BUSINESS PLAN FOR 100 BEDEED

HOSPITAL
LOCATION OF THE HOSPITAL-
THANE

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• HOSPITAL

TRAUMA-
NEUROINTENSIVECARE

• LOCATION

THANE—1. MAJIWADA
2. BALKUM
3. KAPURBAWADI

TRAINGLE BETWEEN THESE THREE

These three places are on three different highways. These

three highways are connected to each other near to these
places; just out of the Thane city.

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 MUMBAI AHMADABAD HIGHWAY

KAPURBAWADI
GHODBANDER-ROAD

BALKUM
MAJIWADA

EASTERNEXPRESS BHIVANDI
HIGHWAY -WADA

NASHIK HIGHWAY
THANE

MUMBRA
BYPASS

TURBHE

DOMBIWALI

KALYAN

BELAPUR

AMBARNATH

PANVEL

GOA HIGHWAY PATIENT DRAIN

L0CATION: AREA BETWEEN MAJIWADA-BALKUM-

KAPURBAWADI

ROADS CONECTING TO THE LOCATION

1. EASTERN EXPRESS HIGHWAY
2. NASHIK HIGHWAY
3. THANE-BELAPUR ROAD
4. MUMBRA BYPASS
5. BHIWANDI ROAD
6. GHODBANDER ROAD

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 WHY?

 NEED:

Trauma is a physical injury or wound caused by a violent, external

force, which may lead to death or permanent disability and is the leading
cause of death in people from ages 1 to 44, and is the third leading cause
of death overall! .

Trauma is our most expensive health problem, Surviving a major

injury and minimizing the chances of a complication or disability
depends on an efficient system of highly specialized trauma care
professionals.

There is no any dedicated Trauma & Neuro Intensive care hospital

in thane district.

At present there is only one Superspeciality Hospital in Thane city

that is Jupiter Hospital. But most of the patients from Thane district can
not afford that hospital. Because community is mixed with majority made
up of moderate wage earners, industrial workers & indigent.

Thane District has a population of 8131849 as per 2001

Census. Out of this 2229376 belongs to rural area. The details of the
population is given below

Rural Population 2229376

Urban Population 5902473

Total 8131849

Poverty Ratio & Intensity - 45.08%

Source Received BPL Survey 2002-2007

Promoter wants to promote the hospital for these people.

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Public Health

Hospitals 28

Dispensaries 43

Primary health Centres (PHC) 122

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  PATIENT FLOW:

Accident prone area:

1. Road traffic accidents:

Road Length (in KM)

a) National Highways 356.94

b) State Highways 2316.95

Highways in Thane:

• Thane- Shahapur-Nashik
• Thane-Ghobandar-Ahmadabad
• Thane-Bhiwandi-wada
• Thane-kalawa-Turbhe-Belapur-Panvel
• Thane-Mumbrabypass-Dombiwali-kalyan- Ambarnath-Badlapur –
Karjat

Accident data : in last 1 year Jan 2008 to Dec 2008

(including all-small & big accident)

On

• Nasik high way upto shahapur – 67

• Ghodbandar high way upto ghodbandar -169
• Thane –Belapur highway upto panvel- 113
• Thane –Mumbra bypass-klyan shilphata – upto
Dombiwali- 84
• Thane – Bhiwandi upto wada 51

Source :Article news paper Maharashtra Times

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2. Railway accidents:

Central railway line Thane onwards

Total Railway Length in Thane District 286 KM

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Rail way accident deaths in period of six months in the area of

• Thane railway police- 172.

• Dombiwali railway police -94.

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Railway accident deaths in period of six months in the area of klyan
railway police -199.

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 3. Industrial accidents:

Thane District ranks third amongst the industrially developed

districts of Maharashtra

Industry (2003)

Registered Industries 5084

Working Registered Industries 4632

Big industrial areas in Thane district

• Wagle Eastate, Thane

• Thane Belapur Road,Taloja
• Turbhe
• Wada
• Ambarnath

Other than these there are some small industrial areas like
Bhiwandi

 TRANSPORT:

Location of the hospital is directly connected by good roads to

rest of the thane district.

