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FRANCIS JOSEMBA (IB)19 TH FEB’ 2015
FACTORS AFFECTING
LOCATION OFMULTI- SPECIALTY
HOSPITALS
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• Introdut!on• Bu!"d!n# $ttr!%ut&'
• I''u&' !n $!"!t "o$t!on
• G&n&r$" *ro&'' o $!"!t "o$t!on
• L&+&"' o d&!'!on
O,TLINE
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RA-IOLOG.NE,ROLOG.CAR-IOLOG.
M,LTI/SECIALT. HOSITAL
G.NAECOLOG.
BLOO- BAN
CT SCAN
-ERMATOLOG.
ENT
GASTROENTEROLOG.
MICROASC,
IMM,NISATIO
S.CHIATR.S,RGICALONCOLOG. TRA,MA CARE ,ROLOG.
ORTHOE-ICS AE-IATRICS ,LMONOLOG
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BUILDING ATTRIBUTESR$rd"&'' o t3&!r "o$t!on4 '!&4 or %ud#&t4 $"" 3o'*!t$"' '3ou"d 3$+& &rt$
$ttr!%ut&'7
•Efciency and Cost-Eecti!eness
•"#e$i%i#ity and E$&anda%i#ity
•T'e(a&e)tic En!i(on*ent
•C#ean#iness and Sanitation
•Accessi%i#ity
•Cont(o##ed Ci(c)#ation
•Aest'etics
•Sec)(ity and Sa+ety
•S)staina%i#ity
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Efciency and Cost-Eecti!enessAn &8!&nt 3o'*!t$" "$out '3ou"d•ro6ot& 't$: &8!&n % 6!n!6!!n# d!'t$n& o n&&''$r tr$+&" %&t;&&
u'&d '*$&'•A""o; &$' +!'u$" 'u*&r+!'!on o *$t!&nt' % "!6!t&d 't$: •In"ud& $"" n&&d&d '*$&'4 %ut no r&dund$nt on&'7 T3!' r&
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"#e$i%i#ity and E$&anda%i#ityS!n& 6&d!$" n&&d' $nd 6od&' o tr&$t6&nt ;!"" ont!nu& to 3$n#&4 3o'*•Fo""o; 6odu"$r on&*t' o '*$& *"$nn!n# $nd "$out
•,'& #&n&r! roo6 '!&' $nd *"$n' $' 6u3 $' *o''!%"&4 r$t3&r t3$n 3!#3" •B& '&r+&d % 6odu"$r4 &$'!" $&''&d4 $nd &$'!" 6od!&d 6&3$n!$" $n''t&6'•D3&r& '!& $nd *ro#r$6 $""o;4 %& d&'!#n&d on $ 6odu"$r ''t&6 %$'!'4 'uA Ho'*!t$" Bu!"d!n# S't&67 T3!' ''t&6 $"'o u'&' ;$">/t3rou#3 !nt&r't!t!$%&t;&&n ou*!&d oor' or 6&3$n!$"4 &"&tr!$"4 $nd *"u6%!n# d!'tr!%ut!*ro?&t'4 t3!' *ro+!d&' ont!nu!n# $d$*t$%!"!t to 3$n#!n# *ro#r$6' $nd n&r't/o't *r&6!u64 ! *ro*&r" *"$nn&d4 d&'!#n&d4 $nd %!d7 T3& A Ho'*!t$"
S't&6 $"'o $""o;' +&rt!$" &=*$n'!on ;!t3out d!'ru*t!on' to oor' %&"o;7•B& o*&n/&nd&d4 ;!t3 ;&"" *"$nn&d d!r&t!on' or utur& &=*$n'!on or !n't$*o'!t!on!n# 'ot '*$&' 'u3 $' $d6!n!'tr$t!+& d&*$rt6&nt'4 $d?$&nt to 'u3 $' "!n!$" "$%or$tor!&'7
http://www.cfm.va.gov/til/spclRqmts.asphttp://www.cfm.va.gov/til/spclRqmts.asp
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•Using familiar and culturally relevant materials wherever consistent with sanitation and ot•Using cheerful and varied colors and textures, keeping in mind that some colors are inap
interfere with provider assessments of patients' pallor and skin tones, disorient older or imor agitate patients and staff, particularly some psychiatric patients .
