Hospital Planning For Women and Child Hospital

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MATERNALIS

Women and Child Hospital


Vision Mission and Values

Vision
Mission
To be an innovative leader
in women and child health We aim to deliver an
and wellness through best exceptional healthcare
of quality and compassion experience for women
for women and children children and their families
steered by the highest
standard of competence
care and service excellence
Demographic Composition
• Population of Mumbai : 21,534,544
• Population of Goregaon : 437,849
• Sex ratio of Goregaon : 914 females per 1000 males
• Literacy rate : 89.73%
• Climate is tropical, wet and dry. It is moderately hot with high level of
humidity. The mean average is 27.2*C and average rainfall is around
1,800mm.
• Population of children in the age group of 0-6 yrs is 10.34% of the
population which is 45,274.
• Total fertility rate : 1.8
Airport : 10.8 Km
Railway Station: 8.5Km
Bus Stop: 30 mtr

AREA 1 Acre

Area – 1 Acres
Easy access by Road
Good Public Transport
Connectivity

Actual
Site Location
Disease Profile
Disease Profile
Disease Profile
Geographic

Demography

Competitive
Long Distance
Kokilaben Dhirubhai Ambani Hospital and
Medical Research Institute
No of beds - 750

More No of Beds
Distance – 11.4 km
Less No of Beds

Cloud Nine
No of beds - 750
Distance – 4.7 km

Short Distance Vansh Hospital


No of beds - 100
Distance – 10.7 km
Strength Weakness

Latest
Technology
Core Labour Union
Competency
Patient Centric

Location
LESS OB GYN Individual
Hospitals in Private Clinics
Vicinity

Opportunity Threat
Sample for the interviewees is taken on a random basis. About 500 Households were interviewed . Survey was available
in Hindi, Marathi and English.

1. Personal Details–Name, Age, Gender, marital Status, Qualification, Occupation and income slab?

2. Health Status -Self, Family, Medical History, Illnesses in family.

3. What is your usual mode of payment for services used at hospital

4. What was the mode of delivery of your previous children if any ? How was the experience

5.Did the mother face any complications during the delivery if yes how was it handled ?

6.Where do you usually consult for issues with your reproductive health ?

7.How many earning family members are there in your family ?


1. Name of the Hospital and Contact Details. 19. Annual Revenue / Expenses
2. Type of Hospital –Government/ Charitable Trust/ Private Single 20. Plans for future expansion
Specialty/ Multi Specialty 21. Details of Neurological/ Trauma care facilities, if
3. Name and designation of the administrator available
4. List of specialty services offered. 22. Services lacking in the city.
5. Total bed strength. 23. Type of patients visiting the hospital –Low
6. Bed Mix and Facility Mix Income group / Middle income group / High Income
7. OPD Timings group
8. Tariff Charges / Rate Card 24. Insurance Tie –ups of the hospitals
9. Staff to bed Ratio 25. Chiaritale facilities if avallabile.
10. OPD footfall per day 26. Referrals from and to the hospital.
11. Number of Imaging Tests per day12. Number of lab test per day
13. Number of Surgeries per day
14. Admission and Discharges per day
15. Average length of stay
16. Bed Occupancy Ratio
17. Most Produttive Department
18. Highest workload department
Space Programme
• Number of beds : 150
• Area of land : 1 Acre = 44000sq.ft.
• FSI = 4
• Ground Coverage = 40%
• Total Built up area =140800sq.ft.
• Area per floor = 17600sq.ft.
• Number of floors = 2 basement+ Ground + 7 floors
Bed Mix
Paediatrics ward – 28 beds
Paediatrics ICU – 10 beds
Presidential Paediatrics suites – 2 beds
NICU – 27 beds
OBGYN single room- 7 beds
OBGYN Twin sharing room – 32 (64 beds)
OBGYN Presidential suites – 4 beds
OBGYN ICU beds – 8 beds
Total beds- 150 beds
Facility mix

OPD complex Paediatrics Gynaecology wards


Laboratory Pharmacy Yoga room
Emergency Operation theatres Lamaze class
Blood Bank PICU Play area
Radiology ObGyn ICU
Labour room NICU
Ante-natal and Post-natal wards
Supportive Services
CSSD Administrative department
Pharmacy Finance department
Ambulance Human Resource Department
MRD Security
Reception and Billing I.T. department
Engineering services department Cafeteria and Kitchen
Housekeeping ATM
MGPS Parking
Sewage Treatment Plant
BASEMENT 1,2
Basement 2
Basement
REGISTRATION EMERGENCY
Floor -1 Level
MGPS 1000 1 1000