Vehicles are easily available from those areas to reach the hospital
location.

As location is away from main Thane city there will be no any

traffic problem.

 TRAVLE TIME:

Maximum 1 to 1&1/2 hr to reach the location from any place

located in thane district.

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 Promoter is going to provide Ambulance Service on all highways,
Railway junctions & Industrial areas with Advanced Life Support (ALS).
These Ambulance Service work under an Emergency Physician

The paramedics and emergency medical technicians (EMTs)

rapidly assess the injury or potential for injury, start resuscitation and
stabilization, notify the trauma center, and transport the patient.

 LAND AVAILABILITY:

As area between MAJIWADA-BALKUM-KAPURBAWADI is under

construction, adequate land can be available for housing the institute &
also for future expansion.

 INFRASTRUCTURE FACILITIES:

Water supply from TMC can available as area around the location
is less populated than the Thana city.

Power can get from MSEDCLtd.as there is no any big organization

or industry in this area & residential population is less than Thane city.

 AVAILABILITY OF SPECIALIST ON A FULL TIME BASIS:

Promoter himself is a senior NEUROSURGEON, practising in

Thane.

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 MATERIALS AND MEANS:
EQUIPMENT PLANNING:

1. BUILT IN EQUIPMENTS :

These equipments will be included in construction contrcts. Planning &

designing of these will be the architects responsibility.

Cabinate & counters in the Pharmacy ,laboratory ,fixed kitchen

equipments, laundry chuntes, elevators,dumb waiters,boilers,cold rooms
,walk in coolers, deep freezers, fixed sterilizing equipments & surgical
lights.

2. DEPRECIABLE EQUIPMENTS :

Equipments those have a life of five years or more will not

normally purchased through construction contract. These large
items of furniture and equipments will have reasonable fixed
location in the hospital building but are capable of being moved .

These equipments will be included in the coordination with the

architectural ,mechanical and electrical phases of construction of
hospital

Surgical apparatus ,diagnostic & therapeutic equipments,

laboratory and pharmacy equipments, office equipments,

3.NON-DEPRECIABLE EQUIPMENTS :

Equipments having less than five years life span will be small items of
low cost under the control of store room.

Kitchen utensils ,chinaware ,tableware, surgical instruments,

catheters,linen,sheets,blankets,lamps,wastebaskets etc.

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 FACILITITIES AVAILIABILITY
Our services

 Core-services:
• Neuroscience center
• Trauma center
 Supportive-services:

• Outpatient/Consultation of Neurosurgeon
• Laboratory & Diagnostic services
• Radiological services
• Nursing staff
• Pharmacy
• Physiotherapy
• Rehabilitation
• Food & Beverages
• Nutrition
• Ambulance service
• Housekeeping
 Ancillary services:

• Reception
• Registration
• Accounting
• Billing
• Maintenance & Engineering
• Medical records
• Health Education

 Peripheral Services:
• P. R. O.

 Hyperbaric oxygen therapy:

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 BED DISTRIBUTION –TOTAL BEDS 100.
EMERGENCY UNIT -10 BEDS

TRAUMA-NEURO INTENSIVE CARE UNIT---10 BEDS

INTENCIVE CARE UNIT –10BEDS

SURGICAL INTENCIVE CARE UNIT—10 BEDS

BURN UNIT –10 BEDS

RECOVARYROOMS/WARDS—30 BEDS

REHABILATION UNIT—10 BEDS

PARAPLEGIA UNIT-10 BEDS

RECOVARY ROOMS---15 BEDS

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 Core-services:

• Neuroscience center
• Trauma center

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 NEUROTRAUMA INTENSIVE CARE UNIT
• Neurosciences Center
To the care of brain and spine disorders --
From treatment of stroke and Parkinson's disease to microsurgery and
advanced spine surgery, and from brain and spine trauma care to
education and rehabilitation.

