NOUS HOSPITAL CONSULTANTS P Ltd LEADING HOSPITAL HEALTHCARE

NOUS HOSPITAL CONSULTANTS (P) Ltd. LEADING HOSPITAL & HEALTHCARE MANAGEMENT CONSULTANTS OF INDIA COMPANY PROFILE in partnership with Hospital owners and investors WELCOME TO THIS PRESENTATION creating Hospitals, Medical Colleges & Healthcare Systems NOUS COM PRFL KBS 02 January 2011 1

OUR MISSION In co-operation and partnership with providers of Healthcare Protect, Promote and Restore the Health & well-being of people by ensuring that Health and Personal Social Services are planned, managed and delivered to achieve measurable health and social gains and provide the optimum returns on the resources invested 2

Profile: Consulting Organisation of Management and Design professionals specialising in Hospitals and Healthcare Projects Credits: More than 90 major hospital & Healthcare projects in India, Russia, Sultanate of Oman, Democratic Republic of Congo and Bangladesh Experience: 30 years of successful working on hospital projects in various countries world-wide 3

We harness technological developments in clinical care, diagnostic services, engineering support systems, design of spaces & administrative services and integrate them into an effective Healthcare Delivery System 4

EXECUTING HOSPITAL PROJECTS FROM CONCEPT TO COMMISSIONING ► Medical College & Teaching Hospital ► Corporate Speciality Hospital ► Dental & Nursing College ► Paramedical Training College ► Cardiac Hospital with Surgery Transplantation Centre ► Cancer Hospital with all therapeutic modalities ► Human Organ Transplant Centres ► General Hospital ► Children Hospital ► Maternity Hospital ► Military & Mobile Hospital ► Reference Medical Diagnostic Laboratories ► Clinical Trial Laboratories & Blood Banks ► Health Sanatorium & Health Club 5

Hospital is ► the most visible face of Healthcare Industry ► not just a building, but a complex social institution, composed of many subgroups, representing a wide variety of interests and diverse needs ► where the practitioners of Medicine integrate the Healthcare Technology with the living process ► where the Medical, Paramedical and Support personnel render all needed Healthcare services to its medical charge as a team 6

Modern Hospitals ü employ a variety of modern technologies and engineering services to support the process of delivery of Healthcare to its patients ü utilise numerous Biological, Pharmaceutical, Chemical and Bio-chemical substances - some of which can produce abnormal and unexpected reactions ü handle the dynamics of Life and Death situations 7

“Even minor deficiencies in Building Design may reduce efficiency, increase cost of maintenance or require more employees, and may mean the difference between the Hospital rendering good Patient Care and one which fails in its community responsibilities. ” Dr. J. R. Mc. Gibnoy Principles of Hospital Administration 8

It is our firm belief that all Healthcare Facilities must be planned to enhance life The Hospitals have to be comforting and have to effectively organise the increasingly complex process of rendering Healthcare For us, the design process is a cost related, problem solving process, for creating the right spaces & ambience, employing appropriate technologies for clinical and engineering support for the Healthcare Providers 9

In any Hospital project This work must be supported Since, the delivery of there is fusion of wide by appropriate technologies Healthcare involves all spectrum of professional as derived from various basic segments of community, expertise, organisational & applied sciences to support either as Healthcare skills and diverse interests. the delivery of healthcare. provider or the Healthcare This needs a coherent, The also recipient, the Hospital organised Healthcare employed to create clean & must imbibe and reflect Delivery Structure, where protected technology is environment, various cultural practices of the community in its adequate freedom to enabling the Hospitals to Planning Hospital is deliver safeofhealthcare. practise its skill, and at structured each component has the same time, complement the work of other components leading to integration Cultural of realise Technology, practices immediate and this with the long-term primary catchment area. The aesthetics of the Hospital, patient rooms and spaces is a statement 10 of the current cultural

The following steps delineate various project activities into organised activity groups & are designated as steps - each leading to the next It is essential to establish the role of promoters and consultants in project execution at this stage to establish decision making process. STEPS It is also essential to establish the resource plan at this stage Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 11

