Saturday, October 24, 2009

global cardiology hospital -- project report

GLOBAL CARDIOLOGY HOSPITAL

JAIPUR
(9999450178)
http://globalcardiologyinstitute.com
pmsnetwork@gmail.com

Nature of Company

It’s a Partnership hospital having five partners; the names of the partners are as follows:

Dr PANKAJ MOHAN SHARMA
ARPITA SHARMA
SOSAN RAI

Nature of business

It’s a service type organization.

Amount of finance needed to start

According to our assumptions and the rates of different things required like machinery, equipment and building for the hospital we need 50 million approximately.

Amount of investments

All of the partners will provide 50 million to start the new venture.
. This debt will cover medical equipment costs, an ambulance and building’s leased cost.

Statement of confidentiality of report

This report is confidential and is the property of the three partners. It is intended only for use by the persons to whom it is transmitted with the consent of all the partners. Any reproduction or divulgence of any of its contents without the prior written consent of the company is prohibited. Violation of which may lead to certain legal action.



MISSION— To care and support health healing and learning of the humanity


Vision-
To differentiate our self among our competitor as the most patient friendly and easiest healthcare institution to navigate meaning
Customer care
Quality
Compassion
Excellence
Safety
Efficiency















Industry Forecast

The heart disease is tremendously increasing with world wide previlage and it can create a life threatening emergency and need quality medical care and interventions ,
During past three years growth rate of diseases in heart patients is approximately 80% percent due to lack of. But growth rate in hospital industry is just 15%, the reason is that there is no technological advancement in hospital industry There is always a acute deficiency for , for better treatment

Analysis of competitor:

1 Apollo hospital
2 Medicity hospital
3 Fortis hospital
4 SDM HOSPITAL.
5 Heart Hospital
competitors means higher market

Market Forecast:

We operate our business in huge level, targeting the area from all over Rajasthan Punjab , Haryana, / we have following geographic area to cover
1 Entire District Jaipur up to 150 km Radius
2 Referal from physician all over Rajasthan , Punjab , Haryana, State


Marketing plan to cover – 1000 angioplasties in a year. For the first fiscal year

For cash patients , We segment our market on Income bases:

1. Upper Class
2. Middle Class
3. Lower Class

By giving high quality of medication with latest equipments and doctors we can satisfy the high income group.

Because our rates are reasonable for middle income group we can also satisfy them.

By giving compensation packages to poor we can also satisfy the poor income group.

For cash less treatment
For Empanel of

1 All TPA of Medical Insurance company’s for cashless Medical treatment under med claim facilities
1, ICCI PRUDENTIAL
2 ICCI LOMBARD
3 TATA AIG VAISHYA
4 RELIANCE
5 ORIENTAL INSUARNCE
6 PARK MEDICLAIM
7 INFO TOKIYO
8 VIPUL MEDICROP
9 MEDI ASSIST
10 Raksha

For Cash less treatment of corporate And state and central Government employees
1 RAJASTHAN HOUSING BOARD
2 RAJASTHAN ELECTRICITY BOARD
3 STATE GOVERNMENT HEALTH SCHEME
4 CENTRAL GOVERNMENT HEALTH SCHEME


NURSING COLLEGE REVENUE
Njursing college will provide man power and rvenue to run the organization
Per year intake of 50 nursing students .


Background of Entrepreneurs

1 Dr PANKAJ MOHAN SHARMA
Is a Qualified cardiologist and entrepreneur and having strong command over market having 10 years exoerience in sales and marketing in Medical and cardiology field

2 Working as a assistant cardiologist with a leading team of cardiologist in india














Services Provided:

Our each program emphasizes comprehensive, multidisciplinary care for cardiology care with all types of medical conditions. In addition, we provide moral support to patients and families to cope with the challenges of illness. These include our Life Services department, which caters to the emotional and developmental well being of hospitalized children and their families.

Department for Medical care
1 cardiology
2 orthopaedics
3 Radiology
4 Physiotherapy
5 General Medicine
6 Gynecology and obstriticis
7 Paediatrics
8 General Surgeries
9 Pathology
10 opthomology
11 neurology
12 Nephrology
13 Pulmonology
14 Rhematology
15 Anesthesia


Size of the Business:

Our hospital is basically belonging from medium size business.

