Leading hospital planning company in India

More than two decades of hospital planning & design experience.

“The more you sweat in hospital planning, less you bleed during hospital construction & execution” 

Urvish Patel, Director, Medigence

Operational and Functional Chaos

What we often see is that a client, understandably eager to move forward, will bypass the foundational planning stages—like feasibility and functional programming—and want to jump straight into the architectural design.

The critical danger in doing this is that they are, in effect, designing a building based on assumptions rather than a well-defined operational and strategic blueprint.

This path almost invariably leads to the same outcome: a facility that is functionally compromised, financially inefficient, and an ongoing operational challenge to manage

How we help clients

Location / Land feasibility

Best time to hire Medigence is before you finalize your land & location for your hospital green field project. Land comes with many constraints and hidden challenges, Government restrictions, various regulatory norms, & location / zone based limitations. We help doctors and owners to analyze the land, scrutinize all the hidden challenges and limitations, and give them an idea of what on hand construction they will get in that land, how many tentative beds they can plan.

Building feasibility

With the rising cost of real estate, especially land in big towns & most cities, many doctors and owners are tempted to buy already constructed spaces in a commercial building. These buildings are planned and executed keeping office spaces and showrooms in mind, and are clearly not the right fit for hospitals. We help clients with the feasibility, practical alternatives, & terms and conditions they should finalize with the sellers, before making heavy investments into such spaces.

Program Structure

We help clients in converting their requirements into a comprehensive program structure. A program structure is the spine of the hospital planning & design process. It consolidates client requirements, compliance requirements, utilities, non-clinical areas, deduction of circulation spaces, dimensions & size allocations to various spaces, to provide a comprehensive picture of space requirements and stacking, even before starting the hospital design process.

Capacity & load planning

A crucial part of the planning process, which many doctors and owners forget. We calculate desired patient load, energy load, heating & cooling load, parking load, outpatient department patient load, in-patient department load, patient relative loads in various areas, surgery load for operation theatres and critical care units, & more. Based on this capacity & load analysis, we help clients in efficient space planning of their hospitals, by allocating sufficient spaces to various departments and areas.

Master Planning

In green field hospital planning projects, we help clients achieve space optimization, scalability, and desired future planning, by initiating the hospital planning process with master planning. This includes identifying margins, non usable land areas, future development plan of our clients, permissible F.S.I and height of the buildings, identifying areas for MEP services & service junctions, & more. In case of hospital planning projects, we plan and move from inside out, by identifying the building floor spaces first, which enables clients to understand the land requirement for each building block.

Clinical service planning

We transform our client’s clinical speciality list into an effective clinical service delivery plan. We empower doctors and hospital owners, by broadening their vision, providing clarity into their service deliverability, & identifying right stakeholders & doctors at the planning stage. Every doctor has a personalized custom requirement in terms of functionality, amenities, and space planning, which go beyond the general norms and practices. We respect & identify these requirements, creating a win-win situation for all stakeholders.

Cost data for bankable project report

Almost 90% of hospital planning projects require external funding. Our in-depth cost analysis and our strong vendor & supplier network, helps our clients with expedited cost projections, cost breakdown, & vendor quotations, which are required for a bankable project report. Our expert team can expedite the initial space planning process, to submit necessary drawings and designs required to sanction the funds.

Blueprint & Conceptualization

We start with core and important questions like, why are you building a hospital, what type of patients are you planning to cater to, what is the location and its demographic, are you going to cater to govt schemes, are you going to cater to premium clients, are you planning medical tourism, how many patients are you expecting in your O.P.D, & I.P.D, what type of patient experience you want to provide, what amenities other than clinical you want to provide, what will be your U.S.P, and more. These plethora of important questions, and its analysis helps doctors and owners create a blueprint and a concept with an utmost clarity.

Vertical Stacking

Even before the hospital design process starts, we help clients plan vertical stacking of hospital’s clinical and non clinical services, based on best internal practices followed by leading hospitals globally, and also based on evidence based planning. While planning vertical stacking as part of the hospital plan, we consolidate client requirements, MEP & Engineering efficiency, cost optimization, patient experience, clinical flow, patient flow, & quality guidelines & compliances.

Cost analysis

Through cost calculations on rates & sq ft basis, we provide project cost predictions, which help our clients in managing their budgets and project scope. With more than 100+ hospital project portfolios, Medigence is able to help clients with cost control options, by identifying alternatives to design and material selection, and also by providing an effective phase wise planning road map.

Examples of work:

1200-Bed Multispeciality Hospital & Medical College: A comprehensive “End-to-end planning & design” project that also includes an auditorium, canteens, hostels, and a sports complex.

Medical Campus Near Gandhinagar (750 Beds): A large-scale campus project featuring a 750-bed hospital and medical college, for which we provided end-to-end planning and design services.

Rotary Medicity (450 Beds): A 15-acre “End-to-End Planning & Design” project that includes a 450-bed hospital, medical college, Ayurveda hospital, hostels, and staff quarters.

SMT Shardaben. R. Shah. Memorial Hospital (350+ Beds): An “End-to-end planning & design” plus turnkey project for a JCI/NABH compliant, 350+ bed multispeciality hospital.

Our Capabilities

Evidence-Based Functional Design (Planning "Inside-Out")

Architects often design from the “outside-in,” creating a beautiful building that simply doesn’t work for a hospital. We do the exact opposite. Before any design starts, we build the hospital’s operational “spine”—this is our Program Structure and Vertical Stacking process. We consolidate all requirements—your vision, clinical workflows, compliance, MEP needs, and patient flow—into a comprehensive blueprint. This blueprint dictates the final design, ensuring the building is built around your operational needs. This is the only way to avoid the functional chaos we so often see in facilities that were designed based on a floor plan instead of a functional plan.

Data-Driven Capacity & Load Planning

A crucial part of the planning process, which many doctors and owners forget, is calculating the true load the hospital will have to handle. Most planning is based on assumptions; ours is based on data. We go beyond simple bed counts to calculate the desired patient load for OPD, IPD, and OTs. We analyze the required energy load, heating and cooling loads, parking load, and even the load of patient relatives in various areas. Based on this hard Capacity & Load Analysis, we help you allocate sufficient and efficient space, preventing the crippling bottlenecks that crush a hospital’s profitability and reputation.

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