A model of organization life cycle of a medical building

Abstract

Introduction. An approach to the development of the organizational-technological model of the life cycle of a medical facility building is presented. Buildings of medical organizations have a number of features in the design, construction and operation. The buildings of nuclear medicine are subject to particularly high requirements of radiation and fire safety. Materials and methods. To organize the design, construction and maintenance of medical buildings, it is advisable to create and develop an organizational and technological model of the medical building life cycle. Such model was created by the author in the form of a business processes sequence. Confirmation of the effectiveness of the model is carried out with the help of multi-criteria expert evaluation. Results. To solve this problem, it is proposed a number of changes in the order of the investment project carrying. A new element is the Preliminary justification of the requirements for the health facility. It should become a mandatory document when obtaining a town-planning plan of the ground area, which is in Russia a de facto permission to design. It is also proposed to prepare technical requirements of three levels. The first level requirements are used for pre-design stage procedures. The requirements of the second level are included in the medical and technical design assignment. The requirements of the third level are applied to the detailed design, as well as to the construction and maintenance of the facility. Requirements are included in the requirement system and must be checked at key stages of the project. At the preliminary project phase, it is also advisable to make a technical and economic calculation with the justification of the main technical solutions and technical and economic indicators. This document should also include a project management plan. New elements are included in organizational and technological models of different stages of the object life cycle. Conclusions. On the basis of the developed model, it is proposed to make adjustments to the normative guideline used in the construction management. For example, it is necessary to make mandatory documents of the pre-design stage. These works have to be paid by investor therefore the standard of design cost has to be increased.

Improving the methods of organizational and technological design in the reconstruction of health facilities

“…The difference in elevation marks in the premises, adopted in the design of the reconstruction of the health facility, is most often explained by the functional purpose of the premises, the location of these premises, as well as due not only to elevation (constructive) marks of the premises, but also the possible laying of engineering communications under the ceiling in trays or boxes. [8,9] The data of the research can be considered on the example of a fragment of the specification of the premises, given in Table 1, obtained from the design documentation for the reconstruction of the building No. 2 of the state budgetary institution "The Blood Transfusion Station of the Moscow Healthcare Department", at: 125284, Moscow, Polykarpova Street, 14, Bld.…”

“…The number of employees and engineering and technical workers is: = ሺ * * ሻ where CIW -total cost of construction and installation work (421,318 rubles); W -average output per month per worker (330,000 rubles); Т -duration of work in months (9 months per object analogue); n -number of shifts (2 shifts per object analogue); А -number of people* (71 -calculated value). [Example The average number of N workers employed in construction and installation work is determined by the formula: = × 167 where Тр -labor costs for construction and installation work, man-hour (30060);Тn -duration of work in months (9 months for an analogue object); 167 -average monthly number of working hours; N -number of people ** (20 people -estimated value) [9].…”