MAIN FEATURE—First Multispeciality cardiology based hospital
A-- 200 beds
B-- ICCU
C -- 2 ICCU
D -- NICCU
E -- 5 OT
F-- 200 STAFF NURSES
G-- 100 DOCTORS
H-- 200 SUPPORT

Nursing college with 100 students intakes

BUILDING:

the complete project will be situated within one acre land , land has to purchase


Location of building:

Near highway at jaipur, Rajasthan India

Personnel:

Personnel are the assets of any company especially in the service sector. In our Hospital more than 80% personnel will be skilled based. We rank our personnel into different departments.

Doctors:

 CEO and Medical Director
 Medical Suprintendent
 Consultant physician
 Cardiologist
 Nephrologists
 Gynecologist
 physiotherapist
 Physician
 Pathologist
 Radiologist
 Skin specialist- Dermatologist
 Opthomologist
 ENT surgeon
 Orthopaedician
 Paediatrician and neonatologist
 Intensivist
 CRITICAL care specialist
 Cardiothoracic surgeons
 Cardiac anesthetist
 per fusionist
 Intensives
 ICCU duty Doctors
 ICU duty doctors
 Causality medical officers
 Genderal duty medical officers
 Medical officers (M.O)
 Anesthetic specialist
 Pharmacist
 Surgeon
 Pathologist
 Psychiatrists
 Microbiologist
 Blood BANK OFFICER


Paramedic staff:

 Nurses
 Cradiac care nurses
 Critical care nurses
 Cath lab tachnicain
 Cardiac OT technician
 General OT technician
 Male nurses
 Female nurses
 Labor room midwifes
 Dispenser
 Operation thither assistant
 Laboratory assistant

Other personnel:

 Office boys
 Ward boys
 Gun men
 Ambulance driver
 Sweeper
 Gatekeeper
 Peons

Hospital Equipment:

When any business is going to be practically implement office equipment is essential for routine work established discipline and identifications of specific designations.


 Stethoscope
 B.P apparatus
 Thermometer
 Laminator
 Otoskop
 Tongue depressor
 Torch
 Measuring tap
 Glucose monitor
 Pen stand
 Stationary
 Table lamp
 Office table
 Office chair
 Toys for children
 Weight scale

All above listed materials should in every office for checking the patients because without equipment doctor is like the soldier without the weapon in war. Another thing, which we have in our mind that all the equipment should be, modernized enough in handily.
After the description of doctors list now we explain some other offices, which will be compulsory for further hospital functioning.
For this purpose, fist of all we describe finance office and the equipment needed for this is

 Computer
 Draw
 Safe
 Table furniture


Operation Theater Equipment

 Operation lights
 Operation table
 Anesthetic machine
 B.P monitor
 Cardiac monitor
 Diathermy
 Suction machine
 Oxygen cylinder
 Nitrous cylinder
 Autoclave

Equipment for Laboratory:

 Colorimeter
 Analyzer
 Microscope
 Centrifuge machine
 X-ray machine
 Chemicals
 Glucose meter

Equipment for general ward and other rooms

 Incubator
 Sucker Machine
 Nebulizers
 ECG Machine
 Puls oxinator
 Oxygen Equipment
 Wheel chairs
 Weight Machine
 Stabilizers
 Stretcher


