Shouldice hospital

SHOULDICE HOSPITAL LIMITED

Group Members:

Anil Shrestha - 112986

Arpita Shahi - 112740

Shashank Pradhan - 113312

Ankeet Rajbhandari - 112890

Jush Shrestha - 112817

Sneha Basnet - 112884

AGENDA

HERNIA Overview

Recommendations

Market overview

Background of SHOULDICE HOSPITAL LTD.

What makes Shouldice different ?

Problem Analysis

11

22

44

55

66

77

SHOULDICE Service ModelSHOULDICE Service Model33

What is 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.

HERNIA

Lets have an overview ofShouldice Hospital Limited

• Shouldice_exp.flv

SHOULDICE HOSPITAL LIMITED

• 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.

Why SHOULDICE Hospital?

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

30/36 Arrivals1–3 pm

If OK:Check-in & admin

Dinnerat 6 pm

Check by MD

(15 mins)

Tea & cookiesat 9 pm

Blood test

Day 1

Day 2

Explain process steps

Local anaesthesia

(-20mins)

Surgery (40 mins)

Rest in room

(2-3hrs)

Start eating & moving

Dinnerat 6 pm

Tea & cookiesat 9 pm

Day 3

Loosen stitches

Walk, play, & eat with your buddies

If not OK…

Dinnerat 6 pm

Tea & cookiesat 9 pm

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

Shouldice Service Model 4 Day Lead Time

Shouldice Service Model 4 Day Lead Time

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.

• 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.

MARKET OVERVIEW

• 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

PROBLEM ANALYSIS

RECOMMENDATION ??

What do you Recommend for

SHOULDICE HOSPITAL LTD.?

• 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

RECOMMENDATION

THANK YOU!