Acknowledgment

In the name of Allah who is the most magnificent and the merciful, he is the one who grant us with knowledge and courage of doing things that we are not worthy of doing. The compilation of this report was a daunting task which was eventually made easy with the grace of Allah.

I am grateful to my parents for their non-dwindling support as they stood by me in every hour of need while making this report. I am deeply honored to be a student of University of Central Punjab which enabled me to do an internship. I am especially thankful to my in charge Professor Nisar Ahmed who guided me throughout this internship with his suggestions and guidance.

In the end I am thankful to the co-operative staff of human resource department and management of SKMCH, especially the manager Muhammad Ali and the officer Mr. Rameez who enabled me learns from my six week internship. I am thankful for the support which the staff members extended me as they taught me the basics and the working of the departments. Without their support this internship would not have been this much interesting.

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Executive Summary
SKMCH &RC, which was formerly known as Shaukat Khanum memorial cancer hospital and research centre is the first mover institution of cancer in Pakistan. SKMCH starts its operation in 1994 as the first largest cancer equipped hospital according to accepted standards in Pakistan SKMCH &RC is the first largest hospital in terms of cancer treatment and research centre. Except of this hospital, there are many other lab centers and funds collection centre. There is work in progress on two more hospitals in Peshawar and Karachi SKMCH &RC competes on the basis of its modern equipment, technology, research centre to treat cancer and effective strategies to run the organization. This prompts its management and doctors to serve their suffered needy patients diligently. SKMCH &RC follows the modern technology to maintain data which hospital information system, hired the excellent capable doctors and give them a friendly environment SKMCH &RC has the 24 developed departments with the five executive management.. Each department has head of department who runs the management of department. In human resource department, they are performing several functions like compensation and benefits, training and development, continuous education programs, recruitment and selection, training and development, performance evaluation In the hospital, employee from the executives to the lower staff and even the patient visitors are bound to follow the rules and regulation executed by the top management. Democratic leadership, open communication, disciplined, responsibility are the common moral values indulge in the culture of organization. Now after the great success, SKMCH &RC focus on to expand of hospital and improved systems in organization. This hospital proves as a leading organization by their modern patterns, outstanding doctors and management. This can be the benchmark for the other hospitals of Pakistan. They can expand their expertise beyond the treatment of cancer. Motivational leadership leads the motivation and dedication of employees and doctors to serve the needy patients.

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INDUSTRY PROFILE

Industry analysis can be done on the basis of two segments. One is the industrial analysis of cancer hospitals and the second analysis considers the industrial performance of hospitals in Pakistan. The global healthcare industry is growing at a fast rate and is one of the areas that have the most urgent need of automation. NetSol Technologies understands this need and has developed a strategic collaboration with Shaukat Khanum Memorial Cancer Hospital as part of a long term commitment for IT development in the global health sector. Shaukat khanum is the first mover in Pakistan as a cancer and research centre. So this is the only place where poor people suffered from cancer are treated and SKMCH internationally ranked as IT development organization and largest cancer trust in Pakistan Industry Overview of hospitals in pakistan Sub Segment Overview Factors Demand

Comments With growing number of patients, increase in population, greater health awareness and lack of maintained infrastructure in public sector, high preference is placed on the private sector hospitals

Supply

With growing number of patients, increase in population, greater health awareness and lack of maintained infrastructure in public sector, high preference is placed on the private sector hospitals

Key Players

Aga Khan Hospital, Ziauddin and Liaqat National Hospitals are the biggest players in the private
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sector hospitals in Karachi. Shaukat Khanum Cancer Hospital and National hospital are amongst the leading in Lahore

Trade Body

Private Hospitals Association

Regulatory Body

Pakistan Medical and Dental Council

Recent Developments

Government is keen on enhancing the publicprivate hospital partnership to tackle the overall social requirements for public health

Future prospects

This sector exhibits a medium term potential subject to rise in population and increase in the income level of the population.

