ici project 3 - individual proposal

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LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY PROPOSAL ON COMMERCIAL AREA – DIALYSIS CENTER By LEE LIN HUI

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Page 1: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

PROPOSAL

ON COMMERCIAL AREA – DIALYSIS CENTER

By LEE LIN HUI

0322797

Page 2: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Contents

Introduction to Site....................................................................................................................................4

Project Concept..........................................................................................................................................5

Mission of Project.......................................................................................................................................6

Objective....................................................................................................................................................6

Benefits.......................................................................................................................................................6

Impacts.......................................................................................................................................................6

Design Concept...........................................................................................................................................7

Application Procedures............................................................................................................................12

Requirements of Dialysis Clinic................................................................................................................15

1. How to Start a Dialysis Clinic.........................................................................................................15

2. How to Start a Dialysis Clinic.........................................................................................................16

Authority Form.........................................................................................................................................18

Page 3: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Introduction to Site

The 50m x 60m site is at Bandar Sri Damansara, Kuala Lumpur. The site is adjacent to

Sungai Buloh, Kota Damansara, Kepong and Mont Kiara. It is much convenience to residents

getting around.

Sprawling over 700 acres of freehold land, this mixed development of Bandar Sri

Damansara area consists of bungalows, terraces, flat and apartments as well as shop-offices

lots. It is divided into 2 precincts area which are named Persiaran Perdana and Persiaran

Meranti.

Being a township, Bandar Sri Damansara have its own kindergarten, schools, banks,

clinics, petrol stations, police station, market, surau, mosque, recreation park, hotels, club

house, factories and offices. Schools located with the township are SJK ( C ) DESA JAYA 2 BDR

SRI DMANSARA, SK BDR SRI DAMANSARA 1, SK BDR SRI DAMANSARA 2, SK BDR SRI

DAMANSARA 3 and SS BESTARI BDR SRI DAMANSARA.

The site that we choose is an empty land with recreation park. It is located in East-South

of Persiaran Perdana. This land is filled with lawn and trees which means it does not contain

any hardscape structure or existing structure.

I found that this area is lack of healthcare facilities besides of normal clinic. So, I decided

to develop a private dialysis centre which is under commercial area. The reason for develop a

healthcare clinic is because the site is surrounded by residential area which has a great

potential to develop a healthcare clinic. It will convenience for the residents who suffering

diabetes who have to travel to a further place for dialysis treatment.

Page 4: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Project Concept

As there is lack of healthcare clinic around this area, some residents who suffering

illness having problems for traveling far to get treatment. Therefore, I decided to propose a

project on building a dialysis centre at this site.

The purpose of building this dialysis centre is providing a convenience facilities for

diabetes patient to get treatment easily. It also providing salvation for those who once had lost

their hopes to live.

Page 5: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Mission of Project

Help patients to prolong their life and increase awareness of healthcare

Objective

- To provide healthcare services to general regardless of race and religion

- To be competent in delivering healthcare services

- To provide excellent and quality service for patient.

Benefits

- Convenience for diabetes patient no need travel to other area for treatment

- Nurses and technicians perform treatment for you

Impacts

- Costly investment for facilities maintenance

- Traffic, sound pollution may occur around the site

Page 6: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Design Concept

Basically, the center is surrounded by trees and lawn. It hope to provide a green hospitality

building area for people who come here. The site I propose is 50m x 60m (3250m2) and it is only with

One Floor with 60 dialysis machines.

In the design for the center, I designed waiting area, office, water treatment area,

laboratory and exam station, procedure room, nurse station, technician room, reception and

records room.

Here are the sketches:

Parking Lot

Dialysis Center

Page 7: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Road link:

LEGEND:

- existing road direction- road direction

Page 8: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Sketch Plan of the Dialysis Center which is only One Floor.

[Grab your reader’s attention with a great quote from the document or use this space to emphasize a key point. To place this text box anywhere on the page, just drag it.]

Page 9: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Parking Lot

For parking area, it will provide 60 parking lots and 2 disable parking lot for disable patients as well.

Here are the dimension of parking lot:

- Parallel Parking - 90° angle One-way Traffic Parking

- Disable Parking

Page 10: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Elements in the Proposed Building

- Dialysis area ( Open space ) , Dialysis Machine

- Laboratory

- Private Dialysis Area

Page 11: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Application Procedures

1. Applicants may apply for zoning approval in writing to the Director of Medical Practice.

2. In the application, the applicant must submit a 'feasibility study', which complete with the following information:

i) A letter explaining the application of the zoning approval applicant.

ii) the actual location for the establishment of a unit or a private dialysis center proposed to submit the full address of the site. The proposed (if applicable).

iii) State the type of building to be erected for the establishment of unit or private dialysis center (if applicable).

