Steps to planning of medical equipment

Currently establishing a hospital, a clinic or a health center represents a great challenge, whether it is a public or private institution, and it is clear that the hospital demand is higher than the supply that exists today in many parts of the world. That is why, from the beginning, it must be planned, designed, built and equipped quickly and efficiently in order to start operations as soon as possible and without setbacks. Success, therefore, depends, among other factors, on the balance and combination achieved in the approach to the needs and experience of patients, the use of state-of-the-art technology, and adherence to budgets and delivery times of the different stages of construction and equipment.

And once the hospital is finished and already in operation, it is not enough to have the best design, the most advanced technology, and the most renowned doctors so that it works as it should be. For this purpose, hospital planning and administration are also of vital importance, since a modern hospital plays important roles not only in the care of its patients, but is also a major part of both public health and social welfare programs, and of some way also has great influence on the process of development of the economy.

Do you know how to consider hospital electrical installations in the planning of medical equipment for your health center?

The health care equipment planners plays a vital role in planning of medical equipment for the successful renovation of a hospital space. It is done in order to optimize the care provided to their patients at the lowest possible cost.

Best Services of hospital designers & planners

The key to the successful design and planning of the process of building a new space in a health center, regardless of its size, includes the incorporation of appropriate medical technology along with consideration of the following factors:

  • The strategic vision of the organization.
  • Trends in medical equipment technology.
  • Operational requirements and clinical needs.
  • Patient and staff safety.

Taking this into account, the following are the three milestones of the planning of medical teams during the construction phase of health facilities:

Preliminary evaluation of the budget for financial approval

The medical equipment planner determines a budget figure based on spatial planning, preliminary discussion and project expectations. This data is incorporated into the survey and visual drawings of the project and presented appropriately to the hospital center for approval.

Delivery of design documents

Once the management approval has been obtained, the list of medical equipment to be installed must be presented and discussed with the architectural design and engineering departments.

This process is not always so simple since it can happen that the coordination of designs is delayed in the decision-making process in a determined medical team.

It is in this phase where hospital planners and medical equipment consultants plays a fundamental role in providing detailed information to the project management on the needs and potential electrical risks of the equipment to be installed, as well as observations to be taken into consideration at the time of construction.

Final equipment selection and closure of the planning

After the technical planning phase, an open meeting is held in which all the parties present discuss any unfinished business and select the medical teams, taking into account the installation requirements and their benefits.

The participation of engineers and architects specialized in hospital infrastructure is fundamental for the success of the project, since these are the technical support of the project management for making decisions regarding profitability and satisfaction of operational objectives for the health center.

Architecture for Health: Buildings that Heal

“The whole is better than the amount of its portions”; thus Aristotle abridged the bases of holism. It is about examining and considerate the systems as a combined and worldwide set that is, in short, going to establish the behavior of its diverse parts. But he does not believe that this “everything” is only a sum of its parts, but that the synergies between them achieve a much more complex system.

As such, architecture can, therefore, be integrated into a holistic system that tries to respond to different needs of the human being from different perspectives; but today, we want to highlight the concrete relationship of hospital architecture with holistic architecture. In this sense and from the point of view of psychology, Abraham Maslow already spoke of the satisfaction of the needs of his pyramid (physiological, security, social, recognition and self-realization) to achieve complete health, from the point of view of mental, emotional, physical and spiritual view.

Currently, medicine tends to be a holistic discipline, according to which the individual should be treated as a whole and provided with comprehensive health care related to physiology, biochemistry, nutrition, exercise, social relationships and also the habitat. Therefore, today, architecturally speaking, we tend to subscribe to this holistic commitment to health, seeking better visual and spatial quality and greater readability of hospital buildings that may be beneficial for patients.

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Healthcare architecture firms in India firmly trust that curing is possible, in part, through space. To attain an adequate space, we take into account the machinery that will be available, and we always seek the integration of natural light, chromatic and natural and green spaces, both inside the building and around it. The goal is always to improve user comfort. A good sanitary building is one in which the user feels that he is receiving the necessary care without perceiving that he is in a sanitary building”.

Once inside, the chromatic game that welcomes the patient will accompany him through the clinic, identifying each color with a specialty.

For us, scale, light or ventilation are basic elements, but in the well-being of a patient comfort and beauty are also fundamental. For a hospital to have the ability to heal it must be properly organized in architectural terms, but also, as we mentioned before, to be comfortable and to overcome the feeling of confinement that these buildings often cause.

