2 TAHPI Service planing

HEALTH SERVICE PLANNING

THE COMPANY A leader in the field of health planning and design, TAHPI is headquartered in Sydney, Australia and Dubai, UAE with an international network of branches. TAHPI is strategically placed to provide the A to Z of Health Planning.

TAHPI offers comprehensive specialised servicess for healthcare projects, including: • • • • • • • •

Health Service Planning Facility Standards and Guidelines Medical & Facility Planning Architecture & Design Briefing Interior Design Project Management Software Development

Our services are uniquely scalable to suit our clients’ needs - from single project to system-wide application.

To develop an integrated and sustainable healthcare system that ensures the delivery of comprehensive and excellent services to achieve the highest international levels of healthcare for individuals and society

TAHPI’s specialist staff bring deep experience, expert knowledge and skills in all planning disciplines to address the complexities of delivering healthcare projects.

Close partnerships with governments, public and private enterprises contribute to our well-grounded and evergrowing reputation worldwide.

HEALTHCARE SYSTEM & CLINICAL SERVICE PLANNING • • • • • • • • • • • •

Health Demand Modelling & Projections Health Organisation Capacity Planning Models of Care & Service Delivery Business Case Development Healthcare Market & Feasibility Assessments Operational Planning Workforce & Resources Assessments Health Management Frameworks Project Planning Compliance & Due Diligence Reviews Health System Reviews & Evaluation Planning Systems & Tools

EXPERTISE TAHPI’s dedicated health service planning practitioners provide our clients with practical planning products and services for a comprehensive range of healthcare projects, in both public and private sectors.

Our planning capabilities are suitable for: • • • • • • • • • •

Whole country or state health systems Healthcare networks Healthcare precincts, cities and metropolises Advanced multi-specialty referral hospitals Specialist hospitals Teaching and university hospitals Local district hospitals Long term care and community hospitals Polyclinics and community based services Primary care and specialist clinics

OUR CAPABILITIES TAHPI’s capabilities and practice in health service planning are focused on optimising the use of our clients’ valuable resources. This is to engender the efficiency of health systems and assets to meet the changing needs of patients today and into the future.

SERVICES

Health Needs Assessment Health Service Demand Projections Supply & Competitor Profiling Gap Assessment Market Analysis Catchment Flow Analysis Detailed Capacity & Resource Profiling

Our approaches and methods incorporate population - specific, burden of disease and cultural factors that affect service demands and are suitable for application in a diverse range of locations and populations, including: • • • • • • •

World regions Developing countries Nations with a high socioeconomic status Local healthcare communities Cities or their geographic sectors States or regional centres Small rural communities

SCOPE Service planning is the foundation discipline in health planning and design. TAHPI provides the expertise, techniques and tools for our clients to move from their current state to a viable future state of service delivery.

The need for development of services is clearly defined

by TAHPI’s healthcare market assessment. TAHPI conducts analyses of health needs for the populations to be served, as measured by demographic, mortality and disease incidence studies. Based on application

of a reference population’s health service capacity rates, projected demand for services are compared against the current supply and planned services.

Market studies, usually performed for a period of 5 to 20 years, identify development opportunities for our clients, equipping them with an in-depth understanding of the delivery and resourcing requirements for their health projects.

TAHPI translates the market assessment into health or clinical service plans for our clients by interrogating evidence on strategies to best address the service gaps and opportunities.

This can be implemented using several approaches: • providing new or additional capacity • adding additional infrastructure or resources • improving resource allocation and utilisation • incorporating new or improved technologies • changing organisational arrangements • introducing new and more current models of service delivery

The service plan provides a framework for changing existing or developing new services to support our clients in achieving their business objectives.

SERVICES

Clinical Service Plans Feasibility Studies Business Case Development Financial Assessments Models of Care Economic Appraisals Innovative Procurement Plans Supply Planning

An integral part of achieving the changes identified in the clinical service delivery plan is assessment of healthcare workforce and resources required for its implementation.

TAHPI delivers to our clients ‘top-down’ or ‘bottomup’ estimates for the workforce, goods, services and maintenance required to support a new or revised service. TAHPI provides a detailed operational cost structure to support full life cycle costing, financial impact assessment and economic appraisal.

The assessment is supported by a rich source of workforce and health service costing data and evidence from international sources and completed projects.