Other equipment includes

 Stationary
 Air-conditioned Unit

ULTRSOUND AND COLOR DOPPLER

CT SCAN

MRI

LITHOTRIPSY


ICCU EQUIPMENTS

CARDIAC MONITORS
DEFEBRILLATORS
VENTILATORS
BEDS
CENTRAL OXYGEN AND SUCTION
COLOR DOPPLER

CATH LABORATORY

ANGIOGRAPHY Machine

IABP

VENTILATORS

DEFEBRILALTORS
PACE MAKERS
RF ABLATION MACHINE

CT OT
OT TABLE
HEART LUNG MACHINE
VENTILATOR
CARDIAC MONITORS
DEFEBRILLATORS

OPD EQUIPMENT
TMT
ULTRASOUND
Color Doppler
ECG
HOLTER


AMBULANCE
CRTICAL CARE AMBULANCES-- 2

Nephrology and dialysis

Dialysis machines

Pediatrics and neonatology
Open care system

Laproscopic surgeries
C ARM
OT table

TELEMEDICINE DEPARTMENT

20 COMPUTERS
WITH ECG ANALYSER AND 24 hours working obline call centre










MEDIACL TELEMEDICINE—

ONLINE MEDICAL CONSULTATION
ONLINE CARDIOLOGY CONSULTATION
ONLINE ECG REPORTING SERVICES WORLD WIDE
Which help thousands of patients worldwide with telephonic ECG transmission by MY 1 Heart =-- Unique concept in business
CARDIOLOGY CME – e Lecture, – e library,- E seminar,









 Intensive Care Unit (ICU)
 ICCU CARE
 Cath lab operation
 Angiographies
 Angioplastes
 Bye pass operations
 Cardiac pace maker implantation
 RF ablation
 Valve repair and cardiac care surgeries
 Peripheral vascular surgeries
 Emergency cardiac care
 Emergency medical care
 General operation
 Laparoscopic operation and key hole surgeries
 Eye operation , cataract and intra ocular lense implant
 Gynecological surgeries
 Labor room services
 ENT surgeries
 Orthopedics and trauma centre
 Skin treatment
 Nephrology and dialysis
 Trauma and accident care centre
 Poison and critical care centre
 dentistry
 Physiotherapy
 Neurology
 Laboratory
 Pharmacy
 Dispensary
 Blood bank
 Rehabilitation centre
 Child psychology centre
 Deaddiction centre
 Electrical department














Here we describe market conditions and strategies related to services. How it will be priced and promoted.
Being the entrepreneur our main focus is profitability but also target is how to serve our people in constructive manner. Therefore our marketing goals will be the blend of both factors.
Provide all possible facilities to our people in their own area.
Create medicated environment in our city whereas people will not move towards other big cities for better treatment.

Situational Analysis

Our city environment is very much supportive for the hospital industry.

Through environmental analysis we came to know there is no direct competitor here.



Define Target Market

Our target market is from Rajasthan , Haryana, Punjab , because within this rang there is deficiency of standard hospital giving medication services under one roof. With international standard.




Strengths

• New idea which will be highly acceptable in the market.

• We are the trend setters.

• Our relationships with suppliers are strong enough that offer credit arrangements, flexibility & response to special product requirements.

• Employee competency and professionalism, which are the asset of our company.

• Our commitment is quality to customers.

• We not only satisfy the customers but also build relationship with them in order to get their loyalty and better future of the company.

• Our unique strength is giving all medication services under one roof.

• Competitive advantage of “first to enter in the market”.

Weaknesses

• Access to capital.

• Cash flow continues to be unpredictable.


• All the weaknesses of a company are not the weaknesses; actually they are the opportunities for improvement in the company’s functions. So by properly arability the opportunities, they would become you strengths.

Opportunities

• Growing market with a significant percentage of our target market doesn’t know about nutrition and psychiatrist services.

• Increase in opportunities beyond the target area
• We can expand business by targeting every customer.

Threats

• New Entrance of competitor

• High Import duty on machines can increase the cost and make direct effect on our services charging from people.

Develop Goals and Objectives

Mission

Global cardiology hospital is guided by the belief that every patients need to get higest grade of treatment and highest priority for international standered of health care up in a protective and nurturing environment, where each and every patient is given the opportunity to reach his or her potential. We believe this vision can provide a brighter future for all children.

Goals

• To provide out world class cardiac care , medical surgical facilities to our patients.
• To provide them a favorable environment.
• To expand the business.

Objectives:

• To earn maximum profit
• To introduce new technologies to make services better than ever before.
• To provide incremental value to our customers.
• To protect and maintain our resources.
• Maintain a positive and steady growth of 25% each year. Maintain a gross margin of 200%





Marketing Strategies

Increased awareness & image

Our first strategy is about the awareness of our hospital to the patients
Informing those not yet aware of what global cardiology Hospital offers.
We will increase the awareness among the customers through proper advertising.

Advertising through

• Local news papers
• Using cable network
• . by Internet
• By CME to Referring doctors
• By ARRANGING camps in every city of Rajasthan
• By arranging conferences and seminar to educate pubic.




