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AIIMS, JODHPUR
Introduction
‡ Hon¶ble Prime Minister of India has launched a proposal named
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 to create Six AIIMS like apex healthcare institutes in
different parts of the country. These Institutes shall offer
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‡ The proposed institutes will participate in providing national
leadership in the education of physicians and medical scientists, in
biomedical research, and in the application of sophisticated medical
technology to patient care. The activities of the institutes will focus
on providing the highest quality patient care services, medical
education and in advancing biomedical research
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‡ Y"& &'  "&   , is the process during
which the changes of a system are implemented in a controlled manner
by following a pre-defined framework with reasonable modifications
‡   "&    - Scope should be clearly defined as part of
the Project Definition. Much of the work at that time is directed at
agreeing the optimum definition of the project - both in terms of its
deliverables and in terms of how it will operate. This scope definition
will form the baseline against which potential changes are assessed and
against which the project's performance is measured.
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Oco econtrol
‡ Initial scope of AIIMS
‡ Hospital Complex
Ł OPD Block
Ł Diagnostic & Treatment block including OT¶s.
Ł Ward Block
Ł Faculty & Research Block
Ł Service Block
Ł Mortuary
‡ Speciality Block
Ł Cancer center -an independent facility complete in
itself.
‡ Teaching Complex
Ł Labs & Research centre
 Ł Administration & Faculty
Ł Teaching Complex
- Lecture Halls
-Library ( With e ±systems for online access to Journals, books
etc)
Ł Auditorium
‡ Hostels for Doctors
Ł Hostels for Senior Residents
Ł Hostels for Students (Boys & Girls)
Ł Public Accommodation (eg. Guest House & Sarai)
‡ Public Utility & Infrastructure
Ł Recreational & Public Facilities (Football / tennis Ground &
Shopping Complex)
Ł Parking lots
Ł Roads
Ł External Development
‡ Services
Ł Electrical sub-stations and DG sets
Ł HVAC plant room
Ł Water Supply systems
Ł External drainage and rain water harvesting
Ł Waste management yards and disposal
Ł Sewerage lines and treatment plant
Ł Underground oil storage systems