• Admitting ample natural light wherever feasible and using color-corrected lighting in interi
closely approximates natural daylight •roviding views of the outdoors from every patient bed, and elsewhere wherever possible
of nature scenes are helpful where outdoor views are not available•"esigning a #way-finding# process into every pro$ect. atients, visitors, and staff all need
they are, what their destination is, and how to get there and return. A patient's sense of co
encouraged by making spaces easy to find, identify, and use without asking for help. %uildcolor, texture, and pattern should all give cues, as well as artwork and signage.
T'e(a&e)tic En!i(on*ent
http://www.wbdg.org/resources/daylighting.php?r=hospitalhttp://www.wbdg.org/resources/psychspace_value.php?r=hospitalhttp://www.wbdg.org/resources/psychspace_value.php?r=hospitalhttp://www.wbdg.org/resources/daylighting.php?r=hospital
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C#ean#iness and Sanitation
Ho'*!t$"' 6u't %& &$' to "&$n $nd 6$!nt$!n7 T3!' !' $!"!t$t&d %
•A**ro*r!$t&4 dur$%"& n!'3&' or &$3 unt!on$" '*$&
•C$r&u" d&t$!"!n# o 'u3 &$tur&' $' doorr$6&'4 $'&;or>4 $nd n!'3 tr
to $+o!d d!rt/$t3!n# $nd 3$rd/to/"&$n r&+!&' $nd ?o!nt'
•Ad&
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Accessi%i#ity
A"" $r&$'4 %ot3 !n'!d& $nd out4 '3ou"d
•Co6*" ;!t3 t3& 6!n!6u6 r&!n# #"$'' ;$""' $nd door' to 6$>
*r&'&n& o%+!ou'
http://www.wbdg.org/design/accessible.phphttp://www.usdoj.gov/crt/ada/adahom1.htmhttp://www.access-board.gov/guidelines-and-standards/buildings-and-sites/about-the-aba-standards/aba-standardshttp://www.access-board.gov/guidelines-and-standards/buildings-and-sites/about-the-aba-standards/aba-standardshttp://www.usdoj.gov/crt/ada/adahom1.htmhttp://www.wbdg.org/design/accessible.php
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Cont(o##ed Ci(c)#ationA 3o'*!t$" !' $ o6*"&= ''t&6 o !nt&rr&"$t&d unt!on' r&
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Aest'eticsA&'t3&t!' !' "o'&" r&"$t&d to r&$t!n# $ t3&r$*&ut! &n+!ron6&nt (3o6&"!>&$ttr$t!+&7) It !' !6*ort$nt !n &n3$n!n# t3& 3o'*!t$"' *u%"! !6$#& $nd !'t3u' $n !6*ort$nt 6$r>&t!n# too"7 A %&tt&r &n+!ron6&nt $"'o ontr!%ut&' to%&tt&r 't$: 6or$"& $nd *$t!&nt $r&7 A&'t3&t! on'!d&r$t!on' !n"ud&•Inr&$'&d u'& o n$tur$" "!#3t4 n$tur$" 6$t&r!$"'4 $nd t&=tur&'•,'& o $rt;or>•Att&nt!on to *ro*ort!on'4 o"our4 '$"&4 $nd d&t$!"•Br!#3t4 o*&n4 #&n&rou'"/'$"&d *u%"! '*$&'•Ho6&"!>& $nd !nt!6$t& '$"& !n *$t!&nt roo6'4 d$ roo6'4 on'u"t$t!onroo6'4 $nd o8&'•Co6*$t!%!"!t o &=t&r!or d&'!#n ;!t3 !t' *3'!$" 'urround!n#'