Marketing Mix

1. Product
2. Place
3. Price
4. Promotion
5. People
6. Process
7. Physical Avoidance

Product

Input Sick Patient, heart attack ,life threatening emergencies

Process Treatment of dieses, surgery , procedures

Output Healthy Patient

Place

We believe that place is not just about distribution it is about convenience too. If the services are not available where and when people need, it will create a lot of problems for customers.
The physical place which we have chosen of our Hospital because it is a most famous and well known place for all the people. Another reason for that place so most of people, although, which are not our direct competitors, are operating in that area and awareness will be created frequently.


Price
In Rupees
Doctor’s Fee

Consultant physician 250/-
Physician 150/-
Physiotherapist 300/-

Ward and room charges per day IN RUPEES

Ward charges 800/-
Single non AC room 1200/-
Singe AC room 1500/-
Double non AC 700/-
Double AC 1000/-
ICU (intensive care unit) charges 5000/-
ITR (intensive treatment room) charges 2400/-

Cardiology care
ICCU- 5000/-
ANGIOGRAPHY 10,000/-
ANGIOPLASTY 100,000/-
STENING 100,000/- + COST OF STENT
BYE PASS OPERATION 100,000/-
OPEN HEART OPERATION 200,000/-
VALVE REPLACEMENT 200,000/-

SURGICAL OPERATION
GENERAL SURGERY 15000/-
GALLL BLLADDER .HERNIA 15000/-
MINOR SURGERIES 5000/-
MAZOR SURGERIES 15000/-
LAP CHOLE 20,000/-
TURP 20,000/-

ORTHOPAEDICS
GENERAL ORTHOPAEDIC SURGERY 20,000/-
TRAUMA EMERGENCY 10,000/-

OPTHOMOLOGY
CATARACT OPERATION IOL 25000/-

ENT SURGERIES
MINOR 5000/-
MAZOR 20,000/-

RADIOLOGY
ULTRASOUND-- 500/-
CT SCAN 1500/-


DIALYSIS
HAEMODIALYSIS 2500/-
LABOR ROOM
NORMAL DELIVERIES 6000/-
CAESARIAN OPERATION 20,000/-
GYNECOLOGY SURGERY
HYSTERCTOMY 20,000/-


Promotion

We will promote our Services through different types of promotions like

 Advertising
 Public relations

Advertising Medias:

We have decided to use almost all types of advertising media because we are the new entrants in the market. So, we have to aware and educate people to come to our hospital with their children to get a better treatment with advanced technology.

 Circulate Hand outs
 Advertise through Newspapers
 Through Cable TV because it has made a major source of advertisement
 Billboards and banners



People

We are targeting the every section of community.

Process

We are providing better health care unit, with unique innovation like, before treatment of any critical diseases in child, first make a panel of doctors, when the sit together through brain storming it is zero chance to treat child wrongly that are very much common in other hospitals.


Implementing the Market Plan

After all above procedure accepted we will implement this marketing plan.

Evaluating the Market Plan

After implementing if we feel any deficiency in the plan then we evaluate it and again implement it till the desire outcome not satisfy us.

But it’s very difficult to again make a market plan till startup.













Form of Ownership

Form of Ownership in GOBAL CARDIOLOGY Hospital is Partnership so the business will be performed on partnership basis.

Partners and their terms of Agreement

As the legal status of Global cardiology Hospital is partnership so there are five patners.

Partners & Addresses


Dr PANKAJ MOHAN SHARMA
Q-3 FRU 1 RCH HOSPITAL
SECTOR 30 , FARIDABAD
HARYANA, INDIA
PHONE- 0091--9999450178


All the partners will have equal responsibility to operate the business and all will be responsible for any wrong decision.

