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 doesnt close completely.
Lets have an overview of Shouldice Hospital Limited• Shouldice_exp.flv
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 schools 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 RepairsDr. Edward Earle Shouldice
Shouldice Service Model Shouldice Service Model 4 Day Lead Time 4 Day Lead TimeDay 1 If not OK… If OK: Explain Tea & 30/36 Check by Check-in & Blood Dinner cookies Arrivals MD process 1–3 pm (15 mins) admin test steps at 6 pm at 9 pmDay 2 Local Rest in room Start Dinner Tea &anaesthesia Surgery eating & (40 mins) (2-3hrs) at 6 pm cookies (-20mins) moving at 9 pmDay 3 Tea & Loosen Walk, play, & eat with Dinner cookies stitches your buddies at 6 pm at 9 pmDay 4: Remove stitches, walk, play, eat, check out
Expectations ???What do you expect when you visit a Hospital? OrWhat service do you expect from an excellent Hospital?
What makes Shouldice differentfrom 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 differentfrom 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 differentfrom 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 forSHOULDICE 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