MUHAMMAD TAHIR DR. RIAZ AHMED

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MANAGEMENT REPORT ON HILL PARK GENERAL HOSPITAL

• PRESENTED BY
• MUHAMMAD TAHIR DR. RIAZ AHMED
• DR. ADNAN KHAN
  SHAHID RAZA MIR
• DR. LOVE PALL

2
ABOUT ORGANIZATION

• Started working officially in 1985-86
• Initially work with very limited resources
• No proper protocols of patient care followed
• No proper equipments available.

3
ABOUT ORGANIZATION

• 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.

4
ABOUT ORGANIZATION

• All the data was on papers and was lost.
• The new management took over in 1996-97.

5
GOAL

• The ultimate goal of the Hill Park General
  Hospital is to provide all the health care
  facilities under one roof.

6
PLANNING PROCESS

• 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.

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BUDGET

• 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

8
BUDGET

•  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.

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MILESTONES

• 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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MILESTONES

• 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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MILESTONES

• 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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MILESTONES

• 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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MILESTONES

• 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.

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MILESTONES

• 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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FORTHCOMING MILESTONES

•  Installation of
• CT Scan
• MRI
• Neonatal Nursery
• by the end of year 2008.

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ORGANOGRAMME
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SWOT ANALYSIS

• 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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SWOT ANALYSIS

• 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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SWOT ANALYSIS

• Laboratory, pharmacy and three floors of
  patients rooms with various categories.
• Physiotherapy unit and sports rehabilitation
  clinic with latest machineries
• Separate floors for consultants 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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SWOT ANALYSIS

• 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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SWOT ANALYSIS

• OPPORTUNITIES
• Neonatal care Unit.
• Advanced radiological facilities.

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SWOT ANALYSIS

• 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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ANALYZING OPPORTUNITIES

• 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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ANALYZING OPPORTUNITIES

• 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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BUSINESS OPPORTUNITY

• 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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BUSINESS OPPORTUNITY

• CT scans 100 x 6000 600000
• MRI 50 x 12000 600000
• So in this way they are losing business
  opportunity of about Rs. 1.2 million per month.

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MAJOR ISSUES

• Improper record keeping
• Absenteeism
• Lack of Motivation of Employees
• No strict monitoring on the nursing staff

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MAJOR ISSUES

• The pharmacy is not checked for delivering the
  same class of medicines as asked by the staff or
  according to the consultants orders.
• Performance of any employee cannot be assessed by
  management.

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MAJOR ISSUES

• Overtime due to shortage of staff
• Fake admissions in the patients record list.
• O.T. technicians cannot be monitored.

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CURRENT PRACTICE POLICIES PROCEDURES

• 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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CURRENT PRACTICE POLICIES PROCEDURES

• 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 organizations problem solutions.

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CONCLUSION RECOMMENDATION

• On the basis of information provided by the
  MANAGER ADMINISTRATION of HILL PARK GENERAL
  HOSPITAL, the recommendations are

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CONCLUSION RECOMMENDATION

• 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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CONCLUSION RECOMMENDATION

• 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.

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CONCLUSION RECOMMENDATION

• According to the current situation the management
  should look forward for the HMIS software that
  maintain the patients records and give some
  processing regarding patients previous history
  of admissions and their diagnosis.

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CONCLUSION RECOMMENDATION

• 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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CONCLUSION RECOMMENDATION

• 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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• Any Questions regarding this presentation is
  welcome.