Demand Pakistan has two parallel health care systems, public and private. The private sectors share in health care had been rather small in the beginning since great majority began as private practices and transformed into hospitals over time. Increasing population, industrialization, resultant high level of environmental pollution and increased healthcare awareness and lack of focus or a structured public health care system has effectively limited the capacity of the existing public health care system in the country. This has given rise to high demand of private sector health care facilities to complement its public sector counterpart. With growing number of patients and lack of maintained infrastructure in public sector, an increased reference towards private hospitals developed over the years, which seems to have become an icon of a promised quality care and treatment. However due to high quality services provided, private sector hospitals are comparatively highly expensive than the public sector and unaffordable for the large section of the population. Supply The human resource available for health care have gradually increased over the years and though there is annual output of around 5,000 medical graduates from both private and public medical
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colleges the current ratio of one doctor per 1,183 persons is below the recommended ratio by World Health Organization(WHO) of one doctor per 1,000 persons. There is however number of doctors, dentists and nurses which are not registered with (Pakistan Medical and Dental Council) PMDC and practicing hospitals/clinics. There are many private practicing clinics but are mostly located in the urban areas of the country where they are affordable and so in higher demand by the public. Their presence in rural areas is negligible due to their expensive treatment being out of reach for the masses. An increasing number of trusts, NGOs and social welfare organizations have invested and support health facilities which are also today serving a very large cross section of the population. Most of such facilities are not for profit and therefore primarily run on donations and grants including Zakat. Key Players Aga Khan University is a first rate private hospital located in Karachi and Hyderabad. They are the leaders of this segments market, followed by Liaqat National Hospital and Shaukat Khanum Cancer hospital, located in Karachi and Lahore respectively. Trade Body Pakistan Medical and Dental Council is the statutory regulating body of all the medical education and practicing institution, public and private. Its prime mission is to establish uniform minimum standard of basic & higher qualifications in Medicine &Dentistry throughout Pakistan. Private Hospital Association is the trade body of all the private hospitals in Pakistan. Recent Developments The need for public-private hospital partnership is being strongly felt by the Government of Pakistan as the health issues are prevailing in the country is unmanageable for the public sector hospital alone. Private sector hospitals are being encouraged for the provision of health facilities especially in villages and small towns. Future Prospects Low public expenditure by government, lack of expansion in the public health sector, increasing population with rising income levels indicates a high potential for growth for the private hospitals. According to our primary survey conducted, it has been observed that 94% of the respondents perceive great growth in their business especially in the next five years.

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Company Profile of Shaukat Khanum memorial cancer hospital and research centre
Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC) is a state-ofthe-art cancer centre located in Lahore, Pakistan. It is a project of the Shaukat Khanum Memorial Trust, which is a charitable organization established under the Societies Registration Act XXI of 1860 of Pakistan. The institution is the brainchild of Pakistani cricket superstar, Imran Khan. The inspiration came after the death of his mother, Mrs. Shaukat Khanum, from cancer. FAST FACTS
Inaugurated Founder Annual budget Financially supported patients Philanthropic spending Area/Location Beds December 29, 1994 Imran Khan (Chairman, Board of Governors) Rs. 5.8 billion 75% (since 1994) Rs. 11.88 billion (US$ 169 million) 20 acres in Lahore, Pakistan 176

New registrations Outpatient visits Chemotherapy Radiation treatments Admissions Surgical procedures Pathology tests Imaging studies Pharmacy Dispensing Staff

9,542 (Year 2012) 156,766 (Year 2012) 31,198 (Year 2012) 51,865(Year 2012) 8,613 (Year 2012) 6,990 (Year 2012) 3,740,838 (Year 2012) 160,574 (Year 2012) 1,092,480 (Year 2012) 1,808 (90 Consultants, Physicians & Surgeons)

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Dawn of SKMCH (Making Of the Hospital)

Designing and execution of the master plan was overseen by Dr. Nausherwan K Burki MB, PhD, FRCP, FCPS, FCCP, of the University of Kentucky Medical Center, Lexington, Kentucky, USA in collaboration with an international team of cancer physicians and research workers. Designing and architectural services were provided by Arrasmith, Judd & Rapp, and Architects in Health Planning of Louiseville, Kentucky, USA. Architectural details were handled by Messrs. Nayyar Ali Dada & Associates of Lahore. Local engineering was performed by Messrs. Progressive Consultants, Lahore. Ground was broken in April 1991 and the hospital opened its doors on December 29, 1994.

Mission
To act as a model institution to alleviate the suffering of patients with cancer through the application of modern methods of curative and palliative therapy irrespective of their ability to pay, the education of health care professionals and the public and to perform research into the causes and treatment of cancer.

Vision
Lets Bowl Out Cancer Imran was a fine all-rounder cricketer and inspirational captain whose crowning achievement was leading Pakistan in winning the 1992 World Cup . He uses their emotions about cricket and that why he made a slogan related to cricket and that was Lets Bowl Out Cancer.

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Cancer is curable. This sentence was first used to aware the people of Pakistan and also try to change the misperception about the cancer.

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SLOGON The two crescents in the slogan are representing S for Shaukat Khanum and the NURSING CAP stands for serrving patients with care, and the stars on the crescents stands for glory ,peace, success and new life.

Corporate Values

Welfare

Our foremost value is welfare of the patients who are suffering from cancer. We want to work for the betterment of humanity. Integrity

We are committed to integrity in all we do, always, everywhere. Respect

We opportunity

respect and

every diversity,

individual. at the

We same

draw time

strength

from

equal personal

supporting

growth and development. We value each other and we all benefit from the entrepreneurial spirit of each individual. Teamwork

Teamwork is the essence of our ability to succeed as a universal and international network bank. Our overriding loyalty is to the whole organization, requiring us all to learn from each other and to share our skills and resources worldwide for our customers' benefit.

