Project Management Assignment

Project Title: “Construction of a 250 bed multi-speciality hospital in Hyderabad”

Submitted by:

22MBMB03 22MBMB13 22MBMB22

22MBMB32 22MBMB33 22MBMB35

22MBMB40

Submitted to:
Dr. Prasad Revur
Table of contents

S. No. Topic Page No.

1. General Info
● Name
● Hospital Name
● Manager Name
● Organisational Unit (PMO)
● Regulatory rules
● Expected start and completion date
● Savings and expenses

2. Problem Statement
● Objective
● Scope

3. Purpose of project

4. Case Study
● Expected Scope deliverables
● 480 Cr bandwidth
● Total time

5. Stakeholder Analysis

6. Communication Plan

7. Scope Management
● Land Acquisition
● Hospital Facility
● Safety
● Regulatory Compliance

8. Long term financial plannings (Resources and their

cost)

9. Benefit of the project

10. Project Risks

● Financial
● Technological
● Safety
● External
● Environment

11. Project Constraints

● Technological
● Budget
 ● Time
● Cost
● Quality
● Scope
● Geological
● Political

12. Assumptions
● Funding
● Resources
● Stakeholder Acquisition
● Weather
OVERVIEW

Name of the project – CareBuild Solutions

Name of the Hospital - WellnessWings Hospital
Project Manager – Mr Jhunjhunwala
Expected duration – 18 months
Expected Budget – 450 crores INR
Location – Serilingampally, Hyderabad

PROJECT DESCRIPTION

Constructing and operating a 250-bed, multi-specialty hospital in Hyderabad, India, offering

comprehensive healthcare services with a focus on affordability and accessibility.

PROJECT OBJECTIVES

● Provide high-quality medical care to the Hyderabad community with a focus on

patient needs and satisfaction.
● Achieve operational excellence and financial sustainability.
● Promote community health and well-being through outreach programs and education
initiatives.

PROJECT SCOPE

Deliverables:
● Fully functional 250-bed hospital with:
○ 2 Operating Theatres (OTs)
○ 3 Intensive Care Units (ICUs)
○ 1 Medical Intensive Care Unit (MICU)
○ Emergency Department
○ Outpatient Department (OPD)
○ Inpatient Rooms (private and shared)
○ Diagnostic Centre with radiology and pathology services
 ○ Pharmacy
○ Dining Hall
○ Conference Hall
○ Restaurant
○ Ample parking space

Exclusions:
● Advanced specialty services (e.g., oncology, cardiac surgery)
● Research facilities
● Staff housing

PROJECT SUCCESS CRITERIA

● Completion of construction within budget and timeline (18 months).

● Achieve minimum occupancy rate of 75% within 2 years.
● Maintain high patient satisfaction ratings (above 80%).
● Generate positive cash flow within 3 years.

ORGANISATIONAL UNIT (Project Management Office)

In a hospital building project, organisational units could include:

1. Project Management Team: Responsible for overall planning, coordination, and
execution of the hospital construction project.
2. Architecture and Design Department: Responsible for designing the layout, structure,
and aesthetics of the hospital building.
3. Engineering Department: Responsible for the technical aspects of the project,
including structural engineering, HVAC systems, plumbing, and electrical systems.
4. Construction Crews: Responsible for the actual construction work, including labour,
equipment operation, and site management.
5. Procurement Department: Responsible for sourcing materials, medical equipment, and
furnishings needed for the hospital.
6. Health and Safety Department: Responsible for implementing and enforcing safety
protocols and regulations on the construction site.
7. Quality Assurance/Quality Control Team: Responsible for ensuring that construction
meets specified quality standards and regulatory requirements.
8. Facilities Management Team: Responsible for planning and managing the operational
aspects of the hospital building, including maintenance, security, and utilities.
 9. IT Department: Responsible for planning and implementing information technology
infrastructure, including networking, electronic medical records systems, and
communication systems.
10. Finance Department: Responsible for budgeting, financial forecasting, and cost
control throughout the construction project.
11. Legal Department: Responsible for handling contracts, permits, zoning regulations,
and any legal issues related to the construction project.

