Documente Academic
Documente Profesional
Documente Cultură
Submitted by Student name 1 (registration no.) Student name 2 (registration no.) Student name 3 (registration no.) Student name 4 (registration no.)
DECLARATION
hereby
declare
that
this
Project
Report
titled
Submitted by us to the Department of Business Management, Mohammad Ali Jinnah University, Islamabad, is a bonafide work undertaken by me and it is not submitted to any other University or Institution for the award of any degree diploma / certificate or published any time before.
Signature
Signature
Signature
Signature
CERTIFICATION
This is to certify that the Project Report title
Submitted in partial fulfillment for the award of MBA Programme of Department of Business Management, Mohammad Ali Jinnah University, Islamabad, was carried out by Mr. /Ms. Under my guidance. This has
Not been submitted to any other University or Institution for the award of any Degree/diploma/certificate.
Supervisor Name
Signature
01-Supervisor
Sign Maximum Marks 100 Out of 100
50% WEIGHTAGE
Out of 50% Grade
02-Client
Sign
30%
WEIGHTAGE OR Supervisor (in case there is no client) Maximum Marks Out of 100 Out of 30% 100 Grade
03-Examiner-I
Sign
(Presentation and Report) 10% WEIGHTAGE OR Supervisor (in case presentation is not possible) Maximum Marks Out of 100 Out of 10% 100
Grade
10% WEIGHTAGE
Out of 10% Grade
Head
Dean
Remarks If Any:
Grades A AB+ B BC+ C CD+ D F %age Above 90 87.1-90 83.1-87 80.1-83 77.1-80 73.1-77 70.1-73 67.1-70 63.1-67 60.1-63 Below 60
Introduction:
It has been observed that most families resided in Mirpur have elders living in the city even as most other family members are living abroad. There is a lack of health facilities being provided in the city while the current health centers are out dated and not up to the living standard of the people. Due to this lack of modern health facilities, people most often have to move or relocate to Rawalpindi/Islamabad. The situation calls for a solution to this problem. For this purpose, we have to start project on launching Telesehat center at Mirpur. For this research project, we have to look at Mirpur current environment regarding health facilities and issues. We also have to work to get information about the affordability of the people for modern health facilities. Our stakeholder is Telesehat which is going to launch this center.
Co-branding and partnership options Team of seasoned professionals with extensive development and business knowledge Development objective is to provide globally competitive solution with most cost-effective hardware integration compatibility
How it works:
As availability of internet in rural & remote areas is still not confirmed, therefore TeleSehat ensured that Tele Diagnosis should be compatible with all the available connectivity options which are:
TECHNICAL HARDWARE
In order to make Tele Diagnosis business viable, we ensure that the hardware required for this setup should be minimal. This will not only reduce the initial investment but hardware maintenance is also simple and cost effective.
Market Need:
Mirpur have total population 3.63 million. We found there is round about 15 hospitals. There are 3 big hospitals in Mirpur but having lots of complain about them. We found patients about OPD were satisfied about medicine but there were not satisfied about doctors. Lack of Modern health facilities Lack of efficiency Lack of advance labs Lack of advance equipments
We have found that there is no hospital in Mirpur about Cancer and cardiology. And patients have to go out for their check up outstations. There we
found one institution regarding cardiology but there is no hospital and sufficient equipments in the Mirpur and we found old doctors have started work there but after few years they left due to less equipment. There is no facility regarding neuron surgeons. Its mean there is big gap regarding cancer hospital and neuron, radiology. We found that there is lack of modern health facility in Mirpur. Doctors are inefficient and patients have to wait for doctors. There hospitals have less advance labs. There a good/old hospital has almost 100 patients come in a day. Doctors are there inefficient so we can acquire 50 of their patients easily. Its about 3 big/old/large hospitals in Mirpur and all of them having 100 patients on daily basis and all of them are inefficient so we can acquire 50% of their customers easily. Patients regarding heart, cancer, and other diseases Hospitals in Mirpur have less modern health facility. We can acquire patients about heart or other big/fat diseases and Doctors send patients in big cities for lab tests. We can acquire market regarding lab tests. Patients want their medicines that are from some big brand. We have found their people have less affected medicines and this is the need of Mirpur peoples. There we have less old doctors. People have to come out of city for old/fat diseases. We have to give doctors advance equipments. According to our survey we asked to different doctors why OLD DOCTORS do not like to work there. In the response they said few old doctors worked here but after some time the left it because they couldnt find advance equipments. We have to give them advance labs, advance equipments, through they could work better.