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Accountability

We put special attention on accountability because our organization depends on the funds and donations from the people we have a proper system of check and balances because without that we cannot gain the trust of people. SKMCH& RC accounts are audited by Messrs A. F.Ferguson a well known international auditing company 1 - Patient Services They have had around 9500,000 patient visits as of June 30, 2006. Over 80% of these patients have been provided free treatment. The amount of money spent to provide free treatment to indigent patient in this is well over $28 million.

2 Services to Pakistan The Hospital uses it resources for the benefit of the population as a whole. We hold seminars and conferences in Oncology and other areas as diverse as Housingkeeping, Biomedical Engineering and Cancer Awareness. For public awareness, Article on common cancer is regularly published in the press both in Urdu and English.

3 Education and Training It is the integral part of the hospitals vision to educate and train Healthcare professional who can help improve the standard of medical care in Pakistan. Other educational activity include courses and training programmes under the guidance of local and international professionals in the field of cancers, treatment and awareness as follows Intramural and Collaborative e.g. 1. University of Bradford, UK 2. College of Physicians and Surgeons of Pakistan Doctors - post-graduate training programs 1. Nuclear Medicine & Radiology 2. Medical Oncology & Radiation Oncology 3. Pathology & Medicine Nursing purpose built educational facility 1. Oncology nursing
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Medical technology lab and radiology Allied health specialties respiratory therapy

4 Research The hospital is currently involved in the several research projects mainly involving cancer drug research, patient treatment outcomes, epidemiology studies, appetites, ethical and Lahore tumor registry 5 Affiliations Shaukat Khanum is affiliated with some of the worlds most prestigious cancer hospitals, which assist in training personnel and providing collaboration on the lastest innovations in cancer treatment and research. These affiliations include Christie Hospital, Manchester, UK. The University of Kentucky College of medicine, Lexington, KY,USA. DKFZ (Detaches Krebsforschungszentrum), Heidelberg. UNIQUE ASPECT OF ORGANIZATION WORTH NOTE PET CT scan There is no pet ct scan in Pakistan and patients has to go abroad for this essential test as a part of its ongoing program of clinical excellence in cancer care,SKMCH and RC is investing in cyclotron and CT PET for the benefits of Pakistani patients .this will require a massive investment of almost 5 million us dollar. Work has started on the project and the facility should be available by late 2007. SKMCH AND RC will also be able to provide the isotope 18 FDG to other centers as far away as Karachi.

Bone marrow transplantation SKMCH AND RC conducted its first bone marrow transplantation procedure on a patient name MUHAMMAD SALMAN on April 26 2006 making it the fourth facility in Pakistan, by the first in Lahore, to have acquired the facility. The transplantation which cost RS 1400000 was conducted absolutely free .the project was financed by a generous donor who wishes to remain anonymous.

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 BOARD OF GOVERNORS
The Board of Governors of the Shaukat Khanum Memorial Trust comprises of bankers, researchers, businessmen and physicians.

Mr. Imran Khan (Chairman) Mrs. Aleema Khanum Dr. Uzma Ahad Mr. Ashiq Hussain Qureshi Dr. Nausherwan Khan Burki Mr. Rashid Ali Khan Mr. Ahsan Rashid Mr. Sarfaraz Ahmed Rehman Mr. Zain ul Hassan Shabbir Mr. Farrukh Irfan Khan Mr. Mujahid Hamid Mr. Imtiaz Hussain Hydari Mr. Mansoor A. Javed Dr. Tauseef Ahmed. Professor Jeffery Lucas

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 MANAGEMENT

Dr. Faisal Sultan, Chief Executive Officer Dr. M. Aasim Yusuf, Medical Director Mrs. Virginia A. Gumley, Director Nursing Mr. Tariq Azam, Director Marketing and Resource Development Ms. Tasnim Beg, Chief Financial Office

PROJECTS OF SKMT
Being the only cancer centre in the entire region with all the specialized cancer diagnostic and therapeutic facilities the Shaukat Khanum Trust realizes its colossal responsibilities in its fight against cancer. It has established a number of centers all over Pakistan that help in the awareness and early diagnosis and treatment of Pakistan. Hospitals:

Shaukat Khanum Memorial Cancer Hospital & Research Centre ( Lahore , Pakistan ) Shaukat Khanum Memorial Cancer Hospital & Research Centre ( Karachi & Peshawar, Pakistan Land Purchased, Planning in process) Outreach Cancer Screening Clinics:

