Why this course?

Description

Course: Hospital and Healthcare Facility Quantity Surveying & Costing

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Module 1: Introduction to Quantity Surveying in Healthcare Facilities

Submodule 1.1: Overview of Healthcare Facility Types and Their Construction Needs

• Types: Hospitals, Clinics, Diagnostic Centers, Specialized Care Units

• Importance of QS in healthcare due to complex MEP and regulatory requirements

• Real Scenario: Cost implications of building a multi-specialty hospital vs a small clinic

Submodule 1.2: Role and Responsibilities of a Quantity Surveyor in Hospital Projects

• Pre-construction, construction, and post-construction phases

• Coordination with architects, engineers, and hospital administrators

• Example: QS involvement in tendering and contract negotiation for a 300-bed hospital

Submodule 1.3: Understanding Healthcare Facility Project Lifecycle

• Feasibility study, design, construction, commissioning, operation

• Cost control at each stage

• Real Case: Cost escalation issues during hospital expansion project

Submodule 1.4: Regulatory Standards and Compliance in Hospital Construction

• National and local healthcare building codes

• Importance of sanitation, fire safety, accessibility

• Example: Impact of strict fire safety requirements on costing

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Module 2: Detailed Measurement and Quantification in Healthcare Projects

Submodule 2.1: Preparing Detailed Measurement Sheets for Hospital Construction

• Methods for measuring civil, architectural, and MEP works

• Measurement units specific to healthcare (e.g., sterile room finishes, specialized flooring)

• Template: Sample measurement sheet for operating theater flooring

Submodule 2.2: Civil and Structural Works Quantification

• Foundations, superstructure, walls, slabs, roofing specific to hospital needs

• Real Scenario: Quantifying seismic-resistant elements in hospital buildings

Submodule 2.3: Architectural Finishes and Specialized Healthcare Installations

• Measurement of clean rooms, radiation-proof walls, hygienic finishes

• Example: Quantification of anti-bacterial paint area for ICU walls

Submodule 2.4: Mechanical, Electrical, and Plumbing (MEP) Quantification

• HVAC ducts, medical gas pipelines, water treatment systems

• Template: Sample MEP quantity schedule for central sterilization department

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Module 3: Cost Estimation Principles for Healthcare Facilities

Submodule 3.1: Types of Cost Estimates in Hospital Projects

• Preliminary, detailed, and final cost estimates

• Example: Difference in accuracy and detail between concept estimate and detailed estimate

Submodule 3.2: Preparing Preliminary Cost Estimates

• Area rate method, elemental cost analysis

• Real Scenario: Estimating cost for new hospital wing using area rate method

Submodule 3.3: Detailed Cost Breakdown for Healthcare Facilities

• Bill of Quantities (BOQ) preparation and classification of costs

• Template: Sample BOQ format for hospital civil works

Submodule 3.4: Contingencies and Risk Allowances in Hospital Costing

• Identifying risks unique to healthcare construction (infection control delays, technology changes)

• Example: Adding contingency for advanced medical equipment installation

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Module 4: Tendering and Contracting in Healthcare Projects

Submodule 4.1: Tender Documentation for Hospital Construction

• Preparation of BOQ, specifications, and tender instructions

• Real Case: Tender preparation for modular hospital construction during pandemic

Submodule 4.2: Types of Contracts and Their Implications on Cost

• Lump sum, re-measurement, cost-plus contracts

• Example: Choosing contract type for hospital renovation project

Submodule 4.3: Tender Evaluation and Comparative Statement Preparation

• Price analysis, compliance checking, value engineering considerations

• Template: Tender comparison matrix for hospital contractor selection

Submodule 4.4: Negotiation and Finalization of Contracts

• Strategies to negotiate cost savings and schedule improvements

• Real Scenario: Negotiating MEP subcontract for medical gas system

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Module 5: Cost Control and Monitoring During Hospital Construction

Submodule 5.1: Budget Monitoring and Cost Reporting

• Establishing baseline budget and periodic reporting

• Example: Monthly cost report template for hospital construction progress

Submodule 5.2: Change Order Management and Variation Analysis

• Handling scope changes due to design revisions or regulatory updates

• Template: Change order request form with cost impact analysis

Submodule 5.3: Cash Flow Forecasting and Payment Scheduling

• Aligning payments with construction milestones and hospital commissioning phases

