CCIM GUIDELINES FOR AYURVEDA HOSPITAL DESIGN

In this article, Hospaccx Healthcare Consultancy has mentioned CCIM guidelines for Ayurvedic Hospitals. If you need any further assistance in designing Hospitals, or a refined market and financial feasibility or any other study related to healthcare you can Contact Hospaccx Healthcare Consultancy Business on hospaccx.india@gmail.com  

INTRODUCTION 

A hospital is an integral part of a social and medical organization, the function of which to provide for the complete health care, both curative and preventive and whose outpatient services reach out to the family and its home environment; the hospital is also a center for training of health workers and biosocial research. 

Ayurveda is a system of medicine with historical roots in the Indian subcontinent. Globalized and modernized practices derived from Ayurveda traditions are a type of alternative medicine. The Ayurvedic Hospital is duty-bound to organize all activities related to Ayurvedic treatment. There should be sufficient space in the hospital for running OPD & IPD wards in addition to Panchkarma, Ksharsutra Section, Operation Theatre, Labour Room, Storerooms, Rooms for officer and staff of the hospital and all other requirements. The minimum space required for a 100 bedded hospital should be a minimum of 20,000 Sq. ft. (covered). 

Following are the Guidelines as per the Central Council of Indian Medicine (CCIM): 

The hospital shall be suitably spacious to accommodate Out Patient Department and In-Patient Department and wards in addition to the reception, patients’ waiting area, dispensing room, dressing room, clinical laboratory, radiology section, side pharmacy, kitchen, service rooms, medical record-room, Panchakarma therapy section, Ksharsutra therapy section, Operation Theatre, Labour Room, Store Rooms, separate wards for male and female, Duty rooms for Doctors, Nurses and other staff, etc. required for a fully functional hospital. 

Outpatient Department: 

The hospital shall have a minimum eight following Outpatient Departments: 

1. Kayachikitsa
2. Panchakarma  
3. Shalya Tantra  
4. Shalakya Tantra (two rooms for Out-Patient Departments)  

(a) Netra Roga Vibhaga  

(b) Karna-Nasa-Mukha evam Danta Roga Vibhaga  

1. Prasooti evum Striroga  
2. Kaumara Bhritya (Balaroga)  
3. Swasthavritta evum Yoga  
4. Aatyayika (Emergency) 

In-Patient Department:  

The indoor department of the hospital shall have separate male and female wards and distribution of beds shall be as under: 

In-Patient Departments	Distribution	60 beds	100 beds
Kayachikitsa (Panchakarma, Rasayana and Manas Roga etc)	40% Beds	24	40
Shalya Tantra	20%Beds	12	20
Shalakya Tantra	10%Beds	6	10
Prasooti evum Striroga	20%Beds	12	20
Kaumara Bhritya(Balaroga)	10%Beds	6	10

 Rog Nidan avum Prayogshaliya Parikshan Prayogshala (Clinical Laboratory for clinical diagnosis and investigations): There shall be a clinical laboratory in the hospital complex with proper infrastructure and manpower. 

The minimum bed strength for Kayachikitsa should be 40% and for the rest of the Department, it should be 10% each. The remaining bed strength is adjusted according to the requirement of the particular hospital.   

Space Requirement for Ayurvedic Hospital 

Following things needs to be taken into consideration while designing every department: 

• The total structured area of the hospital needs to be around 2000sq. m. – 3500sq. m.  
• The Hospital Administration Block must include the following departments: 
•  Superintendent room  
• Deputy Superintendent room  

• Medical officers’ room ( for two Resident Medical Officer or Resident Surgical Officer)  
• Matron room  
• Assistant Matron room (for two)  
• Reception and Registration  
• For a 100 bed hospital the space required for OPD and IPD are as follows: 

Space requirement – OPD – 2500 Sq. ft  

                                        IPD – 7500 Sq. ft 

• OPD must have the following while design: 
• Kayachikitsa Out-Patient Department with toilet and washbasin  
• Shalya Out-Patient Department with toilet, washbasin and Examination Room  