 Our Facilities

The Neurosciences Center's facilities will include a range of diagnostic

and treatment options for patients with brain, spinal cord, lower-back
disorders, and other neurological conditions:

• An inpatient Neurosciences Unit will have all private rooms, with

cardiac and video monitoring that provides continuous tracking
of patient progress.
• Diagnostic capabilities ranging from X-rays and CT Scans to
Magnetic Resonance Imaging (MRIs)
• Neurodiagnostic Center for sleep-disorder studies and other
neurological research.

 Our Staff

The Neurosciences Center will staffed by neurosurgeons, neurologists,

trauma specialists, and emergency-medicine specialists, supported by
registered nurses.

Emergency Medical Service (EMS) professionals, acute-care physical

therapists, occupational therapists, rehabilitation experts, a
neuro/trauma social worker, and others will round out our team.

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 Our Services in Neurosciences center

Our specialists will offer up-to-date neurological treatment, including

advanced surgeries.Our services will include:

 Neurosurgery

The Neurosciences Center will provide surgical treatment for stroke,

brain disorders, and traumatic head injuries, and spine, lower-back and
neck disorders.

Neurosurgeries will include lower-back surgery, laminectomy,

discectomy, decompression laminectomy, lumbar fusion, and surgery
for peripheral nerve disorders.

 Frameless stereo tactic technology

Neurosurgeons will perform brain/spine surgeries and biopsies using

this "image-guided" computer equipment which will include a surgical
microscope and a precise computerized analysis.

 Neurological capabilities

Our Center's team will provide diagnosis and treatment of neurological

disorders resulting from stroke, Parkinson's disease, and multiple
sclerosis.

 Stroke team

For rapid treatment of stroke victims, a stroke team including the

neurologist on call and two nurses assembles within 30 minutes of a
stroke emergency, 24 hours a day.

 Emergency treatment of trauma

A trauma team will available 24 hours a day to provide a full array of

ongoing, coordinated treatment to severely injured accident (trauma)
patients. A trauma case manager will visit trauma patients and families
regularly to help coordinate our services and answer questions. .

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Neurodiagnostic laboratory

We will have sleep studies and other neurological research using such
technologies as MRI, CT scan, X-rays, and electrical-activity testing.

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NEURO-TRAUMA INTENSIVE CARE UNIT
• TRAUMA CENTER
This center will include:

• Access to help (helpline number)

• Ambulance Service
• Emergency Care
• Diagnostic & Imaging Technologies
• Surgery
• Critical Care
• Basic Hospital Care
• Rehabilitation

For some injuries, survival depends solely on prevention!

 Ambulance and EMS Service

We will have an ambulance service which will provide Advanced Life

Support (ALS). These Ambulance Service will work under an Emergency
Physician

The paramedics and emergency medical technicians (EMTs) will rapidly

assess the injury or potential for injury, start resuscitation and
stabilization, notify the trauma center, and transport the patient.

 Trauma Team and Hospital Care

On arrival at the Trauma Center, the patient will attend by a team of

specialists, who will work in concert to quickly identify and treat all the
injuries. This "trauma team" will led by a surgeon,specialize in trauma
care. The other team members will include: an Emergency Physician;
Anesthesiologist; nurses from the ER, Critical Care Unit and Operating
Room; technicians from X-ray and lab; and others who will essential to
the care of a patient with complex, critical injuries.

The trauma patient will seen each day by the trauma surgeon and a
trauma case manager. The trauma surgeon will oversee the care that will
provide by consulting physicians, nurses, therapists, and allied health
specialists. This system will provide quality care and a smooth transition
for a patient, from critical care to rehabilitation.