Generator room 1500 1 1500

Ambulance 2000 1 2000

CA + 30% 5850

PARKING 13100
SPACE
GROUND FLOOR
EMERGENCY DEPARTEMENT

ACTIVITY AREA QUANTITY TOTAL


Reception 250 sqft 1 250
Waiting area 400 1 400
Triage 250 1 250
Doctors room 100 1 100
Nursing station 250 1 250
Changing room 100 2 200
Toilet 100 1 100
Emergency OT 300 1 300
LDR 450 1 450
Store 150 1 150
Dirty /clean utility 100 2 200
Beds 150 15 2250
+circulation area (30%) 6370
RECEPTION
Registration 500 1 500
Waiting area 1000 1 1000
Toilet 100 2 200
+CA 30% 2210
Pray Area 100 1 130
Pharmacy 800 1 1040
Security officer 250 1 250
room

BLOOD BANK
Waiting area 200 1 200
Examination area 100 1 100
Recovery area 150 1 150
Washrooms 75 2 150
Issue counter 100 1 100
Store room 250 1 250
Dirty utility 100 1 100
+CA 30% 1365

MRD
Process room 500 1 500
Office room 100 1 100
Record & store 500 1 500
room
+CA 30% 1430
FLOOR 1
OB & GYN OPD

Registration /billing 400 1 400

Waiting area 600 1 600


Records room 250 1 250
Doctors room 250 15 3750
Trolley /wheel chair bay 200 2 400

EOT 300 1 300


Stationary 100 1 100
Toilets 100 5 500
Wheelchair friendly toilet 100 1 100

+CA 30% 8320

Yoga 500 1 650

Counselling 300 1 390

Pharmacy 800 1 1040

Toilets 100 4 400


Reception 200 1 200

Waiting area 500 1 500

Technicians room 100 1 100

Doctors room 100 1 100

Records room 250 1 250

Sonography bed 100 4 400

Kitchen
2421 1 2421

dinning 2520 1 2520

storage 522 1 522

Total Area 7013


FLOOR 2
PAEDIACTRICS OPD

Activity quantity area Total Area


treatment room 1 150 150
consulting room 10 120 1200
ATM 1 50 50
cafetaria 1 150 150
feeding room 1 150 150
play area 1 120 120
opd manager 1 100 100
reception/billing 1 200 200
vaccination room 1 150 150
pharmacy 1 200 200
waiting area 2 500 1000
toilet 7 100 700
4170
LABS

sample collection 1 150 150


Doctors Room 1 100 100
Lab clinical Total 1 850
stores 2 100 200
technician room 1 150 150
reception 1 100 100
waiting area 1 100 100
1400
RADIOLOGY
waiting area1 1 200 200
waiting area 2 1 500 500
reception 1 100 100
Changing room 2 50 100
X-ray 1 250 250
CT scan 1 400 400
MRI 1 600 600
uSG wahroom 2 40 80
Ultrasound 2 150 300
mammography 1 126 126
technician room 1 100 100
Doctors 2 100 200
1 100 100
Area 2356

Final area Of Lab 7926


Circulation Area 2377.8
Total area of floor2 10303.8
Operation room
OR 6 400 2400
Scrub Area 4 100 100
Recovery room 2 280 560
TSSU 1 150 150
Instrument room 1 100 100
Store room 1 200 200
Reception 1 100 100
Nurses changing 1 200 200
Doctors changing 1 300 300
Nurses station
Clean Utility
1
1
100
100
100
100 FLOOR 3
Dirty Utility 1 100 100
Washroom 2 60 120
4530
Circulation 40% 1812
Total Area 6342
LDRP 5 450 2250
Waiting Area 2 100 200
Nursing Station 1 150 150
AREA 2600
CIRCULATION 40% 1040
3640
FLOOR:4
NICU
Nursing station 2 150 300
Full term nursery 8 30 240
Observation nursery 9 40 360
Premature nursery 8 40 320
Isolation nursery 1 60 60
Washroom 1 100 100
Clean Utility 1 100 100
Dirty Utility 1 100 100
Store room 1 100 100
Examination area 1 120 120
Pantry 1 100 100
Handwashing station 3 20 60
Feeding Area 1 300 300
Mothers Area 1 1500 1500
AREA 3760
Circulation area 40% 1504
Total 5264
OBGYN ICU
Single beds 7 180 1260
Isolation room 1 250 250
Nursing Station 1 175 175
Equipment Room 1 250 250
Doctors Room 1 100 100
Nurses room 1 100 100
Clean utility 1 100 100
Dirty Utility 1 100 100
Toilet 2 100 200
Waiting Area 1 600 600
Doctors Counselling 1 180 180
Pantry 1 100 100
Area total 3415
Circulation area 40% 1366
Total 4781
SERVICE FLOOR
FLOOR:5
OBGYN Twin rooms Quantity Area Total
Rooms 32 364 11648
Nursing station 2 150 300
Clean Utility 2 60 120
Dirty Utility 2 60 120
Stores 2 100 200
Circulation 30% 3716
16104
FLOOR:6
Paediatric ward beds Area
OBGYN Single Bed 7 250 1750
Ward(28 beds) 28 260 7280
PICU 10 144 1440
Nursing Station 1 240 240
Play Area 2 300 150

