PRESENTED BY:
MUHAMMAD TAHIR
DR. ADNAN KHAN
DR. LOVE PALL
DR. RIAZ AHMED
SHAHID RAZA MIR
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Started working officially in 1985-86
Initially work with very limited resources
No proper protocols of patient care followed
No proper equipments available.
2
Patients inflow ranging from 100-150 per month at max.
Customer loyalty very low.
Business running at border line profit and loss.
Owners not able to increase the business.
Management decided to sell off the whole set up in 1995-96.
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All the data was on papers and was lost.
The new management took over in 1996-97.
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The ultimate goal of the Hill Park General
Hospital is to provide all the health care facilities under one roof.
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The ultimate goal achievement is a long term process, for this purpose the hospital management has planned the following planes.
Hospital is hiring highly skilled and professional persons for various departments.
Higher management is planning to install latest equipments and machinery in the hospital to provide state of the art health care services.
6
Annual budgets plans are in the practice.
Total Monthly Revenue is RS. 50 Million
Total Monthly Expenditure RS. 45 Million
Total Monthly Profit RS. 05 Million
7
2% of total Annual budget is reserved for
Information Technology
0.5% of total Annual Budget is reserved for
Renovation.
10% of total Annual Budget is reserved for maintenance and purchasing of equipments.
8
After taking over the charge by new management
Their first Milestone was
To get the Turn over of RS. 1,000,000
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They managed to get a turn over of
Rs.1,000,000 each month within one year.
Then they set their second milestone.
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In second mile stone they want to increase their turn over.
For the achievement of this milestone they increase their services and they use extensive marketing.
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By the year 2000, they increased the turn over to Rs.2,000,000.
They also registered few big companies on panel during this period.
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After getting their second milestone successfully they set the target of profit of
RS.5000000 per month.
This is the big task to achieve and for this purpose management get the latest equipment, machineries and latest tool for patients care.
13
By the year 2004-05, the management was able to have KESC, NRL, PARCO, STATE
BANK OF PAKISTAN, LG, NATIONAL
BANK, MCB and PIA on panel.
After managing these companies on panels they able to achieve their mile stone and getting turn over of RS. 500000
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Installation of
3.
1.
CT Scan
2.
MRI
Neonatal Nursery by the end of year 2008.
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Senior
Medical
Officer
HR
Manager
(Medical
Director)
Chief
Medical
Officer
Medical
Office r
Chief
Executive
Manager
Admin:
&
Marketing
Incharge
Technical
Staff
Pharmacy
Incharge
Laboratory
Incharg e
Chief
Accounts
Manager
Incharge
Corporate
Billing
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STRENGTH
The strength of the hospital is its prime location and the following services.
Emergency unit with 24hr available oxygen and other life saving facilities.
Six bedded pulmonary and cardiac care unit with high tech artificial ventilation machines and electronic beds.
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Operation theatre , which can accommodate at least four surgeries at a time with a separate labor room, and a two bedded recovery room.
Separate eight-bedded ICU with all life saving facilities.
Small dialysis unit consisting of two dialysis machines.
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Laboratory, pharmacy and three floors of patient’s rooms with various categories.
Physiotherapy unit and sports & rehabilitation clinic with latest machineries
Separate floors for consultant’s clinics
.
Around 24 companies on panel including
KESC, NRL, PARCO, STATE BANK OF
PAKISTAN, LG, NATIONAL BANK,
MCB and PIA etc…
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WEAKNESS
The hospital management does not have the computerized clinical record system.
They do not have CT scan and MRI facility.
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OPPORTUNITIES
Neonatal care Unit.
Advanced radiological facilities.
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THREATS
They have threat from different hospitals of city mainly from two hospitals which are in the same locality providing almost the same level of health care services. If Hill Park management does not adopt the advance technology, these two hospitals become the major threats to Hill Park General Hospital.
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They have well established gynecological and obstetrics facilities, more then 60 cases are being registered per month, so there is a big opportunity to establish
NEONATAL CARE UNIT
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There is a huge flow of the patients in hospital, which needs advanced radiological facilities (CT & MRI) because of unavailability of these facilities; patients are compelled to avail these facilities from outside the hospital.
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One CT Scan cost about Rs. 6000
An average MRI case cost about Rs. 12000.
Average cases that required CT or MRI is about 5 per day i.e. about 150 per month.
(Observed in Neurology OPD)
If 100 cases need CT scan and 50 need MRI it will generate the revenue of….
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CT scans
MRI
100 x 6000 =
50 x 12000 =
600000
600000
So in this way they are losing business opportunity of about Rs. 1.2 million per month.
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Improper record keeping
Absenteeism
Lack of Motivation of Employees
No strict monitoring on the nursing staff
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The pharmacy is not checked for delivering the same class of medicines as asked by the staff or according to the consultant’s orders.
Performance of any employee cannot be assessed by management.
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Overtime due to shortage of staff
Fake admissions in the patient’s record list.
O.T. technicians cannot be monitored.
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The management of Hill Park General
Hospital currently not taking effective measure for permanent solution of these problems because
The problem of absenteeism is covered by the overtime working of other staff member and this problem does not effect the revenue of the organization, so they are not keen to resolve it.
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The current policies are not employees focused that is why employees are not loyal and motivated.
The middle management is not reluctant to adopt the HMIS software for the proper clinical record keeping and organization’s problem solutions.
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On the basis of information provided by the MANAGER ADMINISTRATION of HILL PARK GENERAL
HOSPITAL, the recommendations are…
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There is an extreme need of motivation for the employees. Incentives on monthly, quarterly and annual basis for each department and every one will be able to get surprise gift / incentives on dedicated work and devoted skilled performance.
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It is necessary to make the employees feel that they are not only the work force of the organization but they are the assets and part of the organization. If the organization will grow employees will be benefited.
34
According to the current situation the management should look forward for the
HMIS software that maintain the patient’s records and give some processing regarding patient’s previous history of admissions and their diagnosis.
35
The software will give some analysis of the disease patterns observed in patients over the time.
The software will also maintain the once assigned registration number of the patients.
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The software will provide them with a brief summary of any patient at any point in time.
The software will monitor performance of the employees and set the performance standards.
The data will be preserved and not eliminated without the knowledge of the upper management after deployment of
HMIS software.
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