Shaukat Khanum Karachi Clinic ( Karachi , Pakistan ) Shaukat Khanum Peshawar Clinic ( Peshawar , Pakistan ) Community screening service ( Lahore , Pakistan ) Diagnostic Centers:

Shaukat Khanum Diagnostic Centre ( Lahore , Pakistan ) Shaukat Khanum Diagnostic Centre ( Karachi , Pakistan ) Pathology Collection Centers:

54 Shaukat Khanum Pathology Collection Centers (all over Pakistan )

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 DEPARTMENTS

1. Shaukat Khanum Diagnostic Centre SKDC was established on 17th December, 2003. It is one of the leading diagnostic facilities (Radiology and Pathology) available in the market. It is providing excellent diagnostic services to a wide range of customers. It is equipped with state of the art radiology machines to ensure patient's & physician's satisfaction. 2. Comprehensive Health Care Clinic (CHCC) Shaukat Khanum Memorial Cancer Hospital offers a comprehensive medical examination facility that provides you an opportunity to evaluate your health status and discuss ways with high qualified health care professionals to remain healthy. The program is offered in the form of a package that allows two visits, giving you a unique opportunity to get a detailed picture of your health. 3. Financial Assistance It is estimated that about 150,000 new cancer cases are diagnosed in Pakistan each year. Shaukat Khanum Memorial Cancer Hospital & Research Center was built with the mission of providing state-of-the-art diagnostic and therapeutic facilities for cancer patients irrespective of their ability to pay. 4. Outpatient & Ambulatory Services SKMCH&RC provides emergency service to all its registered cancer and non-cancer patients 24 hours a day 365 days a year. SERVICES 5. Anesthesiology 6. clinical Radiology 7. Medical Oncology 8. Internal Medicine 9. Nursing division 10. Nuclear Medicine 11. Pathology 12. Pediatric Oncology 13. Pharmacy
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14. Radiation Oncology 15. Surgical Oncology 16. Food and dietary services 17. Human resource department 18. Marketing department 19. Material management department 20. Finance department 21. Quality assurance department 22. Legal affairs and risk management 23. Housekeeping 24. Transport pool

Commissioning of the Hospital

Source of Money: Donations Credit and loans Cost Building Medical equipment Ancillary equipment 67% 33% $ 22 m $ 7.7 m $ 10.5 m $ 4.4 m

Fundraising
The various activities related to each section are given below. Fundraising Activities The two major sources of fundraising are: 1. 2. Zakat Donations

Zakat
According to Shariah (Islamic Rule), an individual has to give 2.5% of his wealth held during the year, in charity, This is called as Zakat. Zakat can be given at any time of the year. However, traditionally most of the people pay Zakat, during the month of Ramadan (Islamic Calendar month in which Muslims fast). To collect maximum amount under the head of Zakat, which is totally spent on the treatment of poor cancer patients.
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A comprehensive campaign is launched in Pakistan and overseas. All offices of SKMCH&RC participate in this activity and are supervised and coordinated by the head office at Lahore.

DONATION
Following products/campaigns collectively contribute towards achieving the revenue targets of Donations:

Fundraising from High Net-Worth Individuals Sponsor a Cancer Patient Concerts / Fundraising Dinners School Fundraising Campaign Equipment / Material & In-kind Donations Hide Collection Campaign Fundraising from Corporate Sector In-Patient Room Nomination Sponsorship of New Projects SMS Campaign PTCL Hope Line Blood Donation

Volunteer At Shaukat Khanum Memorial Cancer Hospital & Research Centre, volunteers register to assist or undertake activities at the Hospital of their own free will and without remuneration. Volunteers who have served a minimum period of two weeks are awarded an appreciation certificate in recognition of their services.

Support Groups

SKM Tiger Club

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SKMCH&RC was made possible by an outpouring of support from the whole country including school children. The original "Imran's Tigers" was re-launched as the SKM Tigers Club in November 2008. On its launch, the children joined in enthusiastically and balloons filled the air as they sang songs to express their commitment and support. Cause to engage the children in various healthy activities and allow them to participate in volunteering activities at the Hospital

SKM Ambassador SKM Ambassadors have been selected all over Pakistan to help raise awareness about cancer and the Hospitals fundraising campaigns.

