REPUBLIC OF TURKEY MINISTRY OF HEALTH REPUBLIC OF TURKEY PREPARATORY SURVEY ON HOSPITAL ESTABLISHMENT PROJECT IN AYDIN PROVINCE FINAL REPORT (PUBLIC VERSION) September, 2015 JAPAN INTERNATIONAL COOPERATION AGENCY MAEDA CORPORATION INTERNATIONAL TOTAL ENGINEERING OS CORPORATION JR（先） LSI MEDIENCE CORPORATION 15-083 REPUBLIC OF TURKEY MINISTRY OF HEALTH REPUBLIC OF TURKEY PREPARATORY SURVEY ON HOSPITAL ESTABLISHMENT PROJECT IN AYDIN PROVINCE FINAL REPORT (PUBLIC VERSION) September, 2015 JAPAN INTERNATIONAL COOPERATION AGENCY MAEDA CORPORATION INTERNATIONAL TOTAL ENGINEERING CORPORATION LSI MEDIENCE CORPORATION Japan International Cooperation Agency Preparatory Survey on Hospital Establishment Project in Aydın Province, Republic of Turkey Contents CHAPTER 1. OUTLINE OF THE SURVEY ................................................................... 1 1. BACKGROUND OF THE SURVEY ................................................................................................................... 1 2. TARGET AND OBJECTIVES OF THE SURVEY .................................................................................................. 2 2-1. Target of the Survey ........................................................................................................................... 2 2-2. Objectives of the Survey .................................................................................................................... 2 3. CONTENTS AND POLICIES OF THE SURVEY .................................................................................................. 3 3-1. Contents of the Survey ....................................................................................................................... 3 3-2. Policies of the Survey ........................................................................................................................ 3 4. METHODS OF THE SURVEY .......................................................................................................................... 4 4-1. Terms of Reference of the Survey ...................................................................................................... 4 4-2. Survey Process .................................................................................................................................. 6 CHAPTER 2. OVERVIEW OF HEALTHCARE SECTOR .............................................. 8 1. SITUATION OF TURKISH HEALTHCARE SECTOR ........................................................................................... 8 1-1. Policies and Plans for Healthcare .................................................................................................... 8 1-2. Medical Economy .............................................................................................................................. 8 1-3. Situation of Medical Delivery and Demand ..................................................................................... 11 1-4. Healthcare Related Industries ......................................................................................................... 21 2. CURRENT SITUATION OF THE HEALTHCARE SECTOR IN AYDIN PROVINCE AND EFELER CITY ................... 22 2-1. Overview of Aydın Province ............................................................................................................ 22 2-2. Healthcare Region ........................................................................................................................... 34 2-3. Current Situation of Healthcare Delivery ....................................................................................... 34 2-4. Healthcare Needs ............................................................................................................................ 38 2-5. Medical Industry ............................................................................................................................. 38 CHAPTER 3. OUTLINE OF THE PROJECT................................................................ 39 1. OUTLINE OF THE HOSPITAL PPP PROJECT IN TURKEY ............................................................................... 39 1-1. Objective and Necessity of the Project ............................................................................................ 39 1-2. Related Laws ................................................................................................................................... 40 1-3. Method and System of Project Implementation ............................................................................... 43 1-4. Implementation Flow of the Project ................................................................................................ 47 1-5. Preceding and Planned Projects ..................................................................................................... 50 2. OUTLINE OF AYDIN CITY HOSPITAL PPP PROJECT .................................................................................... 56 2-1. Objective and Necessity of the Project ............................................................................................ 56 2-2. Project Schedule .............................................................................................................................. 56 2-3. Subjective and Necessity for Participation to the Project ............................................................... 59 3. CURRENT SITUATION OF THE TARGET HOSPITALS OF INTEGRATION .......................................................... 60 3-1. Aydın National Hospital .................................................................................................................. 60 3-2. Aydın Ataturk National Hospital ..................................................................................................... 67 Final Report (Public Version) September, 2015 Japan International Cooperation Agency Preparatory Survey on Hospital Establishment Project in Aydın Province, Republic of Turkey CHAPTER 4. PROJECT PLAN OF AYDIN CITY HOSPITAL .................................... 74 1. POLICY OF PROJECT .................................................................................................................................. 74 2. CONTENTS OF PROJECT ............................................................................................................................. 74 2-1. Number of Hospital Beds ................................................................................................................ 74 2-2. Contents of Diagnostics and Treatment ........................................................................................... 74 2-3. Organization and Departments ....................................................................................................... 74 2-4. The Prediction of Future Patients ................................................................................................... 75 3. FACILITY PLANNING ................................................................................................................................. 79 3-1. Environmental Study ....................................................................................................................... 79 3-2. Construction Market Study .............................................................................................................. 80 3-3. Hospital Facility Plan ..................................................................................................................... 88 4. MEDICAL EQUIPMENT PLAN ..................................................................................................................... 91 4-1. Market Survey of Medical Equipment ............................................................................................. 91 4-2. Related Law ..................................................................................................................................... 97 4-3. Medical Equipment Plan ................................................................................................................. 98 4-4. Maintenance Management Plan of Medical Equipment ............................................................... 101 4-5. Operator Training Plan ................................................................................................................. 102 5. IT SYSTEM .............................................................................................................................................. 102 5-1. Market Analysis of Hospital IT System.......................................................................................... 102 5-2. Related Laws and Policies ............................................................................................................ 103 5-3. IT System Planning ........................................................................................................................ 104 6. OPERATIONAL PLAN ............................................................................................................................... 110 6-1. General ........................................................................................................................................... 110 6-2. Detail of Each Operational Service .............................................................................................. 120 7. HUMAN RESOURCE AND DEVELOPMENT PLAN ......................................................................................