PRESENTED BY: MUHAMMAD TAHIR DR. RIAZ AHMED

1. 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.

7. 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.

9. MILESTONES • After taking over the charge by new management • Their first Milestone was • To get the Turn over of RS. 1,000,000

10. MILESTONES • They managed to get a turn over of Rs.1,000,000 each month within one year. • Then they set their second milestone.

11. 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.

12. 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.

13. 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.

14. 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

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

16. ORGANOGRAMME

17. 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 beddedpulmonary and cardiac careunit with high tech artificial ventilation machines and electronic beds.

18. 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.

19. SWOT ANALYSIS • 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…

20. SWOT ANALYSIS WEAKNESS • The hospital management does not have the computerized clinical record system. • They do not have CT scan and MRI facility.

21. SWOT ANALYSIS OPPORTUNITIES • Neonatal care Unit. • Advanced radiological facilities.

22. 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.

23. 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

24. 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.

25. 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….

26. 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.

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

28. MAJOR ISSUES • 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.

29. MAJOR ISSUES • Overtime due to shortage of staff • Fake admissions in the patient’s record list. • O.T. technicians cannot be monitored.

30. 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.

31. 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 organization’s problem solutions.

32. CONCLUSION & RECOMMENDATION • On the basis of information provided by the MANAGER ADMINISTRATION of HILL PARK GENERAL HOSPITAL, the recommendations are…

33. 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.

34. 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.

35. CONCLUSION & RECOMMENDATION • 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.

36. 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.

37. 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.

38. Any Questions regarding this presentation is welcome.