SKM OFFICES IN PAKISTAN Karachi Office Shaukat Khanum Memorial Trust Suite# 10, Mezzanine Floor, Hamilton Courts, G-II, Near Teen Talwar, Main Clifton Road, Clifton, Karachi, Pakistan Ph: +92 21 35872573,+ 92 21111-155-555 Fax: +92 21 35872574 Email: skmt@khi.comsats.net.pk

Islamabad Office Shaukat Khanum Memorial Trust 2 Royal Centre 106-West, Fazl-e-Haq Road, Blue Area, Islamabad, Pakistan Ph: +92 51 32273400, +92 21111-155-555 Fax: +92 51 32274049 Email: skmt@isb.comsats.net.pk

Collection Centers in Pakistan Abbottabad Faisalabad Karachi Peshawar Sargodha Bahawalpur Chakwal Dera Ismail Khan Gujranwala Gujrat Islamabad Lahore Mardan Mirpur Quetta Rahim Yar Khan Rawalpindi Sialkot Swat Temergara Dera Ghazi Khan Jhelum Multan Sahiwal

SKM OFFICES OVERSEAS UK Office Imran Khan Cancer Appeal PO Box 786, 66 Little Horton Lane Bradford, BD5 0YE, UK Ph: +44 1274 424 444 Free Phone (UK): 0500 786 101 Fax: +44 1274 424 999 Email: ikca@skmt.freeserve.co.uk UAE Office Shaukat Khanum Memorial Trust PO Box 215253, Dubai, UAE Email: skmtgulf@gmail.com USA Office Imran Khan Cancer Appeal Inc, Suite # 201, 195 Farmington Avenue Farmington, CT 06032, USA Ph: +1 (860) 674 8865 Fax: +1 (860) 674 9007 Email:shkm2@sbcglobal.ne
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PATIENT STATISTICS
Year *1994 1999 2000 3,656 2001 3,093 2002 3,486 2003 4,219 2004 6,570 2005 7,696 2006 9,125 2007 9,529 2008 7,981 2009 9,120 2010 9,480 2011 9,542 2012 Total 112,373 156,766 1,336,458 8,613 77,652 31,198 314,331 6,990 57,935 51,865 545,179 160,574 1,228,555 3,740,838 25,116,532 1,092,480 9,085,237 141,806 7,618 31,367 6,560 44,540 153,125 3,251,680 931,848 130,165 6,785 27,588 6,109 42,888 134,177 2,852,347 851,126 124,372 6,545 26,448 4,487 43,307 132,578 2,494,616 792,795 119,037 6,079 23,709 4,514 43,143 128,636 2,368,844 740,288 112,714 6,023 23,719 4,398 41,463 117,924 2,176,649 735,472 87,534 5,134 18,206 4,080 39,545 95,646 1,762,116 622,528 76,736 4,910 15,868 3,795 36,326 80,455 1,411,930 586,891 69,023 4,177 15,377 2,750 32,318 62,657 1,148,224 525,404 54,190 3,668 12,839 2,268 26,149 45,025 878,330 457,398 49,270 3,309 11,690 1,828 25,059 36,138 664,763 413,782 49,511 3,102 9,322 1,847 22,170 31,462 565,717 383,018 Patients Registered 25,862 Outpatient Visits 125,009 Admissions 9,092 Chemotherapy Treatments 57,400 Surgical Operations 6,778 Radiation Therapy 79,373 Imaging Studies 92,916 Pathology Tests 1,408,358 Pharmacy Dispensing 640,962

3,014

40,325

2,599

9,600

1,531

17,033

26,703

392,120

311,245

*Dec.1994-Dec1999 Note: 75% of the patients receive financial support.

FINANCIAL STATISTICS
Revenue (Rs. In Millions) 1994- 2012
Hospital Services 2,202 Other Income 165 Total Revenue 5,209

Year Dec 2012*

Zakat 1,669

Donations 1,173

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Dec 2011 Dec 2010 Dec 2009 Dec 2008 Dec 2007 Dec 2006 Dec 2005 Dec 2004 2003-2004 2002-2003 2001-2002 2000-2001 1999-2000 1998-1999 1997-1998 1996-1997 1995-1996 1994-1995

1,976 1,546 1,281 1,125 954 750 573 424 374 261 234 211 139 113 90 62 35 5

1,343 813 865 646 535 438 265 397 287 244 152 131 117 100 99 117 109 46

908 614 620 460 486 273 320 368 238 178 174 190 152 129 103 105 87 85

63 37 47 37 33 34 29 33 14 15 17 15 17 11 11 7 18 5

4,290 3,010 2,813 2,268 2,008 1,495 1,186 1,222 913 698 577 547 425 353 303 291 249 141

Operating Expenses (Rs. In Millions) * For The Year 2012

Category Salaries and benefits - medical staff Salaries and benefits -admin staff Medicines Pathology, Nursing & Other Supplies Utilities Fundraising expenses Finance costs Repairs and maintenance Other Operating Expenses Operating expense Amount 1,143 425 638 1,004 214 121 23 178 426 4,172 the year ended Percentage 27% 10% 15% 24% 5% 3% 1% 4% 10% 100% December 31, 2012.

* Operating Expenses for * These are draft figures and subject to audit

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SKMCH BUSINESS PROCESS AND MANAGEMENT

Planning
SKMCH & RC stated goals are their real goals. They dont have any discrimination between them and they work in the same way as they project in their companys statement.

