benefits purchased by the consumer? In other words‚ what is the Shouldice value proposition? In what ways is Shouldice’s offering different from other hospitals? 2. What is the target group of customers‚ and what do they have in common apart from a hernia? 3. How are the benefits delivered to those customers—how does the production process work? You might like to think of this as a factory with people as the work in process. Does the production or delivery process match the value proposition? 4
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MEMO To: Alan O’Dell – Hospital Administrator Date: 18 September 2013 Subject: Sustainable Growth Strategy As consultants for Shouldice Hospital Limited‚ we see that the major problems confronting the hospital are capacity management while maintaining quality‚ technique being copied by other doctors and succession planning. Although the hospital has good reputation and quality service‚ it is not able to service customers due to lack of capacity as well as conflicts among
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think you have a hernia.” The old man said‚ “I thought it was a fart‚ but from the feel of it‚ looks like we were all wrong.” Hernias are a condition that make part of your body organ poke through or protrude through the wall of the cavity that is containing it. The wall of the muscle tissue usually becomes too weak to hold it‚ and the organ than pokes
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Fryns syndrome is a rare congenital disorder that affects the development of the body and is characterized by coarse facial features‚ diaphragmatic hernia‚ pulmonary hypoplasia‚ distal digital hypoplasia‚ and other various associated anomalies.. There is a 25 percent risk of recurrence and the prevalence of Fryns is 0.7: 10‚000 births in France [2]. It affects 1:15‚000 live births [3]. J. P. Fryns first described Fryns syndrome in 1979. It was first described with two still born female siblings
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AGE: 08/06/1956 (51) ANESTHESIA: General SURGEON: Gerald Bond‚ MD Preoperative Diagnosis: Recurrent left inguinal hernia Postoperative Diagnosis: Recurrent left inguinal hernia Operative Procedures Procedure: Repair of recurrent left inguinal
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Situation and Identification of Problems 1.1 Service The Shouldice Hospital competitive advantage is that it only conducts external hernia operations and is specifically designed and operated to provide the highest probabilities for successful treatment with “country club like” patient service. Hernia operations typically have a 90% success rate‚ with Shouldice hernia operations boasting over a 99% success rate. The Shouldice competitive advantage can be summarized into: Surgical technique: layered/increased
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(motor)‚ oedema‚ bruises Chest – gynaecomastia‚ spider naevi‚ paucity of hair (axilla‚ facial hair in male‚ pubic hair) Abdomen –abnormal pulsations‚ generalized distension (ascites)‚ swelling in one particular area‚ any scar‚ umbilical hernia‚ inguinal hernia‚ femoral hernia‚ fistulae‚ distended abdominal veins (the flow is away from the umbilicus in portal hypertension but upwards from the groin in inferior vena cava obstruction) Palpation Parotid enlargement Gynaecomastia Hepatomegaly Splenomegaly
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REASON PROCEDURE: Endoscopy. INDICATIONS For refractory epigastric abdominal spasm and possible heartburn symptoms despite omeprazole and ranitidine therapy. Prior history of peptic ulcer and a "large" hiatal hernia performed elsewhere. DESCRIPTION OF PROCEDURE Time-out was called. Consent signed. IV sedation performed. The forward-viewing endoscope was passed into the mouth of the esophagus‚ stomach‚ then to the second portion of the duodenal without difficulty. Upon withdrawal‚ the following
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patients that suffer from abdominal hernias. This specialization allows each doctor at Shouldice Hospital to perform approximately 600 hernia surgeries per year‚ while doctors at other institutions only perform 25-50 hernia surgeries per year. As a result‚ the “Shouldice Method” has been perfected to an unparalleled level for the well-being of the patient. The typical Shouldice patient only experience s 5 days of required recovery time after their surgery‚ while hernia patients from other institutions
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17‚000 square foot facility is housed on a sprawling 130 acre estate and specializes in repairing external abdominal hernias. Currently‚ 7‚600 surgeries are performed each year on patients from all across the United States and Canada. Founded by Dr. Earle Shouldice circa 1940‚ the organization enjoys a reputation for effectively using a unique surgical technique to repair hernias that is considered superior to all others. The procedure includes early ambulation following surgery for rapid and effective
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