► NEED ANALYSIS ► OBJECTIVES FORMULATION ► MARKET SURVEY AND ANALYSIS ► SITE SELECTION ► PHYSICAL SURVEY AND INVESTIGATION STEPS ► PROGRAMMING AND PHASING Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 12

► PREPARATION OF ■ FUNCTIONAL ANALYSIS ■ SITE & AREA ANALYSIS ■ WORK FLOW ANALYSIS ■ EQUIPMENT ANALYSIS ■ SWOT ANALYSIS STEPS ► PROJECT FORMULATION AND SYNTHESIS Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 13

(In Association with our Associated Architects) ► MASTER PLANNING ► DETAILED ARCHITECTURAL BRIEF ► ARCHITECTURAL DESIGN CONCEPT ► PHASING AND RESOURCE PLANNING ► INTERIORS AND LANDSCAPING CONCEPT STEPS ► PRELIMINARY COST ESTIMATES Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 14

(In Association with our Associated Architects) ► Architectural Detailed Design ► Piped Medical Gases Plan ► Structural Engineering ► Computers & Communications ► Electrical Engineering ► Bio-medical Engineering Plan ► Mechanical Engineering ► Fire Detection and Protection ► Public Health Engineering ► Interiors, Landscaping and ► Heating, Ventilation & Air ► Signage & Graphics STEPS Conditioning Plan Project Development & Planning Design Development Detailed Design Engineering Development Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 15

(In Association with our Associated Architects or Client’s Architects) ► SPECIFICATIONS & BOQs ► DETAILED COST ESTIMATES ► TENDERING ► EVALUATION, REVIEW & AWARD OF WORKS ► CO - ORDINATION, INSPECTIONS & QUALITY CONTROL STEPS ► SITE MANAGEMENT Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 16

► CHOICE OF TECHNOLOGY ► ESTABLISHMENT SCALES & QUANTITIES ► PRELIMINARY SPECIFICATIONS ► COST ESTIMATES ► DETAILED SPECIFICATIONS & TENDERING ► PURCHASING & SCHEDULING ► INSTALLATION PLANNING ► INSPECTION & CO-ORDINATION STEPS ► COMMISSIONING & MAINTENANCE Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 17

► MANPOWER NEEDS ► JOB SPECIFICATIONS ► PERSONNEL (HR) POLICIES ► SEARCH & RECRUITMENT ► TRAINING & DEVELOPMENT STEPS ► INDUCTION Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 18

► ORGANISATIONAL STRUCTURE ► MANAGEMENT SYSTEMS & SOPs ► HOSPITAL BUSINESS & MEDICAL OPERATIONS ► HOSPITAL STORES & SUPPLY SYSTEMS ► ENGINEERING OPERATIONS & MAINTENANCE ► HOSPITAL INFORMATION SYSTEMS ► COMPUTER NETWORK SYSTEMS ► QUALITY ASSURANCE SYSTEMS STEPS ► DISASTER MANAGEMENT MANUAL Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 19

MOVE IN THE OPERATIONAL TEAM & IN ASSOCIATION WITH THEM, CARRY OUT ► SOFT COMMISSIONING ► SHAKE DOWN AND REALIGNMENT ► DOCUMENTATION FOR HANDING OVER STEPS ► FULL COMMISSIONING Project Development & Planning Design Development Detailed Design Engineering Project Co-ordination & Works Implementation Medical Equipment Planning & Scheduling Manpower Planning & Operative Systems Plan Move In Operational Team Commissioned Hospital 20

We have, to our credit, the programming and planning of more than 90 projects, of which 75 have subsequently been designed and constructed to the planned parameters; and are now fully operational. These are not only meeting the objectives of planning but have proved to be capable of meeting the planned and un-planned additional loads, in terms of bed’s service area ratios as well as service system loads. 21

Hospital Consultant 2 Associated Hospital Architects & Planners 8 Associated Service Consultants 5 Project Managers 1 Estimation Engineers 1 Computer Software Engineer 2 Project Supervisors 2 Communication Engineer 1 Computer Operators 2 Supporting Staff 6 22

