The corollary of this is that an inefficient hospital costs significantly

more to operate, staff and maintenance not to mention the fact that
the patients within it get less health services for the money they pay. It
should be borne in mind that economy of operation and maintenance
over the life of the building as well as the quality care to patients
depends in a large measure on the proper planning and designing of
the hospital and is more important than the economy of construction.

OPERATIONAL & FUNCTIONAL PLANNING:

Planning and Building a hospital to serve the increasingly complex

needs of modern healthcare is an intricate job. The architect though
competent in his profession may not be competent in the technical
aspects of hospital architecture and may lack knowledge of some of
the specialized clinical and administrative areas and matters. This
document called the operational plan and functional plan developed
from it form the basis and are necessary prerequisites for the architect
to prepare the architectural plans.
Before any plans can be drawn by the architect an understanding of
the requirements of the hospital in terms of services.
It is going to provide
 NUMBER OF BEDS
 DEPARTMENTAL FUNCTIONS
 DEPARTMENTAL NEEDS
 MAJOR EQUIPMENT
 SPACE REQUIREMENTS
 REQUIRED PERSONNEL

Relationships and Adjacencies must be agreed upon. All this must form
a written document. This is called operational planning -a written
programme needed for any architectural project.

KEY TO FUNCTIONAL PLANNING:

The proper sequence is the development of operational planning that

defines the major requirements and needs first.
The operational plan is then developed into a functional plan.
Planning of the hospital on a functional basis-that lists every room and
suggests net sizes for major functional rooms and the total size of the
department.
The key to functional planning i s not just a room list but
understanding that travel and adjacencies that will affect
operational cost for the life of the
Facility.
FLEXIBLE HOSPITAL PLANNING:

A fundamental rule that promoters should remember is that the

hospital should be planned for at least 10 to 15 years ahead or else
experts say plans will be obsolete when they come to the drawing
board.
With the rapid development and advances in technological, medical
and administrative sciences and innovative techniques and therapies,
space requirements of every department have increased markedly.
New departments come to be needed, and more space is required to
some specialties. In addition to space needs, technology is imposing a
host of physical demands on our hospitals.
Well planned systems must be built into them to keep pace with the
changes. It is you goal to design `Smart` hospitals that respond to
present needs while anticipating future change.
Within the building all departments must be planned in such a way that
they can stand individually. This can be done by freely locating each
department with space around for expansion. Further care should be
taken that expensive permanent fixtures and fixed equipment such as
plants and elevators are not located at the free ends of the
departments as they would permanently block expansion plans. Future
expansion is
rendered easy with free ended buildings with extendable corridors.

THE PROBLEM:

AMS group proposes to build a 100 Bedded Multi-Speciality Hospital in

Mugalivakkam, Chennai. The Site extent allocated for the hospital is 5
acres excluding OSR.

Plot Area 20234.28 SqM

FSI
FSI Area
Plot Coverage As per standards
Plinth Area
No of Floors
Floor Efficiency
Floor Plate
Core

Details of infrastructural facilities & building area for a

 100+Bedded multi specialty Hospital
Area
Sl.N
Description Area Remarks in
o
total
ADMINISTRATION
Separate entry for Main Lobby
with Wheel chair / Trolley
Spaces, Central waiting zone,
Reception, Registration,
Insurance, Billing & dispatch,
Central Admitting 400Sq.
1 Record store, Medical records,
Departments & MRD M
MLC unit, Room for Police&
security, Monitoring chamber,
30Pax-Conference room, Admin
offices-04Nos (10Sq.M), Pantry &
Toilet facilities. 400

