A Guide to Hospital Administration and Planning Dinesh Bhatia Prabhat Kumar Chaudhari Bhupinder Chaudhary Sushman Sharma Kunaal Dhingra Editors 123 A Guide to Hospital Administration and Planning Dinesh Bhatia • Prabhat Kumar Chaudhari Bhupinder Chaudhary Sushman Sharma • Kunaal Dhingra Editors A Guide to Hospital Administration and Planning Editors Dinesh Bhatia Prabhat Kumar Chaudhari Department of Biomedical Engineering Division of Orthodontics North Eastern Hill University All India Institute of Medical Sciences Shillong, Meghalaya, India New Delhi, Delhi, India Bhupinder Chaudhary Sushman Sharma Department of Hospital Management Department of Hospital Management H.N.G. University H.N.G. University Patan, Gujarat, India Patan, Gujarat, India Kunaal Dhingra Division of Periodontics, Centre for Dental Education and Research All India Institute of Medical Sciences, New Delhi New Delhi, Delhi, India ISBN 978-981-19-6691-0 ISBN 978-981-19-6692-7 (eBook) https://doi.org/10.1007/978-981-19-6692-7 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2023 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. 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The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore Preface We are happy to write the preface for the book entitled “Hospital Administration and Planning.” This book is a compilation of work by experts from different domains working in the healthcare industry, ranging from hospital planning to quality man- agement, and clinical services to disaster management. Since healthcare organiza- tion is a very diverse, sensitive, and intricate area, it demands a thorough and flawless planning. The structure should not only be operationally efficient, but also be safe for its occupants and visitors. The book starts with a brief introduction of the healthcare sector at different levels. It also attempts to justify how the changing healthcare landscape has paved the way for establishing a contemporary and ever- evolving specialty of hospital planning and designing, which is dynamic in nature and requires continuous improvements and updates frequently. This book has been planned in a way wherein clinical and nonclinical depart- ments have been separately classified and their respective standards and guidelines have been incorporated while describing the planning concepts. Critical areas of a hospital such as ICU and CCU have been detailed specifically as the operational requirements and level of different sophistication required. A chapter on security aspects and disaster management has also been thoroughly envisioned based on the current scenario at global level. Issues and management of hospital-acquired infection have been discussed in different chapters based on its relevance and application in that particular area. Further, the book introduces the concept of green and eco-friendly self-sustainable hospitals. The book also focuses on the planning requirements and statutory considerations as per the “International Patient Safety Guidelines.” We believe that the book would immensely benefit the clinicians, scholars, and researchers working in the field of hospital administration or healthcare manage- ment, biomedical engineering, dental studies, paramedical courses, and relevant industries. People working in the field of healthcare, health insurance, policy mak- ing, accreditation, and quality management would avail additional knowledge from this book. The important features of the book include the incorporation of the fundamentals of project management techniques and its implementation in a hospital setup. It v vi Preface provides notes on the planning of facilities with respect to international standards and guidelines suggested by organizations such as the ASHRAE, JCI, WHO, and LEED. The book includes case studies and good practices of healthcare organiza- tions at global level and their methodology. Several illustrations pertaining to the different departments and functional areas, complementing theoretical explanation, have been added to the book to provide better understanding to the audience. Shillong, Meghalaya, India Dinesh Bhatia Patan, Gujarat, India Bhupinder Chaudhary New Delhi, Delhi, India Prabhat Kumar Chaudhari Patan, Gujarat, India Sushman Sharma New Delhi, Delhi, India Kunaal Dhingra Acknowledgments Writing a book involves enormous efforts from all collaborators and contributors. We would like to extend our sincere gratitude to all contributing authors for their painstaking efforts and helping us in incorporating finer details in this book. The book covers diverse topics which would enlighten the readers. We are grateful to our parents and family members for