Long Term Goals

Research basic and clinical. Community and outreach services. Enhancement of automation. Capacity enhancement. Support services building 2006-07 Fourth clinical building Regional cancer centers Karachi Peshawar New Directions in Fundraising. 4 Storey Block (if permitted by Government, 9 storey block). Phase 1: Basement + 3 Floors. Phase 2: 5 Floors. At the moment, Phase 1 & shell of Phase 2 under construction. 2006-08

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Controlling
EFFECTIVE CONYROL SYSTEM OF SKMCH &RC

Accuracy Time lines Economy Flexibility Understandability Reasonable criteria Strategic placement

Types of control SKMCH& RC is applying different types of control at different levels (head of

departments) in order to measure the performance closet to the standards(rules and polices defined by HR) and to evaluate the efficiency of the organization. FORWARD CONTROL FEEBACK CONTROL QUALITY CONTROL SKMCH& RC is applying Feed FOWARD CONTROL at INPUT LEVEL and

evaluate the resources of the hospital .it is using FEEDBACK CONTROL at OUTPUT LEVEL and they get this feedback from the patients. They keep channel open with the patients and consider them as their partner and keep open communication. They also use QUALITY CONTROL as modern controlling concept.

HOSPITAL CONTROL SYSTEM

Hospitals control system is comprises of following steps. They have rules and procedures made by HR manager to measure the performance of the hospital. Then they evaluate their performance against their target and standard.

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After evaluating their performance if they find any deviation in the performance from the rules and procedures they take appropriate action.

Organizing
Assign task and responsibility Coordinate diverse organizational task Establishes relationship among individual, groups and departments Establishes formal line of authority Allocate organizational resources

Purpose of organizing Divide work to be done specific jobs

Organizations Structure
Board of Governors

CEO

marketing &human Resource Development

Finance

Nursing

Operations

Medical Director

Computing

Inpatient

Pharmacy

Clinical Departments

Outpatient

Environmental & Hotel Services

Chemotherapy

Engineering

Operation Theatre and CSSD

Administration & Human Resources

Materials Management

QA and Legal University

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Organizations Culture
Shaukat Khanum has a very strong and corporate culture. They have people oriented culture where they take decisions and account the effects of them on the people of an organization. They have innovative culture in which they encourage their employees to be innovative and risk takers to some extents. There is no formal dress code but the jeans are not allowed for ladies. Eatables are not allowed in any department except marketing department because that department has its own kitchen. Employees must reach and leave the office in time.

Employees are learning culture The employees are learning culture through rituals. Location & Market In Pakistan the SKMCH is situated in Johar Town Lahore and covers all over Pakistan. Organizational Structure Shaukat Khanam is organic and highly structured organization. As they have very uncertain environment because they have to face new challenges concerning treatment and research of cancer

Work Specialization They have divided their work in different departments and every individual does his own job, like Marketing Department, Finance Department and HR Department.

Departmentalization SKMCH has highly functional departmentalization. The Marketing Department is mainly the Profit Center of SKMCH .They collect the profit for SKMCH and use that profit in the treatment of needy patients.

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Decentralization

They are following the concept of decentralization .They having divided the ORGANIZATION into different zones and the head of the department take ideas from their subordinates while taking decision. Formalization SKMCH have standard rules and procedures to guide the behavior of the employee.

Span of Control SKMCH have a flat structure and have a wider span of control

Technology
SKMCH and RC is equipped with highly advanced and modern machinery and the organization off and on spent a large amount of money on making their machinery and equipment updated

Communication System
They have a very strong and cooperative communicational system. They use intranet communicational system and share their ideas with each other very frequently. MANAGEMENT PRACTICES HRM Policies of SKMCH Gender Justice Policy Sexual Harassment Policy Discrimination Policy

Motivation By motivation we mean encouraging our employees to give in all three effort fot the company to meet its objectives.Or in other words it means the willingness to exert
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high level of efforts to meet the organizational objective. For motivating a person you have you understand what the needs and wants of the employees. By motivation we mean encouraging our employees to give in all their efforts for the company to meet its objectives. Many theories were put forward by many scientists in order to better understand the needs of patients. Some famous theories are Maslows Hierarchy Theory Goal Set Theory

Maslows Hierarchy Theory The management of SKMCH understand knows that their employees have crossed the stages of psychological and safety needs and our round about social, esteem or self actualization needs as the result of this the management of SKMCH has profiled into different categories and to some extend is compensating them.

Employees are also given respect and every manager is strictly advised not to use any loose language while talking to subordinates and specially you feel proud in working at SKMCH one of the best cancer hospital in Asia. Employees are also offered different programs to improve their skills so that they can serve the company in a better way.

