What is the best start ?

[Kristalek]

Well, first we need build an emergency, and RTG, what is the next best way to have good hospital ?

[jasonharris2]

wait for the update that should be out soon
it has new way of playing

[lucho3766]

yes, like jason said, wait for the update that should be out soon like in the next month

[lucho3766]

we are all waiting anxiously for this update, you may read in some other post that the game is unplayeble, but that's not true, the game is playable, you can play, the game is not enjoyable right now, you can play the basics and play around with the sandobox and stuff, but if you want to plan a good hospital you cant, because when they launch the game they forgot to add a tool to build and modify rooms, so if you want to build something, you can chose from premade rooms or create one your self putting the objects one by one, but if made a mistake like when you are enlarging your hospital and you need to make some space, you cant do that, you will have to move object by object deleting walls.
sorry for my english, im italian and im learning

[Oberkampfkater]

I beg to disagree - the game is playable and is actually highly enjoyable. All necessary features are there and they are working, although some concepts need tweaking (e.g. the sharing of rooms) and there are bugs that need to be smashed.

As for your planning problem, I'm not sure that I understand you correctly. At the moment, the game allows you to ...
... put in pre-designed rooms with all necessary equipemt;
... build you own rooms from scratch and put the equipment where you want it to be;
... delete equipment that you don't need;
... delete all equipment at once but not the walls and doors;
... delete everything at once (wall+equipment);
... create your own room templates that can be used in the same way as the pre-designed rooms.

The only thing you can't do is do pick up a whole room and put it down somewhere else. I don't need this function, because planning usually comes before building something ... therefore you know where you have to put everything down. It adds to the depth of the game that you have to live with your decissions when expanding or changing your hospital.

But on the other hand, I'm not against such a feature. I only object to the fact that the lack of such a feature makes the whole game not enjoyable.

As for the question, here are some tips (sandbox):

1. walk-in clinics
Build 4 ED doctors offices, a stat lab with space for 2-3 lab technicans, a reception area and the other needed rooms (break room, toilets, cleaning closet, etc.). Staff it with 1x level 4/5 doctor and 3x level 3 doctors, 1x receptionist, 1x janitor and 1x lab technican.

Leave hospitalization for now.

If this is running nicely, expand to the other departments. Add 1 doctors office for every other department (general surgery, orthopaedics, cardiology etc.) and hire level 4 doctors for it. Leave room to expand so that you can add one or two doctors offices per department in the future. As of now, you have to add a stat lab for every department ... that is a bummer, but you will need it (in future the labs should be shared between departments).

2. Radiology
Next step is the radiology department. You'll need at least one X-ray room, but prepare to add another one as you expand you hospital. Leave enough space to add at least 3 other rooms for CT/MRT/Angiography. A really large hospital may even need two of every radiology room.

Go steady and don't overexpand. Keep you wages low and maintain a healthy profit.

3. Clinic expansion
More patients are coming in and you can't handle them by now. Add a few more ED doctors offices and staff them accordingly (1x level 5, 1x level 4, 2x level 2/3). I usually aim for 8 ED doctors offices in the end.

Hire a second lab technican for your ED stat lab.

Add another doctors office for every other department. Two offices per department usually work fine, but some departments get away with one (orthopaedics, neurology) and others tend to fill even three (general surgery, internal medicine, cardiology).

4. Hospitalization
Your hospital is running and generating profit. Now is the time to start the hospitalization! As adding wards, diagnostic rooms and operating rooms is costly, you need a steady cash flow. Don't underestimate the cost for wages, as you need at minimum 4 doctors (1x ward doctor, 1 surgeon, 1x anestiologist, 1 assisting surgeon) and 3 nurses (1x station nurse, 2x nurses for patient transport) in the day shift and 1 doctor and 2 nurses in the night shift. As you expand, you need more ward doctors and nurses.

The sweet spot is 15 bed per department.

Start with one special department ward before adding the ED ward. ED wards tend to generate less money because they refer patients to the special departments. And if you haven't build them yet, theses patients leave without paying anything.


To summarize:
1. Start with walk-in clinics for every department.
2. Add radiology equipment.
3. Expand slowly to hospitalization, beginning with a special department.
4. Keep wages in check by using 1/5 level 5 doctors, 1/5 level 4 doctors and 3/5 level 2-3 doctors. Level 3 nurses only for patient care, level 1 nurses only for patient transport.
5. Have fun playing and tinkering around!