SERVICES Workforce Profile

Project Costing & Budgeting Organisation Profiles &Structure Organisation Policies & Procedures Due Diligence Reviews Business Model Investigations

TAHPI is committed to delivering its clients the A to Z of health planning, which includes detailed project management. Adopting a comprehensive project management framework provides our clients with the certainty that: • Project charter and governance structures are established during project initiation • Roles, tasks and timelines are allocated, monitored and maintained throughout project life cycle • Resources are allocated, and tasks completed to time and budget during project execution • Processes of reporting and review are conducted for effective client and stakeholder communication • Planning products and services are delivered to the clients’ satisfaction

BUSINESS AT A GLANCE 250

Qualified and skilled staff

30

Years of design and management experience of over 2 million sq.m Successful projects in over

10 countries

Bed count delivery of over

3000 beds

TAHPI is committed to continuous quality improvement and provides clients with services for healthcare system review and evaluation.

TAHPI follows a Donabedian-adapted approach to reviewing health services and evaluating the value of care that has been achieved from a healthcare project. This is done by systematically examining the structure, processes and outcomes delivered.

Services include due diligence reviews for investors seeking to understand the financial and delivery risks associated with a health project. TAHPI identifies risks and key success factors and evaluates the planning conducted to determine if the project objectives have been achieved.

TAHPI has developed a range of advanced web-based tools for every aspect of health briefing, planning, design and management - the Health Facility Briefing System, or the HFBS. Several modules are dedicated to health service planning, to accurately and reliably plan healthcare developments: • Demand Module provides casemix-based age and gender-specific projections for comprehensive range of service types through to 2040 • Supply Capture for the detailed surveying of capacity by specialty and human resources in existing and planned assets • Supply Planning Module for identifying gaps in the supply of healthcare care assets • A mapping tool for displaying existing and proposed assets

The tools are available to clients under licenced use from TAHPI, providing clients the unique power of these web-based products to undertake comprehensive planning studies themselves.

SERVICE TYPES • • • • • • • •

Acute overnight & same day care Sub-acute overnight & same day care Intensive care Emergency department care Operating theatre care Outpatient & ambulatory care Procedural care Health workforce

OUR PEOPLE TAHPI’s health service planning team offer a population-based and best practice approach to achieve our objective of developing high quality clinical services that are responsive to patient needs.

TAHPI planners’ use research-based methods to translate the science of planning into practice for our clients. Accessing and analysing only the highest quality methods and data from around the world means our clients can have the greatest confidence in the products our planners deliver.

in population health, advanced health statistics and service management, arming us with a superior level of knowledge and insight into the health system/.

TAHPI’s team consistently deliver timely and cost effective service planning solutions for all healthcare projects. TAHPI has a vast range of clientele, including established partnerships with governments and private enterprises. Using a progressive project management approach, we translate our clients’ vision into sustainable and practical outcomes.

TAHPI’s service planning team bring over 40 years of experience and dedication in healthcare delivery and planning to our practice. Our team is composed of clinicians of varying disciplines as well as experts

TAHPI is committed to the continuous process of learning and quality improvement, and provides highly practiced services for the review and evaluation of proposed and existing health service projects

PROJECT PROFILES UAE | OMAN | SAUDI ARABIA | MALAYSIA HONG KONG | INDIA | AUSTRALIA | BAHRAIN

REGIONAL SCALE HEALTH SERVICE CAPACITY PLANNING DEVELOPMENT & SYSTEM IMPROVEMENT, ABU DHABI, UNITED ARAB EMIRATES Healthcare demand and supply modelling and gap assessment for all precincts of Abu Dhabi

• Complete assessment of current and future clinical services for the Abu Dhabi healthcare system • Detailed population projections by gender, age group, region and precinct to 2035 • Detailed demand modelling through to 2035 by service type, clinical specialty, geography and nationality • Survey of over 700 healthcare facilities, including 45 hospitals • Assessment of key planning units and health workforce resources • Demand scenario modelling and projections using customised reference files based on current service utilisation patterns and burden of disease

• Gap analysis to compare supply and demand with identification of future clinical service priorities • Development of a suite of web-based software to: • Conduct demand projections for all service types and service lines • Capture health service supply for existing and proposed services • Analyse future supply and supply gap • Provide a public interactive map of all healthcare facilities

