Activity-Based Planning
Departments are sized on validated workload, case-mix and peak-demand analysis, ensuring capacity matches clinical activity without costly over-provision.
Core Division
Hospitals & Facilities
International Standards
Healthcare Advisory. Medical PlanningEngineering
We plan healthcare facilities around a sound business case, clinical pathways and operational models. Financial viability, patient flows and staffing efficiency are resolved from the feasibility stage, so that every planning and engineering decision improves care delivery, reduces operational costs and accommodates future growth.
- Feasibility
- Medical Planning
- Healthcare MEP
- Facility Management
- Energy & Electrical
Introduction
Complexity, resolved from inception.
Healthcare facilities are among the most complex projects to plan and engineer. Advances in medical technology, stringent regulatory requirements and evolving models of patient-centred care demand specialist input from inception.
Adrivia’s healthcare management consultants, financial analysts, medical planners, biomedical engineers, MEP engineers and project managers work with the client’s architects, contractors and partners — or lead the delivery team directly — to deliver new facilities, expansions, renovations and upgrades of existing healthcare infrastructure.
Approach
Our healthcare planning approach.
Workflow Optimisation
Clinical adjacencies and the segregation of patient, staff, visitor, clean and soiled flows are resolved at planning stage, reducing travel distances, waiting times and cross-infection risk.
Operational Cost Optimisation by Design
Staffing models, energy consumption, maintenance regimes and equipment life-cycle costs are evaluated during planning and design — where the greatest savings in operating expenditure can be secured.
Evidence-Based, Future-Ready Planning
Infection prevention, patient safety and flexibility for emerging technologies and future expansion are embedded from the outset.
Facilities we serve
From general hospitals to hybrid theatres.
Project Delivery Framework
Seven phases · four integrated service streams.
Our project delivery framework defines the activities and deliverables we provide at each project phase, organised into four integrated service streams. It applies under any procurement route — whether DBB, DB, EPC, BOT or PPP — and whether Adrivia is engaged as the client’s consultant or as the lead of the delivery team.
Feasibility, Assessment & Planning
Biomedical & Medical IT
MEP Engineering & Project Management
Operational Consulting & Facility Management
Healthcare Services
Nine service families across the healthcare life cycle.
01Feasibility and Financial Advisory
Market and Demand Analysis
Assessment of the catchment population, disease burden, competition and service gaps to define the right clinical service mix.
Financial Feasibility and Business Plan
Capital and operating cost estimates, revenue projections, financial modelling (NPV, IRR, payback) and sensitivity analysis to support investment and financing decisions.
Investment and Transaction Advisory
Business cases for lenders and investors, value-for-money analysis for PPP projects, and technical due diligence of healthcare assets.
Market Entry Strategy
Strategic positioning, service-line prioritisation and phasing plans for new operators and expanding healthcare groups.
02Operational and Management Consulting
Operating Model Design
Definition of the clinical and support service model, governance structure and key operational policies.
Clinical and Operational Workflow Design
Redesign of patient pathways and support-service workflows to reduce waiting times, bottlenecks and unit costs.
Staffing and Workforce Planning
Staffing models, organisational structures, job descriptions and recruitment plans aligned with workload and budget.
Pre-Opening and Commissioning Management
Operational readiness programmes covering policies, procedures, recruitment, training and a phased opening plan.
Operational and Management Audits
Assessment of performance, efficiency, quality and cost of existing healthcare institutions, with a prioritised improvement plan.
Training and Capacity Building
Training programmes for clinical, technical and management staff.
03Medical Planning
Needs Assessment
Structured stakeholder workshops, interviews and data collection to translate the client’s vision into defined clinical, operational and technology requirements.
Functional Program
Definition of clinical services, operational models, departmental functions and workflows in line with FGI, HBN and iHFG guidelines.
Workload and Space Calculation
Workload and peak-period analysis to determine the required number of beds, operating theatres, ICU beds and treatment spaces.
Space Program
Room schedules, departmental and building gross areas, adjacency matrices and planning diagrams to brief the project architect.
Concept and Schematic Medical Planning
Departmental zoning and the segregation of patient, staff, sterile and waste flows, developed in collaboration with the project architect.
Loaded Drawings and Room Datasheets
Rooms populated with medical equipment and furniture, with the full MEP and technical requirements of each space.
04Clinical and Technology Strategies
Medical Equipment Planning
Equipment selection, specifications and budgets aligned with case-mix and clinical need, optimising capital and operating expenditure over the equipment life cycle.
Medical IT Strategy
Definition and integration of HIS, EHR, ERP, PACS, LIS and clinical systems such as nurse call and real-time location.
Infection Prevention and Control Strategy
Zoning, airflow, pressure regimes and reprocessing workflows designed to reduce healthcare-associated infections.
Healthcare Waste Management Strategy
Segregation, storage, routing and treatment of clinical waste to protect patients, staff and the environment.
Catering and Laundry Services Planning
Capacity planning, workflow segregation and equipment definition for food and linen services.
05Healthcare MEP Engineering
Healthcare MEP Design
HVAC with pressure and air-change control, essential and emergency power, UPS, redundancy and building management systems for critical care environments.