* Note:

If the proposed building is an existing building, the building must comply with the legal requirements and the need stating the size of the elevator, the size and width of the corridor / stairs (if location application other than the ground floor) and must comply with Fully 586 of the Act and Regulations facilities Private Healthcare Services (Private Hospitals and Other Private Healthcare Facilities), 2006.

3. Justification for the establishment of a unit or a private dialysis center location proposed.

4. Feasibility study for the establishment of a unit or a private dialysis center proposed to submit the matters included as follows:

a list of all centers / private dialysis units including units dialysis in government and private hospitals (the number of seats dialysis) located within 30km of the site proposed.

the number of patients still requiring dialysis in the proposed location.

5. Specifies the number of seats proposed dialysis and category (Eg: Non-hepatitis, Hepatitis B, Hepatitis C or Hepatitis B & C). Application procedure Zoning (Location) For the establishment of the center / Private dialysis Unit 16 April 2014 4/6

6. Jointly applicant (please complete one of the following 4 entities):

* The establishment of a unit or a private dialysis center is not open to shareholders of foreign nationals and civil servants:

a) Sole Proprietor

- To submit supporting documents certified for applicant as follows:

A copy of the identity card. A copy of the Certificate of Professional Qualifications (Basic or Expert if applicable). A copy of the current Annual Practising Certificate.

b) Partnership

- To submit certified documents for Member Sharing as follows:

A copy of the identity card. A copy of the Certificate of Professional Qualifications (Basic or Expert if applicable).

Page 12: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

A copy of the current Annual Practising Certificate.

-To submit the constituent documents certified and complete with stamp duty of the IRB as follows:

A letter signed by all partnership partner (SSM is not registered partnership). partnership agreement (if any).

c) Organization of the Corporation

- To submit certified documents for Member The Board of Directors as follows:

A copy of the identity card. A copy of the Certificate of Professional Qualifications (Basic or Expert if applicable). A copy of Annual Practising Certificate of Current.

- To submit the constituent documents certified as following:

Form 8 or 9, 1965 (Certificate of Incorporation Private Company - Certificate of Registration by the Commission Malaysian companies [SSM]). Form 24. Form 49.

d) Organization

- To submit supporting documents certified for each Member Association as follows: A copy of the identity card. A copy of the Certificate of Professional Qualifications (Basic or Expert if applicable). A copy of the current Annual Practising Certificate.

- To submit the constituent documents certified as following: Form 3 (Certificate of Registration) Act 1966. Details of office bearers were registered.

7. Work of the proposed Energy:

a) For a unit or a private dialysis center:

The person responsible (OYB): Has 200 hours of training in dialysis. Not named OYB for> 3 other private facilities. The main practice location close to the application (≤ 30). Provide a copy of supporting documents certifiedas follows:

A copy of the training certificate 200 hours. A copy of the current Annual Practising Certificate.

Nephrology specialist visitors (registered with NSR): Provide a copy of supporting documents certified as follows:

- Copy of Certificate of Registration to NSR Nephrology.

- A copy of the current Annual Practising Certificate.

Staff renal and post-basic nursing staff to comply with the norms nursing (1m / PPP: 6 patients): Provide a copy of supporting documents certified as follows:

Page 13: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

- Copy of Post Basic courses Renal.

- A copy of the current Annual Practising Certificate.

b) For the hemodialysis unit at the private hospital:

nephrology specialist equipment (registered with NSR) Provide a copy of supporting documents certified as follows:

- Copy of Certificate of Registration to NSR Nephrology.

- A copy of the current Annual Practising Certificate.

Staff renal and post-basic nursing staff to comply with the norms nursing (1m / PPP: 6 patients). Provide a copy of supporting documents certified as follows:

- Copy of Post Basic courses Renal.

- A copy of the current Annual Practising Certificate.

8. The estimated cost of setting up units or private dialysis center proposed.

Page 14: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Requirements of Dialysis Clinic

1. How to Start a Dialysis ClinicDialysis clinics provide dialysis treatment services for people with kidney failure. Kidney failure is driven by hypertension and obesity, and the disease is prevalent and growing in the United States. The U.S. Renal Data System estimates that by 2010 the number of people in the U.S. with kidney failure will have doubled, from approximately 320,000 in 2003 to 650,000. Dialysis clinics provide necessary services that are becoming increasingly critical as the number of patients with kidney failure grows. Unlike other types of clinics, dialysis centers can be opened with relatively little capital, making them attractive opportunities for investors and entrepreneurs.