EMERGENCY- TRAUMA & CASUALTY MEDICAL SERVICES

Emergency &
Casualty Medical
Services and
200Sq.
2 Trauma care-
M
06Bedded unit with Ambulance movement with
01Septic Operation receiving zone, change rooms,
Theatre scrub up, Doctor’s & Nurses 200
IPD chamber, Clean utility & linen
Intensive Care 400Sq. store, Dirty utility Dispatch,
3
Units-20bedded unit M Sluice rooms to be provided… 400
Neonatal (40Sq.M)- and room for brought in dead.
with 06 Unit and
120Sq.
4 Paediatric ICUs-
M
(80Sq.M) with
06Units 120
Labour / Delivery Preparation, change rooms,
Suit(02Units)with 160Sq. Scrub up, Anesthetist chamber,
5
Baby bath& M step down Recovery beds-
resuscitation 02Nos, Doctors lounge, Clean 160
6 Operation Theatre 160Sq. utility & linen store, Dirty utility 160
Complex with M Dispatch.
02Theatre including
Anaesthesia unit
 General wards –
180Sq.
11 Medical – 06
M
bedded unit(04 Nos) 720
General wards –
180Sq.
12 Surgical – 06
M
bedded unit(04 Nos) 720
Semi Private wards
– 4 bedded unit- Each
13
(02Nos) with Toilet 50Sq.M
& Common Pantry 100
Private (Economy) –
06 rooms with
14 18Sq.M
attached toilet &
pantry 108
Private deluxe room
-06Nos with
15 attached family 28Sq.M
room, Pantry &
Toilet 168
Private suits with
16 attached family 40Sq.M
room-02Nos 80
Area includes Separate space
Displays, Pharmacist chamber,
24 hrs Pharmacy &
7 60Sq.M Drug storage room, Receiving,
Dispensing unit
Patching & Dispatch and
inventory chamber 60
DIAGNOSTIC & THERAPEUTIC
Diagnostic & Sub registration, Store, Waiting
8 Medical Laboratory with Toilet and Dispatch to be
Services provided 30
X-ray100mA unit-
30Sq.M
01No Common Processing & Film 30
X-ray 300mA unit- Storing area to be provided
30Sq.M
01No 12
X-ray 60mA-mobile
12Sq.M Space for Store
unit 12
12Sq.M
Ultra sound unit- Toilet to be provided @ Sub
each
02Nos waiting zone
unit 24
Radiologist
12 Sq.M
consulting chamber 12
 Separate Lab for Biochemistry-
16Sq.M, Pathology-16Sq.M,
Physio lab-16Sq.M to be
Central Laboratory 80Sq.M
provided along with Sub
registration, Dispatch, Store,
Staff room with toilet. 80
Central sample
collection, Injection
9 cabins-02Nos & 18Sq.M
Dressing Chamber-
02Nos 72
Plaster room &
10 18Sq.M
Plaster cutting unit 18
OPD
One OPD Chamber for Dental
Outpatient Units- Each clinic and another one for Multi
17
08Nos 16Sq.M functional OPD and one for
counselling centre. 128
Treadmill-02Nos, ECG/Echo-02
120Sq.
18 Physiotherapy Unit Nos to be provided along with
M
Toilet facilities. 120
SERVICES
Preparation & serving zone with
19 Cafeteria 80Sq.M
Display 80
Part of Café and Chamber for
20 Dietary Kitchen 80Sq.M Dietician/Chef to be provided
with Toilet facilities. 80
Hospital Services
Receiving, Collection& Batching
the Soiled instruments,
Central Sterile Sterilizing & storing with air tight
21 Supply Department 60Sq.M containers and dispatch the
-CSSD Sterile materials. Proper
ventilation to be provided with
fresh Air supply. 60
Central Medical Gas
22 Supply Department- 40Sq.M
MGPS 40
Hospital Laundry Batching & Collection, receiving
23 (Dry store-Out 20Sq.M & dispatch for Dirty & Clean
source) Linen. 20
 Biomedical &
Hospital Waste
Management,
House Keeping Each Each group toilet Janitor closet
24
Department to be 18Sq.M to be provided.
provide with
adequate store
space. 60

SERVICES AS
DETAILED BLOW

TOTAL AREA 4274

OTHER REQUIREMENTS

 Entrance portal
 Security cabin
 Covered/open car parking
 Visitors parking
 Ambulance parking
 Differently abled parking
 Wheel chair/Stretcher Alcove
 Lift / Staircase lobby
 Servant’s / Drivers’ Room + toilet
 Maintenance room / Store
 Staff cafeteria
 Staff locker/change/toilet

SERVICES

 Sewage treatment plant

 Sullage water tank
 Raw water sump
 Treated water sump
 Fire sump
  Water treatment plant
 Pump room
 Overhead water tank
 Rain water collection sump
 Gas bank
 Transformer yard/Room
 Electrical room
 UPS room
 Generator room
 BMS room
 Diesel yard
 AC Plant
 AHU
 FPS room
 Refuge area
 Assembly point

 Medical Oxygen plant

 Manifold room
 Compressed Air plant
 Bio medical store
 Maintenance room
 Boiler room
 Solar water heater
 Solar harvesting system
 Visitor/patient lift
 Stretcher lift
 Service lift
 Dumb waiter
 Garbage chute
 Garbage sorting/disposal
 Housekeeping storage

DESIGN STAGES:

STAGE 1 : LITERARY SURVEY

A detailed study of the space requirements of a condominium building
is to be done with respect to anthropometrics, circulation and
activities.
The Development control rules laid down by the Chennai Metropolitan
Development Authorities with regard to low rise apartment building to
be studied in detail
STAGE 2: CASE STUDIES
Similar examples from books, internet and live examples to be studied
in detailed with conformance to the literary survey done.
STAGE 3: SITE ANALYSIS
A detailed analysis of the on site and off site features of the site to be
carried out. Climate analysis, Soil analysis, Slope analysis and analysis
of services existing in the site to be done. The scope for development
on the site to be discussed in detail.
STAGE 4: CONCEPT
Conceptual drawings in the form of ,plans, elevation and sections to
explain zoning, relation between built and open spaces and massing
and sketches to vividly explain the design ideas to be provided along
with a mandatory conceptual physical model for explanation.
STAGE 5: SCHEME
Schematic double line drawings with
 Site plan showing all features on site, built up space and open
space, parking, sump, motor room, rain water harvesting system,
landscape, entry, exit, etc.
 All floor plans indicating all fenestrations, service ducts, and
common areas
 Elevations
 Sections
 Views
STAGE 6: PRESENTATION
Drawings required:
1. Site plan showing all features on site, built up space and open
space, parking, landscape, entry, exit, etc. to a scale of 1: 300
2. All floor plans indicating all levels, fenestrations, service ducts,
and common areas and interior layouts to a scale of 1:100
3. All side elevations to a scale of 1:100
4. Minimum 2 sections to a scale of 1:100
5. Exterior and Interior views/ sketches wherever required for
design detailing
6. Physical Model of required scale

LIST OF DELIVERABLES:

The sheet size should not be less than A2.

 Conceptual drawings for design – Butter Sheet/A2

sheet
 Detailed site plan
 All floor plans with detailed furniture layout.
 Sections – minimum 2 (one through fire escape stair)
 Elevations – minimum 2
 Perspective Views
 Other Details specific to individual design
 Building model with site/ Perspective view at human
eye level