Profit/Loss Sharing Percentage

All the partners have equal investment of 5,000,000 R.s in the business and the ratio of profit and loss distribution will be equal



INITIAL EXPENSES
ICU 40,00,000X2 = 80.00.000
ICCU 100. 000,000 = 100,000,000
OT 400, 00,000 = 400,000.000
OTHER 600.00X300 180,000,000
CARDIOLOGY EQUIPMENT- 168,25,000= 168,000,000
LAND 500,000,000

BUILDING 500,000,000

INFRASTRUCTURE 200,000,000

TOTAL--- 200,000,000

ADVERTIESMENT-- -100,000,000

MISCELLANEOUS 400,000,000

TOTAL-- 25 CARORS



WORKING EXPENSES PER MONTH

DOCTORS SALARY 60,000X100X12= 3,60,00. 000
SUPPORT STAFF 8000X200X12 = 168,00,000
Equipment maintenance == 10,00,000
Ambulance cost 200,000x12== 2400,000
Miscellaneous 20,00,000

Total 5.5 carores/year


Revenue


Particulars amount in carores

College fees 35,000 x 50—17,50,000

OPD Registration-- 500x100x30x12== 1,80,00,000
MEDICAL TEST 1500X100X300X2= 4,50,00,000
PATIENT ADMISSION- 4000X100X100X2=8,00,00,000
SURGERIES- 3500X4X30X12X100==4,50,00,000
Angiography 10,000x 30x 12x30==10,80,00,000
Angioplasties 80,0000x 10x12x30== 96,00,00,000
Open heart surgeries—200,000 x1x12x30=3,60,00,000
CABG == 100,000X1X12X30= 3,60,00,000

TOTAL EXPECTED REVENUE PER YEAR== 122 CARORES

GLOBAL CARDIOLOGY TELEMEDICINE INSTITUTE
TELEMEDICINE ECG READINGS
$10 X 1000X 12 X30== 36,00,000
MEANS—Rs1,80,00,000per year
Global cardiology CME institute
$100 x 1000x12x30==3,60.00,000
Means- Rs 18,00,00,000

Total expected revenue in first year
122+ 2+3+18== 155 carors
It is of 300 times of the investment – in first fiscal year

Authority or Control

Authority regarding business matters will equal to all the partners. All partners will have joint account with the name of Smile child hospital so the check-signing authority will be equal for all the partners. In case of all other matters regarding dealing with employees, customers and suppliers but also placing orders and receiving orders, taking different kinds of wise decisions, all will have equal authority and control.

Roles and Responsibilities of members

The following is the description about the responsibilities of all the members of the organization including owners and the designers. Each and every member will be responsible to perform his or duty according to the specifications.


2No. Designation Responsibility
1






2





3





4




Owners





Doctors





Other Staff





Computer Operator




Will be decided in meetings




Provide consultancy to patents
Treating all patients in their timing very carefully

Good Behavior & Consultancy regarding finding any department and patients


Recording all expenses
Making profile of Patients
Recording all medicines and equipment, purchased and dispose off. I-e injections or vaccines











We are going to start a standardized Global cardiology Hospital . That provides all the facilities for the health to everyone . So in future our business is 100% successful and the chance of failure is Zero percent (0%). The involvement of risk in our business is zero percent; the reason behind is that there is many direct competitor in this region but some small clinics are operating here which are our indirect competitors. But customer always prfer a alternative for second professional opinion in health care.




High cost:

We are operating our business at very much cost where as our indirect competitor are operating at highest standard , so this is our one and only weakness. We have to compete the market up to world level

New & Imported Technologies:

We are introducing new & imported technologies in our hospital, that difficult to operate and need special persons to operate it.











There is no such typical financial plan. As, we are making the feasibility report therefore; we have decided to include the prices of different equipments and 1st time salary needed for a hospital.


Initial finance needed 25 carors (calculated)
25 carores (Required)


Sources of Funds

All of the partners will provide 50 million USD to start the new venture.
ON Equal equaity basis



Department, equipments and their prices

 Land 5 carores
 Building 5 carors
 Equipments cardiology 5 carors
 Other speciality 5 carores
 Promotion 1,carores
Total investment 21 carors
Working capital—30 carors

Total fund required-- 50 carors















Indian Promotors
Dr PANKAJ MOHAN SHARMA

International Promotors
Scott Povost

Further Expansion

The project have vast field for further expansions

1- Establishing Joint Replacement surgeries
2- Establishing Transplant surgeries
3- Surrogate labor facilities
4- Air and road ambulance services
5- Medical college
6- Engineering college
7- Technical institutes
8- International Medical tourism