Hospital Planning & Designing, Lean Design in Healthcare, Hospital Facility Planning, Shweta Menon.

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Optimize Space with Lean in Hospital Design by Shweta Menon, Acme Consulting.

Designing the Hospital making optimum use of the space available Preparing a Concept Design for the entire Hospital Building in a manner that accommodates all the Departments, Specialties and Services planned and then carry out the Internal Layout and Design for the entire Hospital ensuring the NABH Standards are complied with. Optimizing space usage and minimizing wastage of movement - Patients and Staff by applying LEAN principles.

1. Cost Effective Designing - Traditional Thinking and Lean Thinking.
2. Lean Design in Healthcare is the process of
"Improving care quality, efficiency and patient & staff experience
by eliminating waste, improving productivity and increasing end-user value"
3. Lean Concept - Healthcare Design / Re-Design of Workflow that ensures elimination of wastes in the process thereby resulting in faster delivery of services to Patients.
4. Lean Concept in Hospital Design and Planning. Value, The Value Stream, Flow, Pull, Perfection.
5. Value - Resource Planning, Cost Estimation, Budgeting, Cost Control, Phase Wise Planning, Planning for the future, Cost Saving,
a) Desired Services to provide
b) Set a budget to work with
c) Phase wise distribution of departments
d) Plan for the Future
6. Value - Cost Saving - Construction expense spread across stage and Medical Equipment and interior works related expense also in stages.
7. Value Stream - Identify Value Stream for each type of service.
a) Departments Required
b) Connectivity and proximity between the Departments
8. Value Stream - Cost Saving - Start only with the departments needed. So equip and furnish the hospital facility accordingly. Unnecessary expense on future plans can be avoided. Some departments can be outsourced.
9. Value Flow - Make the Value Flow without interruptions from beginning to end.
a) Unidirectional movement
b) Navigation & Signage
c) Uninterrupted & smooth movement through the facility
10. Value Flow - Cost Saving - Unidirectional movement will prevent spreading of infections thereby avoiding Surgical errors, Hospital Acquired Infections etc.
11. Value Flow - Cost Saving - Visitors should be able to reach their destination without asking for directions. This way extra Staff will not be required for guiding them.
12. Value Flow - Cost Saving - Cramped corridors will restrict smooth and quick movement of patients, doctors, equipment etc. through the facility there by causing delays, falls, accidents and other expensive damages.
13. Pull - Let the customer “PULL” value from the process,
a) Eliminate wasted movement
b) Reduce length of stay
14. Pull - Cost Saving - The patient flow between the processes is improved. The patient gets faster services. This results in increased number of patients getting the services in a given time.
15. Perfection - Pursue “PERFECTION” – continual improvement
a) Sustainable energy
b) Natural ventilation
16. Perfection - Cost Saving - Using Renewable and Reusable energy to save expense
Providing the exact necessary lighting and cooling levels in different parts of the hospital and avoid unnecessary expense. Large windows allow sufficient light and reduce the need for artificial lights thus saving electricity. They also speed up the healing process.
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