Thesis
Multi Super Speciality Hospital
INSTITUE GOLD MEDAL WINNER &
NATIONAL THESIS COMPETITION FINALIST
The project aims at the extension of the hospital form a 200 bedded multi-super specialty hospital to a 500 bedded hospital focused on the international medical tourists and advanced experimental surgeries. The paper focuses on methods of expansion and comments on the most cost-effective method of expansion in terms of expansion joints, services, space divisions and departmental arrangements taking Metro Heart Institute, Faridabad, India [500 bedded multi-super specialty] as a base and three case studies of hospitals with similar typology and varied extension plans. The paper-based project discusses categorically the efficiency of each extension design parameter and the weight to each while expansion. It discusses the changes in occupancy, spaces and the ancillary areas and suggests more inward open spaces in hospitals as a solution for overbearing extension plans. It also explores the possibility of robotic transportation channels, which automates the delivery channels, a step advanced from the pneumatic tunnels and decreases the service corridor dependancy.
The following were the supervisors of the thesis project. An external jury was additionally appointed. Left to Right.
Ila Gupta [Heaf of Dept. - Architecture - IIT Roorkee] | Gaurav Raheja [Associate Professor for Architecture - IIT Roorkee]
The project aims at the extension of the hospital form a 200 bedded multi-super specialty hospital to a 500 bedded hospital focused on the international medical tourists and advanced experimental surgeries. The paper focuses on methods of expansion and comments on the most cost-effective method of expansion in terms of expansion joints, services, space divisions and departmental arrangements taking Metro Heart Institute, Faridabad, India [500 bedded multi-super specialty] as a base and three case studies of hospitals with similar typology and varied extension plans. The paper discusses categorically the efficiency of each extension design parameter and the weight to each while expansion. It discusses the changes in occupancy, spaces and the ancillary areas and suggests more inward open spaces in hospitals as a solution for the overbearing extension plans.
Metro Heart hospital is located in North Indian city, Faridabad, adjacent to New Delhi. The Linear site is surrounded by roads on all sides and provides an excellent project for analysis of expansion inferences for similar Delhi Hospitals. However, India ranks last in healthcare compared to OECD or BRICS countries and in India bed per 1000 capita is 0.7 beds where the world average is 3 beds. Every year 40% of patients lose all their money, due to costly health facilities. Medical tourism places special demands on hospitals, to upgrade their standards and focus on minimally invasive procedures.
The table below outlines the specifics about all the hospitals including the business model studies, Narayana and Medanta.
1. Fortis Hospital Gurgaon
Fortis hospital presents a unique strategy of expansion where the building infrastructure for 1000 bedded hospital was built in one single phase. The hospital was, however, started with 450 beds and departmental shifts slowly ensure the capacity to reach gradually to 1000 beds. Fortis follows a cyclic circulation pattern, ideal for the OT Floors with patients and staff both, never retracing the path. Staff dining and Laundry present on the ground floor is slowly shifted to the service floor and basement respectively to create space for OPD expansion if needed. On the other hand, entire floors, have been kept away for future expansion which will be converted into wards as the need rises. The perceived benefits are no disturbance at the time of expansion, services can be easily appended and hence prevents losses, the integrity of the structure as one single entity is retained.
2. Max Hospital, Saket
Max Hospital was built in three parts the West, the East, and the south block. Although the West and the South block are completely cohesive from the outside and the inside, the east block is present as a separate entity with a road separating the two blocks. The OPD’s and OT’s are also segregated in a similar manner. Although the massive expansion has been accommodated however at the cost of claustrophobic waiting halls and overcapacity corridors. While on a medicinal level, the OPD do prove to be much better organized than most hospitals due to strict segregation of patients but the OT’s have now been housed separately restricting the possibility of creating a unified interdepartmental OT Complex, which would have reduced the burden on services. The duplication of several services leads to increased overheads and further planning of a Mendicity can increase the fragmentation of the hospital blocks. Max Hospitals provides valuable insight into the considerations to be made while expanding the hospital block by block.