Medical Gas Pipeline Systems
Design, installation supervision and compliance testing of medical gas systems to HTM 02-01.
Clean Rooms and Controlled Environments
Design and validation of ISO-classified operating theatres, pharmacy compounding and specialised controlled environments.
Radiation Shielding Design
Shielding calculations and specifications for CT, PET, X-ray, radiotherapy and nuclear medicine suites.
Low-Current and Clinical Systems
Nurse call, real-time location, public address, security and IT network infrastructure.
06Project Management
Tendering and Technical Evaluation
Preparation of tender documents and evaluation of submittals for compliance, clinical suitability and life-cycle value.
Medical Equipment Procurement Management
Transparent procurement, long-lead item planning and coordination of site preparation and delivery schedules.
Project Management and Supervision
Owner’s representation, programme and cost control, coordination of contractors and suppliers, and certification of works through to final acceptance.
Turnkey and Integrated Delivery
Leadership of design-build, EPC and turnkey healthcare projects — integrating medical planning, MEP engineering, medical equipment and specialist contracting partners under a single contract and point of accountability.
Testing, Commissioning and Training
Witnessing and validation of functional testing, calibration and safety verification, with end-user training and complete handover documentation.
07Facility Management
Facility Management Planning and Mobilisation
Definition of the facility management strategy, service scope, organisation, service-level agreements and key performance indicators, with a structured mobilisation plan from handover.
Planned Preventive and Corrective Maintenance
Maintenance programmes for HVAC, electrical, plumbing, medical gas, fire protection and building management systems, aligned with manufacturer requirements and healthcare standards.
Biomedical Equipment Management
Inventory management, preventive maintenance, calibration, safety testing and replacement planning for medical equipment across its life cycle.
Computerised Maintenance Management (CMMS)
Implementation of maintenance management systems for asset registers, work orders, spare parts and performance reporting.
Performance Monitoring and FM Audits
Monitoring of service providers against contractual KPIs, compliance audits and continuous improvement plans.
FM Outsourcing and Contract Management
Preparation of FM tender documents, evaluation of service providers and management of outsourced service contracts.
08Energy and Electrical Assessment
Healthcare Energy Audits
Walk-through and detailed energy audits in line with ASHRAE Level I to III, establishing energy baselines, consumption benchmarks and prioritised savings opportunities.
Electrical Infrastructure Assessment
Assessment of power distribution, load profiles, power quality, earthing, and the capacity and condition of transformers, switchgear and distribution boards.
Critical and Essential Power Review
Evaluation of standby generators, UPS systems, automatic transfer switches and isolated power systems serving operating theatres and critical care areas, against NFPA 99 and HTM 06-01.
Energy Efficiency Measures
Identification and design of energy conservation measures, including HVAC optimisation, heat recovery, variable-speed drives, LED lighting and building management system tuning.
Renewable Energy Integration
Feasibility and design of solar PV and hybrid systems for healthcare facilities, reducing grid and diesel dependency.
Measurement, Verification and Energy Management
Measurement and verification of savings in line with IPMVP, and energy management programmes aligned with ISO 50001.
09Existing Facilities
Facility Evaluation
Condition, functional and gap assessments of MEP systems and medical technology, establishing renovation, upgrade and replacement priorities.
Facility Management
Sustaining performance beyond commissioning.
Following testing and commissioning, Adrivia provides facility management services that sustain the performance, safety and regulatory compliance of healthcare facilities throughout their operational life.
Energy & Electrical
Two objectives, addressed together.
Healthcare facilities operate 24 hours a day, 365 days a year, and are among the most energy-intensive building types. Stringent ventilation and air-change requirements, sterilisation, imaging and critical care equipment place a continuous load on engineering systems, and energy is typically one of a hospital’s largest non-clinical operating costs.
At the same time, any interruption of electrical supply to operating theatres, intensive care units or life-support equipment directly endangers patients. Adrivia’s energy and electrical assessments therefore address two objectives together: reducing energy consumption and operating costs, and safeguarding the reliability, resilience and regulatory compliance of critical power systems. Each assessment concludes with a prioritised action plan setting out capital cost, expected savings and payback for every recommended measure.
Standards & Guidelines
Aligned to international healthcare guidelines.
Our work complies with applicable local regulations and international healthcare guidelines, including FGI, HBN, HTM, iHFG, ASHRAE, NFPA, CDC and ICRA, with medical equipment planning referenced to WHO and ECRI.
FGIHBNHTM 02-01iHFGASHRAENFPA 99CDCICRAWHOECRIISO 50001IPMVP
Team Experience
Cross-region healthcare delivery.
Our key personnel have contributed to healthcare projects in Lebanon, Qatar, Kuwait, Saudi Arabia, the Republic of Congo and France, for clients and partners including the World Health Organization, UNICEF, UNDP, UNRWA, GIZ, the Council for Development and Reconstruction and the Lebanese Ministry of Public Health.
0countries
Cross-region delivery
LebanonQatarKuwaitSaudi ArabiaRepublic of CongoFrance
0partners
Trusted client & partner network
WHOUNICEFUNDPUNRWAGIZCDRLebanese MoPH