Goal Set Theory

The management of SKMCH monitors the efficiency of their employees regularly and is very firstly allocates different tasks to the employees and then evaluates which employee enjoys working and how efficient he is. Based upon that different cross functional teams are formed in which each member is assigned a specific job which he carries out best. In this way they motivate their employee.

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Other Motivational Tools The company has a prize and shield award in place on yearly bases to acknowledgement their employees hardwork and performance and motivates them to go on doing even more. These include:

Job Rotation Within the department the employees are motivated by job rotation

Employee of the year The performance of all the employees in all departments is consistently monitored during the year on the basis of their performance at the end of the year one employee for each department with highest points is given performance appraisal in the form of prize of 3000 and a shield with a certificate. Annual Feast SKMCH arranges annual dinner at the end of each year, where awards are given musical evening is organized for the entertainment of employees as a token of acknowledgement of their hardwork and to encourages and motivate them to put in more efforts in the next year.

Cricket Festival
SKMCH organizes a cricket festival every year normally in the month of June in which the every department who want to play must contribute Rs.2000/- and the total budget is Rs.100000/-. The winner prize is Rs.25000/- and runner-up prizes Rs.10000. Two trophies are given one to the winner and one to the runner-up.

FLEXIBLE WORKING HOURS The employees are also allowed to avail flexible working hour. If they work late till evening they are allowed to come late on the other day morning. They also have the option to change their shift time from morning to evening or from evening to morning.

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\ OPEN BOOK MANAGEMANT The company also shares annual reports with the employees giving them a clear picture of the hospital performance and also a sense that employees are the roots for of the company.

Leadership Styles

Leadership Styles SKMCH is practicing a democratic style. Managers of the organization tend to involve their employees in decision making .They also delegate authorities to their subordinates. They encourage participation in deciding work methods and goals at some extent and use feedbacks as an oppournities for coaching employees.

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SKMCH & RC DEPARTMENTAL FUNCTIONS

Mr. Tariq Azam, Director Marketing and Resource Development knows that to remain competitive in todays dynamic world he must understand the psyche of his employees so that their needs can be fulfill and a motivated work force can be created for them which will be a source of competitive advantage over the competitors. The policies and practices one need to carry out the people or human resource aspect of the management position including the recruiting, screening, training, rewarding. I complete my internship in the compensation and benefits of HRD. So I can only highlight the process and working of human resource department

Human resource department; Hierarchy

head of department

function

training and development: two employees

human resource manger muhammad ali

compensation and benefit: four employees education and performance management: five employees recruitment and selection: four employees

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Mr. Tariq Azam, Director Marketing and Resource Development knows that to remain competitive in todays dynamic world he must understand the psyche of his employees so that their needs can be fulfill and a motivated work force can be created for them which will be a source of competitive advantage over the competitors. The policies and practices one need to carry out the people or human resource aspect of the management position including the recruiting, screening, training, rewarding.

1. Training and development department:

In this department there are two employees who conduct the trainings of new and current employees and arrange the trainers for the training .they gives the orientation to the trainers and trainees. After and before training they conduct the performance evaluation of trainees and conducted performance appraisal results filed in the personal records of employees. After training employees are awarded with the certificate. Training Shaukat Khanum gives two types of job training. A. B. On job training. Off job training. Training budget varies according to traning type.

2. COMPENSATION AND BENEFITS DEPARTMENT: I worked in this functional department and assist Mr. Rameez for six weeks. There are three more employees. Tasks performed by them are: Compensation of Overtime adjustment: They and their internees update the overtime adjustments of employees in the portal of HIS .employees submitted the overtime adjustment form in which they mention the start timing and end timing of their duty which is approved by their respective .so employees are given by the monetary compensation with their salary. Organization considers and gives value to their employees who are devoted for their organization. Employee old age benefits: SKMCH give many benefits to their employees from which one is the old age benefits. This benefit is for the every employee, whoever applies for this benefit can enjoys the employee old age benefit after the 55 years of
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age. During my internship the EOBI cards are distributed among the employees by delivering them to their respective departments. Now they made the software for the EOBI because employees apply for this more than one time and centre of EOBI issues the card more than one time and cards are being waste of those employees who left the organization. For the purpose of retaining effective data of EOBI, they launch the software on the portal Increments Annual increment takes place in the salary of the employees every year. A fixed bonus is also given every year..increment record saved in the personal records of employees, by the head of department and by the financial department. Contracts of employees There two type of contracts for the doctors. One for the permanent faculty and second one are for the visitors .contract for the visitors is called locum in which doctors can also serve the other hospitals. For permanent doctors, they are bound in a contract to serve and their practices are only for shaukat khanum. Salary and benefit packages are different for both contracts. Educational benefits Doctors and other employees can upgrade their education easily. skmch provides the education leave to the employees. Leaves benefits Employees have leave quota which they can utilize and if they dont utilize, then for the sake of motivation to the employees for coming regularly, organization reward them by giving monetary benefit. There are eight sick leaves, six casual +12 days off Issuance of entry cards and certificates to the volunteers/interns Internees are hired for the quality assurance, marketing, legal affairs and HR department and for the other department volunteers are hired, volunteers and interns both are hired for marketing department. Volunteers are two types, electives and non-elective volunteers. Voluntary work and internship are non-paid programs where students enhance the practical knowledge of their studies. Some time ago they are paid programs for the needy students but now they are non-paid programs.
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Volunteer work is for two weeks and internship programs are for six weeks. Compensation department issue the entrance card to the volunteers and to the interns and after the completion they issue the certificate. They retain the record of them by keeping the copy of certificate. Issuance of I.D cards and employee certificate to the employees The department issues the I.D cards of hospital to the employees and giving to them the access to the doors of the hospital separately according to the need of employee. For the appraisal of employee performance they are awarded by the employee certificate to the doctors. Medical payment ,house rent and convenience allowance These are the benefits which every employee earns according to their designation and seniority. Benefits also include bonus salary, transportation (only for nursing)

