EQUIPMENT PLANNING
Mr.Mahboob Ali Khan
MHA CPHQ USA HARVARD UNIVERSITY
EQUIPMENT PLANNING
A
Good
equipment
planning
includes careful Attention to fixed
and movable equipments that will
be needed in operations
 The lack of planning will result
 Wastage
of millions of rupees
 Reduced Operational efficiency
 Lower standards of patient care
WHOM RESPONSIBILITY?
 (a)
It is the responsibility of Hospital
consultant (OR Hospital Administrator in
case H. consultant not engaged) to
determine all the items of equipments
necessary, & then write their specification,
recommended bids (tender) & purchase
according
to
hospitals
policy.
(Expendable, non-expendable & capitals
equipments)
 (b) The Architect is responsible for the
Built in equipments.
WHEN
&
IN
WHICH
STAGE
EQUIPMENTS PLANNING IS DONE ?
 (i)
Equipments planning is done
Early in design dev. Stage. This
planning involves.

(a) A series of Meetings of
Medical staff
 HODs &
 Other Staffs

to discuss the needed equipments
(b)
Preparing
Equipment List
Room
by
Room
(c) Review of this list by
 Administrator
 Medical
staff
 Departmental heads
 Another
detailed
Equipments
planning is necessary at final
FURNISING
&
while
actually
EQUIPPING the hospitals
DESIGNING OF EQUIPMENTS
A
set of black line points of working
Drawing (Floor Plans only) should be
secured from Architect and marked
up in advance all Gross equipments
shown to scale & identified
 It is done in designing phase
NATURE
OF EQUIPPING THE HOSPITALS
It
is
an
extensive
and
exhaustive work because it
involves not only the degree but
a variety of technical knowledge.
There
are
innumerable
expandable items, which should
be procured and stoked in
sufficient quantities.
 There
is no preformed procuring system
in the new hospitals (if compared with an
old existing running hospital)
 The
problem is compounded by installing
equipments apart from purchasing them.
Important considerations are Timing of delivery
 Warehousing
 Unpacking
 Assembling
IMPORTED EQUIPMENTS
creates more complex problems like
(a) Needs, approvals and licenses.
(b) Bureaucratic hurdles needed to
be crossed
(c) costly items
(d) Lead time is longer.
(e) Delay can cause losses in
millions.
COSTING
In a Modern General Hospital the
equipping cost is around 40% of
total project cost.
(a)
20%
is
invested
on
mechanical
and
electrical
installations
(b) 20% is invested on medical
equipments
TYPES OF EQUIPMENTS
(a) Built- in Equipments
(b) Depreciable
expandable)
equipments
(c)Non-depreciable
(Expandable)
(d) Capital Equipments
(Non-
equipments
BUILT IN EQUIPMENTS
 It’s
the Architect’s Responsibility
 Included in construction contracts
 List includes
 Cabinets
& counters in
Pharmacy
Laboratory
Other parts of hospitals
 Fixed
kitchen Equipments.
 (lines) & (Channels)
 Elevators
 Dumb waiters
 Sterilizers, Boilers
 Incinerators.
 Air Conditioning/Deep freezers
 Surgical lighting etc
(B) NON-EXPENDABLE EQUIPMENTS
OR Depreciable Equipments
Def: The Equipments that have a life of 5
yrs of > 5 yrs are k/a Non-Expendable
equipments
 These equipments are not purchased
through construction contracts
 These large items of furniture and
Equipments have a reasonable fixed
location in the hospital building but are
capable of being moved
EXAMPLES
OF DEPRECIABLE EQUIPMENTS
(i) Surgical Apparatuses
 (ii) Diagnostic & Therapeutic Equipment
 (iii) Lab & pharmacy Equipment .
 (iv) Office Equipment


Typewriter, Intercoms
Computers/Electronic exchanges
 (v)



General use surgicals
Refrigerator
Physiotherapy equipments
Suction machines
(vi) Diagnostic and Therapeutic
Eqpts. Like
 Sw diathermy, X-Ray machine
 Cutlery, ECG machine
 Respirators, Incubators
 Monitoring Eqpts
 Ultra sound machine
 Respirators
(C) EXPENDABLE (NON-DEPRECIABLE)
EQUIPMENTS




