Unique by design & construction: MEITRA Hospital

The 500-bed facility is being delivered in a record 18 months.

Faizal E Kottikollon, chairman, KEF Holdings, on how MEITRA Hospital is bridging the gap between architecture, engineering and design

What has been your group’s key strength is developing an ultra-modern healthcare facility like MEITRA Hospital. How did you plan a hospital for an Indian environment?

Our vision with MEITRA Hospital is to create a globally recognised healthcare delivery system, with a superior patient experience and the best possible clinical outcomes, integrated with transparent and ethical business practices. To achieve this, we have set up a state-of-the-art facility, brought in cutting-edge technology, and established best practice knowledge partnerships from around the world.

At MEITRA, we are introducing a unique value-based care model developed under the guidance of physicians from the world-renowned Cleveland Clinic. Poised to deliver the best possible experience at an affordable cost, the model is data driven and standardises clinical care at the point of care setting. This helps in eliminating variance, improve outcomes, enhance the patient experience and reduce the average length of stay (ALOS).

In the Indian context, a visit to the hospital is often an unpleasant experience for the patient. At MEITRA, we have addressed this aspect by working at every touch point, to create a comforting experience not just for the patient, but for the family and bystander(s) as well. The result of our painstaking efforts will be unveiled in September 2017, when MEITRA Hospital officially opens doors to patients. The 500-bed facility is being delivered in a record 18 months through offsite manufacturing technology.

This approach to well-rounded healthcare was developed by the Australian design firm, TAHPI, which has designed more than 250 healthcare facilities around the world. We collaborated with TAHPI to develop both the design and the healthcare planning of the MEITRA Hospital model.  The model is based on industrial design, innovation, and production at the highest quality, which in turn will lead to cost benefits in delivery, maintenance and operations.

Together with TAHPI, we have also established the KEF-TAHPI Design Studio in UAE. Our goal through this collaboration is to revolutionise the healthcare design and construction across emerging markets. As part of this partnership, we have created information catalogues with 50 functional planning units, as well as 500 unique room types – each fully specified, pre-designed and engineered with multiple permutations that can be used to manufacture hospitals of any size or specialisation.

This approach to healthcare development is ideal for a market such as India, where the number of healthcare facilities is severely disproportionate to the size of the population. Notably, India has only 1.3 hospital beds per 1,000 people, which is significantly lower than the 3.5 beds defined by the World Health Organization.

What unique construction methods have you adopted to build this facility? According to you, what is lacking in the design of Indian hospitals?

MEITRA Hospital bridges the gap between architecture, engineering, and design, with over 70% of the facility being manufactured offsite at the KEF Infra One Industrial Park in Krishnagiri, Tamil Nadu. This builds on the modular healthcare development concept pioneered by the KEF-TAHPI Design Studio, which uses the three principles of standardisation, industrialisation, and commoditisation to drive down development costs while improving the quality, efficiencies, and sustainability of the healthcare facility.

For the MEITRA Hospital, we started the development process using building information modeling (BIM) to determine everything from the geometry, the shape, to the ceiling-floor height of the building. At this stage, we also factored in details such as how many operating rooms are required, or where the waiting rooms should be located. This helped to mitigate design changes later, which can be both costly and time-consuming.

At the design phase, we also used software to check for structural quality and stability, as well as to gauge the building’s behavior in seismic conditions. For greater energy efficiency, we provisioned insulated wall panels, radiant cooling, and high U-value aluminum clad, which also contributes to a reduction in operating costs for the facility.

Using modular MEP, we conducted clash detection tests early on, to identify structural gaps right at the start, this helped to deliver huge cost savings compared to conventional design.  Following this, the more complex MEP structures were put together in the form of six-meter frames of all the different elements – electrical, mechanical, plumbing, medical gases, etc. – all elements were manufactured and tested offsite. These were then brought to the site in the form of modular pods and installed in precise sequences.

Most upcoming hospitals in India are built-in line with the western design concept in mind. Do you think we can meet their construction & sustainability standards?

Offsite manufacturing is widely used in Western markets for healthcare development. It is a tried and tested method, which we have integrated into a concept model that suits the needs of the Indian market.

