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Proposal for a 250 bed hospital

(Proposal submitted by Enraf Nonius Projects India Ltd)

This is with reference to our discussion on 2.7.16 regarding setting up a state of the art 250 bed superspeciality hospital.

Our discussions

1. We have a 25 acres land available for the project, of which we may use the required land area.

2. The land is located close to Pondicherry.

3. We visualise a budget of 100 to 150 cr.

4. We are looking forward to a superspeciality hospital within the scope of our budget, for which, the Consultants will recommend 3 plans, Plan A, B, C. Orthopaedics will however be included in all the 3 alternatives. We also wish to have Cancer superspeciality to an extent permissible within our budget.

5. We will have 30% free beds for poor patients

6. We wish to complete the project in the shortest possible time.

7. A Naturopathy and a Homeopathy hospital will also come up adjoining to the hospital.

Given below, is a brief writeup in accordance to our discussions in 3 alternate plans, Plan A, B and C. In addition to the 3 alternatives, a fourth plan has also been put up to give an indication of the further extent for each parameter.

PROPOSED ESSENTIAL FUNCTIONAL AREAS
•Casualty and Accident emergency care
•OPD
•Inpatient facility
•Intensive Care Areas
•Operation Theatres
•Various speciality areas
•Diagnostics
•Blood Bank with component facilities
•Dietary
•Administrative wing
•Conference room with audio-visual aids
•EDP
•Central Store
•Inspection store
•Manifold room and liquid oxygen tank
•Medical Record Department (MRD)
•Hospital Library
•Telephone Exchange (EPABX)
•Air-conditioning plant
•Electric Substation
•Work Shop
•Mortuary
•Community area

Each OT will be modular and equipped with
•Anaesthesia machines
•Multipara monitors
•Surgical and anaesthesia pendents
•AGS (Anaesthesia gas scavenging) system
•Central piped medical gases (oxygen and nitrous oxide), suction and compressed air
•Laminar flow with HEPA filters
•One AHU per OT
•PRD (Pressure release dampers)
•C Arm
•7 bar air pressure
•Temperature and humidity monitoring and control in the OT itself.

Area wise details of number of beds

Plan A

Plan B

Plan C

Plan for state of the art super speciality hospital

Suites

2

3

4

4

Deluxe

20

16

12

12

Private

30

24

25

25

Semi Private

30

24

24

24

Economy

30

24

16

16

General Ward

70

70

70

70

Intensive Care Unit

22

26

10

10

Intensive Care Isolation positive pressure

1

2

2

2

Intensive Care Isolation negative pressure

1

1

2

2

Neuro ICU

8

10

10

Ortho & Trauma ICU

8

8

8

Respiratory ICU

6

6

Gastro ICU

6

6

Surgical ICU

6

6

Paediatric Intensive Care unit (PICU)

6

5

6

6

Neonatal Intensive Care Unit (NICU)

4

4

4

4

Cardiology ICU

12

12

12

12

Transplant ICU (recipient)

1

3

3

Transplant stepdown ICU (donor)

2

2

High dependency Unit

6

6

6

6

Neonatal Nursery

8

8

8

8

Day care beds

8

8

8

8

Total

250

250

250

250


Beds not counted in bed compliment

Casualty

6

10

16

16

Pre operative beds

3

4

6

6

Post operative beds

6

8

12

12

Labour room observation beds

5

8

10

10

Post delivery observation beds

2

3

4

4

Dialysis

6

12

20

20

Cath Lab observation beds

2

3

4

4

Total

30

48

72

72

Total of all beds

280

298

322

322

Note: 75 free beds (30% of total) will be provided for poor patients of which 70 beds are proposed in the wards and 5 beds  in the Intensive Care Unit

 

Number of Operation Theatres

Plan A

Plan B

Plan C

Plan for state of the art super speciality hospital

General OT

2

2

2

3

Septic OT

1

1

1

1

Emergency OT

0

1

1

2

Ultra clean OT

1

1

1

1

Cardiac OT

0

1

2

2

Obst. & Gynae OT

0

1

1

2

Transplant OT

0

0

1

2

Minor OT

1

1

2

2

Total

5

8

11

15

Area per OT in sq ft

400

400

450

600

 

General Specialities

Plan A

Plan B

Plan C

Plan for state of the art super speciality hospital

Medicine

Y

Y

Y

Y

Surgery

Y

Y

Y

Y

Obst. & Gynae

Y

Y

Y

Y

Orthopaedics

Y

Y

Y

Y

Paediatrics

Y

Y

Y

Y

Ophthalmology (Eye)

Y

Y

Y

Y

Otorhinolaryngology (ENT)

Y

Y

Y

Y

Dental

Y

Y

Y

Y

Skin

Y

Y

Y

Y

Psychiatry

Y

Y

Y

Y

Anaesthesia

Y

Y

Y

Y

 

Super specialities

Plan A

Plan B

Plan C

Plan for state of the art super speciality hospital.