HOSPITAL PLANNING Dr. K. B. Sood MBBS, DHA, MIMA HOSPITAL ARCHITECTS Anuj Sood B Arch, AIIA Manish Saini M. Arch Amar Kant Choudhary M Tech, MIE Devender Damle M Tech V. S. Kukreja BE Mrs. Bela Mathur BE PUBLIC HEALTH ENGINEER M. K. Gupta BE HVAC ENGINEER Y. K. Jain BE Udayan Chaudhary B E (Mechanical) STRUCTURE ENGINEER ELECTRICAL ENGINEER 23

We are committed to our clients’ success At all times, we consider the costs to our client and the return on investment. We always plan our project for commissioning within 12 – 18 months of breaking soil, to prevent obsolescent of the technological used In case the resource plan does not support the full project plan, we phase the facility into sub-units, each sub-unit capable of providing the full components of Comprehensive Healthcare in limited departments 24

We have contributed, till date, to 90 Healthcare projects The planning of 75 projects has been completed There are total of 69 Hospital projects, planned to a stage where projects are now operational Together, they would create 10, 333 Hospital Beds at a projected cost of Rs. 16, 627 millions Of these, 52 are in the Private sector and 17 are in the Government sector 25

THESE PROJECTS ARE LOCATED IN ■ ALLAHABAD, UP ■ MUMBAI, MAHARASHTRA ■ ALWAR, JAIPUR, ■ NOIDA & GREATER NOIDA, UP UDAIPUR, RAJASTHAN ■ RAIGARH, CHATTISGARH ■ CHANDIGARH ■ RAIGARHA, ORISSA ■ DELHI & NEW DELHI ■ RANIKHET, UTTARANCHAL ■ GOA ■ SRINAGAR, J & K ■ GURGAON, HARYANA ■ SURAT, GUJRAT ■ JAMMU ■ RUSSIA ■ LUDHIANA, PUNJAB ■ SULTANATE OF OMAN ■ MORADABAD, UP ■ DEMOCRATIC REPUBLIC OF ■ MULLANA, AMBALA CONGO 26

INHS ASVINI, MUMBAI G K GENERAL HOSPITAL, BHUJ INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI LIFE LINE HOSPITAL ALWAR 27

GANGARAM HOSPITAL, DELHI FORTIS SCHOOL OF NURSING, MOHALI DELHI HEART & LUNG INSTITUTE, DELHI HIRANANDANI HOSPITAL, MUMBAI 28

JINDAL HOSPITAL, RAIGARH GOA HEALTH CLUB MAHARAJA AGARSAIN MEDICAL COLLEGE, AGROHA, HISSAR JAGRITI HOSPITAL, ALLAHABAD 29

M M HOSPITAL, MULLANA MILLENNIUM HOSPITAL, NEW DELHI SHRI ACHARYA CHANDER MEDICAL COLLEGE, JAMMU KAILASH HOSPITAL, NOIDA 30

OPD BLOCK, PGI, CHANDIGARH EMERGENCY BLOCK, PGI, CHANDIGARH APC BLOCK, PGI, CHANDIGARH 31

SRHC HOSPITAL, NARELA, DELHI RYBINSK SANATORIUM, RUSSIA SAI HOSPITAL, MORADABAD MM DENTAL COLLEGE, MULLANA 32

LPL REFERENCE MEDICAL LABORATORY, ROHINI LPL MED LABORATORY, HANUMAN ROAD DELHI LPL CLINICAL TRIAL LAB, GURGAON 33

MAHRAJA AGARSAIN MEDICAL COLLEGE, AGROHA, HARYANA WALIA HOSPITAL, EAST DELHI INSTITUE OF LIVER & BILIARY SCIENCES, DELHI 34

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JINDAL HOSPITAL PROJECT TEAM O P JINDAL HOSPITAL MANAGEMENT COMMITTEE DELHI MEDICAL COUNCIL INSPECTION MEETING OF HIMSR 37