• Real Scenario: Managing cash flow for multi-phase hospital project

Submodule 5.4: Value Engineering for Cost Efficiency

• Identifying alternatives without compromising quality or compliance

• Example: Substituting finishes in non-critical areas to reduce cost

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Module 6: Measurement and Valuation of Healthcare Equipment Installation

Submodule 6.1: Quantification of Medical Equipment Installation Works

• Measuring supports, conduits, and integration works for equipment

• Real Case: Valuation of MRI room construction and installation

Submodule 6.2: Costing of Specialized Medical Gas and Vacuum Systems

• Measurement principles and costing considerations

• Template: Medical gas system quantity and cost worksheet

Submodule 6.3: Electrical Systems and Backup Power Quantification

• UPS systems, emergency lighting, and backup generators measurement

• Example: Cost analysis of hospital emergency power installation

Submodule 6.4: Plumbing and Waste Management Systems Costing

• Wastewater treatment, biomedical waste disposal systems measurement

• Real Scenario: Quantifying plumbing for infectious waste treatment facility

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Module 7: Preparation and Management of Hospital Bills and Payments

Submodule 7.1: Interim Payment Application Preparation

• Measurement verification, work progress assessment

• Template: Interim payment bill for hospital flooring works

Submodule 7.2: Final Bill Preparation and Reconciliation

• Final measurements, retention calculations, and defect liability

• Real Case: Final account settlement for pediatric ward construction

Submodule 7.3: Payment Certification Process and Stakeholder Coordination

• Roles of QS, client, and contractor in payment approval

• Example: Coordinating payment certificates for multiple contractors

Submodule 7.4: Handling Disputes and Claims Related to Payments

• Common payment disputes in healthcare projects and resolution techniques

• Real Scenario: Claim management for delay in equipment installation

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Module 8: Life Cycle Costing and Maintenance Budgeting for Hospitals

Submodule 8.1: Principles of Life Cycle Costing in Healthcare Facilities

• Initial cost vs operational and maintenance costs analysis

• Example: Comparing cost implications of two HVAC systems

Submodule 8.2: Preparing Maintenance Cost Budgets

• Annual and long-term maintenance cost forecasting

• Template: Maintenance budget format for hospital MEP systems

Submodule 8.3: Replacement and Renovation Cost Planning

• Planning for major equipment replacement and facility upgrades

• Real Scenario: Cost forecasting for operating theatre renovation after 10 years

Submodule 8.4: Sustainable Cost Management Practices in Healthcare

• Energy efficiency, waste reduction, and green building cost considerations

• Example: Cost-benefit analysis of solar power installation in hospital

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Module 9: Risk Management and Insurance in Hospital Construction Projects

Submodule 9.1: Identifying Cost Risks Specific to Healthcare Projects

• Infection risks, equipment delays, regulatory changes

• Real Case: Managing cost risk during pandemic-related hospital project

Submodule 9.2: Quantifying Risk Allowances in QS Cost Estimates

• Allocating financial buffers for identified risks

• Template: Risk register and allowance worksheet

Submodule 9.3: Insurance Requirements and Cost Implications

• Types of insurance relevant to hospital construction (professional indemnity, construction all-risk)

• Example: Cost impact of insurance premiums on overall hospital project cost

Submodule 9.4: Claims Management and Dispute Resolution

• Handling cost claims arising from delays and unforeseen conditions

• Real Scenario: Arbitration case study for delayed hospital construction

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Module 10: Reporting, Documentation, and Professional Practices in Healthcare QS

Submodule 10.1: Preparing Professional Cost Reports and Summaries

• Clear presentation of cost data to hospital management

• Template: Monthly QS progress report for hospital project

Submodule 10.2: Documentation for Audits and Compliance

• Maintaining records for government and funding agency audits

• Example: Audit checklist for hospital construction payments

Submodule 10.3: Ethical Practices and Confidentiality in Healthcare QS

• Handling sensitive cost data and conflict of interest avoidance

• Real Case: Ethical dilemma in supplier selection

Submodule 10.4: Continuous Professional Development and Career Pathways

• QS skills development specific to healthcare sector

• Example: Career growth roadmap for hospital QS professionals

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