10 Keys for an Architecturally Curative Hospital

Therapeutic gardens, natural light, clear and understandable signs, etc. are some of the challenges that help cure the sick.

The disease generates feelings of vulnerability and loneliness. Whether you are a patient, a friend or a family member, the experience of visiting a hospital often causes stress and anxiety. The certainty that hospital project consultants in India can contribute positively to the healing process is increasingly necessary.

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DESIGN CHALLENGES FOR A HOSPITAL TO HELP HEAL

  1. – Clear and direct signaling. To help patients, companions, doctors and workers to find what they are looking for intuitively, avoiding detours and wasting time. “A healthy building needs healthy circulation,” says the architect, and in fact, the flow of circulation not only calms but can save lives.

2.- Temperature, lighting, air quality … Each of these elements designed to promote an optimal environment in the hospital should help in the recovery of the patient and this is achieved by fostering a space of refuge and safety, including a selective relationship of the most suitable materials.

  1. – Modular designs. They can reduce costs and deadlines, while environmentally friendly strategies can help hospitals remain sustainable and self-sufficient in the long term.
  2. – Balance between the technological and the physical. On the one hand, health care techniques are increasingly advanced and innovative. On the other hand, a change in the doctor-patient relationship means that patients now have more power than ever before. Hospitals must provide an infrastructure that promotes collaboration between technology, doctors and patients.
  3. – Therapeutic gardens. They are used to improve the quality of indoor and outdoor spaces, which reduces stress and has a direct benefit in patient recovery. In addition, sustainable materials and renewable energy strategies are protagonists in our environmentally responsible approach.
  4. – Soothing acoustics. The perception of a hospital as a refuge is achieved through meticulous attention to detail and decomposition into smaller and more accessible parts when talking about large buildings. Thus, both the hospital and its facilities will be integrated into its environment.
  5. – Maximize natural light and choose colors carefully. A comforting and humane structure must be followed to ensure that patients who remain in the hospital feel at home and do not feel the anxiety that often causes the size and design of a center with these characteristics.
  6. – Flexible designs. Hospitals are buildings subject to constant changes, so they need to be able to respond quickly and efficiently to changing demands, both from the healthcare world and from the patients themselves. The flexibility provided by hospital designers & planners allows anticipating future needs ensuring that hospitals of the present are built to last.
  7. – Delivery in time and budget. Because hospitals face enormous economic demands for their resources and capacities, in a hospital project – which depends largely on public funds – it is important that it be delivered under the parameters initially stipulated.
  8. – Diversity of needs. In addition to patients and their visitors, a hospital hosts the daily work of a wide diversity of employees. The architect must design a hospital that works without problems for all of them.

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.

 

Hospital Planning Will No Longer Be Based Mainly on the Number of Beds

The first question that health authorities often ask about hospitals is, “How many beds do you have?” Traditionally, this indicator has been one of the most iconic units of measurement of health planning and one of the most emblematic resources in the psychology of patients.

However, the hospital bed will no longer be such a significant point of reference. This is because of the convergence of factors that intensify and have generated changes in the organization of health systems and the role of hospitals within them.

Hospitals face new challenges

The primary factor in the midst of these new trends is the demographic and epidemiological transition – older populations and a higher burden of chronic diseases and multiple pathologist. This generates a growing demand for services in a general context of secured financing. Also, the pressure on health spending intensifies due to the high inflation rates in the sector, the new high-cost technologies, and the inefficiencies of the systems historically oriented to pay attention to acute conditions in the face of the wave of synchronicity.

The patients themselves have also transformed the way hospital consultancy services in India work. They are increasingly better informed about health, are more proactive in the management of their conditions and have higher expectations about the quality of services. Likewise, information and communication technologies allow new ways of interaction between health personnel and patients, as well as the spatial configuration of services.