Dirty Utility 1 60 60
Clean Utility 1 60 60
Total Area 10980
CIRCULATION AREA 4392

AREA 15371
FLOOR:7
Activity number area
presidential suite 6 750 4500
CEO 1 330
Medical Superintendent 1 210
Marketing Officer 1 210
HR Office 1 180
Public Relation 1 240
Purchasing Officer 1 120
Conference Hall 1 1000
Executive Room 1 180
Toilet 1 100
Total Area 7070
Circulation 2121
9191
COSTING
Cost of Building SERVICES AREA COST TOTAL
SHELL AND CORE 176000 1300 228800000
Interiors 176000 800 140800000
Electrical 176000 600 105600000
HVAC 704 125000 88000000
Plumbing 176000 200 35200000
Fire Fighting 176000 100 17600000
Façade 140800 400 56320000
per landing 60 300000 18000000
Landscaping 26400 100 2640000
Total 692960000
5% contigency 34648000
3% Project Management 20788800
Total 748396800
Supportive
Services IT 15000000 15000000
Total 15000000

Radiology
Equipment
Digital Xray 1 5000000 5000000
mobile x ray 1 4000000 4000000
Xray viewer single screen 1 30000 30000
Ultrasonography 3 3000000 9000000
CT scan 1 20000000 200000000
MRI 1 40000000 40000000
ECG 2 40000 80000
Mammography 1 3000000 3000000
PACS 1 300000 300000
NST 1 55000 55000
Doppler 1 55000 55000
261520000
Laboratory
Auto analyser 2 2500000 5000000
Microscope 6 24000 144000
ABG Analyser 1 700000 700000
Refrigerator 2 50000 100000
Simple Centrifuge 4 200000 800000
Incubator 1 50000 50000
Urine analyser 1 25000 25000
Digital Haemocytometer 1 100000 100000
Fully Automated Biochemistry
Analyser 1 1500000 1500000
Automated Blood Culture System 1 1200000 1200000
Coagulometer 1 150000 150000
Total Cost 9769000
OT Equipment
Anaesthesia machine with Ventilator 6 3000000 18000000
Modular operating table 6 2200000 132000000
Suction Apparatus 6 26000 156000
Defibrillator 3 200000 600000
Multi para monitors 6 300000 1800000
Surgical Sets 6 7500000 45000000
Radiant warmers 3 450000 1350000
X-ray viewer box 6 60000 360000
Electro-cautery 6 300000 1800000
Syringe pumps 6 30000 180000
Vessel Sealing device 2 150000 300000
Laparoscopy Set 3 700000 2100000
Total 84846000
Others
Blood Bank 1 20000000 20000000
CSSD 1 15000000 15000000
35000000
ICU
Beds 45 150000 6750000
Radiant warmers 18 450000 8100000
Ventilators 27 700000 18900000
Infusion pumps 13 30000 390000
ECG machine 9 75000 675000
Nebulizer 2 150000 300000
Central Monitor 8 900000 7200000
Total 42315000
Overall Cost 281000000
HR COSTING

Laboratory Number Salary per month Annual salary


Pathologist 2 210000 2520000
Microbiologist 1 90000 1080000
Biochemist 1 90000 1080000
Lab Technician 8 240000 2880000
Sample Collector 4 80000 960000
Total 8520000

Housekeeping
Head Housekeeper 1 30000 360000
Supervisor 8 160000 1280000
Housekeeper 32 8000 256000
Total 1896000

Radiology
Radiologist 5 1500000 18000000
Nursing Assistant 10 300000 3600000
Technicians 5 150000 1800000
Office Assistant 5 75000 375000
Total 23775000
MRD
Administrator 1 50000 600000
Technician 1 25000 300000
Clerk 1 18000 216000
Total 1116000

Blood Bank
Staff Nurse 1 25000 300000
Attendant 1 8000 96000
Technician 2 25000 300000
Total 696000