From students, young aspiring architects are intimidated by their teachers when dealing with complex issues, such as prisons, social housing, and hospitals. More seductive are museums, theaters, and cultural centers, where the “artist” can give free rein to their creativity.

Buildings related to health, on the other hand, are among the most complex and technified, since their facilities, networks, special equipment, and spatial relationships must respond to precise requirements and to a host of restrictions that limit, or at least relegate to the background, the expressive value of the work.

However, the rejection that provokes this type of hospital space planning design rests fundamentally on the fear of the unknown and on simple prejudice. Beauty, in this case, is in the right way to respond to the problem; in contributing to the recovery of the patient.

On the other hand, it has been the same hospital architecture that has forgotten its user, in its human dimension, allowing machinist efficiency and procedural asepsis, end up eclipsing those fundamental aspects in the care of a patient, as is its assessment as an individual.

PACS system: differences between digital and conventional radiography

The X-ray scans are part of the routine of Health organizations, facilitating the diagnosis and monitoring of numerous diseases. The progress of digital radiography, through the PACS system  (Picture Archiving and Communication System), has changed the way Health professionals have access to the images, which are available at the moment in which the procedure is done, speeding up the preparation of the medical report and the routine of assistance. With the cloud computing allied to the model, the results are arranged where they are needed – in the office computer, in the operating room tablet or the doctor’s smartphone.

The digital radiography is based on the same principles of X-ray emission and its interaction with the human organism as conventional. The main difference between them is like the rays that pass through the matter that will be captured and processed to generate the image. In the traditional, radiographic plates are used that go through revelation. Already in direct digital radiography, X-rays are obtained by a circuit board sensitive to radiation, which generates a digital image and sends it to the computer in the form of electrical signals.

The test is accessed, processed and stored by PACS, which can be connected directly to the Patient Electronic Health Record (PEHP). In the indirect digital, the rays are captured by a phosphor plate that needs to be digitized for the image to be transmitted to the computer. Since then, it can be processed and destined for the most different premises, in the same way as direct radiography.

With this, one of the main disadvantages of conventional radiology is eliminated: the process of revealing the radiography. This stage generates toxic substances that pollute the environment. The proper radiography that was discarded over the years contributed to the generation of garbage. However, the disclosure process is done at least one hour, in the digital system the image is generated in seconds, optimizing the entire production process of the medical report. In addition to the advantages of top healthcare consulting firms in India, there is no need for extensive paper files to store conventionally printed exams.

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More details

Another difference between the two types of examination is in the quality of the images. In conventional radiography, the emission of the exact amount of radiation is necessary.  An error in the dose can generate a much or little-contrasted image, which will not allow the identification of injuries with security. Same with the perfect technique, considering that the sharpness and contrast of conventional radiography are naturally lower, the patient is exposed to a higher amount of radiation than in the case of digital radiography so that an image of the same quality is produced.

The image processed by PACS has more sharpness, contrast, details, and differentiation of densities than conventional radiography, which optimizes the diagnosis and monitoring of diseases. As it is immediately generated in the computer, it can be quickly sent to the radiologist. That professional then issues the medical report for a remote specialist or for the doctor responsible for the patient who can already diagnose and initiate the appropriate treatment, thus providing greater agility and efficiency throughout the care process.

The hospital consultancy services in India optimizes the processing of the image in the computer, which allows the adjustment of the contrast, the equalization by histogram and even the subtraction of images to favor the identification of injuries.

Hospital cost accounting

To overcome cost management, we must first pay attention to Health Management, that is, plan actions before directing resources and effort, which will avoid wasting energy, time and, mainly, money.  You can check the lack of planning through details, such as the lack of sustainability in the collection and storage of data, with each sector using different systems and without integration. This hinders the integral vision of the processes related to assistance and, consequently, widens the risk of rejection, which generates prejudice.

To avoid this unforeseen, it is necessary to invest in health IT solutions aimed at the optimization of cost management.

A management system (Enterprise Resource Planning – ERP), for example, unites all areas of the hospital, which automates and integrates processes. The technology reduces the mechanical tasks of the financial and accounting professionals, arranging them to reinforce the planning and the audit process of the accounts. Also, the tool integrates the information, which will avoid misinterpretations, errors of accounting records and divergences in billing that will lead to rejection.

