Patient Centric Hospital Designs in India

Manomav has been part of various hospital projects since 2012 whether it be Safdurjung Hospital, Vimhans Hospital or Indira Gandhi Hospital Dwarka. Recently, Manomav representatives has participated in 2nd India Hospital Design & Build Summit 2019 from 13th-14th March 2019 organized by Quest Conferences at Le Meridien Gurgaon, Delhi NCR. This conference has strengthened the Manomav understanding towards hospital design and future demand of Hospital sector in India.

 

Hospitals Designs are shifting towards Patient Centric for better healing. In typical hospital design, patient experience Sick Building Syndrome, Poor Indoor Air Quality, Less or Bad Natural Light in wards, Distracting & Loud Hospital Noise, Uncomfortable Humidity & Temperature in Rooms, Dull & Aesthetically Poor Interiors, Lack of Continuous Sleep. Benefits of Healthy Sound Environment in a hospital helps in speedy recovery of patient.

 

Even Colors said to alleviate specific illness according to Indian Context. As Florence Nightingale said on Nursing in 1859, “Variety of form and brilliancy of colour in the objects presented to patients are actual means of recovery”. Building Materials of Construction industry are now focusing towards catering the enhanced Patient Comfort when it comes, to feel by providing Thermal Comfort (Glass, HVAC Systems, UPVC, Air Conditioners),  to hear by providing Acoustic Comfort (Glass, Ceiling & Partitions, Fans, Pipes, Absorptive Wall coverings), to breath by providing Indoor Air Comfort (Air Conditioners, Paints, Ventilations Systems), and to see by providing Visual Comfort (Lighting, Painting, Glass). Mr. Sudeep Kotle, VP – Sales & Marketing, Saint Gobain India Pvt Ltd – Gyproc Business has shared more interesting facts regarding hospital design.

 

Patient Centric designs in hospital will help in better cure of patients an selection of partition and glasses become critical when selecting interiors of hospital which is also influenced by Real Estate demographics of Hospital. Manomav shall be able to provide various Patient Centric designs to its customers for providing end to end delivery.

Importance of Vastu in Construction Industry by Ridhi Bahl

On 24th April 2019, Manomav Engineers conducted their 14th Pratham meet where Construction Professionals and Manomav Engineers talked about Construction Monitoring and Technology at The Entrepreneurship School Phase-1 Gurugram. In continuation of the vibe from the last meeting, we called Miss Ridhi Bahl, as a Guest of Honor, who is a celebrity astrologer and Vaastu consultant. She holds a degree of Acharya in astrology and Vaastu and has pursued research on many topics related to astrology. She enlightend us with the use of Vaastu in modern construction and broke the myths of Vaastu.

Mr. Vanshaj Raj Bahal, host of the day kicked off the meeting with a brief introduction of the core committee of Pratham. Mr. Antriksh Tawar President for the Pratham Meet who addressed the members present in the room gave a brief introduction of Pratham which is an initiative of Manomav Engineers. Mr. Shyamal Sarkar & Mr. Kundan were selected as the Time Keeper and Sargant of the day respectively.

Our second speaker of the day, Mr. Harshit Mishra who is a billing engineer in Manomav Engineers, gave a detailed presentation regarding quantity surveying. He described about the implementations of quantity surveying and how we use it to determine costing of construction projects. He described how does quantity surveying play a vital role in construction industry.

The Guest of Honor for the Day Miss. Ridhi Bahl, started with brief introduction of herself and her family. She is the great-grand daughter of India’s renowned astrologer Pt Madhu Sudan Ojha, who was also the counselor to Raja Madho Singh Ji, the king of Jaipur. Continuing her family legacy, she got into astrology from a very young age and is well known as one of India’s leading astrologer and associate with organization Like FICCI, CII Radio FM and many more Platforms.

