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SHOULDICE HOSPITAL LIMITED
Group Members:

    Anil Shrestha - 112986

    Ankeet Rajbhandari - 112890

    Arpita Shahi - 112740

    Jush Shrestha - 112817

    Shashank Pradhan - 113312

    Sneha Basnet - 112884
AGENDA

1   HERNIA Overview

2   Background of SHOULDICE HOSPITAL LTD.

3   SHOULDICE Service Model
     SHOULDICE Service Model

4   What makes Shouldice different ?

5   Market overview

6   Problem Analysis

7   Recommendations
What is Hernia?
HERNIA
 A hernia is a sac formed by the lining of the abdominal cavity (peritoneum).
  The sac comes through a hole or weak area in the fascia, the strong layer of
  the abdominal wall that surrounds the muscle.
 The types of hernias are based on where they occur:
     Femoral hernia appears as a bulge in the upper thigh, just below the
       groin. This type is more common in women than men.
     Hiatal hernia occurs in the upper part of the stomach. In this hernia,
       part of the upper stomach pushes into the chest.
     Incisional hernia can occur through a scar if you have had abdominal
       surgery in the past.
     Inguinal hernia appears as a bulge in the groin. This type is more
       common in men than women. The bulge may go all the way down into
       the scrotum.
     Umbilical hernia appears as a bulge around the belly button. It occurs
       when the muscle around the navel doesn't close completely.
Lets have an overview of
   Shouldice Hospital Limited
 Shouldice_exp.flv
SHOULDICE HOSPITAL LIMITED
Why SHOULDICE Hospital?

  The facility was subject of a 1983 business case by
   the Harvard Business School. Written by professor
   James Heskett, the report is currently the school's
   fourth-best-selling business case, selling nearly
   260,000 copies. Twenty thousand students at 500
   universities worldwide read about the centre annually,
   as part of their curriculum.
Background


                              Founder: Dr. Edward Earle Shouldice graduated
                               from the University of Toronto in 1916.
                              Corporate Name: Shouldice Hospital Limited
                              Established: 1945
                              Location: The hospital was located in Toronto in
                               the southern part of Canada.
                              Specialty: Abdominal Wall Hernia Repairs




Dr. Edward Earle Shouldice
Shouldice Service Model
              Shouldice Service Model
                 4 Day Lead Time
                 4 Day Lead Time
Day 1                      If not OK

                                If OK:                 Explain              Tea &
  30/36        Check by
                              Check-in &    Blood                 Dinner   cookies
 Arrivals        MD                                    process
 13 pm
               (15 mins)         admin      test        steps
                                                                 at 6 pm   at 9 pm


Day 2

   Local
                             Rest in room
                                             Start
                                                            Dinner      Tea &
anaesthesia    Surgery                      eating &
               (40 mins)       (2-3hrs)                    at 6 pm     cookies
 (-20mins)                                  moving                     at 9 pm

Day 3
                                                                        Tea &
   Loosen         Walk, play, & eat with                   Dinner      cookies
  stitches            your buddies                        at 6 pm      at 9 pm


Day 4: Remove stitches, walk, play, eat, check out
Expectations ???



What do you expect when you visit a
             Hospital?
                Or
What service do you expect from an
        excellent Hospital?
What makes Shouldice different
from other Hospitals?

  Shouldice Method
  Peace of Mind/ low risk/ low recurrence
  Friendly, social, homely and relaxing environment
  No competition among doctors
  More of a vacation rather than treatment
  Parents gets free accommodation at Shouldice so that the
   cost of nursing is saved and can take better care of their
   offspring.
  Careful recruitment of employees
What makes Shouldice different
from other Hospitals?

  Doctors and nurses are highly trained to help and
   counsel patients
  No one is fired! Turnover is low
  Staff is non-union
  Pay scale is higher than the competition
  Profit sharing plans are in place for doctors and staff
  Cross-training & teamwork are strong
  Managing director stays late one night per week to
   interact with patients and staff
What makes Shouldice different
from other Hospitals?

  Rooms are not equipped with phone or TV.
  Patients must travel to make a phone call, watch
   TV,socialize, eat, etc.
  Small rise stairways make it easier on patients who have
   just completed surgery.
  Carpeting makes it feel warm and comfortable.
  Patients and staff eat together in the cafeteria.
  Foods are all fresh ingredients and prepared from
   scratch.
MARKET OVERVIEW

 Relies entirely on word-of-mouth advertising.
 Rates are reasonable
   ~ $2230 compared to $5240 elsewhere
 Annual checkups are provided for alumni free of
  charge.
 Annual reunion of patients draws about 1000.
PROBLEM ANALYSIS

 Unable to capitalize upon the huge demand for
  their service
 Concerns have been expressed about others using
  the Shouldice name while not performing the
  Shouldice procedures
 Confusing regarding its expansion in U.S
 Problems regarding its operation on Saturday
PROBLEM ANALYSIS

 Concerns have been expressed about the
  regulatory environment in Toronto
 A negative or conflicting regulatory environment
  can dramatically impact the operation & future of
  the organization
 Problems regarding its expansion with in Toronto
  due to Canadian Govt. regulations
RECOMMENDATION ??