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To survive, adaptation is mandatory

There are several ways in which hospitals are responding to this new reality, among which the following stand out:

– Articulation of hospitals in integrated networks of diversified services. Advances in medical technology associated with outpatient surgery and hospital consultancy services (in oncology, for example), the predominance of the chronic patient, and the development of information and communication technologies (ICT) make it possible to transfer services outside the hospital, through tel monitoring recovery and home hospitalization, remote consultations, and medicine.

Also, complementary health services are being configured, such as long-term intermediate care for subacute patients, which seek to reduce the risk of acquired infections in hospitals and use beds efficiently. To adequately care for chronic patients with multiple pathologist, greater continuity of care, multidisciplinary, integration with social health services and strengthened primary care are required.

– Specialization of the offer. The traditional model of the general hospital with a portfolio of similar services has proved unviable in many countries. Therefore, it is increasingly common to find hospitals with a particular focus to increase patient volumes to optimize quality and reduce unit costs. This phenomenon, together with the departure of non-acute patients to secondary health services, is resulting in hospitals that concentrate a higher proportion of complex cases and require more sophisticated medical-surgical interventions.

Consequently, in some countries, there is a reduction in the number of beds for acute patients and also a shorter average stay, associated with the perfection of medical technologies.

– New collaboration and contracting relationships. Hospitals traditionally operated entirely autonomously; however, it is more efficient to structure some independent services that can serve multiple providers. Diagnostic imaging and laboratory, for example, were the first to use this model, maximizing the productivity of technology and human resources of high cost and limited, which could hardly be absorbed by a single entity. Likewise, different providers are integrating clinical services through the creation of unique teams, the exchange or rotation of professionals and residents, the adoption of standard protocols, the joint accounting of production, and the use of ICT.

Standards for Hospital Certification

Through the certification of ISO standards, it is intended to guarantee compliance with a series of internationally recognized requirements and good practices on different aspects, such as quality, risk and safety management, and the environment or social responsibility, among others. However, these are not the only certificates that exist nationally and internationally, although they are some of the most recognized.

The certification of hospitals is the process through which the work of this type of centers is recognized according to the requirements established in the regulations of the hospital sector. These requirements are called standards and are those that set the level of quality of the health care service.

When a hospital is certified by the authorities of the sector, it means that it satisfactorily fulfills issues such as security and patient care, optimal resources, hospital safety and social welfare. But the certification of hospital services is not the same as that of any product circulating in a given market. What, then, are the scales to measure the quality of said services? How are they established? How can top hospital consulting firms in India help you?

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Types of hospital care standards

To make the audit work easier, the top hospital consultants in India responsible for the hospital certification process have established two types of standards: some focused on patient safety and others related to the management of the centers.

  1. PATIENT SAFETY:

Access to the attention and continuity of it. These are the minimum elements that a hospital center must have to provide its services. A center that does not guarantee access to it or the continuity of treatments cannot exercise quality medical work.

Rights of the patient and the family. The centers must carry out their work within the framework of dignity, respect, good treatment and the right to privacy.

Evaluation of patients. Likewise, medical diagnoses must be efficient and timely. The evolution of the cases depends on them.

Anesthesia and surgical care. It is one of the hospital services that require more rigor and attention. In general, the centers specialized in this type of intervention have an added value.

Management and use of medications. The responsibility of the treatments and the level of the opportunity of each of them is valued.

Education of the patient and his family. That is the work of accompaniment, advice, and help during medical processes or treatments. In this section, the psychological orientation can be derived from the hospital service.

  1. MANAGEMENT OF THE CENTERS:

Management of communication and information. Those responsible for hospital centers must know when to issue certain messages and when not. In this aspect, clarity, opportunity, and truth must prevail.

Prevention and control of infections. Hospital centers must be clean places and where health conditions are guaranteed.

Government, leadership, and direction. The positioning of hospitals depends, to a large extent, on those in charge of their management. The decisions taken from the managerial level will influence the progress and prestige of the centers.

Security of the facilities. Anything that happens in a hospital must be properly identified and regulated by internal regulations.