She gave brief knowledge of Vaastu to let everyone understand about it. Vaastu basically is made up of 5 elements which are present in our nature, also known as “Panchtatva”. This means her solutions doesn’t really include usage of stone and gems. She shared her experience on how she managed to correlate her Vaastu with modern architectural and structural designs with no major changes in design. She also stated relation of Vaastu with our day to day life and how we can protect ourselves with negative energies of a person.

This session of Community Building of Pratham meet#14 was concluded with guest felicitation and group photograph with the guest.

It was time for third session of leadership development in which leaders of Manomav evaluate the presentation given by the two leaders of Manomav and vote for the best presenter and evaluator of the day and a LinkedIn Review of the leaders of Manomav this time went to Mr. Vanshaj Raj Bahal.

Mr. Kapil Bisht was elected as the Best Presenter of the Day and Mr. Akhil Saxena as the Best Evaluator.

Session Concluded with a quote affirmed by all that “A Leader is someone who demonstrates what’s possible- Mark Yarnell”

Hospital Project Planning with Vision 2030

Manomav is providing end to end construction solutions to its customers. Global level changes in terms of latest innovation and technology are changing Hospital Designs. Manomav representatives are sharing new ways of designing hospital considering future with Entrepreneurs of Hospital Industry.

Future Vision of Hospital in Urban Cities & Tier 2, 3 Cities

From the amount of advancements the world has observed in last decade, it is evident that year 2030 will be very different from 2019. In 2030, India will face new challenges in terms of expansion of already existing hospitals and construction of new hospitals with re-designed infrastructure and technology. Currently, the care provided at the hospitals is divided into three categories a) Primary, b) Secondary and c) Tertiary Care. Speciality Hospitals can only work when they are supported with the right Infrastructure as discussed by Dr. Gaurav J. Kumar, Facility Director, Medanta – The Medicity. The demand of Tier -2 & Tier -3 cities are focused towards introduction of new facilities since the traditional treatment already exists through family references as informed by Dr. Shuchin Bajaj, Founder Director, Cygnus Hospitals.

Designs of Hospitals

Girish Bommakanti, CEO, Gleneagles Global Hospitals had shared interesting futuristic concepts in Urban Landscape of having smooth connectivity from Smart Homes to Smart Hospitals.

He shared that hospital design should consider movement of patients right from the parking lots to discharge areas while planning to have services like MRI & Ct Scan on the same floor. Future is changing soon so the current hospitals should be designed by categring to at least 5 years of future functionality in mind. Dr. Sanjeev Bagai, Chairman – Nephron Clinics, has suggested common considerations to be made while positioning hospital components like –

  • Lift should be closer for Joint Pain or Orthopaedics
  • OPD should be in Isolation to Other building blocks
  • Psychiatrist in OPD should not be closer to Gynaecologies.
  • Ward beds should have beautiful visuals
  • Blood Banks can be closer to the laboratories
  • NICU & BICU should be separate, Rest ICUs can be combined

Army Hospital are also designed with flexibility of its locations which includes various concerns like –

  • Sizes are defined in multiple of 7 along with Toilets which serve different cadres
  • Operations Theatre are preferred on Top Floor Location
  • AHU should also be placed on Top which results in lesser heat loss
  • Orthopaedics and OPD should not be on Top Floor

Budget of Hospitals

30% of Hospital construction budget goes into Equipment Buying and if you exclude construction, it makes 60%-70% of Hospital Budget. Dr. Bharat Gadhvi, Regional Director – HCG Hospitals said that equipments have less Shelf Life and Lower Staff like Radiologies, Pathologist and Oncologist should be engaged when equipment purchase decisions are being discussed. In case owners are short of budget they should leave space for future activities, so make sure that services are available for 7-10 years. It is suggested to consider 7 year cyclic cost of equipment which includes buying cost, AMC cost and third party services. Delivery of Equipment shall be done very carefully because Half Life of Helium decreases in 68 days so PO shall be given with clear terms & conditions.