Faizal E Kottikolon

The Western design concept for healthcare facilities puts the patient experience at the core of development, taking into account aspects such as accessibility and floor to space ratio. Offsite manufacturing and specifically BIM technology allows us to plan these elements down to the smallest detail. Even from an aesthetic standpoint, we equipped MEITRA Hospital with elegant and modern interiors, all of which were developed at our offsite manufacturing facility, using advanced joinery solutions.

At KEF, we believe technology is key to meeting global standards across sectors. In this respect, embracing innovations such as end-to-end offsite manufacturing will help put India at the forefront of healthcare development.

What is your group’s vision in growing and expanding
business in the healthcare sector?

We expect to see plenty of opportunity in growing our healthcare proposition. We are looking to collaborate with Indian healthcare developers and providers to deliver word-class facilities like
MEITRA in record time across the country. We have turnkey models and solutions that can address the unique needs of hospital building projects.

We also have strong international partnerships that we can leverage to help partners build a well-rounded healthcare experience. We are already receiving wide interest from markets across Asia, Africa, and the Middle East regions. Within India, we are currently developing a number of other projects in the healthcare space.

We have partnered with Wipro GE Healthcare in India to combine their healthcare technology, equipment solutions, and services with KEF’s capabilities in offsite manufacturing technology to offer a unique value proposition to clients.

With the MEITRA Hospital due to open soon, we expect to generate a strong interest in our offering, that we hope will convert to a robust pipeline of projects over the next year.

What has been your group’s key strength is developing an ultra-modern healthcare facility like MEITRA Hospital. How did you plan a hospital for an Indian environment?

Our vision with MEITRA Hospital is to create a globally recognised healthcare delivery system, with a superior patient experience and the best possible clinical outcomes, integrated with transparent and ethical business practices. To achieve this, we have set up a state-of-the-art facility, brought in cutting-edge technology, and established best practice knowledge partnerships from around the world.

At MEITRA, we are introducing a unique value-based care model developed under the guidance of physicians from the world-renowned Cleveland Clinic. Poised to deliver the best possible experience at an affordable cost, the model is data driven and standardises clinical care at the point of care setting. This helps in eliminating variance, improve outcomes, enhance the patient experience and reduce the average length of stay (ALOS).

In the Indian context, a visit to the hospital is often an unpleasant experience for the patient. At MEITRA, we have addressed this aspect by working at every touch point, to create a comforting experience not just for the patient, but for the family and bystander(s) as well. The result of our painstaking efforts will be unveiled in September 2017, when MEITRA Hospital officially opens doors to patients. The 500-bed facility is being delivered in a record 18 months through offsite manufacturing technology.

This approach to well-rounded healthcare was developed by the Australian design firm, TAHPI, which has designed more than 250 healthcare facilities around the world. We collaborated with TAHPI to develop both the design and the healthcare planning of the MEITRA Hospital model.  The model is based on industrial design, innovation, and production at the highest quality, which in turn will lead to cost benefits in delivery, maintenance and operations.

Together with TAHPI, we have also established the KEF-TAHPI Design Studio in UAE. Our goal through this collaboration is to revolutionise the healthcare design and construction across emerging markets. As part of this partnership, we have created information catalogues with 50 functional planning units, as well as 500 unique room types – each fully specified, pre-designed and engineered with multiple permutations that can be used to manufacture hospitals of any size or specialisation.

This approach to healthcare development is ideal for a market such as India, where the number of healthcare facilities is severely disproportionate to the size of the population. Notably, India has only 1.3 hospital beds per 1,000 people, which is significantly lower than the 3.5 beds defined by the World Health Organization.

What unique construction methods have you adopted to build this facility? According to you, what is lacking in the design of Indian hospitals?

MEITRA Hospital bridges the gap between architecture, engineering, and design, with over 70% of the facility being manufactured offsite at the KEF Infra One Industrial Park in Krishnagiri, Tamil Nadu. This builds on the modular healthcare development concept pioneered by the KEF-TAHPI Design Studio, which uses the three principles of standardisation, industrialisation, and commoditisation to drive down development costs while improving the quality, efficiencies, and sustainability of the healthcare facility.

