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Healthcare

I. Facilities Planning
- The business of health care facility design is all about the future. We cannot plan
well simply to correct todays facility shortcomings. In dealing with the future of
health care, the future of technology is critical.
- It is very difficult to predict facility requirements for health services. Some facilities
have little more than a well-supplied first aid kit, while other facilities have small
hospital. Therefore, local building codes should be checked in establishing a
facilitys requirements.
- The facilities planner should check the firms operating procedure to determine
what types of services are to be offered and what health services staff is to be
housed within the facility.
- Good hospital design integrates functional requirements with the human needs
and safety aspects of its varied users.
- Hospital building must be based on multiple factors besides cost, such as safety
for patients, hygiene, building health, environmental protection, sound isolation,
energy saving, durability and utilization rate, choice of construction material,
margin for contingencies like floods, fire, earthquakes.

Hospital Facilities
Planning

Hospital Hospital
Location Design

Hospital
Hospital Patient Handling
Facility
Layout Physician Handling
System Personnel
Handling
Public Handling
Information
Handling
A. 5 Key Hospital Design Goals
1. Patient-centered care and family as part of the care process, since the
patient is the hospitals reason for being;
2. Efficient operations, clinical safety, optimal functional relationships, value
for money, modern systems, low upkeep requirements
3. Flexibility for expansion and new technology in unexpected ways over long
useful life
4. Sustainable design, reduced energy usage, intense 24 hrs. use and high
occupancy
5. Healing environment include art and hospitality, not just science and
technology
B. Types of Health Services
1. Pre-employment examinations
2. First aid treatment,
3. Major medical treatment,
4. Dental care, and
5. Treatment of illnesses.
C. 5 Types of Hospital Space
1. Inpatient Care
- Inpatient units need fairly direct access to diagnostic and treatment
services, efficient support services access, but should be separated from
ambulatory care areas and back of house support areas.
2. Ambulatory Care
- Fastest area of growth in healthcare services.
- needs convenient access to patient and public services, such as
foodservices, registration, and amenities, but should be apart from inpatient
areas and from back of house support.
3. Diagnostic and Treatment Functions
- Flexible construction and planning for future renovation are most important
in these diagnostic and treatment areas
- Diagnostic and treatment areas should be located generally away from both
public and back of house support areas.
4. Support Services
- Support functions need their own direct access from an industrial loading
dock, well apart from visitor and patient traffic, with good vertical
connections to inpatient and diagnostic and treatment areas.
5. Public Spaces
- Cultural and emotional heart of the hospital
- Public zone should be separated from major treatment functions such as
Emergency and Surgery and from support services.
C. Basic Requirement of a Hospital Facility
- The minimal requirements for a first aid room are an approved first aid kit,
a bed, and two chairs. A minimum of 100 ft2 is required.
- If a nurse is to be employed, the first aid room should have two beds and
should be expanded to 250 ft2.
- 75 ft2 waiting room should be included
- For each additional nurse to be employed, 250 ft2 should be added to the
space requirements for the first aid room
- 25 ft2 should be added to the space requirements for the waiting room.
- If a physician is to be employed on a part-time basis to perform pre-
employment physicals, a 150 ft2 examination room should be provided.
- If physicians are to be employed on a full-time basis the space requirement
should be planned in conjunction with a physician, based on the types of services to
be offered.
- Examination rooms should be adjacent to first aid rooms and close to the
most hazardous task.
- Health services should include toilet facilities and should either be
soundproofed or located in a quiet area of the plant.
D. Phases of Hospital Facilities Planning

Phase 1
Define/redefine
health needs

Phase 2
Phase 3 Specify requirements
Implement Determine
relationships
Maintain and adapt Space requirements
the plan Generate plans
Evaluate plans
Select
E. Atmospheric System Required for Healthcare Services
- Humidity should be held close to 50%
- Humidity level is the optimum for inhibiting the growth of viruses and
bacteria.
F. Electrical System Required for Healthcare Services
- Load requirement for Hospitals is 3000 watts per bed.
G. Restroom Requirements for Healthcare Services
A. For Patients
1. One water closet and one lavatory for each 10 patients
2. One shower or bathtub for each 20 patients.
3. One drinking fountain or equivalent fixture for each 100 patients.
H. What Affects Hospital Design?
1. Societal Change
- Growing population, aging population, lifestyle changes,
2. Development of Medicine and Medical Technology
3. Increasing Health Care Cost
4. Demand for Sustainability
- Site, water, energy, materials, environment quality

Bibliography
Planning Hospitals of the Future by Richard Sprow, AIA
An Overview of Healthcare Facilities Planning by John Michael Currie
International Approaches to the Hospital Planning and Design Process by
Mikael Paatela
DOH Manual Hospital Design
IEENG Facilities Planning and Design Lecture Notes by Dr. Orhan Korhan
Informa Interview - Ian Forbes on Health Facilities Planning by Informa
Australia
UPHSD-LP-COE-PAF-50
18-05-2015-01

Alabang-Zapote Road, Pamplona 3, Las Pias City, Metro Manila 1740, PHILIPPINES
www.perpetualdalta.edu.ph +63(02) 871-06-39

Facilities Planning Report

Healthcare

Submitted by:
Padpad, Ranzel Cloie D.
Vael, Amira Jane F.
BSIE

Engr. Willie Buclatin


Professor
September 2, 2016

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