Project planning

Planning of the healthcare facilities.

Preplanning and preconstruction stages:

Preliminary planning involves detailed analysis of the documentation

supplied by the Customer, building permits and restrictions, medical

tasks, estimated energy requirements and availability in order to

prepare rationale and necessity of the planned construction or

renovation and indicate its investment attractiveness and possible

restrictions that concern listed or historical buildings limitations, social

impacts, sanitary and ecological considerations.

Medical task forms a basis of starting documentation on which the rest

of the project are performed as consists of the selection of major

requirements set forwards by the customer including architectural

concept and medical technology considerations.

Usually, customer only forms the major requirements: staff and

operating hours, numbers of beds, list of departments and their

functional activity.

Development of technal project documentation

Based on the medical task, a medical program is prepared that lists

all necessary, departments and individual rooms taking in to account

minimally accepted areas of all functional units and their spatial

orientation, etc.

This information is used for the following planning steps:

- Appropriate allocation of the departments, diagnostic, treatment,

administrative and support services as well as construction site

planning taking in to account technological requirements, insolation,

normal and emergency services access and possible limitations.

- Rational of the building placement (or building complex placement)on

the site, number of floors, positions of elevators and staircases,

evacuation routes and emergency services access etc.

- Separation of flows within the building and between buildings for

patients, staff, visitors, medical supplies and medical waste etc.

according to local requirements and international recommendations.

- Volume planning and structural planning of the main building and

additional buildings with clear separation of the zones, position of the

departments in accordance to the technological requirements,

insolation requirements and legislative minimums taking in to account

fire safety precautions and construction limitations.

- Preparation of the main lists of technological equipment and furniture

with detailed specifications.

- Based on the experience from the past projects and

recommendations of the professional associations we are able to

suggest typical optimized solutions for various technological problems.

Such lists can be discussed with the Customer's specialist to achieve

tailor made solution, for a specific medical problem.

- Equipment selection in accordance to the planned scope of

procedures and expected loads in accordance to the budgets and in

according to the best price/quality aspect and possibility for further

expansion and development.

- All equipment at this stage is planned with compatible interfaces that

could be integrated in to the medical, laboratory and building

management systems. Selection of the typical tried solutions allows for

easy setup, servicing and maintenance as well as staff training.

- Development of the conceptual position of the equipment and furniture

for approval by the customer's specialists and placement of the

appropriate connections (electrical, low voltage, water and canalization,

medical gases, network, ventilation, etc.)

- Based on the approved position of technological and medical

equipment, detailed technical tasks are prepared for subcontractor

organizations, which are going to perform the installations and

engineering. At this stage technologists calculate expected loads for

electrical, gas, heating, cooling supplies and set out tasks for power

transformers, connection categories, emergency power provision and

uninterrupted power supply capacity.

- This information is combined by a professional medical technologist

who is knowledgeable in the specific field of healthcare project planning.

For engineers and constructors medical technologist supplies the

following information:

- Size and weight parameters of the equipment, necessary openings for

communication and equipment delivery.

- Power consumption and category of connection. Earthing and

potential dissipation.

- Data concerning water consumption and water quality for various

equipment.

- Data on the medical gases supplies for various consumers within the

hospital.

- Data on the heat dissipation by the equipment for the compensation

by the conditioning system. Major requirements for ventilation and

microclimate, air cleanliness including "clean rooms" concept.

- Data on the additional shielding from magnetic fields or sources of

ionizing radiation or sources of noise.

- At the planning stage of the project, equipment and furniture is

selected on the conceptual level in order to identify and approximate

costs and budgets and determine the spatial position of the equipment

and connecting points to evaluate the costs of the construction and

installation of the engineering networks etc.

Detailed equipment specification.

- On the working documentation stage, customer's specialists along

with medical technologists select exact models and options for every

piece of the equipment.

- Finalization of the positions of the equipment with finalized

specifications and identified suppliers.

- After finalization of the equipment lists and specification, finalized

medical technology plans are prepared and all necessary connection

points are finalized. During this stage such issues as inappropriate

placement of equipment or inability to delivery of the equipment to the

planned sites are avoided. All specialized connection and fixtures for

the stationary equipment are foreseen.

Technical tasks for the engineering companies include the

following aspects:

- Weight and size of the equipment

- details on the organization of the channels

, opening and specialized connections;

- Connection points and loads for every media required, as well as

category of the connections and reservation factor with exact spatial

connections;

- Data on the resources and constancy operation and synchronization

factors;

- Characteristics of the expelled medias ( exhaust air volumes,

canalization volumes and temperatures, special canalization for

biohazard of radioactive waste etc.

- Explanatory descriptive note is also prepared, so that subcontractor

engineer are able to grasp the concepts of the construction and

necessary compliance levels.

- Requirements for the architectural and decorative design parameters.