http://www.wbdg.org/design/aesthetics.phphttp://www.wbdg.org/resources/daylighting.php?r=hospitalhttp://www.wbdg.org/resources/daylighting.php?r=hospitalhttp://www.wbdg.org/design/aesthetics.php
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Sec)(ity and Sa+etyIn $dd!t!on to t3& #&n&r$" '$&t on&rn' o $"" %u!"d!n#'4 3o'*!t$"' 3$+& '&*$rt!u"$r '&ur!t on&rn'•rot&t!on o 3o'*!t$" *ro*&rt $nd $''&t'4 !n"ud!n# dru#'
•rot&t!on o *$t!&nt'4 !n"ud!n# !n$*$!t$t&d *$t!&nt'4 $nd 't$: •S$& ontro" o +!o"&nt or un't$%"& *$t!&nt'•u"n&r$%!"!t to d$6$#& ro6 t&rror!'6 %&$u'& o *ro=!6!t to 3!#3/+u"n&rt$r#&t'4 or %&$u'& t3& 6$ %& 3!#3" +!'!%"& *u%"! %u!"d!n#' ;!t3 $n !6*o!n t3& *u%"! 3&$"t3 ''t&67
http://www.wbdg.org/design/secure_safe.phphttp://www.wbdg.org/design/secure_safe.php
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SCOE OF ME-ICALSERICES• Inr&$'!n# *o*u"$t!on
• H&$"t3 on'!ou'n&''
• M$n$#&6&nt *r$t!&'
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•
L$r#& !n+&'t6&nt• Co6*&t!t!+& $*$!t
• Str$t! n$tur&
• rot $nd &:&t!+&n&''
• O*&r$t!n# o6*"&=!t(&ono6! &n+!ron6&nt)• M&&t utur& d&6$nd $ur$t&"
• E=*$n'!on o**ortun!t!&'
• M$r>&t '3!t o *o*u"$t!on
DH. LOCATION -ECISION MATTE
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C3$n#&' !n t3& &ono6!&n+!ron6&nt
Int&rn$t!on$" "&+&" o6*&t!t!o
o6*$n!&'7Lo$t!on !n ountr!&' d!:&r&nor!#!n o t3& o6*$n $r& $ '!tu$t!on or %!# o6*$n!&'7
A**&$r$n& o n&; 6$r>&t' $un!$t!on o ot3&r'7Inr&$'& o o6*&t!t!on *r&''
Lo#!'t!' $tor' $r& 6or& !6*o6*"&=7Co6*$n!&' $r& r&+!&;!n# t3&"o$t!on' !n ord&r not to "oo'&o6*&t!t!+&n&''7
$n#&' !n t3& &ono6!+!ron6&nt Tr$n'*ort$t!on $nd IT d&+&"o*6&nt7
H&"*' !n t3& !nt&rn$t!on$"!$t!on o t3&o*&r$t!on' 3!#3&r #&o#r$*3!$"d!+&r'!t !n "o$t!on d&!'!on'7
T&nd&n to "o$"!& "o'& to t3&6$r>&t' &6*3$'!' !n u'to6&r'&r+!&4 d!r&t u'to6&r ont$t4 $'td&+&"o*6&nt o n&; *rodut'4 $'td&"!+&r-u& to &=!%"& t&3no"o#!&'4o6*$n!&' 3$+& t3& *o''!%!"!t o't$rt!n# u* 6or& *"$nt' $t $ '6$""&r'!&7
J7I7T7 S't&6'7So6& !ndu'tr!&' $r& or!n# t3&!r'u**"!&r' $nd u'to6&r' to "o$t& t3&!r$!"!t!&' !n $ "o'& $r&$ to r&du&
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• ro=!6!t to Cu'to6&r'
• Bu'!n&'' C"!6$t&
• Tot$" Co't'
• Inr$'trutur&
• u$"!t o L$%our
• Su**"!&r'
• Ot3&r F$!"!t!&'
• o"!t!$" R!'>'
• Go+&rn6&nt B$rr!&r'
• Tr$d!n# B"o>'
• En+!ron6&nt$" Ru"$t!on
• Ho't Co66un!t
• Co6*&t!t!+& Ad+$nt$#&
ISS,ES IN FACILIT. LOCATION
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• F$!"!t!&' $+$!"$%"& !n t3& *$rt!u"$r *"$&7
• T3& o't 4*r!& $nd n$tur& o t3& "$nd7
• N$tur& o ot3&r %u!"d!n#' $round t3& 3o'*!t$"7
• T3&r& '3ou"d not %& ot3&r 3o'*!t$"' $round t3& *$rt!u"$r t3$t *ro+!d& '!6!"$r '&r+!&'7
•
T3& $+$!"$%!"!t o "$%or7• Tr$n'*ort $!"!t!&' '3ou"d %& $&''!%"& 7
• Su**ort!+& ,n!t'7