PROJECT PURPOSE

Some of the primary purposes of such a project:

1. Healthcare Provision: The primary purpose of building a 250-bed hospital is to
provide essential healthcare services to the community it serves. This includes
medical care, surgical interventions, diagnostic services, emergency care, and
specialised treatments across various medical specialties.
2. Meeting Demand: The construction of a 250-bed hospital aims to address the existing
and projected healthcare needs of the population. It helps in meeting the demand for
hospital beds, medical services, and healthcare professionals in the region.
3. Improving Access to Healthcare: By establishing a hospital with a significant bed
capacity, the project aims to improve access to healthcare services for residents who
may otherwise face barriers to care due to distance, availability, or affordability
issues.
4. Enhancing Quality of Care: The project seeks to enhance the quality of healthcare
services by providing state-of-the-art facilities, modern medical equipment, and
skilled healthcare professionals. It aims to offer comprehensive, high-quality care to
patients, leading to better health outcomes.
5. Supporting specialised Services: A 250-bed hospital may also aim to provide
specialised medical services and treatments that are not readily available in smaller
healthcare facilities. This includes services such as cardiac care, oncology, neurology,
paediatrics, and orthopaedics, among others.
6. Emergency Preparedness: The hospital project may serve as a cornerstone for
emergency preparedness and response within the region, offering critical care services
during emergencies, natural disasters, or public health crises.
7. Research and Education: Larger hospitals often serve as hubs for medical research,
education, and training. The project may facilitate collaboration with academic
institutions, research organisations, and medical schools to advance medical
knowledge, train healthcare professionals, and contribute to medical innovation.
8. Economic Development: Building a 250-bed hospital can also have positive economic
impacts on the community by creating jobs, attracting healthcare professionals,
stimulating local businesses, and driving economic growth.
STAKEHOLDER ANALYSIS

1. Government Authorities:
○ Interest: Ensuring compliance with regulations, issuing permits, and
overseeing public health standards.
○ Influence: Regulatory approvals, funding allocations, and adherence to zoning
and building codes.
○ Impact: Setting legal requirements, providing financial support, and ensuring
public safety.
2. Local Community:
○ Interest: Access to quality healthcare, impact on property values, and
employment opportunities.
○ Influence: Community engagement, feedback, and support or opposition to the
project.
○ Impact: Health outcomes, community development, and social cohesion.
3. Healthcare Professionals (Doctors, Nurses, Technicians):
○ Interest: Providing high-quality care, access to modern facilities and
equipment, and safe working conditions.
○ Influence: Clinical input, workflow design, and staff recruitment.
○ Impact: Delivery of healthcare services, patient outcomes, and staff
satisfaction.
4. Patients and Families:
○ Interest: Accessible and comprehensive healthcare services, comfort, and
safety.
○ Influence: Patient experience feedback, preferences in design and amenities.
○ Impact: Health outcomes, satisfaction with care, and overall experience.
5. Hospital Management and Staff:
○ Interest: Efficient operations, resource allocation, and adherence to
organizational goals.
○ Influence: Strategic decision-making, project planning, and operational
protocols.
○ Impact: Operational efficiency, staff morale, and quality of care delivery.
6. Construction Contractors and Suppliers:
○ Interest: Timely completion, adherence to specifications, and profitability.
○ Influence: Construction methods, material sourcing, and project execution.
○ Impact: Construction quality, timelines, and budget management.
7. Financial Institutions and Investors:
○ Interest: Return on investment, financial stability, and risk management.
○ Influence: Funding decisions, project financing, and budget oversight.
 ○ Impact: Project viability, funding availability, and financial sustainability.
8. Environmental and Community Groups:
○ Interest: Environmental impact, community well-being, and sustainability.
○ Influence: Environmental assessments, mitigation measures, and community
engagement.
○ Impact: Environmental conservation, community relations, and project
acceptance.
9. Local Businesses and Suppliers:
○ Interest: Economic opportunities, job creation, and supply chain partnerships.
○ Influence: Business contracts, local procurement, and employment
opportunities.
○ Impact: Economic growth, job creation, and business development.
10. Media and Public Opinion:
○ Interest: Transparency, accountability, and public perception of the project.
○ Influence: Media coverage, public discourse, and reputation management.
○ Impact: Project visibility, public support or opposition, and stakeholder
engagement.