3. Medical and education administration department: In this department, hr responsible to give the platform for the nurses and juniors doctors for the continuous education in terms of short courses. They are responsible for offering course to the selected medical staff. They also maintain the record
Orientation Orientation is the procedure of providing information of the organization and the job. Orientation of SKMCH is of formal type and is conducted on every Tuesday Contents Orientation normally covers the following contents. Welcome note from management director. Mission, Vision and Values. Brief introduction of hospital Companies profile organization
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The working hours companys profile. It also includes the fire training.

4.

Recruitment and selection:

Internal Recruitment In SKMCH, vacant posts are also filled internally to provide an opportunity for the workers already working in the organizations. External Recruitment In SKMCH, experience candidates are preferred and hired. Selection Criteria The selection is entirely based on merit which confirms to selection criteria without any bias towards gender, religion, race, colour, nationality, age and according to the procedure laid down in the HRD policies. Selection Procedure Filling out application forms Application screening (short listing) Test (Written and practical) Interview Final selection Orientation Training

Hiring Process Whenever the organization needs employees for internal job

advertisement is made only inside the hospital and for external job for the top level management and medical staff advertisement is given in leading newspaper like DAWN and THE NEWS. Written test and interviews are conducted only for the nursing staff and low level employees and for top level management only interviews are conducted.

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Annual turnover rate

Turnover rate in SKMCH &RC is high but the turnover percentage is confidential

SWOT ANALYSIS OF THE SKMCH

Strengths
Specialized cancer hospital Easy access to all Laboratory collection centre Hospitals Highly qualified employees Excellent environment Equality among patients Hospital information system portal (HIS) International linkages All facities under one roof free of cost quality treatment of cancer for needy people research centers highly equipped machinery proper check and balances first preference to quality

Threats and Challenges

Fundraising challenges Healthcare costs Capacity limitation Dearth of trained manpower

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Competitive advantage
Although SKMCH &RC is not having any such competitor in Asia but if we thing about anyone its AGHA KHAN Hospital but only in cancer research. SKMCH & RC has the competitive advantage on AGHA KHAN Hospital in quality treatment and revenue generating field.

MIS Department

SKMCH & RC has management information system department (MIS). Whole hospital system is being regulated by it. MIS department has developed software of hospital information system (HIS). This software is a core competency of hospital as none of the Asian hospital is having such hospital. It can be only be compete with any USA organization.

Quality First
We, at SKMCH & RC are guided by core principles of Quality, Equity, Transparency and Merit. We are dedicated to: Providing High Quality Service to our Patients irrespective of their socioeconomic status, in the timeliest manner. Acting as a Model Institute in providing cancer education to healthcare professionals and perform research into causes and treatment of cancer. Developing and Nurturing a Culture, which motivates each employee to strive for continual improvement in their work.

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 Bibliography Report on state bank of Pakistan on private hospital report fh10. https://www.google.com.pk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=r ja&ved=0CC4QFjAB&url=http%3A%2F%2Fbusinessexecutives.blog.com%2Ffile s%2F2011%2F04%2Ffinal-skmh-report.doc&ei=iEcqUoOmBIjhgfuy4CoBQ&usg=AFQjCNG60eND_pgawBAqTCLfJRh1Y5lVJg www.shaukatkhanum.org.pk http://en.wikipedia.org/wiki/Shaukat_Khanum_Memorial_Cancer_Hospital_%26_ Research_Centre

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Appendices 1 Certificate of internship

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Appendices 2 Employer evaluation form

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