We regularly provide a forecast for future Healthcare technologies to update our Hospital Programming and Planning software (HPP) Our vast experience in equipment installation, some of which is unique, like the Cobalt Units, Linear Accelerators, Brachy Therapy, Molecular Labs and the Near Zero Bacteria Operating Rooms, has enabled us to eliminate some of the design constraints in speciality areas. We have to our credit, a number of innovations in Hospital Equipment and Systems, which have now become industry standards. Notable among these are 38

NOUS has classified the Hospital activity into 5 functional groups to provide for comprehensive planning and establishes adequate departmental interrelations It has become the preferred evaluating format for DPR, insisted upon by the leading financial institutions & merchant banks Ward Lighting System UP N DOWN LIGHT FLOOR LIGHT OR UNDER BED LIGHT It has now become popular with a number of manufacturers as well as hospitals 39

INTEGRATION OF ALL BEDHEAD SERVICES INTO A SINGLE COMPACT PANEL LAMINAR FLOW HVAC SYSTEM THROUGH TOP SLAB FOR NEAR ZERO BACTERIA OPERATING ROOMS ► All Electrical & PMG Supplies from the Ceiling Slab ► The return Air Duct from OT Side Wall ► Perforations in Ceiling Slab for Air Plenum ► AHUs located on top of the OT slab 40

It is the First Private Medical college Of Delhi with 100 Seats. It has a 350 bedded Teaching Hospital. It will be built in more than 2 phases of which first phase of 300, 000 sq. feet to be renovated at a cost of INR 50 crores has been started in June 2010. We 41

The 350 bedded Teaching Hospital associated with HIMSR is being upgraded at a cost of Rs. 28 crores. In phase - II, It shall be upgraded to a 606 Bedded Hospital. A new building with 3, 50, 000 SFT shall be added in next 4 years. 42

It is a 100 bedded Cardiology Hospital associated with RNT Medical college. It will have 2 Teaching Units for DM Cardiology and 1 Teaching Unit for M c. H Cardio 43

It is a 300 bedded Multi-specialty Hospital with focus on Obstetrics, Gastroenterology and Cardiology. It will be built in more than 2 phases of which first phase of 1, 30, 000 sq. feet to be built at a cost of INR 40 crores has been started on a 3 acre plot 44

It is a 300 bedded Multi-speciality Hospital with focus on Obstetrics, Gastroenterology, Neurology and Cardiology. It will be built in more than 2 45 phases of which first phase of 1, 80, 000 sq. feet to be built at a cost of INR

We provide full range of professional services for any Hospital, Medical College or Health Education project. We are your project partner in planning, designing, equipping & commissioning. As a team, we share our collective knowledge and expertise and provide total solutions in healthcare facility planning, upgradation of facilitities and technology deployed & in managing the facilities. Because of our medical training and our hands on experience of having handled all types of Healthcare facilities, we provide quick and qualified decisions for functional planning & facility designing 46

We provide decisions for Equipment planning, which are not influenced by Equipment manufacturers (and Vendors) but by considerations of project resource plan and life cycle evaluation of specific Equipment. We use our interaction with the Hospital Owners to generate accurate and specific design brief, so that no revisions are required during project execution, thereby bringing substantial savings in project costs. We provides our services in a time bound plan, for executing the projects in a very short time on a definite activity plan as per the PERT & CPM We are now looking for more challenges to plan Cost Efficient Hospitals and Healthcare Programs for any community, in any part of the Globe 47

adding value for healthcare provider, hospital owners and investors by creating comprehensive healthcare systems CONTACT US OFFICE: 31 CSC Gulmohar Park, New Delhi - 110 049 Web Site: www. nousdoc. com E Mail: nousdoc@gmail. com Telephone: (+ 011) 2685 8017 REGD. OFFICE : C-145, Nirman Vihar, New Delhi - 110 092 BRANCH OFFICE: 38 New Airport Road, Bhagat Barzulla, Srinagar 48