FEASIBILITY STUDY OF COMMERCIAL BUILDING MODIFICATION TO HOSPITAL, DUBAI, UNITED ARAB EMIRATES Feasibility of the adaption of a commercial building to a 200-bed private hospital

• Detailed rectification strategy and historical reports and feasibility study review • Market and planning investigations in line with key strategic initiatives and government policies in Dubai and the UAE • Detailed specification of hospital catchment sectors within Dubai and the surrounding GCC • Investigations into demographic and health characteristics of likely consumers including research into and quantitative implications of socioeconomic status and health insurance access and coverage • Demand projections for hospital services through to 2035 by clinical division and specialty to guide operational planning

• Complete supply and competitor profiling of all current and planned hospitals within Dubai • Gap assessment and service identification to support a sustainable hospital development • Key planning unit and service profile for a phased development within the existing structure to fit the maximum number of beds while maintaining functional efficiencies for staff, patients and visitors, including structural modifications where required • Financial assessment including indicative capital costs • International and local operator identification exercise with provision of marketing material aimed at potential investors and operators

DUE DILIGENCE REVIEW OF MARKET, SERVICES & FINANCES FOR ACQUISITION OF 170-BED LONG TERM CARE HOSPITAL, RIYADH, SAUDI ARABIA A health service planning review to assess the preliminary design, explore service options and feasibility of a private facility in Riyadh

• Business plan evaluation for a 170-bed long term care facility with design review and verification • Investigations into Saudi Arabia’s demographic and health characteristics • Comprehensive options exploration for a range of facility types including gap analysis for: • Long-term care facility focused on ventilated care patients • Intensive care, rehabilitation, and long term care facility with a range of rehabilitation services • A general community hospital with acute overnight and same day care • A women’s and children’s hospital

• Insurance provider identification, investigations into annual limits and subsequent financial implications for facility • Full 10-year financial model including acquisition, installation, operation, and maintenance costs for selected service model

STATE AND COUNTRY SCALE CAPACITY PLAN, DUBAI, UNITED ARAB EMIRATES Healthcare demand and supply modelling for all sectors of Dubai • Complete assessment of clinical services for the Dubai healthcare system • Detailed population projections by gender, age group and sector through to 2030 • Informed demand modelling through to 2025 by clinical specialty for each sector • Survey of all healthcare facilities; including: • Public • Private • National hospitals • Community based clinics • Planned facilities • Demand scenarios and projections performed based on status quo healthcare delivery and introduction of mandatory health insurance • Assessment of key planning units and health workforce resources • Gap analysis to compare supply and demand • Identification of future clinical service priorities based on strategic initiatives and healthcare trends • Development of a web-based geospatial system to display public and private healthcare facilities including location, capacity, services and resources

MARKET ANALYSIS, SERVICE SPECIFICATION & FINANCIAL ASSESSMENT, PERAK, MALAYSIA Comprehensive health service planning and financial modelling for a 500-bed teaching hospital

• Review of key Malaysian planning and strategic documents affecting the healthcare development • Health needs assessment for a secondary and tertiary private teaching hospital • Supply and competitor evaluation in the Perak area • Demand projections for all major clinical service types • Population-based service planning methods to develop the service mix and hospital profile in line with strategic objectives, hospital sustainability and expansion plans

• Options evaluation workshops with stakeholders to determine final hospital profile and functions tested for the Malaysian market • Detailed Clinical Service Plan with delivery strategy • Comprehensive financial model to support Board approval and endowment from public and private partners

COMPREHENSIVE CANCER CENTRE FEASIBILITY STUDY, MUSCAT, OMAN Healthcare planning services and feasibility study for a 200-bed National Cancer Centre with large ambulatory care capabilities

• Strategic and policy analysis in the context of healthcare developments in Muscat and Oman • Detailed needs assessment of the Omani population using demographic, socio-cultural, and economic characteristics to guide cancer service planning priorities • Detailed current, planned and proposed supply profiles of all cancer facilities in Oman, public and private • Demand projections through to 2035 for all levels of cancer services adjusted for regional burden of disease • Validation against incidence projections by cancer site and treatment patterns • Gap assessment and identification of service and asset development opportunities in a staged manner for the National Cancer Centre