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 Trauma Surgeons

The Trauma Surgeons will be general surgeons with special training in

trauma. They will provide 24-hour call coverage and back-up 365 days a
year.

Specialists who will routinely participate in the care of the injured

include:

Neurosurgeons
Orthopedic Surgeons
Emergency Physicians
Anesthesiologists

Other specialties available to the trauma patient will include: Cardiology,

Ear/Nose/Throat Surgery, Gastroenterology, Hand Surgery, Hematology,
Infectious Disease, Internal Medicine, Micro vascular Surgery,
Nephrology, Neurology, Obstetric/Gynecologic Surgery, Eye Surgery,
Oral/Maxillofacial Surgery, Pediatrics, Plastic Surgery, Psychiatry,
Pulmonology, Radiology, and Urologic Surgery.

• Trauma Staff

The center's trauma case managers will visit patients seven days a
week, 365 days a year. The case managers will work in concert with the
trauma surgeons to provide a seamless approach to trauma care. They
will collaborate with the physician specialists, nurses, and allied health
providers to coordinate care
and provide a common link to the patient and family.

The trauma registrar will manage the Trauma Registry, a database of

patient information.

The trauma education and outreach coordinator will assist with

professional development and partners with community and service
organizations on injury prevention programs.

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 Supportive-services:

• Outpatient/Consultation of
Neurosurgeon
• Laboratory & Diagnostic services
• Radiological services

• Nursing staff

• Pharmacy

• Physiotherapy

• Rehabilitation

• Food & Beverages

• Nutrition

• Ambulance service

• Housekeeping

• Security

• Central Sterilization & Supply

Department

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• Outpatient/Consultation of Neurosurgeon

For patients with brain, spinal cord, lower-back disorders, and other
neurological conditions

• Laboratory & Diagnostic services

24 hrs emergency service

• Radiological services

24 hrs emergency service

• Nursing staff

To provide service to pt & execute the Doctors’ orders meticulously.

• Pharmacy

24 hrs emergency service

• Physiotherapy

To the diagnosis & treatment of certain musculo-skeletal defects &

neuromuscular disease & problems.

• Rehabilitation

Rehabilitative medicine encompasses fields like occupational therapy,

recreational therapy, speech & hearing therapy

• Food & Beverages

To serve nutritious & tasty food for pt & relatives.

To prepare R.T.Feeds for unconscious pts as per dietitian’s

recommendation

• Nutrition

Nutrition assessment of each pt by dietitian

• Housekeeping
T0 keep the hospital clean & tidy

• Central Sterilization & Supply Department

Process & sterilize equipment by trained & experienced personnel

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• Ambulance service
To provide advance life support to the pt & transport to the hospital
• Security
To every extent possible, help the pt.

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 Ancillary services:

• Reception
• Registration

• Accounting

• Billing

• Maintenance & Engineering

• Medical records

• Health Education

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• Reception

TO guide & direct pts to the best of their ability, with ultimate care,
patience & empathy.

• Registration

To register the pt & allocate the bed as per pts condition & need.

• Accounting & Billing

Automatic billing, discounting, Inpatient bill monitoring, accepting

advance payments, viewing of receipts,

• Maintenance & Engineering

To maintain a 24 hr water & power supply, electrical appliances, hospital

equipments & instruments in a working condition, & uninterrupted
laundry services

• Health Education

For the pt & pts’ relatives also.

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 Peripheral Services:

• Public relation officer

To develop & practice good communications, keeping in view the
advantages of developing a good hospital –patient relationship, which
ultimately result in a satisfied patient

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 HUMANAN RESOURSES

HR FOR INHOUSE SERVICE

1.Doctors- 60

2.Nursing staff 185

OUTSOURCED SRVICES

1.HOUSEKEEPING

2.LAUNDRY

3.KITCHEN

4.Laboratory & Diagnostic services

5.Radiological services

6.Ambulance service

7.Maintenance & Engineering

8.Medical record

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  INFRASTRUCTURE REQUIREMENTS
 Functional and area analysis

Total Space Requirement for the Hospital-

Area/ Bed x Area of hospital/ Bed x Total Bed
9.29 sq.mt. x 10 x 100 = 9290 sq. mt.