Target Customers:
The key to the success of any business is to reach the right person in the right time. Hospital and Healthcare Management is there to give you the best services within the sector through its various channels.
Market size:
Mirpur have total population 3.63 million. According to our survey 600 to 650 people visit hospital in a day at Mirpur. In which 65% people visit hospital for OPD. 20% people visit for emergency and other 15% people visit for other diseases like chronic, heart patient, diabetes and other diseases. According to our survey 23% people visits out station for different diseases its mean there is a big gap in Mirpur. We can get 350000Rs per month in case we will get 10% of the unsatisfied people about OPD. We found people were not satisfied about emergency and other chronic diseases like Diabetes, heart patients, and cancer, neurology. According to our survey 35% people in OPD were not satisfied. We can get 125000Rs per month in case we will get 10% of the unsatisfied people about Medical stores. 95% people were not satisfied regarding emergency. We can get 1250000Rs per month in case we will get 10% of the unsatisfied people about chronic condition. A hospital with all the facility can earn 10 to 15 lakh per month. 90% people that came there for lab test and operations were not satisfied at all. We found there even doctors were not satisfied about advance labs, Operations. Total patients in a day 600-650
OPD 65% Satisfied with OPD 65% Unsatisfied with OPD 35% Satisfied with emergency Unsatisfied with emergency All other were unsatisfied
Its about 600 people in which 300 people were satisfied but others 300 were not satisfied. Its mean there is a big gap where 50% of people were not satisfied. If we talk about unsatisfied regarding OPD. We have 136 people regarding OPD are unsatisfied. Obviously 136 people want more services or something different. If we give better services and better doctors to patients so we can acquire round about 35 to 40 people. One has to spend in OPD 500-1000. 1000 include medicine and small kind of test.
The total number of unsatisfied patients is 136.If we will get 10% of unsatisfied patient is 14. We will get revenue per month is 350000.
Total Expense
Profit If we get 10% unsatisfied patient Total revenue Total Expenses Profit
103000 Rs
The total expenses are 103000 Rs and the total revenue is 350000. Profit: 350000-103000=247000
If we will get 20% of the unsatisfied patients would be 28 patients. We will get revenue 700000 per month.
Total Expense
Profit If we get 10% unsatisfied patient Total revenue Total Expenses Profit
103000 Rs
The total expenses are 103000 Rs and the total revenue is 700000.
Plan about pharmacy: In case we will get 10% of the unsatisfied people
136 people were unsatisfied about OPD Total spending of people about pharmacy in one day 136*10%=13.6=14 14*350=4900
10000 Rs 20000 Rs
Profit If we get 10% unsatisfied patient Total revenue Total Expenses Profit 122500 Rs per Month 20000 Rs per Month 102500Rs per month
136 people were unsatisfied about OPD Total spending of people about pharmacy in one day
136*20%=28 28*350=9800
Total Expense
20000 Rs
Profit If we get 10% unsatisfied patient Total revenue Total Expenses Profit 245000 Rs per Month 20000 Rs per Month 225000Rs per month
Total spending of people about pharmacy in one day: 5patients *10000 = 50000 Rs
Total spending on chronic condition day Per month spending on chronic condition month
Total Expense
Profit If we get 10% unsatisfied patient Total revenue Total Expenses Profit
153000 Rs
The total expenses are 153000 Rs and the total revenue is 1250000. Profit: 1250000-153000=1097000
Total spending of people about pharmacy in one day: 10patients *10000 = 100000 Rs
Total Expense
Profit If we get 20% unsatisfied patient Total revenue Total Expenses Profit
153000 Rs
The total expenses are 153000 Rs and the total revenue is 2500000. Profit: 2500000-153000=2347000 Emergency:
Total spending of people about emergency in one day: 9patients *2000 = 18000 Rs
Total spending on emergency condition Per month spending on emergency condition month
Total Expense
Profit If we get 10% unsatisfied patient Total revenue Total Expenses Profit
123000 Rs
The total expenses are 123000 Rs and the total revenue is 450000. Profit: 450000-123000=377000
Emergency:
Total spending of people about emergency in one day: 18patients *2000 = 36000 Rs
Total spending on emergency condition day Per month spending on emergency condition month
Total Expense
143000 Rs
Profit If we get 10% unsatisfied patient Total revenue Total Expenses Profit 900000 Rs per Month 143000 Rs=per Month 753000= per month
The total expenses are 143000 Rs and the total revenue is 753000. Profit: 900000-123000=753000 ROI=
Gain on investment cost of investment Cost of investment
ROI=
-6750000 9000000
ROI=
0.75
For this whole project we have to give facility to our customers like advance lab, Doctors efficiency, Advance equipments, Advance health facility. We have to make their advance labs where people can make it their advance test. 30% of people have been made their lab test. There were 5% people who made their lab test from Mirpur and other 25% went out for their lab test. Few of them went Lahore and other have been visited Islamabad. Few advance facilities, Major operations they have in big hospitals. In this era we have seen different changes more people are getting sick and we can say 10% people having diabetes. We found there people visit hospital even once a week.
