Shouldice Hospital Case Analysis
Question 1. How successful is the Shouldice Hospital? Generate a P&L statement using available information from the case. Treat each of the two operations – hospital and the surgery – separately
Compared to other medical institutions that provide a wide array of medical procedures, Shouldice Hospital specializes in one procedure for patients that suffer from abdominal hernias. This specialization allows each doctor at Shouldice Hospital to perform approximately 600 hernia surgeries per year, while doctors at other institutions only perform 25-50 hernia surgeries per year. As a result, the “Shouldice Method” has been perfected to an unparalleled level for the well-being of the patient. The
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Lastly, the doctors experience low turnover, as do the nurses, because they are given opportunities to learn and improve on their skills via training in the Shouldice technique. In addition to the benefit of low turnover, proper training and continuous improvement allows for standardization of the method of operation and minimizes flaws or defects.
Lastly, the success of the hospital is attributed to the facility and the culture it fosters. The hospital encourages interaction between staff members and patients. Hospital staff is encouraged to eat together in the dining room and pick up their meals from the kitchen; hospital administrator is trained to be multi-functional and can pitch in to help one and other during peak times. To encourage interaction and activity among the patients, the hospital offers acres of gardens, uses carpeting to avoid the typical smell of disinfectant, modifies the stairways to allow the patients to be able to climb up after operations, and places entertainment in a common room to encourage patients to walk around and socialize. These factors help provide an uplifting, supportive environment that leads to happy staff and healthier patients.
Question 3. Prepare a Process Flow Diagram from arrival through surgery and determine the capacities at each stage. For this diagram, only indicate major points in the process, e.g., admitting, examination,
Ques 1: Draw a detailed process flow map of the current process at receiving Plant#1. What is the capacity of each operation in the process?
The economic cost for the clinic due to waiting times rise. By taking more time to process the patients, the clinic cannot reach its potential of seeing 108 patients. This of course results in less revenue. Currently the clinic operates at 74% capacity, resulting in a loss of 26% revenue.
This hospital is a 65-bed rural hospital but it is the job of every hospital to give the best patient care possible. With a
In this hospital, there will be nurses that are therapists who can help the person if they need someone to talk to. If there's a kid that is in this hospital there would be a lounging area where they can relax and watch television that's appropriate. If the patient needs medicine the patient would be told by a nurse that they need to take their medicine.
Person centred care can also be constructed, not only by the healthcare workers themselves, but from the environment that has been created also. An environment of care is one that is clean and safe and that promotes patient privacy. At the heart of this environment of care, there should be human interactions to encourage patients to be calm, comfortable and support those within it. Together the design and these interactions can transform an institutional and impersonal setting into one that is truly healing and helpful for the patient. There should be a space provided for loved ones to get together and congregate, as well as access to a variety of entertainment outlets that serve as positive diversions for family and patients, such as the television and
a. The Shouldice Hospital focuses on a very specializing service: external abdominal hernia operations. In 1982, 82% of the procedures conducted were on first time patients. The rest involved patients operated somewhere else suffering from a recurrence. Furthermore, the hospital requires the patient to not be overweight.
Organizational structure is the hierarchy of authority and description of the arrangement of employees within an organization (Sullivan & Decker, 2009). Organizational culture is the pattern of learned values, attitudes, and behaviors in the organization’s members (Schein, 1990). Organizational environment describes the conditions of the work setting. Characteristics of a positive organizational environment include communication, collaboration, effective decision-making, staffing, recognition of employees, and leadership (Sullivan & Decker, 2009). This paper will describe interrelated aspects of the organizational structure, culture, and environment at Lone Tree Convalescent Hospital and discuss how
Healing hospitals focus on patients on a holistic manner. To build this type of care for a healing hospital starts with something as simple as the hospital design. The design of the hospital is very important. Weather there will be a lot of light or not, spacing, and how that space it utilized. “Historically, healthcare
It is my personal belief that environment plays a considerable role in the patient’s short term and long-term wellbeing. When nurses acknowledge the environment that the patient is interacting in while receiving their care we know this greatly impacts the overall successfulness of the care plan. The patient’s feelings must be
Shouldice Hospital is one where only external abdominal hernias are operated. The hospital has a unique “technique” for this which was developed by Dr.Earle Shouldice, the founder of the hospital. The hospital with its low cost solution, properly routine tasks, facilities for the patients and their visitors, high quality service, and best in industry doctors and staff had a competitive edge. The Shouldice Hospital in itself is not just a curing centre but a holistic experience for its patients, doctors, nurses and supporting staff alike.
Small patient groups within the wards, along with large community meetings, there feelings are shared and patients' comments taken seriously, and work assignments, recreational activities, are assigned to make the hospital less like a "holding" environment. .
After analyzing this information and reading through the case thoroughly, it would be quite difficult for Shouldice to perform 45 operations a day. They have limitations due to their operating rooms and the number of surgeons at their facility. According to the case, they have 12 full-time surgeons and only 5 operating rooms. Each surgeon operates on 4 patients per day so at most, the 12 surgeons can perform 48 total operations on a daily basis. Additionally, each operation takes 1 hour and since they only have 5 operating rooms, the maximum number of operations they can perform is 5 operations per hour. Operation time
Shouldice Hospital focus on hernia repair surgery which is mostly performed on males. Shouldice operation strategy
Modern society has developed formal institutions for patient care. The hospital a major institution offers considerable advantages to both patient and society. Number of health problems requires intensive medical treatment and personal care which normally can’t be available in patients home or in the clinic of a doctor. This is possible only where a large number or professionally and technically skilled people apply their knowledge & skill with the world class expertise advanced sophisticated equipment and appliances. The excellence of hospital services depend on how well the human and material resources are utilized to promote patient care.