But, for the management system to present these results, each process executed in the institution must be mapped and administered.

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Balance

The excellent management of hospital consultancy services in Delhi requires that attention is paid to the costs and supply of supplies, medicines and other essential items for the system. Thus, it is necessary to know the demand to make purchases intelligently. This will avoid two situations that can cause damage to the patient’s care:

  1. The absence of a first item for the provision of the service.
  2. The loss of materials due to expiration. These cause damage and compromise the operation of the hospital.

The ERP that controls the costs also acts in the intelligent management of the hospital warehouse, adding the processes of the pharmacy to those of the purchasing sector. The tool is supplied daily with the data that was generated in the patient’s care and visualizes, automatically, when, what is needed to buy and the quantity – what creates immediate reactions.

With this systemic and integrated vision, it becomes simpler to identify the errors that must be corrected to avoid financial problems. In this way, the institution guarantees long-term sustainability and remains far from the list of hospitals that need to wax their insolvency activities.

Expenses and revenues recognized in cost accounting are based on general accounting. Hospital cost accounting is, therefore, based on the principles of accounting standards, to produce regular and honest information.

Know the costs

The first objective is to know the costs and revenues of the various functions involved in the production of care, whether clinical, medical-technical or administrative functions.

Optimize management control

The cost accounting must allow management control to provide forward-looking information with the results of the cost accounting.

Facilitate management

Cost Accounting hospital consultancy in India provides information to management in order to facilitate appropriate decision-making.

 

7 strategies to reduce the average stay in the hospital

When the subject is the number of days of hospitalization, not always “more” means “better. Thinking about strategies to manage the average permanence is essential to maintain the financial balance of the hospital and the quality of care, which guarantees patient safety.

Managing rooms efficiently and quickly are a direct indicator of hospital performance. It reflects a reduction in costs, optimization of processes and a reduction in the rate of infections and other adverse events. In a connected system, the doctor has online access to the results of exams and additional information and, thus, expedites the discharge. At the same time, the cleaning team receives the availability information of the room and organizes it much faster for the next hospitalization.

Know seven strategies to reduce the average permanence:

1- Control of the flow of the patient in the period of hospitalization- Decreases the unnecessary time of substantial assets of an institution, such as surgical center, hospital beds and Intensive Care Unit (ICU). The management depends on the healthcare consulting firms in India– doctors, nurses and administrative leaders- for more collaborative action, storage, and analysis of patient data from their entry into the emergency room to post-surgery, for example. It is also related to the use of devices that facilitate the routing of exams, prescription of medications and other stages necessary for health support.

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2- De-capitalization- Patients in treatment and recovery or those who need to undergo simple surgical procedures can be sent to a day hospital or be treated in the home care system, which avoids unnecessary hospitalization and provides space for critical care and emergencies

3- Online access to test results- With the implementation of internal collaboration and communication platforms, the doctor enjoys a consultation tool to access patient information and initiate the discharge process with more ease and agility.

4- Prescription and electronic clinical record-The report makes up an essential part of the Electronic Patient Clinical Record, a system that stores the individual’s history, including treatments, exams and prescriptions already made; that facilitates medical attention and the correct diagnosis.

5 – Extension of surgical procedures by robotics and arthroscopy- Accompanies the development of less invasive and more precise surgical techniques and methods, which allows rapid recovery to the patient.

6 – Reduction of the time of permanence- With the adoption of various process improvements, automation, and use of less invasive options and training of the medical and nursing team, the patient stays less time in the hospital. There is also the possibility of carrying out the transfer of chronic and long-term patients for home care.

7 – Implementation of clinical protocols- These instruments help professionals in decision making – be they simple or complex – that demand clinical paradigms and reliable theoretical subsidies, and streamline the entire assistance process.

With strategies that align management and hospital consultancy services, the time of hospitalizations is reduced, but there is more intelligence in the use of resources and less risk to the patient.

How Should a Strategic Hospital Plan Be?

The impact of the current economic crisis strongly affected own health. Failure to pay state securities (through public agreements), increase in medical glosses, delays in payments by health plan operators: the environment of uncertainty in the sector is evidence of the importance of having hospital consultancy services. It is possible to prepare the institution for the future, identifying potential obstacles and making the necessary adaptations to neutralize threats and take advantage of opportunities.