PROJECT SCOPE

Here's an outline of the scope that such a project might entail:

1. Site Selection and Acquisition: Identifying and acquiring suitable land for the hospital
construction, considering factors like accessibility, zoning regulations, and proximity
to amenities.
2. Design Phase:
○ Architectural Design: Developing plans for the hospital layout, exterior
appearance, and interior spaces to meet functional requirements and aesthetic
goals.
○ Engineering Design: Designing structural, mechanical, electrical, and
plumbing systems to ensure safety, efficiency, and compliance with building
codes and regulations.
○ Regulatory Approvals: Obtaining necessary permits and approvals from local
authorities and regulatory bodies.
3. Procurement: Sourcing materials, medical equipment, furniture, fixtures, and other
necessary supplies for the construction and operation of the hospital.
4. Construction:
○ Site Preparation: Clearing the site, grading, and preparing the foundation.
○ Building Construction: Erecting the hospital structure, including walls, floors,
roof, and other structural elements.
 ○ Installation of Systems: Installing mechanical, electrical, plumbing, HVAC,
and other building systems.
○ Interior Finishing: Completing interior finishes such as flooring, painting,
tiling, and installing fixtures.
○ Landscaping and Exterior Finishing: Landscaping the surroundings and
completing exterior finishes.
5. Quality Assurance and Control: Implementing processes to ensure that construction
meets specified quality standards, regulatory requirements, and safety protocols.
6. Testing and Commissioning: Testing and commissioning building systems and
equipment to ensure they function correctly and meet performance standards.
7. Operational Planning: Developing plans for hospital operations, including staffing,
training, policies, procedures, and operational workflows.
8. Furniture, Fixtures, and Equipment (FF&E): Procuring and installing furniture,
medical equipment, IT infrastructure, and other necessary items for hospital
operation.
9. Final Inspections and Certifications: Conducting final inspections, obtaining
certificates of occupancy, and ensuring compliance with all regulatory requirements.
10. Occupancy and Transition: Transitioning the hospital from construction to operational
mode, including moving in equipment, staffing up, and preparing for patient care.
11. Post-Construction Support: Providing ongoing support for any issues that arise after
construction completion and ensuring a smooth transition to full hospital operation.

COMPETITIVE ADVANTAGE

The Hyderabad healthcare market is competitive, with several established hospitals catering
to different segments. Our competitive advantage will lie in:
● Affordability: Offering competitive pricing and insurance packages.
● Accessibility: Convenient location and extended operating hours.
● Patient-centric care: Personalized attention and high-quality service.
● Technology integration: Utilizing advanced technology for diagnostics and treatment.

COST MANAGEMENT

Staying within the budget is crucial. Here's a breakdown of potential cost areas:
● Land & Construction: 30-40%
● Medical Equipment: 20-25%
 ● IT Infrastructure: 5-10%
● Staffing: 15-20%
● Operational Expenses: 10-15%

