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planning. They also include differentiate in-house departments and outsourced relationships. (d) General design considerations include appropriate functional segregation of OPD (15 per cent-20 per cent), in-patient units (40 per cent - 45 per cent), diagnostic services (15 per cent 20 per cent) and supportive services (15 per cent - 20 per cent) so that mixing of patient flow is avoided. Some of the best practices that you may follow in your design of hospital includes separation of critical areas, concept of zoning, ventilation standards, effective use of daylight, isolation wards and other spatial requirements. We need to make sure that clean corridor and dirty corridor should not be adjacent. They should facilitate traffic flow of clean and dirty items separately. Adequate number of hand wash basins should be provided within the patient care areas and nursing stations with a view to facilitate hand washing practice. Separate arrangements for garbage and infectious

DECEMBER 2013

waste removal from wards and departments in the form of separate staircases and lifts should be made. It is best practice to provide airlock and anteroom before entering into critical care areas.

What is design? The promoters should make sure to have all the appropriate consultants on the project team before initiation of the design phase. Selection of consultants should be based on references, past experience, and capability to deliver such projects locally. Some of the

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primary consultants needed are Project Manager, Architect, Interior Designer, Structural Engineer, MEP Engineer, Civil Engineer, and Landscape Architect. In addition some of the secondary consultants for kitchen, laundry, lighting, acoustics, security, information technology, NABH/JCI accreditation and green building may also be required. Before starting any hospital design, the promoter should have a budget, a design brief, a time line and site survey plan/soil test reports. A budget helps the entire project team to stay focused on the cost while the

design brief will provide the road map for construction. It is important for the promoters to adhere to a reasonable timeline or schedule so that the project proceeds on track without delay. Any architect or consultant will require a site survey plan/soil test report to commence any feasibility or design process. It provides various features, issues and opportunities on a site and mitigates challenges into advantages for promoter. The design stage of a project involves master planning of site to space programming, leading to concept and detailed design/tender. In master planning, the process involved is preparation of concept design of the area showing circulation pattern, zoning of various land uses and relevant details, as well as development/redevelopment strategy. It also furnishes a report on measures required to be taken to mitigate the adverse impact, if any, of the existing and/or proposed development. Space programming will assist in preparing a

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Express Healthcare December 2013  

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