Training and education of the personnel. It is essential that the personnel that is part of the hospital centers be updated not only in the specific topics of their exercise but also in others such as training in values, human rights, attention to the public, teamwork, risks professionals, etc.

Safe and Quality Patient Care Through Management Process

The management of hospital processes broadens the view of managers about the functioning of health organizations. Through this, you can map all the activities that each employee of the institution develops – from the assistance to the back office -, in addition to monitoring the performance of that work (if it complies with the established standards.). It is about seeing the whole without forgetting the responsibility of each one in the performance of his functions.

Technology can facilitate the implementation of process management since both the methodology and its objective are understood. The concept directs management practices through control and planning actions, in addition to evaluation and review, to focus on the achievement of goals and also in the reduction of errors that may affect the operation of the hospital and impact on patient care.

The implementation of healthcare management consulting in India promotes various changes in the health organization, from identifying opportunities, defining investments in certain areas to reducing costs and storage, increasing production capacity and reducing response time.

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Having access to this global vision of hospital processes enables the manager to identify what needs more attention at that time and, thus, optimize the execution of work – that directly reflects patient satisfaction. However, for this, it is necessary that employees understand their role in each process, and understand how errors and complications affect the functioning of the organization.

Therefore, it is essential that the hospital project consultants in India encompasses all the hospital equipment, which should be trained and involved in the fulfillment of the activities by the established goals.

Essential technologies

Technology can be seen as aligned with the implementation of hospital process management, since it has the potential to streamline and optimize access to data, and organizes them in a systematic way only on one platform. In particular, four computerized systems are essential for organizations that wish to computerize the practice of the methodology.

The first is the Enterprise Resource Planning (ERP), a system that concentrates all the necessary information for the monitoring of the hospital’s processes in one place and, thus, allows quick and easy access to the data.

Already the Patient Electronic Health Record (PEP) compiles the care history of each, and includes the specialists who attended him, the tests he performed, prescription drugs, among others. It also has the potential to optimize the verification of data in healthcare processes, which facilitates the identification of complications and correction of courses.

The finance and billing systems – which can integrate the ERP – are also technological tools that can be used to support process management. They help directly control the activities carried out in the hospital and, by concentrating the data in the same place, help to locate errors that can compromise the financial balance of the health organization.

Finally, the fourth and last essential technology for process management are the supply management systems, which act directly in the control of the dispensing of medicines and other materials, which avoids shortages or expiration of medicines.

It is important to remember that, for the full use of technologies, it is essential – again – to involve and train all employees of the institution. Without the correct complement of the digitized data in the systems – by physicians, nurses and others related to both assistance and other hospital activities – the ability to optimize process management is lost.

Regardless of the technologies chosen, process management has the potential to organize routines and help the hospital balance the quality of attention to the finite resources of health organizations.

How Hospitals Benefit From Innovative Hospital Management

Today, healthcare providers face more and more competitors, increased cost pressures, a growing number of elderly and chronically ill patients, and changing regulatory and quality requirements.

Healthcare reform is promoting a trend from mass to value-based healthcare with new “network” delivery models and more seamless transitions between care settings such as hospitals, outpatients, and home care. In this highly competitive and cost-intensive environment, running a hospital is particularly complex. It requires more transparency regarding quality and cost parameters to enable data-driven decision-making and process innovation.

It’s not an easy task to improve the quality/cost equation: hospitals need a lot of energy and have the infrastructure with the highest fixed costs- and many have built-in inefficiencies.

What can facility managers do?

Hospital consultancy services perform a crucial role in the transition. Improved facility management can deliver significant value, and there are challenges in many areas such as resource, service, space, and energy and quality management. Facility managers focused primarily on service delivery should improve collaboration and align strategies with technical leaders to ensure that “soft” and “hard” facility management sizes are well integrated.