We have divided our market into different areas. We have Purana Mirpur, chatter puriban, Bhutto Park, Allama iqbal road, Jinnah stadium, Kotli road, Mega mart. We have 3 big hospitals in Allama Iqbal road, are Riaz, Children hospital, Raiz hospital, these hospitals are having 100 patients every day. We have found their doctors arent respecting patients. Patients have to wait for doctors some time a whole day. We can acquire their 50% market because we have HMIS (hospital management information system) in which patient will take appointment and will come at time and go in time. Telesehat doctors give respect to patients. Telesehat have more effective and senior doctors Then why people will go there in different hospitals and wait for their numbers and waste their time. This is about OPD.
Competitor profile:
Telesehat will have a number of competitors in the market for privatelyprovided tertiary care. For instance, the health care division of the, Riaz hospital one of largest hospital in Mirpur, ran 1 private hospitals with more than 10 beds. City hospital managed super and multi-specialty hospital in Mirpur and planning to grow it from 13 beds in to 20 beds over the next few years. Benazir Bhutto is the largest medical store in the Mirpur. Noor memorial Hospitals Ltd., the hospitals, operated specialty hospitals in Mirpur at Kotli road. Noor memorial had formed an alliance with Benazir Bhutto Medical store to gain access to Benazir Bhutto expertise in the field of Medicines. Noor memorial planned to set up at least 1 new hospital in the next three years.i Many of Telesehat competitors including Riaz Hospital and City hospital worked on building integrated delivery networks ranging from primary to tertiary care services. Analysts expected Mirpur private tertiary care sector to grow at 15% in the next few years. The present shortage of premium medical facilities, the growing incidence of lifestyle diseases, and growing income levels, have all led to a large unfulfilled demand for high quality healthcare services, translating into a large potential opportunity. Today, healthcare is being touted as the next big boom, and the sector is expected to grow rapidly over the next decade, to reach a level of Rs. 200,000 to 300,000 crore by 2012, largely spurred by an increased corporate presence in the sector.
Competitive advantage
Telesehat Providing streamlined processes and rapid access to patient data, standardized IT infrastructures offer the key to efficient management of modern hospitals. They ensure optimized interactions between medical-technical equipment and facilities and create the conditions necessary for flexible, demandorientated assignment of doctors and nurses Telesehat has HMIS system. HMIS stand for hospital management system in which they can store information regarding employee. They can store 1. 2. 3. 4. patient registration number patient appoint management system patient history management system laboratory system
People can take appointment online most of hospital we have visited people were sitting for their number and there were inefficiency. Customers arent king regarding this industry in Mirpur. Telesehat will give facility about online registration and online appointment system and they will have history about patient. They will have advance laboratory system. Addition of new services like eDoctor at Home, eDoctor at Village etc. Patients in Mirpur will be able to get access to special healthcare facilities which are not available in their cities this whole effort is to decrease the transportation gap between the doctors and the patients It wont sound like rush in our hospital/clinic due to HMIS. We have seen rush in Mirpur hospitals. People have to wait for their number.
Value proposition
Patients in Mirpur will be able to get medical advice from specialist doctors using telecom infrastructure. Patients in Mirpur will be able to get access to special healthcare facilities which are not available in their city. Patients will be provided a service in which they will be able to choose between different physicians and appointment times according to their need and convenience. The patients will also get an electronic health record facility, where all their medical record/history will be maintained and can be accessed from anywhere around the world. This record system will include their previous medical test reports, their drug history as well as their visit records at designated hospitals/clinics Tele Diagnosis enables the healthcare facilities to capture the patients clinical data through normal workflow. Tele Diagnosis supports both paperbased records and film-based records data entry, whereas all the medical records generated while using Tele Diagnosis such as clinical prescriptions,
laboratory reports, diagnostic snaps, and vital signs, are automatically stored in the system.