Distribution of space
zone functions Area/bed Total area in sq. mt.

Entrance zone Reception & 2 200

registration
Pharmacy

OPD consultation 10 1000

Nursing 200 2000

station
Diagnostic Clinical 6 600
area laboratory
Imaging 6 600

Recovery 15 1500
rooms/WARD
Critical care 25 2500

Service 7 700

Administration 2 200

Total 9300

Total area required 9300sq. meters.

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 MARKETING
1. INTERNAL MARKETING

2. EXTERNAL MARKETING

1. INTERNAL MARKETING

 PANAL DOCTORS OF THE HOSPITAL

• REGULAR VISITS TO PANAL DOCTORS

• BELONGING TO THE HOSPITAL
• MOTIVATION OF DOCTORS
• PAYMENTS OF DOCTORS
• REGULAR UPDATES TO THE DOCTORS
• SUGGETIONS FROM DOCTORS
• MAMAGEMENT MEETINGS.

 TPA DESK

• TIE UP WITH TPA’S

• PROVIDE CASHLESS FACILITY TO PATIENTS
• AUTHORIZATION FROM TPA
• FOLLOW UP FOR PAYMENT

 OPD/ HEALTH CHECK-UP

• CONVERSION OF OPD PATIENTS TO IPD

• DIAGOSTIC CONVERSION
• PROMOTION OF HEALTH CHACK UPS
• EDUCATIONAL PROGRAMMES

 CUSTOMER CARE

• FRONT OF THE HOSPITAL

• CUSTOMER CARE
• PUBLIC RELATION
• MAXIMUM SATISFECTION

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 EXTERNAL MARKETING

 CORPORATE MARKETING

• TIE UP WITH CORPORATE COMPANIES

• TIE UP FOR IPD/ OPD SERVICES
• PROVIDING EXCLUSIVE TARIFFS TO THE COMPANY
EMPLOYESS
• DEPENDING ON POLICIES OF THE COMPANY CONVENIENT
PAYMENT FACILITY TO EMPLOYEES
• HEP ’S FOR THE EMPLOYEES
• ANNUAL HEALTH CHECK UPS
• SETTING PAYMENTS WITH COMPANY WITH CREDIT FACILITY

 INTERNATIONAL BUSSINESS

• TIE UP WITH HOSPITALS ABROD

• TIE UP WITH LOCAL DOCTORS
• TIE UP WITH INTERNATIONAL HEALTH CPOMPANIES
• INTERNATIONAL CONFERANCES AND CME’S
• MEDICAL TOURISM COMPANIES

 P R MEDIA

• ADVERTISMENT (LEGAL)
• MEDIA COVERAGE FOR IMP CASES IN THE HOSPITAL
• REGULAR ---
• ARTICLES AND UPDATES IN MAGAZINES
• NEWS LETTERS
• PROMOTION OF ACHIVMENTS
• HORDINGS

 NURSING HOMES / GPS/ICU

• TIE UPWITH NURSING HOMES /ICU

• GOOD MONETARY INCENTIVES FOR NURSING HOME / ICU
• INCENTIVES FOR GPS
• ACKNOWLEDGEMENT OF GP’S BY HOSPITALS
• CME’S REFERRNG DOCTORES
• REGULAR UPDATES
• FREE CAMPS IN PARTIULAR AREAS DRAINING THE
DOCTORES /NURSING HOMES/ GP’S
• TRAINING FOR THE NURSING HOME /ICU STAFF.

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  E-marketing

• Develop website of the hospital giving all information to

stakeholders.

• SOURCES OF FUNDS

• Promoters’ contribution.
• Operating profit plus depreciation
• Long term loans
• Leasing companies

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