PROJECT RISKS

1. Budget Overruns: Unforeseen costs related to materials, labour, regulatory

compliance, or design changes can lead to budget overruns, impacting the financial
viability of the project.
2. Schedule Delays: Construction delays due to weather, labour shortages, permit issues,
or unforeseen site conditions can prolong the project timeline, delaying the hospital's
opening and increasing costs.
3. Regulatory and Permitting Challenges: Delays in obtaining necessary permits or
complying with regulatory requirements can stall the project and result in additional
costs.
4. Design Changes: Changes in design requirements or scope creep can lead to delays,
rework, and increased costs during construction.
5. Quality Control and Defects: Poor workmanship, material defects, or construction
errors can compromise the quality of the hospital building, leading to safety concerns,
rework, and additional costs.
6. Safety and Health Risks: Inadequate safety protocols, accidents, or occupational
hazards during construction can result in injuries, fatalities, legal liabilities, and
reputational damage.
7. Environmental Impacts: Failure to address environmental regulations or mitigate
environmental risks can lead to legal penalties, project delays, and damage to the
surrounding ecosystem.
8. Supply Chain Disruptions: Disruptions in the supply chain, such as shortages of
materials, equipment, or skilled labour, can impact construction progress and increase
costs.
9. Technological Challenges: Integration issues, compatibility problems, or failures in
technology systems (e.g., IT infrastructure, medical equipment) can hinder hospital
operations and patient care.
10. Community Opposition: Local opposition from residents, environmental groups, or
other stakeholders can lead to project delays, legal challenges, or reputational damage.
11. Financial Risks: Economic downturns, changes in healthcare reimbursement policies,
or fluctuations in interest rates can affect project financing, revenue projections, and
long-term financial sustainability.
12. Natural Disasters and Catastrophic Events: Events such as earthquakes, hurricanes,
fires, or pandemics can disrupt construction activities, damage infrastructure, and
pose safety risks to workers and the community.
 13. Political and Legal Risks: Changes in government regulations, policies, or legal
disputes related to land acquisition, contracts, or liabilities can impact the project's
progress and outcomes.
14. Operational Challenges: Inadequate planning or preparation for hospital operations,
staffing, training, or patient care can lead to inefficiencies, service disruptions, or
patient safety concerns after the hospital opens.

PROJECT ASSUMPTIONS

1. Financial Assumptions:
○ Funding Availability: Assuming that the necessary funding will be secured as
per the budget estimates.
○ Cost Estimates: Assuming that the cost estimates for construction, equipment,
and operational expenses are accurate and comprehensive.
○ Financial Stability: Assuming that there will be no significant fluctuations in
interest rates, inflation rates, or currency exchange rates that could impact
project finances.
2. Regulatory Assumptions:
○ Compliance: Assuming that all necessary permits, licenses, and regulatory
approvals will be obtained in a timely manner.
○ Zoning and Building Codes: Assuming that the hospital project complies with
local zoning regulations and building codes throughout the construction
process.
3. Timeline Assumptions:
○ Construction Schedule: Assuming that construction will proceed according to
the planned timeline without significant delays due to weather, labor
shortages, or unforeseen circumstances.
○ Operational Readiness: Assuming that the hospital will be ready for
operational activities, including staffing, training, and procurement of medical
supplies, upon completion of construction.
4. Stakeholder Assumptions:
○ Stakeholder Cooperation: Assuming that stakeholders, including government
authorities, healthcare professionals, and local communities, will cooperate
and support the project.
○ Community Acceptance: Assuming that the hospital project will be accepted
and welcomed by the local community without significant opposition or
resistance.
5. Technical Assumptions:
 ○ Construction Methods: Assuming that chosen construction methods, materials,
and technologies will meet quality standards and performance requirements.
○ Equipment Reliability: Assuming that medical equipment and technology
installations will function as expected without significant defects or
malfunctions.
6. Risk Mitigation Assumptions:
○ Risk Management Plans: Assuming that identified risks will be effectively
managed through proactive risk mitigation strategies and contingency plans.
○ Insurance Coverage: Assuming that insurance policies will provide adequate
coverage for potential liabilities, damages, and unforeseen events.
7. Operational Assumptions:
○ Patient Demand: Assuming that the projected demand for hospital services and
bed capacity is accurate and will be sustained over time.
○ Staffing Availability: Assuming that there will be an adequate supply of
skilled healthcare professionals available for recruitment and retention.
8. Quality Assumptions:
○ Quality Standards: Assuming that construction, equipment, and operational
processes will meet or exceed established quality standards and regulatory
requirements.