Pre Operational and Operational Management of Hospitals

Accomplishing goals is a delicate balance of

sheer determination and ingenious flexibility. With Healthshare as your management partner, you will be empowered to effectively manage your facility, no matter how often, or how dramatically, the landscape changes.

Table of Contents

HEALTHSHARE HEALTH SOLUTIONS (PTY) LTD: FEASIBILITY PHASE SERVICES Healthshare provides the following feasibility services: o Feasibility / Market study Financial modelling Business plan and / or Informational Memorandum o o Comparative analysis of the public and private sector hospitals and present needs Analysis of the policy and legislative framework that could enable or complicate the planned project Analysis of the burden of disease Facility positioning and health services offering Site viability Spatial development Building development Infrastructure developments Preliminary architectural layout Preliminary Order of Magnitude (POM) estimation Financial modelling for the proposed healthcare facility Business plan or Information Memorandum for the proposed healthcare facility

The following information is included: Data collection and analysis there of: o Data describing the size and the scope of the hospital industry in the area and neighbouring areas o The competitiveness of the healthcare industry with specific relation to current services available o Data on market potential (Socioeconomic profiles, population size and growth statistics and health profiles) o Data on the human resources with specific relation to the healthcare industry needs and the availability of healthcare professionals

The fee for these services is either based on an hourly rate plus expenses or a fixed fee per component required.

To find out more about Healthshare SAs portfolio and how to have Healthshare manage your hospital/pharmacy/training program, visit the Healthshare website, or send an e-mail to info@healthshare.co.za for further info.

HEALTHSHARE HEALTH SOLUTIONS (PTY) LTD: HOSPITAL MANAGEMENT SERVICES Healthshare provides the following operational management services on a contract basis: General management of the hospital Strategic and operational management, review and achieving of strategic objectives Financial management Administration Human resource management Marketing Public relations Medical management and clinical governance Nursing management Management of specialists and general practitioners Management of allied health services Management of contracts Supply chain management Facility Management Maintenance Management Ensuring legal compliance Information technology management Quality management quarterly balanced scorecard

These professionals sublease areas of the hospital and are covered by service level and lease agreements. These categories include the following: Medical specialists and general practitioners Radiology department Laboratory Allied medical professional e.g. physiotherapy, occupational therapy, psychologists, speech therapists etc.

In South Africa, certain hospital functions in private hospitals need to be rendered by health professionals with their own private practices. This is required by law. The practices are covered by separate legislation related to Health Care Professionals.

Many other non-core services are contracted out and performed by specialised companies. Outsourced services typically include the following:

Catering e.g. Compass Group, Fedix, Royal Sechaba Laundry e.g. Boston, Bidvest Laundry group, Fedix Cleaning e.g. Superclean, Supercare, Prestige Security e.g. Servest, Fidelity Medical Waste e.g. Compass Waste Services, Wastetech Garden Services usually a local company Information Technology including off-site hosting e.g. T-systems (for the SAP system), Digidata, Meditech Pest control e.g. Prestige, Rent-a-Kill, Pest Control specialists

Healthshare management contracts ensure the following service levels: Achievement of strategic and operational objectives as contained in the business plan, which has been either complied by or approved by Healthshare Customer satisfaction ratings of at least 90% Compliance with the quarterly balanced scorecard Relevant policies and procedures implemented in all departments Planned maintenance in place Public liability insurance in place Full legal compliance Implementation and management of the hospital information system In future Healthshare will ensure that the hospital complies with the National Core Standards for Health Establishments (that are being developed for the National Health Insurance).

Doing business with Healthshare enables you to choose whatever strategy will win the day for cost-effective quality healthcare. Each solution is tailor-made, not only for each of our clients, but also to take into consideration the prevailing conditions at the time.

Healthshares Management fees are typically a percentage of revenue that is negotiated. The percentage is largely influenced by hospital size. Healthshare usually also negotiates a bonus based on a percentage of profits over and above the budget or business plan.

HEALTHSHARE HEALTH SOLUTIONS (PTY) LTD: PRE-OPERATIONAL AND COMMISSIONING SERVICES

Healthshares services include the following: Review of architectural, civil and electrical engineering plans Scope of the facility: Medical (clinical), administratively Confirmation of market study: Patient population, doctor population (practice development, special interests and field of expertise) Communication functions: Liaison with doctor community in the area, client base, community organizations and interest groups Funding of the capital requirements of the Consulting rooms: Full time occupant, design of consulting rooms layout, services required, sessional rooms. Equipment planning: Work stream planning, bill of quantities, market study of available products, quotations for possible Radiology practice: Recruiting and selecting a private practice, plan imaging requirements for hospital Pathology practice: Recruiting and selecting a private practice, plan layout and interface with the hospital

project:
o o o o Investigation of funding options Presentations to possible funders

suppliers, product comparison, end user

preferences, compatibility with clinical needs, equipment budget. Tender process or Turnkey solution negotiation. Theatre equipment: Bill of quantities, specialized equipment, technology interfacing Office equipment

Confirmation of market study: Patient population Medical professionals population (practice development and fields of expertise)

Medical input on architect design of

buildings Input and communication with professional team Site visits (may also include an on-site manager in bigger projects) Practitioner selection: Validate practice as a business unit, registration with relevant authorities, signing up practitioners as tenants, supporting doctors, visiting doctors

Liaison with Department of Health

Liaison with Pharmacy Council License application for both hospital pharmacy and retail pharmacy Legal compliance with Pharmacy Council Human resources planning: Re-planning the staff requirements to fit activities in the hospital, uniforms, staff management systems

Hospital management team: Recruitment, selection, appointment

Services: Selecting and contracting Laundry, catering, gardening, Cleaning Medical support services plan Finance and Administration

IT System implementation Policy and procedures (all departments) A detailed commissioning budget usually part of the financial model

Healthshare provides these pre-operational services on the basis of a negotiated fixed monthly fee. The fee depends on the size, complexity and location of the project.

Our exceptional executive team has contributed to developing an international healthcare company that provides customized, quality, affordable, private healthcare solutions to individuals and business in numerous developing countries. With models, systems and networks that are not easily duplicated, Healthshare is a leader in the field. Together with our intellectual property, our expertise in both a per diem and capitated market, the Healthshare Team delivers an exceptional service. We provide a number of hospital management and consulting services to private and public hospitals as well as integrated healthcare services to business in a variety of countries. Providing the best care is a dynamic process with consistent exploration and discovery for added value to a healthier planet. Yours in health, Dr. Tony de Coito Managing Director