Professional Documents
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Shouldice Hospital
($111X4 + 450 + 60 +
Other Hospital
$ 2000 - $ 4000
75X0.20) = $ 969
4 days
5 7 days
hospital
Daily Operations
Probability of Recurrence
30 36 per day
0.80%
5 10 per day
10%
Apart from the above attributes, Shouldice hospital also excelled in following ways
The Nurse to Patient ratio was much lower than that in other hospitals. This can
be based on the fact that nurses were only involved in the consulting job.
The attribution rate also much lower than the industry rate. Only turnover of 4
nurses was seen in 1 year.
The patients enjoyed the services at the Shouldice hospital. They even asked for
one more stay at the hospital.
Hospital
(4 days X $111/day X 6,850
Clinic
(($450 + 60 + 75X0.20) X 6,850) = $
Costs
Profit
patients/year) = $ 3,041,400
$ 2,800,000
$ 241,400
3,596,250
$ 2,000,000
$ 1,596,250
Hence, the total profit per year was $ 1,837,650. Although the hospital paid surgeons and
other staff very high as compared to industry, and the cost of operation was also very low
as compared to other hospitals, the Shouldice hospital was still able to make profits.
Service quality of Shouldice Hospital is very high due to their culture of family type
atmosphere. Increasing their capacity while maintaining the same level of service is the
main challenge. Some of the actions that will expand the capacity of Shouldice hospital
are:
a) Providing Service on Saturday: additional one day of service will increase the
number of operations and thus increase the capacity of hospital.
Average number of patient serviced/week 155 (Monday to Friday operation)
Adding Saturday as working day increase number of operations by 31
operations per week.
Average number of patient serviced/week now is 186
Increase in profit due to increase in capacity 270*(186-155)*50 = $418500
Drawbacks of adding Saturday as working day
Need six surgeon and one supervisor surgeon to work on Saturday but this
will violates the policy of Shouldice that they give sufficient time to doctors to
spend with their family, four older doctors are opposing this suggestion
because of their way of working from several years
b) Adding new floor: total number of rooms with two floor are 89 so number of
rooms per floor are 45. Adding third floor will increase the capacity to 134.
Additional number of patients served 3918. This will increase profit by
270*3918=
Drawbacks
need
more
of
nurse
and
1057860
adding
surgeon
to
new
handle
45
floor
more
beds
shifting patient from basement to third floor after operation will not be so
convenient.
c) Expanding the hospital into USA. This is the most viable option since 42%
patient served by Shouldice hospital comes from USA. They have to incur
Geographic location
Accessibility to airport
After considering the above factors, the most appropriate site can be selected and then the
facility could be constructed.