Casestudy 180201211754 PDF

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 EMC Hospital, Green Avenue, ASR

 MAX Superspeciality Hospital, Saket,


New Delhi

SUBMITTED BY :-
Himanshu
Keshav
YUVRAJ
1.
OVER
VIEW

I. BRIEF HISTORY

• Accquired by Emergency Medical Care group of hospitals in year 2007


• Earlier it was known as KAKKAR HOSPITAL
• 2 floors were expanded by the management just after it was accquired
by the EMC group.
• It provides patient services in:
o nuclear medicine and cardiac imaging,
o labs and scans
o interventional cardiology,
o cardiac pacing and electrophysiology,
o neurosciences,
o orthopedics,
o gynecology and obstetrics,
o pediatrics,
o maternity services
o general surgery,
o nephrology,
o gastroenterology
III. LOCATION DETAILS
• Located at midst of the residential area of Green Avenue.
• Corner based location.
IV. ZONING AND PLANNING
The hospital vastly divided into East block and West block.

GROUND FLOOR
• Deluxe/VIP rooms
• Laboratory
• Blood Sampling
• X-Ray
• Dietician Room
• Chairman’s Office
• Staff kitchen and mess
• Oxygen supply room
• Power Back (50 KVA genset)
• General supply stores
• All OPDs
• Pre cardiac diagnosis
FIRST FLOOR
• ICU – 1
• ICU – 2
• OT – 1
• OT – 2
• OT – 3
• Blood testing lab
• Semi Deluxe rooms
• Dialysis room
• General Ward I&II
SECOND FLOOR
• Normal rooms
• CATH Lab
• CCU
• ICU – 3
• By Pass surgery centre
• By Pass OT
• By Pass recovery room
• General Ward
Main Entrance Oxygen Supply Area

Staff Parking Power Back Up (50 KVA genset)


Reception cum Waiting wth Cafe

X – Ray Fire Escape


Stairs
ICU – I Cardiac OT

Bypass Surgery Theatre Scrub Area


V. LIGHTING
• The hospital spots huge glazing on the exterior that acts as a light source,

• there is a subtle lighting through the sky lighting. This acts a source of
illumination for
the adjacent corridors.

• The areas such as the wards where the patient prefers lighting is provided with
enough
natural source of light.

• The entrance area and reception is well lit using artificial lighting. No
problems such as glaring or glazing were observed.
VI. CIRCULATION
• No separate Entrances
• Service entrance at back
• The waste was taken out of the building through the lift
only, which was used asd patient lift.

• The main clean corridors are of


approximately 3m wide.

• The sterile corridors and dirty


corridors weren’t separated from the
main corridor.
VII. VENTILATION

• Proper ventilation is provided in every room and ward.


• Proper isolation of OTs and ICUs
• AHUs and exhaust system provided in the hospital
complex.
VIII. INFERENCES
MERITS

•INTER DEPARTMENT CONNECTIVITY IS NOT COMPLEX. WHICH PROVIDE FREE


FLOW OF MOVEMENT FOR PATIENT AND STAFF.

• WELL CO-ORDINATED STAFF AND MANAGEMENT

• THE QUALITY OF ROOM AND FOOD IS VERY WELL MAINTAINED

DEMERITS

• THERE WHERE NO SMOKE DETECTOR AND WATER SPRINKLE FOR FIRE


SAFETY.

• EMERGENCY EXIT ON SECOND IS BLOCKED.

•THERE IS ONLY ONE LIFT WHICH IS USED AS SERVICE AND ALSO FOR
PATIENTS.

•THERE IS NO EMERGENCY WARD AT GROUND FLOOR.


1.
OVER
VIEW

I. BRIEF HISTORY

• Max India Limited - founded in 1988.

• The first Max healthcare centre – Panchsheel Park, New Delhi in 2000.

• Max Heart and Vascular Institute - 2004 in Saket.

• This institute was further developed with addition of various facilities to the present.

• Designed by renowned architect Mr. RichardWood.


• It provides patient services in:
onuclear medicine and cardiac imaging,
o labs and scans
ointerventional cardiology,
ocardiac pacing and electrophysiology,
o neurosciences,
oorthopedics,
ogynecology and obstetrics,
o pediatrics,
omaternity services
oneurophthalmology,
ogeneral surgery,
o nephrology,
ogastroenterology

II. SPECIALITY
• Renowned for being the country’s foremost heart and vascular
institute.
• Also well regarded for their departments of oncology and
neurosciences.
III. LOCATION DETAILS
• Located at Saket area of South Delhi
• Approximately 15 km from New Delhi Railway Station
12 km from the domestic airport
• The main access is from Press Enclave Road
IV. STATISTICAL DATA

 It’s a 490 bedded institution along with


 20 operation theatres,
 2 cardiac cath labs,
 17-bed CTVS ICU,
 16-bed apex coronary care,
 11-bed cath recovery,
 9 - Bed Onco Surgical ICU,
 12 - Bed Medical ICU,
 11- Bed Minimal Access Surgery recovery,
8-bed high dependency unit,
 17-bed Dialysis Unit,
 2 Cath labs,
 5 types of ICUs,
 2 MRIs and 1 CTs across an integrated network.
V. ZONING AND PLANNING
The hospital vastly divided into East block and West block.