• Literature review for contemporary models of cancer care and comprehensive detailing of comparable cancer care facilities around the world including in those located in North America, Australasia and Europe • Comprehensive cancer service specific functional profile including medical imaging, nuclear imaging, oncology unit requirements • Consideration for a wide range of complementary therapies found to be effective to support cancer care • Detailed financial impact assessment with recurrent costs, workforce profile and capital costs at local prices

SERVICE DEFINITION & MEDICAL PLANNING, KUALA LUMPUR, MALAYSIA Comprehensive service planning, health planning and design for a patient-centred 3,000-bed private hospital • Complete service plan and brief for a full spectrum, 200,000 m² health metropolis in the heart of Kuala Lumpur • A comprehensive supply and demand assessment for a specialist health centre with education and research components directed to the health needs of Malaysia’s growing middle class • Detailed service planning and modelling of service mix using best practice models of care • Development of key planning units for each clinical department specific to the designated population profile including, imaging modalities and operating theatres

MARKET ANALYSIS & FEASIBILITY INVESTIGATIONS SYDNEY, AUSTRALIA Health service planning for the redevelopment of a specialist private surgical and maternity hospital • Market assessment, service planning study and options analysis to determine the redevelopment and expansion of a private hospital in South Sydney • Population profile assessment and projections used to inform market potential by clinical specialty • Demand and future healthcare requirements using reference rate data • Supply analysis of services within the area • Assessment of existing hospital performance data • Development of a comprehensive service expansion profile disaggregated by specialty • Detailed procurement and operational strategy

SERVICE PLAN & OPERATIONAL MODEL REVIEW, SYDNEY, AUSTRALIA Project scoping and advisory services for a public-private partnership model for a new, major metropolitan hospital in Sydney’s North • Comprehensive review of the service plan and scope of a major metropolitan hospital development • A population-based review using service planning principles and assumptions • Activity projections specific to the Sydney area using up-to-date models of care • Researched and practice-based advice on options for increased private sector participation into the project • Recommendation for a mixed public-private investment resulting in an updated, “health precinct” approach to be adopted for the new facility ensuring an ideal level of participation and the optimal use of resources • Updated scope of services directed project progression into next stage of development with active engagement of a private provider partner

SITE & SERVICE ASSESSMENTS, HONG KONG Feasibility assessment for the development of four private hospitals • Catchment and service assessments to inform the development of private hospitals at four sites around Hong Kong • A market analysis of each hospital’s population catchment including competitor profiling and projected demand through to 2035 • Options evaluation with the client to select priority sites for further procurement • Strategy development and insight for future health service investments in the region

FEASIBILITY STUDY FOR REHABILITATION HOSPITAL, AL AIN, UNITED ARAB EMIRATES Service planning study, feasibility and concept design for a 200-bed rehabilitation hospital in Sweihan

• Market assessment of a 200-bed non-acute and long stay care facility with capacity to attract medical tourists from the UAE and West Asia • Investigations into the region’s demographic and health characteristics including population growth, healthcare trends and burden of disease • Non-acute and long-term rehabilitation demand projections through to 2035 • Analysis of existing and planned supply of rehabilitation and non-acute beds in the public and private sector • Detailed key planning unit and service profile development; including medical equipment, beds and treatment spaces

• Indicative procurement and funding strategy development • Operational efficiency and models of care based clinical design • Schedules of accommodation for the specialised rehabilitation hospital • Concept plan with blocking and stacking, department locations and functional relationships • Indicative financial assessment including capital cost estimates • Marketing presentation designed to present to potential investors

REGIONAL DEMAND ANALYSIS, RIYADH, KINGDOM OF SAUDI ARABIA A health service demand analysis for the development of a comprehensive 1000-bed tertiary hospital • Clinical service advice to inform the development of a comprehensive tertiary hospital • Rapid service planning assessment using the Demand Module to analyse health service demand in the Northern Region of the Kingdom of Saudi Arabia • Population projections generated for each region of Saudi Arabia by age and gender • Activity projection translation into key planning units and functional profile for a 1,000+ bed hospital by clinical specialty based on healthcare needs in the region

• Demand projections adjusted for burden of disease specific to the Gulf region through to 2035 including the following service types: • Acute • Non-acute • Intensive care • Emergency services • Operating theatres