Will have all facilities to the highest level

(Plan D)

Orthopaedics advanced

N

Y

Y

Y

Cardiology

Y

Y

Y

Y

Cardiac Surgery

N

Y

Y

Y

Thoracic surgery basic

Y

Y

Y

Y

Thoracic surgery advanced

N

N

O

Y

Vascular surgery basic

Y

Y

Y

Y

Vascular surgery advanced

N

Y

Y

Y

Organ Transplant

Cornea

Y

Y

Y

Y

Kidney

N

N

Y

Y

Liver

N

N

Y

Y

Heart

N

N

Y

Y

Lung

N

N

N

Y

Uterus

N

N

N

Y

Pancreas

N

N

N

Y

Neurology Basic

Y

Y

Y

Y

Neurology advanced

N

Y

Y

Y

Neurosurgery basic

Y

Y

Y

Y

Neurosurgery advanced

N

N

Y

Y

Nephrology including dialysis

Y

Y

Y

Y

Urology basic

Y

Y

Y

Y

Urology advanced

N

N

Y

Y

Pulmonology basic

Y

Y

Y

Y

Pulmonology advanced

N

N

Y

Y

Plastic surgery

Y

Y

Y

Y

Gastroentrology basic

Y

Y

Y

Y

Gastroentrology advanced

N

N

Y

Y

GI surgery basic

Y

Y

Y

Y

GI surgery advanced

N

N

Y

Y

Paediatric surgery basic

Y

Y

Y

Y

Paediatric Surgery advanced

N

N

N

Y

Endocrinology basic

Y

Y

Y

Y

Endocrinology advanced

N

N

Y

Y

Endocrine surgery basic

Y

Y

Y

Y

Endocrine surgery advanced

N

N

Y

Y

Rheumatology

Y

Y

Y

Y

Oncology (Cancer medicine) basic

Y

Y

Y

Y

Oncology (cancer medicine) advanced

N

Y

Y

Y

Onco surgery (Cancer surgery)

Y

Y

Y

Y

Radiotheapy

N

N

Y

Y

Cancer diagnostics

N

N

Y

Y

Fetal Medicine

N

Y

Y

Y

Infertility

N

Y

Y

Y

 

Major Equipment

Plan A

Plan B

Plan C

Plan for state of the art super speciality hospital

CT scanner

16 slice

64 slice

128 slice

256 slice dual source with all softwares
MRI

1.5 T basic

1.5 T mid range

1.5 T fully loaded

3 T fully loaded
Cath Lab

One low end

One high end

Two (1 basic one high end)

Two High end
Linear Accelerator

Nil

Nil

One basic end

One high end and provision for another
Gamma Camera, SPECT, Brachytherapy etc

Nil

Nil

Basic

High end
PET CT

Nil

Nil

Basic

Top end with cyclotron Generator
All

Basic

Mid level

High level

Top end

 

Other facilities

Plan A

Plan B

Plan C

Plan for state of the art super speciality hospital

Computerisation

Basic with essential software

Medium end computerisation both in terms of hardware and software

Computerisation of all areas

Fully paperless working including OPD patients and inpatients
STP, ETP, Rain water harvesting, solar panels etc

To meet the minimum regulatory requirement

Top end system with adequate reserve capacity
Electricity backup Minimal back up as per requirement

Full backup
Green and energy efficient building

Yes
Building management and intelligent building systems

Yes
Provision for expansion Nil

Each department will be provided space for future expansion
Finishes Only basic finishes

Top end finishes with permanent finish on the exterior

 

Fabrication of each modular OT with fixures will range from Rs 25 lacs to about        Rs 200 lacs. In higher plans high end OT’s with permanent finish will be considered