Things You'll Need 3,000 sq. ft. of standard medical

office space C-arm Examination table Digital imaging equipment and

software

Ultrasound machine Dialysis machines Nephrologist Nurses Medical technician Receptionist

Instructions1. Form a partnership with at least one nephrologist--a doctor specializing in kidneys. The

nephrologist will be responsible for treating patients and managing the day-to-day operations of the dialysis center. In addition to a standard salary and benefits, the nephrologist may ask for a share of the profits generated by the dialysis center.

2. Obtain the necessary Certificate of Need, which is required before you can begin construction on a medical facility, from the state the dialysis clinic will be located in. Fill out a Certificate of Need application form with the state's Agency for Healthcare Administration. Some states also require an application fee.

3. Register the dialysis center as an Ambulatory Surgical Center with the state's Agency for Healthcare Administration. You can register the center at the time that you fill out the Certificate of Need application. The registration forms vary by state, and the person helping you with the Certificate of Need application can help you with the registration process.

4. Hire nurses and a medical technician: they will assist the nephrologist in treating patients. Also hire a receptionist to handle patient scheduling and back-office responsibilities.

Page 15: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

5. Organize the medical office space into one procedure room, patient waiting area, pre-procedure/recovery area, clean and soiled utility, break room, storage and physician's office.

6. Lease and install the necessary capital equipment, including the C-arm, examination table, digital imaging systems, ultrasound machine and dialysis machines. You can lease this equipment from a number of companies, including GE's medical technology division. Professional installation of the equipment will be included in your upfront lease costs.

7. Purchase and install patient billing software. You can purchase this software from a number of companies, including edgeMED Healthcare Solutions.

Read more : http://www.ehow.com/how_5050016_start-dialysis-clinic.html

2. How to Start a Dialysis Clinic

Things You'll Need

Office equipment Registration desk Hemodialysis machines Replacement pumps, tubes, parts Bedside drawer units Overhead lighting Curtains Hypodermic needles

Medical supplies Patient chairs Guest chairs Magazine subscriptions Rolling desk unit Television sets Blankets Pillows

Instructions

1. Undertake a program of study that equips you to practice hemodialysis and peritoneal dialysis, the two methods for cleaning patients' blood after their kidneys have shut down. Working as a technician at a hospital, clinic or private dialysis center gives you the insights, tools and knowledge you need to treat patients; you also become familiar with the nomenclature, technology, equipment and supplies required to operate a dialysis center.

2. Find a partner or hire staff proficient in accounting, administrative tasks and practices if you’re not sufficiently trained to run the business end of your dialysis clinic. There are plenty of responsibilities that can be shared with a numbers person, including

Page 16: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

overseeing supply orders, setting budgets and keeping records. Assume responsibility for hiring and firing, hygiene protocols and marketing programs — that's enough on your plate. It also helps to know and keep tabs on your competitors so you're able to market your services more efficiently and creatively.

3. Apply for funding to underwrite your dialysis center startup. Approach banks, venture capitalists and lending institutions, particularly those in the business of capitalizing medical facilities. Present potential lenders with a business plan and prove that you’re creditworthy and that your center has the potential to turn a profit. Apply due diligence to identifying license- and permit-granting authorities required by your state and city for the operation of a dialysis center.

4. Rent a facility. Your dialysis center can occupy any building that can be remodeled into a patient treatment center. The owners of Liberty Dialysis in Connecticut, for example, repurposed a building that once served as the cafeteria for Prudential Insurance’s 1,000-person staff. They chose the building for location, plenty of parking spaces and a 10,000-foot expanse that allowed them to set up 18 dialysis units. Today's dialysis centers can be small or large — your ability to fund and staff yours should be the key size determinants.

5. Purchase supplies and equipment. The market for used and refurbished dialysis equipment has exploded, so you can find everything you need to equip your center without breaking your budget. Contemporary dialysis machines come in myriad sizes and designs; certain models are made for centers with finite amounts of space and can be mounted to the wall; others are large, freestanding units with an abundance of features.

6. Keep patient welfare at the forefront of your business model. Dialysis patients want cleanliness, diversions such as TV, a helpful staff, adequate parking, handicap accessibility, a wide choice of appointment times, and assurances that all of the equipment used to treat their kidney ailments is sterile and state-of-the-art. You also need employees who are proficient at processing insurance company, Medicare and Medicaid forms, an essential component for success in this day and age of bureaucracy.

Read more : http://www.ehow.com/how_8095970_start-dialysis-center.html

Page 17: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY

Authority Form

Page 18: ICI Project 3 - Individual Proposal

LEE LIN HUI │ 0322797 │ ICI │PROJECT PROPOSAL│FNBE JAN’15 │ TAYLOR’S UNIVERSITY