 What do you Recommend for
SHOULDICE HOSPITAL LTD.?
RECOMMENDATION


 Add another floor to the existing hospital facility
 Operating on Saturday
 Not to Expand in US
 Patent the Shouldice method
 Proper succession planning of doctors
 Better not to diversify from its core competency
  (Hernia)
 Higher more nurses
THANK YOU!

More Related Content

Shouldice hospital

  • 2. Group Members: Anil Shrestha - 112986 Ankeet Rajbhandari - 112890 Arpita Shahi - 112740 Jush Shrestha - 112817 Shashank Pradhan - 113312 Sneha Basnet - 112884
  • 3. AGENDA 1 HERNIA Overview 2 Background of SHOULDICE HOSPITAL LTD. 3 SHOULDICE Service Model SHOULDICE Service Model 4 What makes Shouldice different ? 5 Market overview 6 Problem Analysis 7 Recommendations
  • 5. HERNIA A hernia is a sac formed by the lining of the abdominal cavity (peritoneum). The sac comes through a hole or weak area in the fascia, the strong layer of the abdominal wall that surrounds the muscle. The types of hernias are based on where they occur: Femoral hernia appears as a bulge in the upper thigh, just below the groin. This type is more common in women than men. Hiatal hernia occurs in the upper part of the stomach. In this hernia, part of the upper stomach pushes into the chest. Incisional hernia can occur through a scar if you have had abdominal surgery in the past. Inguinal hernia appears as a bulge in the groin. This type is more common in men than women. The bulge may go all the way down into the scrotum. Umbilical hernia appears as a bulge around the belly button. It occurs when the muscle around the navel doesn't close completely.
  • 6. Lets have an overview of Shouldice Hospital Limited Shouldice_exp.flv
  • 8. Why SHOULDICE Hospital? The facility was subject of a 1983 business case by the Harvard Business School. Written by professor James Heskett, the report is currently the school's fourth-best-selling business case, selling nearly 260,000 copies. Twenty thousand students at 500 universities worldwide read about the centre annually, as part of their curriculum.
  • 9. Background Founder: Dr. Edward Earle Shouldice graduated from the University of Toronto in 1916. Corporate Name: Shouldice Hospital Limited Established: 1945 Location: The hospital was located in Toronto in the southern part of Canada. Specialty: Abdominal Wall Hernia Repairs Dr. Edward Earle Shouldice
  • 10. Shouldice Service Model Shouldice Service Model 4 Day Lead Time 4 Day Lead Time Day 1 If not OK If OK: Explain Tea & 30/36 Check by Check-in & Blood Dinner cookies Arrivals MD process 13 pm (15 mins) admin test steps at 6 pm at 9 pm Day 2 Local Rest in room Start Dinner Tea & anaesthesia Surgery eating & (40 mins) (2-3hrs) at 6 pm cookies (-20mins) moving at 9 pm Day 3 Tea & Loosen Walk, play, & eat with Dinner cookies stitches your buddies at 6 pm at 9 pm Day 4: Remove stitches, walk, play, eat, check out
  • 11. Expectations ??? What do you expect when you visit a Hospital? Or What service do you expect from an excellent Hospital?
  • 12. What makes Shouldice different from other Hospitals? Shouldice Method Peace of Mind/ low risk/ low recurrence Friendly, social, homely and relaxing environment No competition among doctors More of a vacation rather than treatment Parents gets free accommodation at Shouldice so that the cost of nursing is saved and can take better care of their offspring. Careful recruitment of employees
  • 13. What makes Shouldice different from other Hospitals? Doctors and nurses are highly trained to help and counsel patients No one is fired! Turnover is low Staff is non-union Pay scale is higher than the competition Profit sharing plans are in place for doctors and staff Cross-training & teamwork are strong Managing director stays late one night per week to interact with patients and staff
  • 14. What makes Shouldice different from other Hospitals? Rooms are not equipped with phone or TV. Patients must travel to make a phone call, watch TV,socialize, eat, etc. Small rise stairways make it easier on patients who have just completed surgery. Carpeting makes it feel warm and comfortable. Patients and staff eat together in the cafeteria. Foods are all fresh ingredients and prepared from scratch.
  • 15. MARKET OVERVIEW Relies entirely on word-of-mouth advertising. Rates are reasonable ~ $2230 compared to $5240 elsewhere Annual checkups are provided for alumni free of charge. Annual reunion of patients draws about 1000.
  • 16. PROBLEM ANALYSIS Unable to capitalize upon the huge demand for their service Concerns have been expressed about others using the Shouldice name while not performing the Shouldice procedures Confusing regarding its expansion in U.S Problems regarding its operation on Saturday
  • 17. PROBLEM ANALYSIS Concerns have been expressed about the regulatory environment in Toronto A negative or conflicting regulatory environment can dramatically impact the operation & future of the organization Problems regarding its expansion with in Toronto due to Canadian Govt. regulations
  • 18. RECOMMENDATION ?? What do you Recommend for SHOULDICE HOSPITAL LTD.?
  • 19. RECOMMENDATION Add another floor to the existing hospital facility Operating on Saturday Not to Expand in US Patent the Shouldice method Proper succession planning of doctors Better not to diversify from its core competency (Hernia) Higher more nurses