• Ot3&r F$!"!t!&' "!>& D$t&r4 E"&tr!!t4 G$'777&t '3ou"d %&on'!d&r&d7
SITE OF HOSITAL
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• H$+& to '&& t3& on+&n!&n& o t3& *&o*"&7
• ro=!6!t t3rou#3 3&$*&'t 6od& o tr$n'*ort7
• Co66un!$t!on S't&6 3$+& to '&& ! t3&r& !' t3&r& $r& *o"!'t$t!on4 u&" 't$t!on4 r& '&r+!& 't$t!on&t7
• Ho'*!t$"' '3ou"d %& r&& ro6 $"" t*&' o *o""ut!on' "!>& no!'&;$t&r&t7 !7&7 !t '3ou"d %& &o r!&nd"7
• Con'!d&r t3& ro'' !n&t!on ro6 t3& 3o'*!t$"7
• M$r>&t!n# $!"!t!&' "!>& 6&d!$" '3o*' 4'tor&'4 3ot&"'&t '3$+$!"$%"&7
• Lo$"!t *$rt!!*$t!on '3ou"d %& &n'ur&d 4 !7& t3& "o$"!t 'u**'3ou"d %& #$!n&d7
LOCATION OF HOSITAL
GENERAL ROCESS IN FACILIT.
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GENERAL ROCESS IN FACILIT.LOCATION• Cr&$t!on o $ 6u"t!unt!on$" t&$6 to *&ror6 t3& 'tud7
• r&"!6!n$r $n$"'!'7
• Stud o t3& o6*$n’' 'tr$t!&' $nd t3& *o"!!&' o t3& o6*$n to tr$t3&6 !nto F$!"!t Lo$t!on r&
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L&+&"' o -&!'!on'7
Market Region
Subregion
Community
Sites
Market Potential
Market Share
Operating Cost
Transport Cost (RM)
Taxes
Raw material costs
Labor Cost an !"ailability
!ccess to market#materials
Material Cost
Labor Cost an !"ailability
Taxes
!"ailability o$ public ser"ices
!"ailabilty o$ sitesCommunity amenities
!ccess to transport %etwork
Site Characterics
Taxes
!"ailability o$ public ser"ices
Lan an ac&uisition costs
Construction Costs
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GOERNMENT
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In t3!' '*$&4 !n'&rt $ *o"!t!$"
$ndor *3'!$" 6$* o our 't$t&7o!nt out t3& 't$t& $*!t$"7
Not& C3&> out C"!* $rt $nd M&d!$on o8& On"!n& $t3tt*o8&76!ro'ot7o6"!*$rtor 6$*' $nd ot3&r #r$*3!' oour 't$t&7
MAS
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ECONOM.
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DEATHER
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NAT,RAL RESO,RCES
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NAT,RAL RESO,RCES4 CONTIN,E
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C3oo'& on& *"$& !n our 't$t& t3$t
;ou"d %& !nt&r&'t!n# to +!'!t7 T&"";3&r& !t !' "o$t&d !n t3& 't$t& $nd;3 !t ;ou"d %& !nt&r&'t!n# to +!'!t7
Not& .ou $n u'& M!ro'otInt&rn&t E=*"or&r to nd!nor6$t!on $%out our '!t&7
LACES TOISIT
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• C3oo'& t3r&& ;&"" >no;n r&'!d&nt' o our 't$t&7 T&"" ;3d!d to %&o6& $6ou'7
FAMO,S EOLE
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• T&"" $%out t3& 't$t& 6otto $nd ;3$t 6$>&' t3!' 't$t& '*
STATE MOTTO
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• L!'t t3& r&'our&' ou u'&d or our r&'&$r37
DORS CITE-