their kind support in allowing us to complete the book in time. We acknowledge the constant support of our employers and the Springer International Publisher for allowing us to complete this challenging task of preparing the assignment in available time. Without their constant support and efforts, it would not have been possible to prepare and improve the quality of the book. We do hope that this book would serve the due purpose for which it was initi- ated and support people working in the field to enhance their skills and guide bud- ding researchers in the field. Finally, we thank the Almighty God for his kind blessings, wisdom, and grace to enable us to complete this book. We are thankful to the support of our parents, fam- ily members and well-wishers for allowing us sufficient time to complete the book in time. We hope that the readers will be benefitted from the contents present in the book. Dinesh Bhatia, NEHU, Shillong, Meghalaya, India Bhupinder Chaudhary, HNGU, Patan, Gujarat, India Prabhat Kumar Chaudhari, AIIMS, New Delhi, Delhi, India Sushman Sharma, HNGU, Patan, Gujarat, India Kunaal Dhingra, AIIMS, New Delhi, Delhi, India vii Contents 1 Hospital Designing and Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Himanshu Bansal, Riya Mittal, and Vijay Kumar 2 Importance of Hospital Management . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Kinjal Jani and Bhupinder Chaudhary 3 Hospital Management Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 H. K. Mamatha, N. Shalini, Divya Rao, and Arehally M. Mahalakshmi 4 Human Resource Management in Hospitals . . . . . . . . . . . . . . . . . . . . 51 H. K. Mamatha, N. Shalini, Divya Rao, and Arehally M. Mahalakshmi 5 Quality Management and Patient Safety in Healthcare Domain . . . . 67 Meena Gupta, Divya Pandey, and Simran Naagar 6 Dental Office Layout and Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 Lata Goyal, Amrit Preet, Arshad Eranhikkal, Prabhat Kumar Chaudhari, and Kunaal Dhingra 7 Hospital Information System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Divya Rao, Venkatesh, H. K. Mamatha, and N. Shalini 8 An Intensive Care Unit Design of the Future . . . . . . . . . . . . . . . . . . . . 125 Anil Kumar Chillimuntha, Kashipa Harit, and Sushman Sharma 9 Transportation in Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Divya Rao, Averil Rebello, H. K. Mamatha, N. Shalini, and Arehally M. Mahalakshmi 10 Central Service Sterile Department . . . . . . . . . . . . . . . . . . . . . . . . . . . 165 N. Shalini, R. Sathish, M. V. Anitha, H. K. Mamatha, B. J. Divya Rao, and Arehally M. Mahalakshmi ix x Contents 11 Engineering and Biomedical Engineering Department. . . . . . . . . . . . 185 Shubham Rathore, Dinesh Bhatia, and Sushman Sharma 12 Mitigation of Fire Hazards in Hospital . . . . . . . . . . . . . . . . . . . . . . . . . 193 Sandip Bag and Karabi Ganguly 13 Principles and Implementation of Quality Management and Patient Safety Systems in Hospital . . . . . . . . . . . . . . . . . . . . . . . . . 231 Maheshkumar Patel and Kiran Harikumar 14 Barrier-Free Healthcare Design for Patients with Disabilities . . . . . . 251 Moonis Mirza, Tarun Goyal, and Lata Goyal 15 Technological Advancements and Challenges in the Management of Hospital Functions and Public Health . . . . . . 267 Sohini Paul and Josephine Princey Chapter 1 Hospital Designing and Planning Himanshu Bansal, Riya Mittal, and Vijay Kumar Abbreviations EPA Environment Protection Agency MEP Mechanical, electrical, and plumbing NIH National Institutes of Health SOP Standard operating procedure WHO World Health Organization NABH National Accreditation Board for Hospitals 1.1 Introduction The word hospital has been derived from the Latin word “hospice”; in fact, the words hospital, hotel, and hostel all are derived from the general Latin root “hos- pice,” which means a place or an establishment where the guest should be received, also known as hospitium or hospitale. The term hospital at different times has been utilized to refer to an institution for the care of the sick and injured people; H. Bansal (*) Amity Institute of Neuropsychology and Neurosciences, Amity University, Noida, India Ministry of Health and Family Welfare, Civil Hospital Narwana, Jind, Haryana, India R. Mittal Ministry of Health and Family Welfare, Civil Hospital Narwana, Jind, Haryana, India V. Kumar Department of Audiology and Speech-Language Pathology, Amity University, Gurgaon, Haryana, India e-mail: [email protected] © The Author(s), under exclusive license to Springer Nature Singapore Pte 1 Ltd. 2023 D. Bhatia et al. (eds.), A Guide to Hospital Administration and Planning, https://doi.org/10.1007/978-981-19-6692-7_1