For the MEITRA Hospital, we started the development process using building information modeling (BIM) to determine everything from the geometry, the shape, to the ceiling-floor height of the building. At this stage, we also factored in details such as how many operating rooms are required, or where the waiting rooms should be located. This helped to mitigate design changes later, which can be both costly and time-consuming.

At the design phase, we also used software to check for structural quality and stability, as well as to gauge the building’s behavior in seismic conditions. For greater energy efficiency, we provisioned insulated wall panels, radiant cooling, and high U-value aluminum clad, which also contributes to a reduction in operating costs for the facility.

Using modular MEP, we conducted clash detection tests early on, to identify structural gaps right at the start, this helped to deliver huge cost savings compared to conventional design.  Following this, the more complex MEP structures were put together in the form of six-meter frames of all the different elements – electrical, mechanical, plumbing, medical gases, etc. – all elements were manufactured and tested offsite. These were then brought to the site in the form of modular pods and installed in precise sequences.

DR ALI FAIZAL, DIRECTOR, MEITRA HOSPITAL
The hospital clinical operations have been designed with multiple unique features. The first is that the hospital is designed to work completely paperless both for OP and IP clinical services and to make it efficient, the clinical templates have been designed by clinicians themselves. The hospital is planning to have computer on wheels (COWS) on the floors for data entry for clinicians and nurses.
The second feature is that the hospital is planning to have clinical care paths developed based on guidelines made to suit for management on Indian patients, this is to make whole clinical care standardised so there is no variation in clinical care. The hospital is also planning to publish periodical outcome results of therapy so as to make care transparent. Another unique feature is inpatient pharmacy is adopting unit dose dispensing of medication to make to reduce medication errors and reduce the cost of the patient.
The Heart and Vascular Institute has service of the I Robotic Hybrid Cath lab in South India for doing complex cardiac procedures especially for structured heart diseases. The cardiology department is also equipped with Advanced Optical Coherence Tomogram. Another latest technology adopted is the use of ‘O- Arm in the OT’s’, this does the function of a CT like imaging in the OT and is used for spine and ortho surgeries, making the surgery more precise and error free.
We have, in short, tried to bring out a difference in healthcare delivery in the region, by bringing the best in hospital design, technology and best in clinical team to improve the overall patient experience.

Most upcoming hospitals in India are built-in line with the western design concept in mind. Do you think we can meet their construction & sustainability standards?

Offsite manufacturing is widely used in Western markets for healthcare development. It is a tried and tested method, which we have integrated into a concept model that suits the needs of the Indian market.

The Western design concept for healthcare facilities puts the patient experience at the core of development, taking into account aspects such as accessibility and floor to space ratio. Offsite manufacturing and specifically BIM technology allows us to plan these elements down to the smallest detail. Even from an aesthetic standpoint, we equipped MEITRA Hospital with elegant and modern interiors, all of which were developed at our offsite manufacturing facility, using advanced joinery solutions.

At KEF, we believe technology is key to meeting global standards across sectors. In this respect, embracing innovations such as end-to-end offsite manufacturing will help put India at the forefront of healthcare development.

What is your group’s vision in growing and expanding business in the healthcare sector?

We expect to see plenty of opportunity in growing our healthcare proposition. We are looking to collaborate with Indian healthcare developers and providers to deliver word-class facilities like
MEITRA in record time across the country. We have turnkey models and solutions that can address the unique needs of hospital building projects.

We also have strong international partnerships that we can leverage to help partners build a well-rounded healthcare experience. We are already receiving wide interest from markets across Asia, Africa, and the Middle East regions. Within India, we are currently developing a number of other projects in the healthcare space.

We have partnered with Wipro GE Healthcare in India to combine their healthcare technology, equipment solutions, and services with KEF’s capabilities in offsite manufacturing technology to offer a unique value proposition to clients.

With the MEITRA Hospital due to open soon, we expect to generate a strong interest in our offering, that we hope will convert to a robust pipeline of projects over the next year.

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