These Equipments have life span < 5 yrs
Recurring in use & low cost equipments.
These equipments are purchased through other than
construction contracts.
Examples are
 Kitchen utensils
 Chinaware
 Table ware
 Surgical instruments
 Catheters
 Linen, sheets, Blankets
 Lamps, Wastebins etc.
PREPARING THE EQUIPMENT LIST
 The
list of expandable and non-expandable
items is prepared by H. consultant & H.
Administrator
 Steps in preparing the list are


(i) consider each Room as a separate Eutily in
the plane
(ii) Make a compressive Room by Room
eqpments
LIST
WITH ADDITIONAL ITEMS REQUIRED
 Detailed
specifications must be given
 During design stage
 Should test the space needed for each item
of the eqpts on the list in drawings
IMPORTANT
Hospital
CONSIDERATION
interest lies in
purchasing minimum needed
Equpts & Hospital consultant
can help in it.
SELECTING
 Selection
THE EQUIPMENTS
of Technical, Scientific and
Medical Eqpts requires careful Analysis of
the needs of each department and
conscientions study that will result in
selection of needed equpts.
 The present day High-tech medical eqpt.
is mind-boggling to even medical experts
that the H. consultant and H. Admi. may
be easily stumped out
 Departmental
heads satisfied with the Type &
should be fully satisfied with the Type &
Quality of eqpt. So they should consulting
before selections of equpts.
 Indiscrimnatory procurements of eqpts. may
be a wastage and liability to the hospital.
TIMING OF PURCHASE, ORDER &
DELIVERY
 Are
exceedingly important
 (i) Delivery Instructions should be keyed
to the building completion schedules
 (ii) H. Adm may ask a central General
store space & adjoining room form
temporary
storage
of
eqpts
from
contractor 6 months before opening & 3
months before completion schedule
 (iii)
These spaces can be used as work center
for equipping operation.
 Time schedule and Performance Agreements
will be helpful in their concern
 If there is Delay in construction, the supplier
should be notified to delay supplies.
 The storage places should be protected from
weather, Theft and damage but should not
obstruct the construction
SYLLABUS
 Preparing
hospitals
eqpts list for the new
(a) Building equipment (In built eqpts)
 (b) Non expendable (Depreciable)
Locally available
Imported
 Expendable equpt (no depreciable)
 Capital equipments – CT scan/MRI

EQUIPMENT PLANNING
Hospitals
planning
include
careful Attention to Fixed and
immovable eqpts that will be
needed in operation
Lack of planning's can involve
 Wastage
of lakhs of rupees
 Reduced operative efficiency &
 Low standards of pt. care
RESPONSIBILITY OF
 It
is the Responsibility of Hospital consultant
(OR H. Administrator in case H. Consultant
not engaged) to determine all the items of
eqpts necessary, write their speciation,
recommend bids & the purchase accerding to
hospital policy. The domains of hospitals
consultant/Adm.
Is
expendable,
non
expandable & capital eqpts.
 The Architect is responsible for the Built in
equipments
WHEN THE PLANNING IS DONE
 First
Equipment planning is dore early in the
design development stage. The planning
involves



(i) A series of meetings medical staff, HODs &
other staff to discuss the needed equpts
(ii) Preparing Room by Room eqpt list
(iii) Review of this list by Administrator medical
& departmental staff.
 Another
detailed equipment planning in
necessary at Actual Furnishing & equipping
the hospital
DESIGNING
A
THE EQUIPMENT
set of black line points of
working drawings (floor plans
only) should be secured from
Architect & market up in
advance, All Gross shown to
seale & identified
Done in Designing phase
NATURE
 It
OF EQUIPPING WORK
is an exhaustive work because it involves
not only degree but a variety of technical
knowledge.
 There are innumerable expendable items
which should be procured & stocked in
sufficient Quantities
 No well procuring system in a new hospital
(c/f purchasing in an running hospital)
 This problem is compounded by timing of
delivery,
ware
housing,
unpacking
Assembling & installing eqpt apart from
purchasing
IMPORTED EQPTS
 Poses
more complex problem
 (a) Needs Approvals & license
 (b) Burecratie hurdles needed to be
crossed
 (c) Costly items
 (d) lead time will be longer
 (e) Delay can cause loss in lakhs
THANK
YOU ALL