Final Csb- Report

8/13/2019 Final Csb- Report

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PROJECT REPORT ON HEALTHCARE INDUSTRYCIVIL

HOSPITAL

SUBMITTED BY

SUBMITTED TO

PROF. AMISH SONI


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CHAP -1 INDUSTRY OVERVIEW

BRIFE OVERVIEW

The Indian healthcare industry, which comprises hospitals, medical infrastructure,

medical devices, clinical trials, outsourcing, telemedicine, health insurance and

medical equipment, is expected to reach US$ 160 billion by 2017.

On the back of continuously rising demand, the hospital services industry is

expected to be worth US$ 81.2 billion by 2015. The Indian hospital services

sector generated revenue of over US$ 45 billion in 2012. This revenue is expected

to increase at a compound annual growth rate (CAGR) of 20 per cent during

2012-2017, according to a RNCOS report titled, Indian Medical Device Market

Outlook to 2017.

MARKET SIZE

The healthcare industry in India is experiencing gradual transition from paper

files to electronic mediums. The Indian healthcare assisted by IT market has been

growing tremendously over the past few years. It is expected to grow at a CAGR

of around 22.7 per cent during the period 2013-2015.

The hospital and diagnostics centre in India received foreign direct investment

(FDI) worth US$ 1,914.28 million, while drugs & pharmaceutical and medical &

surgical appliances industry registered FDI worth US$ 11,318.32 million and US$

653.45 million, respectively during April 2000 to June 2013, according to data

provided by Department of Industrial Policy and Promotion (DIPP).

Moreso, the other related segments like genetic testing market is expected to grow

at a CAGR of around 9 per cent during 2012-2017 and that of the diagnostic

services market in India at a CAGR of around 26 per cent during 2012-2015. All


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the growth is based on the foundation on huge investments, fast expansion into

tier II & III cities, and strong government support to strengthen the healthcare

infrastructure in the country.

The Indian-American doctors community plans to organisethe "Global

Healthcare Summit" in Ahmedabad, Gujarat, from January 3-5, 2014, to bring

affordable world class healthcare for Indians. Global Healthcare Summit 2014

aims at advancing the accessibility, affordability and quality of world-class

healthcare to the Indian people

GOVERNMENT INITIATIVES

The Government of India has decided to increase health expenditure to 2.5 per cent of gross

domestic product (GDP) by the end of the Twelfth Five Year Plan (2012-17). Dr Manmohan

Singh, the Prime Minister of India, also emphasised the need for increased outlay to health

sector during the Twelfth Five Year Plan. Moreover, 100 per cent FDI is permitted for

health and medical services under the automatic route.


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THERE ARE FIVE SEGMANTS OF THE HEALTHCARE MARKET

Government HospitalsIt includes healthcare centres, district

hospitals and general hospitals

Private HospitalsIt includes nursing homes, and mid-tier and

top-tier private hospitals

It includes manufacture, extraction, processing, purificationand packaging of chemical materials for use as medicationsforhumans or animals

It comprises businesses and laboratories that offer analyticalordiagnostic services, including body fluid analysis

It includes establishments primarily manufacturing medicalequipment and supplies, e.g. surgical, dental, orthopaedic,ophthalmologic, laboratory instruments, etc

It includes health insurance and medical reimbursementfacility,covering an individuals hospitalisation expensesincurred dueto sickness

Hospitals

Pharmaceuti

cals

Diagnostic

Medical

equipments

Medical

Insurance

Healthcar


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OO

Apollo HospitalsEnterprise Ltd

8276Chennai, Madurai, Hyderabad, Karur, Karim Nagar, Mysore,Visakhapatnam, Bilaspur, Aragonda, Kakinada, Bengaluru,Delhi,Noida, Kolkata, Ahmedabad, Mauritius, Pune, Raichur,Rani et Ranchi Ludhiana Indore Bhubaneswar Dhaka

Aravind EyeHospitals 3649

Theni, Tirunelveli, Coimbatore, Puducherry, Madurai, Amethi,Kolkata

CARE Hospitals 1912Hyderabad, Vijayawada, Nagpur, Raipur, Bhubaneswar,Surat, Pune, Visakhapatnam

Fortis HealthcareLtd

12000Mumbai, Bengaluru, Kolkata, Mohali, Noida, Delhi, Amritsar,

Raipur, Jaipur, Chennai, Kota

Max Hospitals 1973Delhi, NCR, Punjab, Uttarakhand

Manipal Group of

Hospitals 4900Udupi, Bengaluru, Manipal, Attavar, Mangalore, Goa, Tumkur,

Vijaywada, Kasaragod, Visakhapatnam

company Beds Presense


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CHALLENGES IN HEALTHCARE INDUSTRY

1) High capital costs:Depending on the region and real estate costs, an average hospital requires capital infusion of

Rs 40 lakhs to a crore per bed (& even more). Industry estimates suggest that any hospital

with capital costs of more than 50 lakhs per bed has high gestation period and even may be

unviable. Land and building together account for almost 40 per cent of the total project cost

and affects the viability depending on the resulting per bed cost.

2) Human resources:

As per ministry of health, there is a shortage of approximately half a million doctors, a

million nurses and the deficit needs to be filled in the next five years. Such shortage will lead

to exponential salary hike demands, and further lead to high patient care costs. Considering

one skilled and quailed administrator is required for every 50 employees, there would be a

requirement of almost 50000 such healthcare professionals in the near future.