Financial Statement:
This is a brief description of the project cost of the Telesehat Hospital, Golden Temple to provide the basic healthcare facility of the local population. The hospital basically needs the minimum infrastructure which can be categorized in departments as follows: Casualty/Emergency Clinical laboratory Radiography Dialysis Operation Theatre (for minor procedures only)
The costing of each department based on the equipments needed is summarized and the total cost for this project is quoted at the end. 1. EMERGENCY DEPARTMENT The equipments needed for the emergency department as well as in-patient wards are: Pulse Oximeter Syringe Pump Infusion Pump ECG Cautry Multiparameter Monitor Defibrillator
5. OPERATION THEATRE To conduct minor procedures which can be operated without risk, an operation theatre with the following equipments should be furnished. OT Table OT light Suction Machine Anesthesia Machine Autoclave Fumigator Instruments for minor procedures
Objectives:
Our research is applied research because we are working on establishment of health center through this research which will be able to estimate the earning potential of health center at Mirpur. Understanding size of people being affected by poor health facilities which would in turn be our potential patients (customers). The costs involved in operating and maintaining Telesehat facility and services. Analysis on how cost can be reduced and facility or services can be extended to facilitate increasing number of patients. Using IT infrastructure and virtual interactivity of doctors with patients to provide quick health services and reduce distances in travelling. The basic objective is to provide health facility to Mirpur people who come in rural areas.
Methodology:
We got data through survey of Mirpur and we analyzed the market yesterday and we found market have potential regarding Telesehat. We made Questionnaire for survey we are going to use non probability sampling. We used in further types of non-probability sampling. For survey about doctors we used snowball sampling, and about patients we used convanience sampling. We have been visited Mirpur fill the questionnaire from patients. We have been asked question to doctors regarding their job satisfaction and their salary. Performa for the Survey
Date Time Male / Female Age
Filled By
Hospital Name
Reason for Hospital Visit Spent in this visit Spent for lab tests Spent on medicine / pharmacy How frequent do you visit doctors How many persons in your family visit doctors Go out of Mirpur / to Islamabad Annual spending on health for all the family Any Complaint
Once a month 1
Once a week 3
Once in 3 months 5
YES/No 1000
Results:
We have taken 185 sample sizes in which 14% are females and 86% are male. We have been asked different question to them. We found more than 15 hospitals in Mirpur and our main market was on Allama Iqbal road and Kotli road where we have found 12 hospitals and 3 big hospitals. The total population of Mirpur is 3.63 million. We found that in big hospitals there are more than 65% patients fall in OPD And 20% fall in emergency other 15% fall in other Categories. We found there more or less 100 patients visit in 3 big hospitals so there are total numbers of patients is 300 in big hospitals and in other hospitals patients are different in number in some hospitals there were 30 patients so roundabout we can say 600 patients visit hospitals in a day at Mirpur. In 600 patients there are total number of patients in OPD are 65% so there are 390 people visit OPD in a day. 20% people visit emergency its mean there are 120 people visit emergency and other 15% are people regarding cardiology, advance test, radiology. We found there 45/185 people have visited outstation for different diseases. Few people told us they went outstation in Fuji foundation, PIMS and SHIFA and the reason we found for their outstation visit is Diabetes, heart patient, neurology and cancer patients and people we found that came outstation with their elders so there is big gap about these diseases. People from Mirpur fall in 3 classes and 30% people are have high class living standard and other 50% have fall in middle class and 20% people fall in lower class. 40% people spend more than 10000 annually on health its mean people have high purchasing power there.
GENDER
MALE/FEMALE
MALE FEMALE
Interpretation:
HOSPITALS
Interpretation:
In this question where we have more hospitals in which area we have more hospitals and we found there in Allama Iqbal road and Kotli road.
CHRONIC
Interpretation:
How many people & how much they have to spend on visit?
Interpretation:
NO LAB TEST
Interpretation:
Interpretation:
Interpretation:
Interpretation:
Go out of Mirpur:
Interpretation:
Interpretation:
Time line:
Current Week Weeks objective Analysis of Market build questionnaire
Conclusion: Reference:
P.T. Jyothi Datta, Wockhardt plans 225-bed hospital in Delhi, Financial Daily, April 3, 2004.