WEST BLOCK

LOWER BASEMENT
Novalis Rapid Arc Linac

UPPER BASEMENT
Brachytherapy Suite
Minor OT

GROUND FLOOR
Radiation Oncology
CT Stimulator
Mould Room
Treatment Room
Nuclear Medicine
PET-CT
SPECT-CT
Thyroid Uptake
FIRST FLOOR

1. OPD- Cancer Care


2. Surgical Oncology
3. Medical Oncology
4. Radiation Oncology
5. Day Care Ward
6. Tumor Board Room
7. Counselors
8. Sample collection

SECOND FLOOR

1. OT
2. ICU
3. HDU

THIRD FLOOR

1. Economy ward
2. IP Ward No
FOURTH FLOOR
IP Ward

FIFTH FLOOR
1. Institute of Minimal Access,
2. Metabolic & Bariatric
Surgery
3. Sample Collection

SIXTH FLOOR
1. Meeting Room
2. Executive Offices
EAST BLOCK
UPPER BASEMENT
1. Institute for Allied
2. Medical Services
OPD
3. Dialysis Unit

GROUND FLOOR
1. OPD
2. Emergency
services
3. Apex coronary care
4. Radiology &
nuclear medicine
5. Diagnostics
(including non-
invasive
cardiology)

FIRST FLOOR
1. CTVS ICU/HDU
2. Cath recovery
3. Cardiac cath labs
SECOND FLOOR
1. Inpatient area
2. High dependency
unit
3. Minimal Access
Surgery
4. recovery area

THIRD FLOOR
1. Inpatient area

FOURTH FLOOR
1. Inpatient area
2. (Institute for Allied
3. Medical Services)

FIFTH FLOOR
1. Inpatient area
2. Blood bank
VI. ENTRANCE
• There are two main entrances to the two blocks separately.

• There is a canopy on in front of the entrances under which the vehicles of the
visitors pass as it enters as it passes from gate 1 and gate 3 to gate 2 through
which they exit

CANOPY
PROVIDED

ENTRANCE TO
WEST BLOCK.
• Two main cores present in the building:
VII. CIRCULATION fire exit
main vertical circulation
• Two separate entrances
provided: • The main clean corridors are of
approximately 2.5m wide.
• Main
• Handicapped • The sterile corridors and dirty
corridors were separated from the
main corridor.
VIII. LIGHTING
• The hospital spots huge glazing on the exterior that acts as a light source,

• there is a subtle lighting through the sky lighting. This acts a source of
illumination for
the adjacent corridors.

• The areas such as the wards where the patient prefers lighting is provided with
enough
natural source of light.

• The entrance area and reception is well lit using artificial lighting. No
problems such as glaring or glazing were observed.
IX. SIGNAGE

• Adequate signage has been


provided in all sections of the
hospital.

• The floor plans for each of the


floors are provided at the services
through which the visitors enter.

• The additional details like fire exit


plans and guidance to the different
departments on the floor is also
provided near the staircases and
lifts.
X. ENVIRONMENT AND EXPERIENCE
• The location of the hospital provided easy access from the city.

• The orientation as well as placement of the hospital at a distance from the main
road
passing along its boundary

• the placement of the wards and other silence requiring zones at the farther area
from
main entrance helps in reducing noise disturbances.

• The reception and entrance area provides two separate entrances and exits, one
of
which is reserved for the handicapped.

• The entrance area has various services for the visitors as well as patients such
as cafes,
book lounge, chemist stores etc. These areas are well separated from the inner
zones of
the hospital.

• the large space provided at the entrance provides a less chaotic ambience as
one enters
XI INFERENCES
MERITS
• Laid back atmosphere created in the interiors, providing a relaxed aura to the
patients.

• Signage is easy to comprehend and is properly located.

• Creation of a green zone between the chaotic Press Enclave road and the main
entrance of the hospital, as a buffer zone to reduce disturbances to patients.

• Placement of the administrative areas on the topmost floor with separate


access
route.

DEMERITS
• The movement pattern of visitor’s vehicle and pedestrian space not well
segregated
causing a hustled movement at the campus entry and exit

• Visitor seating provided at close proximity to the fire exit creating a block in the
escape
route.

• The double height waiting room, topped by a skylight, provided at the core,

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