3) Conventional models of business:

Rarely an out-of-the-box idea of running a healthcare business is seen. Recent niche

segments of single speciality centres (for eg. - focused on OBGY or other specialities (Cradle

etc) )have been very few. Even in the public health sector, millions of square feet of space is

left unutilised, expensive equipment ill-maintained and lack of skilled professionals adding to

the -woe, still do not find adequate initiatives happening towards outsourcing or even PPP.

Almost 90 per cent of private sector in India is run under the unorganised sector. The clinical

establishment bill also has faced immense opposition and a professional healthcareconsultancy firm guided healthcare business is not still seen frequently.


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OPPORTUNITIES IN HEALTHCARE INDUSTRY

1) Population:

Many would consider that the massive population of India would be a bane. But it has turned

out to be an immense business opportunity across industries like telecom, broadcast and

healthcare. The 1.17 billion population of 2009 is projected to reach 1.33 billion in the next

10 years. Of which almost 60 per cent of population is in the 15-64 year age group - which is

the active earning population and will primarily drive the industry, especially the healthcare

insurance industry which will make healthcare accessible over a period of time to majority of

the population.

2) Insurance:It is estimated that the penetration of health insurance in India is only 2 per cent of the

population. However this figure is expected to rise to a penetration of almost 20 per cent in

the next five years keeping in mind the high growth seen in disposable income of the Indian

families. Though this figure is the country's average, the percentage of insured visiting urban

private setups even now is in the range of 20- 60 per cent of the hospital admissions.

3) Comparative low costs and Medical Tourism:As per industry studies, almost five million foreigners had availed treatment in Indian

healthcare setups by 2008. With surgical cost almost one tenth in western worlds, the

estimated 15 billion dollar medical tourism industry will only grow further.

This has led to the creation of health cities and medical tourism hub. Now with immense

support of the Indian tourism ministry and its dedicated medical arm, the medical tourism

industry in India will grow leaps and bounds.


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CHAP2 INTRODUCTION OF SIDDHI VINAYAK HOSPITAL

Siddhi Vinayak Hospital is a multi-speciality, super-speciality hospital located in the heartof Ahmedabad.

Established on 13th February, 2004, the hospital has since been a landmark of healthcareservice in the eastern part of the city.

The hospital caters a wide array of services to its community ranging from health-check upsto the most complex of operating procedures. It provides it's services in a wide spectrum ofspecialities. The hospital has professional medical consultants from specialist and super-specialist fields like Urology, Nephrology, Critical care, Neurosurgery, Plastic surgery,Arthroscopy, Neonatology and Traumatology in it's wing.

Physically, the hospital is spread out on a large campus having two well-structured buildingshaving a total capacity to accomodate about 100 patients. The rooms available range fromthe most const-effective rooms to suites, which are customizable per patient demand.

The hospital is located in the prime location of Maninagar,Ahmedabad very near toBalvatikaa tourist destination besides Kankaria lake. The hospital enjoys proximity andeasy access to routine modes of transport like the central S.T. bus station, local bus transportstand and the railway station which is just at 5 min walk.

Mission

To transform the quality of healthcare enjoyed by the average individual and in the process servepatients in a way that leaves them healthier physically, mentally, socially and emotionally.

Vision

We will strive to provide the best patient care available.From the patient's perspective.


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Social Responsibility

At Siddhi Vinayak Hospital, we take our responsibility to our surrounding community veryresponsibly. This ranges from taking care to responsibly disposing our waste, to creatingcampaigns for awareness about various disorders in the community where we are situated. We

aim to serve the very people that make our existence possible in the best possible manner. Andare willing to go to any measure to ensure that we remain an asset and not a liability.

Facilities at siddhi vinayak hospital

CAPACITY

The hospital is spread out on a large campus having two well structured buildings having a total

capacity to accommodate around 100 patients at all levels including

General Ward

A ventilated and spacious large hall with center reception area for monitoring and easy access to

patients. Privacy is maintained by curtain fixtures and with basic amenities and medical

equipments it is ideally suitable for cost conscious patients.

Economy Ward

Economically priced individual rooms with each bed having central oxygen lines and suction

facility. Centralized nursing station for proper monitoring.

Mini-special rooms

Reasonably spaced rooms equipped with attached bathroom for each individual patient at

affordable rates.

Special and deluxe Rooms

Fully equipped and well-planned with all basic amenities including attached bathrooms, TV,

comfortable couch for relatives and central oxygen line for prompt treatment.

Suite Rooms

Reasonably priced, state of the art rooms with remote controlled bed and separate room for

relatives and includes all facilities of the deluxe level plus added benefits include internet

service, microwave ovens and presence of stewards for prompt and appropriate service.

All rooms are available with Air-Conditioning options.


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Latest monitoring equipments with central monitoring facilities including :

o Invasive Blood pressure monitoring.

o Pulmonary artery pressure monitoring.

o Wedge pressure.

o Non-invasive Blood pressure monitoring.

o Continuous pulse oxymetry.

o Advanced Drager and Siemens ventilators with all latest modes.

CHAP -3 ORGANIZATIONAL STRUCTURE


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Final Csb- Report