded DrawingsHOSPITAL PLANNING AND DESIGN
38th World Hospital Congress, Oslo 18-20 June 2013
• Typical electromechanical service outlets requirement:• Electrical supply & Data points• Telephone/intercom & Nurse call system, • Water supply outlets, Drainage points• Piped medical gases outlets & Exhaust ducts.
• Operational requirements data of various medical equipment and furniture planned for the space/room.
