Redefining Hospital Buildings with latest emerging Technologies

Hospital Buildings has evolved a lot in last 25 years. Timely delivery of Projects has become a key factor though typically hospitals are taking 3-5 years in completion. In these time, various new developments has happened in construction industry including,

  • Building Maintenance System (BMS)
  • Recycling of Water in WTP
  • Flooring Selection from Hygienic Point of View
  • Washroom Flooring with Artistic thoughts
  • Operation Theatre with Conductive Flooring
  • Hardware with copper fittings
  • Glass Technology

 

Above are few of the latest technologies which has changed the hospital buildings built in past.

 

Mr. Rajendra Vats, chief Projects, C K Birla Group has highlighted various safety concerns related to patients during 2nd Annual India Hospital Design and Build Summit 2019 at Le Meridien, Gurugram including

  1. Positive/Negative Pressures for managing better air circulation for infection control
  2. Water Usage for Domestic and Drinking Purpose
  3. Fire Safety with usage of Sprinkler, Smoke Extretation, Pressurisation, Hydrant, Mechanical Systems)

 

He shared that external power supply through shafts should be supplied to these systems and which can further be backed up with UPS on external surfaces which can be useful in case of emergency.

 

Integration of BIM was discussed in same panel which seems obvious future to the panelists. Manomav was started in 2012 with BIM Services. We have already served various projects ranging from INR 10 Crore wroth to INR 300 Crore worth when it comes to successful implementation of Building Information Technology.

 

We have interesting observation when it comes to BIM Implementation. Abhinav Bhardwaj, Director – Manomav Engineers believes that any construction is design at GFC level by Architects which is further detailed at Shop Drawings level by Contractors. In current implementation plan, architects & consultants are getting ready to adopt BIM however the ecosystem is incomplete without implementing it with contractors at Shop Drawing level where Manomav can play a vital role. Manomav has incorporating BIM in its Project Management Services for building better control on Project Monitoring during execution.

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.