Question No: 1

The mission of your hospital for the last 75 years is to meet the basic health needs of the population without any consideration for their economic condition. Since the financial burden is increasing day by day, you would like to modify the mission of the hospital to include non-poor and make money to cross subsidize the poor. Prepare the new mission, objectives, goals and strategies for your hospital.

New Mission:
To provide specialized curative services appropriate to prevailing needs of the surrounding communities, with special attention to poor.

Objectives:
To provide state of art surgical services at affordable cost with special attention to poor To provide state of art medical services at affordable cost with special attention to poor To provide state of art ob&gy services at affordable cost with special attention to poor To provide state of art pediatric services at affordable cost with special attention to poor

Programmes:
A. Short stay (Day care) surgery programmes 1. Major surgical procedures Lithotripsy programme Hernia programmes Appedicectomy programmes Tonsillectomy programme 2. Minor surgical procedures Warts excision programme FNAC programme Cryotherapy programme Lymph node biopsy programmes

B. Childrens First Programme- conducting various surgeries addressing the needs of pediatric patients. They are as follows: o Hemangioma o Hamartoma o Cleft-lip&cleft-palate o Hydrocephalus

o Inguinal hernia & hydrocoele C. Women care Programme- Aimed at providing services catering to the needs of the female population. They are as follows: o Breast cancer screening o Cervical cancer screening o Laparoscopic and Hysteroscopic surgeries

Goals:
1. To achieve atleast 100 lithotripsy procedures in first 3 months and then increase it upto 150 over the next 3 months, of which around 25% of total surgeries each month will be for poor patients 2. To achieve atleast 135 hernia surgeries in first 3 months and then to increase upto 160 over next 3 months, of which around 25% of total surgeries each month will be for poor patients 3. To achieve atleast 180 appendisectomy surgeries in first 3 months and then to increase upto 200 over next 3 months, of which around 25% of total surgeries each month will be for poor patients 4. To achieve atleast 90 tonsillectomy surgeries during winter and 75 during summer and then increase it upto 110 and 95 over the year, of which around 255 of total surgeries each season will be for poor patients

Strategies:
In house: Deploying lithotripser of top notch quality, high quality trained staff and team of surgeons in the hospital (2 surgeons, 1:3 nurse-patient ratio, 2 technicians and other support staff) Outreach/Outdoor: World Class Lithotripsy at Your Door Step strategy- launching ESWL (extra corporeal shock wave lithotipsy) mobile unit bypassing indoor admission of the patients who cant afford hospitalization (due to job/bed ridden/long distance from hospital). Mobile van with hospital styled interior with advance lithotripser will be economical and suitable for patients as well as hospital Advertisement and Marketing Strategies, o Advertisement through web portal of hospital and local news papers. (Easy appointment for indoor services as well as for lithotripsy at your doorstep service, information about operating team of doctors, available discounts, etc) o Advertisement inside hospital by wall posters, LCD display, hospital news bulletin (positive experience of past patients operated ) and by information/query desk of hospital

o Active promotion of lithotripsy services by sponsoring kidney disease related events in the area o Celebrating Kidney Day in hospital once a month and offering free check-ups to first 50 participants o By arranging kidney related awareness seminar in-campus every 3-6 months Competitive Package: Offering 5% discount to govt., corporate and students for day care surgeries to attract potential patients for lithotripsy procedures Create tie ups in such a way that will allow private urologists/surgeons to use inhouse lithoripser on 40-60% bases upto first 10 surgeries and 30-70% if more than 10 patients per month Create incentive based tie ups with private radiologists for referrals of the patients with kidney stone In house High Risk Screening for kidney stone, e.g., Hypertensive and patients with past history of kidney stone