‡ Y"&(( :
‡ Initially the hospital complex, medical college and
residential were supposed to be done by the appointed
architect. Later on, the design and construction of
residential area(30 acres) were handed over to another
architect.
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‡ Workshops had been conducted to standardize design,
structural and adoption of best practices were promoted.
Some of them are the following:
‡ The service delivery of the entire hospital has been divided into
three sections, viz.,   ' á (where the
patient is mobile while the doctors, paramedics and the equipment
are fixed);  (where the patient is fixed while the rest of the
attendant facilities including physicians are mobile);  
"  )*   (where the equipment is fixed while the
patients, paramedics and surgeons are mobile).
‡ Broad division of an extreme type and a coastal type of climate to
address the objectives comprehensively.
‡ For example -   $ $ ' +  &   !
(rounded off). This is because a , &" &    + "
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‡ Separate all departments yet keep them close to each other; separate
types of traffic yet save steps to everybody. That is all there is to
hospital planning. Introduce the concept of hospital corridor.
‡ Hospital provides Preventive, Curative, Restorative, Rehabilitative,
Promotive and Comprehensive community health care to the public.
Segregation of patients is recommended on the basis of the
following:
Ł Curative and preventive services, for instance immunization, well
baby clinic and anti natal area should be separated from
medicine, skin, ENT or other OPD areas.
Ł The functional circulation with the shortest possible traffic route
helps in economizing construction cost.
Ł Segregation of dissimilar activities such as movement of dirty
utility and clean utility, quite and noisy activity, different types of
patients and traffic, both inside and outside of the building is an
aid to economizing construction cost.
‡ Room sizes are seldom so critical that a variation of 10-20% will
make much difference in their usefulness. Since these rooms are
more equipment and facility oriented, if a module can be developed
that is acceptable to a large variety and occupancies and mechanical
services, changes in use will require minimum alteration.
‡ Value added services to be a part of design that were later on
included in their scope and design
‡ To be precise, Î /  "  && "" 
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O ecifiction ect
‡ Œ &0 Initially the specification of flooring was not finalised at
the design stage. It got standardized at a later stage, which was
explained as the following:
Ł It should facilitate cleaning. Coved skirting with a minimum radius of 3
cm and minimum of 10 mm should be done to prevent dirt/dust
accumulation.
Ł Floor loading capacity/wear resistance should be appropriate to the
human traffic and equipment utilized in the facility.
Ł Floor should be non-slippery when wet.
Ł Laboratory flooring should be abrasion and water resistant.
Ł Anti static flooring was required in operating units because of the use of
flammable anaesthetic agents. Since such types of anaesthetics are no
longer in use hence requirement of anti static flooring no longer exist.
Ł The flooring should be conducive to movement of objects such as trolleys
and wheel chairs.
Ł The flooring should minimize noise generation.
‡ Hence the flooring selected for main areas are the following:
Ł Cement concrete flooring in most of the areas
Ł Chequered vitrified tiles in most of the footpath and courtyard
areas.
Ł Kota stone slab flooring on steps
Ł Providing nito floor self leveling epoxy floor resin topping in
Trauma block, OT block, Oncology block only.
Ł Ceramic tiles for the toilets.
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Ł Wall materials in areas such as OT should be impervious,
jointless, non absorbent, easily cleaned.
Ł X Ray View box, electrical plugs/switches should be flush with
the wall. Surface to facilitate cleaning.
Ł Walls and also floors if situated above ground level of Imaging
department must be provisioned with shielding material such as
lead to prevent radiation exposure.
Ł Corners of the wall to be protected against banging of Stretchers
‡  (1(+ +
‡ Doorways should have minimum 90 cm clear opening width to allow easy
passage to patients/visitors/staff including those on wheelchair. A level
space of at least 152 cm wide should extend about 45 cms on either side of
the doorway for facilitating opening/closing by a wheel chaired person. The
door should be designed to be opened by application of no more than 4 kg
of pressure.
‡ In pediatric rooms, two sets of door handles should be provided one at a
high level and one at low level rooms occupied by patients/staff should have
windows to have external views and make use of direct or borrowed natural
light where practical.
‡ Each window and/or glazed door should have direct glazed area of not less
than 15% of the floor area of the room.
‡ All doors in the toilets of In patient area to open outside.
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‡ In order to meet revised cost of construction, the
Government today allocated an additional Rs 5,535 crore
for six upcoming AIIMS-like institutes and upgradation
of 13 existing Government Medical Colleges.
‡ The CCEA had earlier approved Rs 3,975 crore for the
scheme and with the additional funds, the total outlay
now stands at Rs 9,307 crore.

The reason for increase in cost of construction are the

following:
Ł Standardization of specifications
Ł Standardization of practices to be adopted
Ł Emphasis on green design
Ł Standardization of medical equipments
árocurement
‡ The primary idea was to have one model and the
same design model to be relocated at the six
proposed places (through EPC mode)
‡ The competition was won by german company
‡ This competition was abandoned
‡ EOI was called up again
‡ It was decided that the project would be carried
out on item rate contract.
‡ Initially a single contractor was being given the
work packages but then since no contractor had
done work of similar type worth 300 crores, it
got divided into 5 work packages.
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‡ in hospital complex and academic building, the HVAC and
civil package have been merged together. As a result, there
has been increase in price by 30%.
‡ In one contractor system, all burden on single contractor.
‡ Quality can be ascertained.
‡ Lot of many sub contractors may be involved.
‡ Cost may go high during execution.
‡ If quality and time line is an important factor, then it is
suggested to have single contractor for different packages of
work.
‡ The current status of the project is that the work for academic
and college building have is likely to start in May, 2010 as the
bidders were selected in the month of March, 2010.
‡ No separate tenders for auditorium complex. It is merged
with the hospital complex. Auditorium is entirely different
than a hospital complex as it is itself a large building complex
and requires special attention.
‡ They had to start with OPD and trauma block first, but later
on they planned to start with medical college.
‡ The cancer hospital is based on PPP mode.