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    Shouldice Hospital Limited

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    1. Executive Summary Shouldice hospital is a specialized hospital in the repair of external abdominal hernias in Canada. The hospital was established by Dr. Shouldice the founder of a new and superior surgical technique‚ now known as the Shouldice method‚ for repairing hernias which yields better medical results as well as a significantly shorter recovery time. The Shouldice Hospital is a successful organization and admired by most of the people who had relation with it or who have heard of it

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    Shouldice Hospital Case

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    analysis: Also see enclosed Process flow chart (Appendix 1). Hospital is able to perform 42 exams/afternoon and send 38 patients to the operation rooms. But surgery capacity is 33 operations/day only. Bottleneck (number of operations/day) is therefore located between these two processes. Hospital performs 33 operations/day = demand 116 beds/Wed‚Thu and 99 beds/Tue. Demand is 116 and current capacity is 89. Bottleneck is the number of beds available. It is necessary to increase capacity by (116-89)/89

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    Shouldice Hospital – A Cut Above 1.) How well is the hospital currently utilizing its beds? The hospital stay cycles have been provided: | Mon Beds | Tue Beds | Wed Beds | Thu Beds | Fri Beds | Sat Beds | Sun Beds | Available Beds | 90 | 90 | 90 | 90 | 90 | 90 | 90 | Monday Admission | 30 | 30 | 30 | | | | | Tuesday Admission | | 30 | 30 | 30 | | | | Wednesday Admission | | | 30 | 30 | 30 | | | Thursday Admission | | | | 30 | 30 | 30 | | Friday Admission | |

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    Director Alan O’Dell Dr.Byrnes Shouldice Open Saturday Key Players Schedule change/Work weekend 2 worry it will create a divide Cons Moral 4/10 Doctors oppose Dr.Degani (60) Control concerns On call schedule Staff are worried dilute bonus pool? Dr. Degani Toronto Location USA less regulation 10% - Out of Province/USA 60% - Outer Toronto area 30% - assume Toronto Increase costs charged Cons Shouldice Hospital Options to Expand Capacity New Hospital Build to satisfy demand Find

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    MEMO To: Dr. Byrnes Shouldice‚ Alan O’Dell From: An MBA Student Date: May 09‚ 2006 ------------------------------------------------- Subject: Problems and Plans - Operational Assessment of the Shouldice Hospital Thank you for the opportunity to consult on your Shouldice Hospital operational assessment. I understand that you have implemented a well developed focus strategy (market focus and internal focus) successfully and Shouldice achieves outstanding results by maximizing

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    as compared to that of a typical hospital? A. The hospital focused on this new procedure for treatment of external types of abdominal hernias. Some differentiating features of the Shouldice process were the arranging of abdominal muscles into three distinct layers‚ reinforcing the abdominal wall with six rows of sutures and did not involve any insertion of screen and mesh under the skin. Beyond the surgical procedure‚ it was the service process of the hospital that differentiated it from others

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    store but another one seems to be on top of the crowds? The key to serving customers well‚ whether with products or with services‚ is having a great process. We use processes to do most things. You probably have a regular process that you use every morning. What are the tasks associated with your process? Do you brush your teeth‚ take a shower‚ dress‚ make coffee‚ and read the paper? Have you ever thought about how the tasks should be ordered or what the best way to execute each task is? In making

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    ➢ Company Overview: Shouldice Hospital is a privately owned surgical hospital which specializes in external abdominal wall hernia repair with holistic recovery services. The Shouldice facility located near Toronto‚ Canada‚ was founded by Dr. Earle Shouldice in 1945 and is the world’s leading center of excellence in abdominal hernia repair. Shouldice Hospital employs nearly 160 employees with an average tenure of 10 years. Shouldice Hospital‚ with an 80% referral rate‚ conducts more than 7‚000

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    Starting as a small hospital‚ the Shouldice Hospital has had a rather long history since the end of the Second World War. And At the time of his death in 1965‚ the founder Dr. Shouldice’s longtime associate‚ Dr. Nicholas Obney was named surgeon-in-chief and chairman of the board of Shouldice Hospital Limited and under his leadership‚ the volume of activity continued to increase‚ reaching a total of 6‚850 operations in the 1982 calendar year. And primaries represented approximately 82% of all hernias

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    3/26/2013 Shouldice Hospital Limited  (Abridged) Summary of case discussion Indicators of success • Profits – Revenue = 7600 * (320*4 + 650 + 300*20%) = $15 mil. – Costs = $8.5 mil for hospital + $3.5 for clinic $ $ – Profits = $3 mil • Word‐of‐mouth advertising – Afraid of advertising for fear of generating too much demand • Backlog of demand – Currently 2400‚ growing at 100 / 6 mo. • High percentage of doctors as patients • L Low recurrence – 0.8% vs. 10% at other hospitals • Patients reunions

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