• Shalakya Tantra Out-Patient Department with toilet and washbasin  
• Stri Roga evum Prasooti Tantra Out-Patient Department with toilet and Examination Room  
•  Kaumar Bhritya(Balarog) Out-Patient Department with toilet and washbasin  
• Swasthavritta evum Yoga Out-Patient Department with demonstration area, toilet, and washbasin  
• Atyayika (Casualty) section with toilet and washbasin  

• Dressing and First Aid Room, Kshar Sutra Room  
• Dispensary  
• Waiting Space for patients  
• Store  
• Male and Female Toilets for patients 

• IPD (Inpatient Department): 
• Kayachikitsa Male Ward with attached toilet and bathroom  
• Kayachikitsa Female Ward with attached toilet and bathroom  
• Panchakarma Male Ward with attached toilet and bathroom  
• Panchakarma Female Ward with attached toilet and bathroom  

• Shalya Male Ward with attached toilet and bathroom  
• Shalya Female Ward with attached toilet and bathroom   
• Shalakya Tantra Ward with attached toilet and bathroom  
• Prasooti evum Stri Roga Ward with attached toilet and bath  
• Kaumar Bhritya (Balaroga) Ward with attached toilet and bathroom  

• Doctors’ duty room one for each department with attached toilet and bath  
• Nursing staff duty rooms, one in each ward with attached toilet-bath.  
• Storeroom for linen, etc. 
• Operation Theaters Block for male & female must be different they are as follows: 
• Snehana Kaksha (Separate for male & female) 

• Swedana Kaksha (Separate for male & female) 
• Shirodhara Kaksha (Separate for male & female)   
• Vamana Kaksha (Separate for male & female)   
• Virechana Kaksha (Separate for male & female)   
• Basti Kaksha (Separate for male & female) 

• Rakta Mokshana, Jalaukavacharana, Agnikarma, Pracchanna etc Kaksha  
• Panchakarma therapist/Physician’s room  
• Panchakarma storeroom  
• Four attached toilet-baths for males and four for females with washbasin and geyser facility in each. These will be in addition to the toilets of wards.  
• Biomedical waste: 

Category no. 1 – human anatomical waste such as human tissue, organs, body parts.  

Category no. 2 – animal waste  

Category no.3 – microbiology & biotechnology waste such as waste from lab cultures, stocks or specimens  

Category no. 4 – waste sharps such as needles, syringe, blades, glass, etc.  

Category no. 5 – discarded medicines  

Category no. 6 – items contaminated with blood and body fluids including cotton, dressing, beddings.  

Biomedical waste must be segregated, disposed, and transported through color-coded plastic containers and send to the near biomedical disposal unit. 

The area per bed must be 50 sq. ft. per bed with the minimum distance between two beds is 3.5 ft. and the minimum distance between two rows of bed must be 5 ft. one nursing station in between two wards with a minimum of 100 sq. ft dimensions with one nurse for every 10 beds. As a general guideline, in the case of Ayurveda specialty hospitals, the facilities available should be commensurate and appropriate with the nature of services provided. The services provided at the hospital shall be consistent with the principles of classical Ayurveda. In particular, diet lifestyle and basic treatment of diseases. Options offered to the patients shall be consistent with that expected from an Ayurvedic medical care facility. Circulation area at least 200 sq. ft. per 25 beds. The doctors’ duty room must have a minimum of 100 sq. ft dimension. 

Other things that need to be followed during the designing the hospital are Display the name of the doctor with the degree, Registration number of the doctor Fee (both OPD & IPD – daily IPD charges) Timing of the clinic Experience of the doctor, Facilities provided, Signage in IPD Separate toilets & bathroom for male & females both in OPD & IPD sections.  

CONCLUSION 

To conclude, it is desirable to build an eco-friendly Ayurvedic Hospital. To design an Ayurvedic Hospital the Central Council of Indian Medicine (CCIM) norms must be followed. If we follow the above-mentioned guidelines given by the Central Council of Indian Medicine while designing Ayurvedic Hospital, Patients can be treated in a more natural environment.  

If you need any support regarding the planning of Hospital, kindly contact Hospaccx Healthcare business consulting Pvt. ltd on Hospaccx.india@gmail.com 

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