DUE DILIGENCE REVIEW & EVALUATION, ABU DHABI, UNITED ARAB EMIRATES Due diligence review for investment in the construction of a state-of-the-art women’s and children’s hospital in Abu Dhabi • Due diligence review based on Abu Dhabi’s health service requirements • Structured two-phase methodology implemented with detailed analysis of the following: • Design and construction with respect to medical planning and design • Operational and commercial review including models of care • Cost planning • Risk program development • Contract and procurement • Insurance reimbursements • Costing for project completion • Development of a prioritised risk assessment rating of key findings and recommendations to inform the client’s decision for investment

HEALTH FACILITY BRIEFING SYSTEM This web-based ‘rapid briefing, design and management tool’ is offered by TAHPI based on the best international Health Facility Guidelines customised for use in Australasia and the Middle East.

HFBS streamlines the delivery of healthcare projects by capturing information in such a way that it is used directly from briefing though design to construction of the project. It is a unique no gap system giving clients the peace of mind that all aspect of the project are well controlled and managed.

HFBS provides a wide range of Standard Briefing and Design Components for immediate use. It generates all project data including Room Data Sheets, Room Layout Sheets, Equipment schedules, Fitting and Furnishing Schedules, Finishes Schedules, Budget Costing, etc in one centralised location. The HFBS information can be kept for maintenance and future changes. The HFBS system currently manages 364 hospital projects and 1022 completed hospital sites representing over 3000 buildings world-wide.

MODULES FOR HEALTH SERVICE PLANNING The HFBS Health Service Planning Solution is an integrated suite of applications designed to capture health service information, analyse demand and supply, and plan a future system / network of health facilities. The solution is available on-demand or on-premise.

SUPPLY CAPTURE MODULE The Supply Capture Module is a customisable web based survey system used to: Design survey templates to capture current and planned health service data from a variety of facility types ranging from hospitals to clinics and centres, or information on government lands available for health facility development.

Health facility operators are provided access to the survey vial email. Using the easy to understand interface, they can enter information on current and planned health services provided in their facility.

Administrators can access, manage and analyse all survey responses. The system is designed to enable live reporting to health service and facility data or to be conducted at regular intervals in the future.

DEMAND MODULE The Demand Module projects the need for healthcare services of a specific study population. It determines health service demand at casemix, Speciality, Service Type and Service Mode levels. Health service demand is projected through to 25 years, enabling short, medium and long-term planning.

Users can compare and adjust multiple scenarios using relevant demand and service utilisation adjusters to analyse their impacts on demand and also view or download the results as graphs, charts, and excel pivot tables. Unlimited scenarios can be created and adjusted. Over 20 automatic formulas are available to determine raw demand of measures or Key Planning Units.

This module is available through HFBS or we can provide an on premise installation of the module.

SUPPLY PLANNING MODULE The Supply Planning Module is a web-based tool for planning future health service systems, it allows the user to import and visualise gaps in current and future states of the health system of a region, plan new facilities and redevelopments to address health service gaps in geographical regions and visualise insights into current and future supply of health services.

MAPPING MODULE The Mapping Module allows for visualisation of the vast amount of data collected by the HFBS modules on a map.

It takes its information from a combination of the Briefing Module and Assets (Properties). Creating a project or completing a project will automatically create the appropriate map icon and links the data to the side bar. Filtering and search are available. Other features are: • Icons showing Role Delineation Level • Overlay maps of different Domains • User generated Points of Interest The Map Module can also be integrated with the Supply Capture Module to display key information on survey information (eg: all health facilities in an area, region or country)

TOTAL ALLIANCE HEALTH PARTNERS INTERNATIONAL A TO Z OF HEALTH PLANNING TAHPI Pty Ltd

Australia Suite 1, 68 Alfred Street Milsons Point NSW 2061 Australia tel: +61 2 9460 4199

UAE

India

Malaysia

Suite 401 4th Floor, Building 25 Dubai Health Care City Dubai United Arab Emirates tel: +971 4428 1348

Building no. 47, 2nd Floor Capital Trust House Community Centre New Friend’s Colony Delhi 110025, India tel: +971 4 428 1348

3A.01 Menara Merais 1 Jalan 19/3 46300 Petaling Jaya Selangor Malaysia tel: +60 169 494772