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Here are some ways hospital project consultants in India can improve their company’s performance:

  • Ensure that buildings are up to date and work efficiently
  • Track essential assets and medical equipment in real time
  • Switching from reactive to preventive maintenance to minimize risk and optimize lifelong equipment costs
  • Converting fixed plans and deadlines for service provision to usage-based facility management and predictive clean-up
  • Support the accreditation of the hospital (e.g., by meeting the requirements for permanent access to the object site with linked status and maintenance history)
  • Presenting a quality image to attract patients and medical staff (the best doctors are expecting the best facilities)
  • Gain insight into land use, allocate available land and area requirements, optimize m2 usage, and support relocations
  • Improve energy efficiency and reduce waste
  • Increasing the comfort of patients and visitors (e.g., parking, signage, climate control)
  • Monitor, ensure and record the quality

Best Practice Processes and Software Support

Existing processes must be explored throughout the facility to accommodate new requirements and become more efficient. The need to align with best practices and to be cost-effective is even more significant in cases of mergers and an enlargement of the institution. Integrated FM software can help drive standardization and can generate data for better insights into performance. In healthcare facilities, FMs should focus on best processes that meet regulatory and accreditation requirements.

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IoT technology and usage data

New and affordable smart building technologies enable FMs to improve operations based on actual on-site values. From signage on the property to ample parking for visitors, to user-friendly cleaning through clicks on bathrooms, many imaginative healthcare scenarios can be used. Technological advances are turning the entire healthcare industry around.

Sensor-collected data (big data) can also be integrated with traditional data from facility management software and other data sources, providing great potential for reducing costs and improving the user experience. Facility management will follow suit and benefit from the possibility of new technologies to become even more powerful.

Hospital Consultant and Their Power

The hospital sector is characterized by increasing economic pressure. So the costs rise more than the revenues; there is overcapacity in the stationary market, and the investments of the countries in the hospitals are not sufficient. As a result, a significant proportion of hospitals make annual losses.

Hospitals need to address this market pressure with professionalization in all clinical and non-clinical areas, often withholding non-existent best practice knowledge externally. In some cases, cross-organizational cooperation and strategy adjustments are necessary.

A hospital management consulting company helps to develop and implement necessary measures at the following levels.

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Strategy: As a rule, the projects are based on an analysis of the organization, the market, the competitors as well as the financial situation of the hospital. For the derivation of strategic actions, the medical service portfolio and the organizational framework conditions are critically analyzed. Taking account of customer requirements, either a reorganization plan is developed, or the potential for a joint venture is determined.

Operational: Improvement of operational leadership to meet the current challenges of the market and increase profits. Also, potentials for the reduction of material costs in procurement will be determined (economies of scale). All operational measures identified in Potential Analysis can then be realized by a project management office.

Management of medical offices

Ambulatory medicine, anti-doping, laboratory and cabinet, preventive occupational health, first aid brigades, health outsourcing.

Physicians: Medical and nursing services in the facilities of companies/institutions. Temporary and permanent health seminars for organizations and the government sector. Immunization campaigns (vaccination). Anti-doping tests with chains of custody endorsed by the Ministry of Public Security. Preparation of Occupational Health programs. Preparation of initial and periodic medical examinations. Attention to general health problems. Training in health, safety, first aid brigades. Support for safety in ergonomic evaluations. Occupational health advice. Preparation of preventive programs. Attention and assessment of professional risks.

Clinical analysis- Laboratory and Cabinet. Mobile Medical Unit: Spirometry, Audiometry, Electrocardiogram, X-ray, Sampling.

Remote assistance service Pulses

Telecare service 24 hours a day. Medical guidance, psychological counseling. Emergency care. Reminders of taking medications, reminders of medical appointments, preparation of the electronic clinical record, monitoring of clinical data, glucose, blood pressure, etc. Emotional, social, and family assistance. Scheduled medical visits.

Other external services

Messenger service. Communication management Comprehensive management of institutional events. Telephone exchange, personnel management, and maintenance.

Demand for growing care and declining public budgets. An optimization of the operation of the hospital sector is essential with the help of hospital consultancy in India.