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The problem is that most of the managers of the segment do not know how efficient planning should be, or make wrong decisions, cut investments where they cannot, do not maintain excellent communication with employees about the mission of the company. Then, thinking about those difficulties, we elaborated the information of today to clarify the functioning of that process.

What is strategic hospital planning?

Strategic planning is a corporate process created to facilitate the reach of the desired situation in the future, through studies to diagnose critical factors that may impede the growth of the company. The aim is to establish a path that must be followed in a long-term systemic manner, designed to strengthen the organization with the ability to interact better with external factors.

In this way, it is possible to adapt to any scenario reducing uncertainties. It is straightforward: hospital planners and medical equipment consultants are a compass oriented towards the future, serving to communicate to employees, patients and investors its mission (the company’s differential in the market), vision (what the company wants to be in the future). ) and its values (principles that direct the decisions of the organization).

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How is this process structured?

Hospital strategic planning is usually structured in stages: Vital diagnosis

At that stage, we must seek to answer the question: in what position is my hospital about the market? And to facilitate the analysis, the phase can be divided into:

  • Identification of the vision
  • Identification of the values
  • Internal and external analysis
  • Competition analysis

The mission of the institution

At that time, you already know where you want your hospital to arrive, but you may not know where you are now. Here you can define the reason for the existence of the institution, a stage that can be divided as follows:

  • Definition of the mission of the hospital: What is the difference between your hospital and the others?
  • Establishment of current and potential purposes: description of the action segments in which the hospital acts or intends to operate.
  • Elaboration and debate of scenarios: design of situations that can describe what will happen with the institution in the future- created using physical techniques (projections of socioeconomic data, census data, for example) or subjective (opinions of hospital space planners in the sector).
  • Development of the strategic position: formulation of the most appropriate strategies for the hospital to achieve its purposes, since respecting the results of the SWOT analysis previously carried out.
  • Definition of macro strategy and macro policies: guidelines or general actions that the institution must follow to achieve its objectives.

Quantitative and prescriptive instruments

The time has come to transform the mission into objectives, challenges, goals, and indicators so that everything that must be done to make the hospital a reference becomes concrete.

Hospital Design is the Most Important Part of Hospital Consulting Planning

Gone are the days when people used to associate hospitals simply with doctor’s reputation. Nowadays, people want everything including well equipped laboratories, qualified doctors, online availability of the hospital, as well as properly planned space.

Our impression of hospital decoration design in the past was often associated with the feeling of “overcrowding,” “disorderly” and “poor direction.” The occurrence of these conditions was related to the planned economy and development of our country at the time. With the development of science and technology and the continuous improvement of medical standards, people have set higher requirements for the hospital environment.

At the same time, the old hospital environment can no longer meet the requirements of modern medicine, and it is urgent to improve the hospital’s beautiful design environment. Creating a good and comfortable environment has become the focus of hospital designers & planners. The following are discussed separately from the overall plan.

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As we all know, hospitals should have a relatively quiet surrounding environment, but many hospitals are decorated and designed in the bustling and prosperous areas of the city. The atmosphere of a hospital is, to a large extent, dependent on the merits of the overall plan. Therefore, its floorplan is particularly important. The overall plan includes two aspects. The first is the coordination between the hospital and the surrounding urban environment, that is, the logical layout of various streamlines and controls (the layout of the environment inside and outside the hospital); the second is a good combination of different functional areas within the hospital.

The traffic flow line in hospital decoration design is more complicated, including the flow of people, logistics, traffic, and pollution. Among them, the flow of people includes the streamline of the staff and the streamline of the patient. The streamline of the hospital is inextricably linked with the hospital process. It is a combination of hospital management and hospital decoration design. These streamlines should be both simple and neat, but also avoid crossing each other.

Hospital decoration design is a complex public building in civil construction. With the development of the times and the advancement of science and technology, the old hospital buildings have not adapted to the new requirements of modern clinical medicine for the diagnosis and treatment environment. The internal layout of the hospital building gradually formed a reasonable and effective overall direction for each functional department (outpatient, ward, and medical technology).

In short, the overall planning of the hospital’s decorative design is related to the pros and cons of the hospital’s environmental space. Hospital space planners know the ins and outs of the industry and they work as a consultant of your brand by creating a space that not only suits the needs of patients but also fits in your pocket.