Approvals of Hospitals

One of the most critical activities in construction of hospital is dealing with approvals. NABH and JSI are two of most accreditionals standards in India. NABH has its own requirements on top of the Building Approvals. There are more than 104 Laws which govern hospital construction today. Various laws are applied  which are dependent upon the services of hospital including Building Approvals, Support Services License, Laboratory approval from NABL, Air/Water/Environment Laws with Biomedical Waste (Trace & Track it from start to end), Atomic Energy/Radiologistic from ACPVP Regulations, Shop Act, Food Facility License, Clinical Establishment Acts, GACI Standards in 14 standards which are applicable from NABH.

In case of hospital expansion and renovation generally, it does not require approval for modification. However if modification is changing usage pattern of building or floor, approval is required from competent authority.

In case of External Building Change, approval is required from competent authorities.

Safe & High Quality of Environment in Hospitals

Ministry of Environment and Forest (MoEF) is implementing BMW (Bio Medical Waste Rules in Hospitals) which are revised in 2016, 2018 and in 2019. Effluent Treatment Plants are playing vital role in hospitals due to the nature of waste. HVAC Systems are coming with Ashrae Standards. Even the standards are being revised. Recently in 2016 National Disaster Guidelines have recommended to avoid usage of Flat Slabs in Buildings. Though Guidelines are not mandatory but is required because of two reasons:

  1. Fire Rating Issue which needs extra flooring which increases its thickness and affects building usage.
  1. Earthquake can cause bigger collapse if not designed properly.

With these key considerations Manomav shall be able to provide you a futuristic solution for hospital designing which aligns with your vision while considering Budget, Best Interiors, Approvals and Smooth Management of Hospital Buildings Execution.

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Leadership: Taking Onwership by Mr. Mudit Vijayvergiya

October 23rd, 2018 Monday, Manomav Engineers conducted their 8th Pratham Meet with Mr. Mudit Vijayvergiya, the co-founder and director of Curofy, the premium networking app for the doctors. He is a graduated from IITD in 2013. Winner of IIT Delhi alumni award, 2014, Mudit has been a passionate speaker at various leading summits on topics related to Entrepreneurship, Leadership. He is also recently selected in Forbes India 30 under 30 list of 2018. His presence at the Pratham Meet made a great impact as he shared his thoughts on leadership development through real-life examples. He started off with a small interaction with all the guests present in the room, asking them a few simple questions like, where do they see themselves after a few years? And how do they define success? We got a variety of answers from everyone like from opening a food joint to owning businesses into different fields.  Followed by a little team building group activity. Wherein, one member was to share his glitches, he is experiencing in achieving his goals, while the others would engage in analyzing the problem statements and come up with possible solutions. Through this exercise, Mr. Vijayvergia concluded the session by telling that how can one work towards his or her goals to achieve something in life by actively fixing the problems in the way.

Project Cost Of Management by Raj Vikash Singh As the meeting continued, now it was time for the second speaker of the day, Mr. Raj Vikas Singh, project manager at Manomav Engineers to come up with his second presentation on this platform. He is an ace master in the scope and cost management for different kinds of projects and is one of the oldest members of the Manomav Engineers. He started off with a brief description of ‘Cost Management and its importance and principles of direct and indirect cost involved in a particular project. He also explained that how can a cost management plan be implemented in the construction project to get a cost budget and controlled cost factor at site. Then he took everyone through a sample cost budgeting sheet and S curve prepared for a particular project. The session concluded with lots of discussion and Q&A.

 

Management Process & Report By Vanshaj Raj Behel Vanshaj Raj Bahal, the third Speaker for the day in his presentation, shared his personal career experience with Manomav Engineers. He opened his speech with “we can lead a horse to pond but we cannot make him drink water and same goes with humans, we can show them the path but it’s in their hands how to reach success”. He took his real life example of how he joined Manomav and how was he constantly supported by the three A’s of Manomav.