Biomedical Engineering
Engineers 1 45000 540000
Total 540000
IT
Manager 1 40000 480000
Assistant 1 30000 360000
Total 840000
Administration
CEO 1 400000 4800000
COO 1 250000 3000000
Medical Superintendent 1 175000 2100000
Medical Administrator 2 180000 2160000
Head HR 1 150000 1800000
Operation Head 1 125000 1500000
Account Manager 1 100000 1200000
Quality Head 1 100000 1200000
Nursing Superintendent 1 75000 900000
Materials Manager 1 100000 1200000
Total 198600000

Pharmacy
Chief pharmacist 1 50000 600000
Clinical Pharmacist 2 80000 960000
Stores assistant 2 30000 360000
Total 1920000
OT
OBGYN 6 1800000 21600000
Paediatric Surgeon 2 800000 9600000
anaesthetist 6 900000 10800000
Nurses 15 600000 7200000
Helper 6 60000 720000
Housekeeping 6 54000 648000
Total 50568000

ICU
Consultant and residents 9 1800000 21600000
Nurses 30 900000 10800000
Helpers 6 60000 720000
Housekeeping 6 54000 648000
Manager 3 150000 18000000
Assistant 3 45000 540000
Total 52308000

IPD
Head Nurse 3 135000 1620000
Staff Nurse 33 990000 11880000
Residents 3 100000 1200000
Housekeeping 9 81000 972000
Helpers 9 81000 972000
Total 16644000
INCOME
INCOME
100% capacity RADIOLOGY Productivity/day price/unit revenue per year

365 Xray 50 300 4500000


365 USG Abdo+Pelvis 20(OPD)+15(IPD) 1000/1200 12570000
300 USG Anomaly Scan 15 2000 9000000
300 Mammography 8 1800 4320000
300 HSG 1 2500 750000
365 ECG 10(OPD)+15(IPD) 250 2275000
300 Doppler 8(OPD)+5(IPD) 1000 3900000
300 MRI 6 7500 13500000
300 CT 10 3500 10500000
Total 61315000
Labs OPD/day OPD Price IPD/day IPD price Total

Paediatrics 180*1.5 300 201 350 81000*300+70350*365=49977750

OBGYN 150*1.5 300 249 350 67500*300+87150*365=52059750


Total 102037500

Surgical Revenue Productivity/week Unit Cost Revenue(in Rs)


Normal Delivery 18 35000 32760000
Caesarean 8 65000 27040000
Hysteroscopy 6 35000 10920000
Hysterectomy 2 110000 11440000
Laparoscopy 3 100000 15600000
Onco-surgery 1 130000 6760000
Paediatric Surgery 12 60000 37440000
Total 151960000

Consultation No. of
OPD time patients/day Revenue/patient Revenue/day Revenue/Year
Doctors
Consultation 15mins/pt 250 2000 500000 150000000
Revenue
Revenue
Occupancy 30% 45% 55% 65% 80%

OT 45588000 68382000 83578000 98774000 121658000


OPD 45000000 67500000 82500000 97500000 120000000
Radiology 18394500 27591750 33723250 39854750 49052000
Lab 30611250 45916875 56120625 66324375 81630000
Total 139593750 209390625 255921875 302453125 372340000
Expense
Assuming the revenue for 1st year(Occupancy is 30%)

Expense
Department expenditure based on Consumables Total percentage of
Department revenue(%) expenditure revenue Total expenditure

Surgical 70% 5% 75% 9124350

OPD 70% 5% 75% 33750000

Radiology 10% 5% 15% 2759175

Lab 10% 25% 35% 10713937

56347462
Assuming the revenue for 1st year(Occupancy is 80%)

Expense
Department expenditure based on Consumables Total percentage of
Department revenue(%) expenditure revenue Total expenditure

Surgical 70% 5% 75% 9124350


Assuming the revenue for 1 st year(Occupancy is 30%)
OPD 70% 5% 75% 90000000

Radiology 10% 5% 15% 7357800

Lab 10% 25% 35% 28570500

135052650
• The Roof of area 2500 square feet is covered with Solar Panel
• Multi Grid Transformer is installed for Grid back Transmission
• Total power generated Solar Consumption estimated in
summer 900 - 1500kvH
• Monocrystalline Pannel is used for 18-20% energy efficiency
PRESENTED BY

APURVA TRIPUDE M2019HO004


DEEPANSHI MAKKAR M2019HO009
HIRAV SHAH M2019HO012
INDRAJIT GHOSH M2019HO013
NIKHIL JONWAL M2019HO029
GUIDED BY VIVEK DESAI

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