TURNKEY HEALTHCARE PROJECT

There are 5 Phases in the project life cycle that EHSA contributes to are as follows:

 Phase 1 – Strategic Planning

 Phase 2 – Facility Planning

 Phase 3 – Pre-Procurement

 Phase 4 – Procurement

 Phase 5 – Commissioning

Phase 1 – Strategic Planning Phase :

The following aspects of strategic planning are covered within this phase:

a) Facility configuration, speciality & services planning.
b) Model of care provision recommendations.

c) Consultation
d) Needs Analysis
e) GAP and Root Cause Analysis
f) Solutions Analysis
g) Corrective Action Planning
h) Narrative Brief
i) Functional Brief
j) Design review – pre-concept design
k) Initial Equipment Budget Preparation

Phase 2 – Facility Planning :

A. Functional Brief

Planning in this context refers to the early stage of design development where the scope of the project is still fluid. It is critical at this stage to cement the model of care to be delivered at the facility. The deliverable will be a functional brief detailing the model of care to be provided, incorporating the following breakdown for each Health Planning Unit, both in clinical and support services:
a) Service Profile
b) Functional content
c) Functional relationships
d) Operational Policies
e) Design Requirements
f) Schedule of Accommodation

B. Patient Journey

The patient journey will be planned along the different patient pathways to be undertaken i.e.

a) Emergency admission (self presenting)
b) Emergency admission (referred)
c) Emergency admission (level )
d) Elective admission (referred)
e) Planned Day Patients (out-patient referred)
f) Planned admission (In-patients referred)
g) In-patients (self presenting)
h) Out-patient (referred)
i) Rehabilitation (out-patient referred)
j) Rehabilitation (in-patient referred)

C. Design Review

The architectural plans will be work-shopped and reviewed within the context of design objectives and legal requirements including access, flows, processes and level of services to be provided; clinical, non-

Phase 3 – Pre-Procurement “Pre-procurement” is the process that mirrors the detail development of the physical plan by the architect. During this process, the equipment, furniture, fittings and soft furnishings, required in each room are considered and discussed with user departments as well as the design team and then annotated. The final product of this phase is room data sheets, designating the room, detailing equipment type and specification and the building services required for the optimal functioning of the devices. This data is also made available in the form of a procurement list with specifications in order to advance to the procurement phase. The budget is re-planned and reworked, taking cognizance of end-user requirements.
EHSA’s contribution at this stage is through the deliberation of the mix of services proposed, the layouts of individual departments and the impact that these decisions would have on Equipment and Equipment Cost. Consideration of inter-departmental reliance on technology, the analysis of clinical requirements and the interfacing of Health Technology Systems with other systems is also applicable. This planning is within the concept of the patient journey.

“Pre-procurement” is the process that mirrors the detail development of the physical plan by the architect. During this process, the equipment, furniture, fittings and soft furnishings, required in each room are considered and discussed with user departments as well as the design team and then annotated. The final product of this phase is room data sheets, designating the room, detailing equipment type and specification and the building services required for the optimal functioning of the devices. This data is also made available in the form of a procurement list with specifications in order to advance to the procurement phase. The budget is re-planned and reworked, taking cognizance of end-user requirements.
EHSA’s contribution at this stage is through the deliberation of the mix of services proposed, the layouts of individual departments and the impact that these decisions would have on Equipment and Equipment Cost. Consideration of inter-departmental reliance on technology, the analysis of clinical requirements and the interfacing of Health Technology Systems with other systems is also applicable. This planning is within the concept of the patient journey.

“Procurement” involves the process of utilizing the detailed procurement list generated in Phase 2 and then managing the actual procurement process. This involves the finalization of request for quotation (RFQ) documentation, the distribution of the RFQ documents, the receipt of proposals as well as the analysis, adjudication and selection of equipment. All of these are tailored towards the requirement or protocols of the client. The deliverable of this phase is the confirmation of orders and awarding of contracts. A procurement management process will be detailed. Procurement will be done on behalf of the client and contracted accordingly.