Page 88 - Coal Quality Testing

risk management during and after
the construction etc. The building
positioning, landscaping, façade
designing also have an environmental
aspect to keep in mind. Usage of
maximum natural lights, corridors with
lesser turns, elevators/ staircase at right
position, access control facilities, air
changes/ pressures/ filtrations in OT and
critical care areas are some indicators
of a good design. The commissioning
process further requires manpower and
equipment estimation, defined hiring
process with pre-decision evaluation,
licensing, identifying and implementing
Understanding Design & defined operational policies (preferably in
line of NABH / JCI) etc.
Viability Construction
Commissioning
Ensuring correct work in place demands A space programming followed by
planning for the same much before the Architectural brief, layout and site plan
facility starts its operation. It actually with landscaping is primarily done Commissioning process is very complex
begins from the feasibility analysis. A to start the designing work. Working and involves the following multiple
detailed study includes location analysis, drawings are made by different engineers parallel activities to carry out with
understanding the socio economic status for electrical, civil / structural, MEP accuracy & timeliness. A commissioning
of the area, the disease profile, health & HVAC services. Finally, all designs calendar is a useful tool to keep the
indicator status, paying capacity & habit, are amalgamated into one and we timeliness in track. The same should have
local competition / trend and a site get master drawing for construction. all parallel activities and completion time
analysis (soil analysis, bore water level, Interiors are preferably done for medical mentioned.
area altitude & land height, earthquake and nonmedical areas with a different • Licensing
zone etc.) and the finances. A good approach.
planning team not only takes care of • Equipment and furniture planning
technical aspect of feasibility but the In best case scenario the team is to and procurement
economic viability becomes priority so as be monitored by a hospital planning • Manpower planning and recruitment
to take care of the stakeholders’ interest expert with sound knowledge of clinical • Tariff and salary structure
and importantly for debt syndication and requirement and hospital operations.
to have an idea on proposed ROI, break The team must ensure zero rework / • SOP formulation
even etc. After leaving no stone unturned reconstruction and building meet the • MIS development
requirements and standards of regulating
we reach to the enviable facility mix with
| Oc t ober - Dec ember 2 0 19 unbiased outside agency preferably a etc.). • marketing
Brochure designing, launching
•
(NBC, Clinical Establishment Act etc) and
the needed volume. The quality of the
website and pre-inauguration
accreditation organizations (JCI, NABH
feasibility analysis should be done by an
Soft run
hospital management consultancy that
An accurate design and layout include
will not have any pre conceived opinion
Project launch
•
design for safety, security, facility
about the project. Depending upon
design principles, easy functional flow,
the techno economic feasibility report
infection control guidelines, surge and
(often known as DPR) banks provide debt
emergency preparedness for effective
mostly in the range 30% - 60% of the
88 project cost. emergency management, pro-active