MANAGEMENT IN ACTION

(Group 8)

Project Report on Consultancy Firm

HOSMAC INDIA PRIVATE LIMITED

Submitted To: Submitted By:

Ms. Komal Verma Priyanka Singhvi
Richa Gupta
Sanjay Yadav
Seema Raman
Sonali Dhingra

MBA (GEN) IV SEM

AMITY BUSINESS SCHOOL

AMITY UNIVERSITY RAJASTHAN
2011
 HOSMAC India Pvt. Ltd.
Business:
Hosmac India Private Limited provides Hospital Planning & Management consultancy to its
clients in India and overseas

Inception:
In the year 1996

Location:
The company’s head office is located in Goregaon (East), Mumbai

Mission:
To become the chosen facilitator worldwide for creating & operating quality healthcare facilities

Vision:
1. Continuously exceed client expectations
2. Build an organization of competent and motivated people
3. Leverage domain knowledge for business opportunities

Corporate Philosophy:
1. Provide client-centric consulting services
2. Inspire people to share ideas, experiences and knowledge

Leadership:
Positions Name of the person

Managing Director Dr. Vivek Desai

Director Operations Mr. Narendra Karkera
Director Hosmac Projects Mr. Sameer Mehta
Director Business Development Ms. Sumedha Sen
Head Consultancy Services Dr. Akash Rajpal
General Manager- Hosmac Projects Mr. Satish Bhalerao
Regional Manager- East India Mr. Krishnendu Ghosh
Manager Architectural Services Ms. Nandini Shah
Manager- Interior Design Ms. Priya Wakharkar
Manager- Business Development Mr. Paresh Gujrathi
Company Portfolio:
COMPANY DIVISION SUB DIVISION SERVICES OFFERED
• Turn around strategies
• Operational audits
• Costing of services
Management
Consultancy • Systems study & re-design
• Manpower audit & training
• Marketing strategies
HOSMAC
CONSULTA • Feasibility studies and market research
NCY • PIP preparation and facilitation
• Technical assistance
Public Health • Capacity building and development
Consultancy • Environment sanitation and waste
management
• Public private partnership
• Programme evaluation and appraisal
HOSMAC • GIS based resource mapping

PMC Healthcare Architectural planning, site

planning, Liaison with all Agencies.

Convenience, caring encounters, service

EPC orientation and the quality of care by
providing pleasant spaces

• equipment planning & procurement

HOSMAC • medical equipment maintenance
PROJECTS ECG consultancy
• medical equipment Audit Consultancy

• Monitoring Project with PERT/CPM

Turnkey Projects • Managing Change in Project Plans
Managing equipment planning schedule
including cost-feature analysis,
procurement process, installation etc.
Integrated approach to hospital planning
Changing character of healthcare needs and continuing increase in their complexity have led to
greater emphasis on hospital planning and design in recent times. Therefore, the need for
collaboration between those who care for the sick and those who plan facilities for care has
assumed greater significance than ever before.

A close look at almost any hospital department today demonstrates the acute deficit in meeting
the human factor goals of well-being and general efficiency in healthcare planning. There have
been umpteen instances in modern-day hospital care, where hospital-acquired infections due to
faulty air-conditioning, inadequate water supply/drainage etc have resulted in patient morbidity
and even mortality.

In the coming days, the Indian healthcare industry will witness a continued demand for
construction of modern facilities. The annual value of healthcare construction projects will
therefore see an up-trend over the coming years, driven by factors such as opening up of the
insurance sector, privatisation initiatives etc.

Planning, the key tool to success

Like any other industrial venture, proper planning of hospitals is vital for the success of the
venture. If hospitals are properly planned and designed, then substantial amount of profit can be
earned.

Therefore, the first step for a healthcare facility is proper project conceptualisation with the
right mix of beds and amenities to generate sufficient income and attract maximum clientele. For
this, a comprehensive market research is essential to gauge the demand-supply ratio for
healthcare services, apart from evaluating competition. Consequently, this would help in
preparing a workable functional matrix, specific to the facility.

Apart from drawing up detailed plans catering to landscape, beds, availability of utilities in the
vicinity, considerable inputs from agencies such as air-conditioning, electrical, plumbing etc. are
critical to finalise the working plan of the building. Moreover, in healthcare construction projects
inputs from equipment vendors in speciality areas such as operation theatres, cath-labs, linear
accelerators, CT-scanners and MRI, among others are of prime importance. In the Indian
healthcare segment, minimal emphasis is given to support services such as kitchen, laundry,
CSSD, power back-up and so on. Not only are these services vital, but these also involve high
capital cost and recurrent expenses and therefore should be properly planned.

A detailed financial feasibility report would then show the promoters the viability of the
project subject to various scenarios such as effect on profitability with change in the debt/equity
ratios, project cost escalation and so on. Such studies, if conducted, will help in avoiding
financial mishaps in the long-term, thereby facilitating smooth operations. Apart from this,
planning also specifies alternative plans, which can be examined in the context of the
opportunities and constraints facing the promoters.
‘Green’ architecture is very much in vogue at present. So, promoters developing hospitals
should incorporate such designing approach, which paves the way towards energy efficiency, an
improved indoor environment through the use of green building materials, encourage recycling
and waste prevention etc.

Commissioning of the hospitals after construction is another vital part of hospital planning.
This phase includes proper recruitment, devising salary structures and tariff for various services,
plan systems for various departments, comply with all statutory requirements, design various
forms/records and so on. Today’s informed consumer is ready to pay for quality services, but is
equally displeased if sub-standard services are provided to him/her.

Adopt what is good

In India, the current standards for healthcare design are quite backward, when compared with
Western/developed countries. For instance, we still design facilities where total area per bed is
around 600 square feet (sq ft), as against 1,400-2,000 sq ft of area per bed in the West.
While it may not be prudent to follow the western concepts blindly, domestic developers can
pick-up certain aspects from the modern concepts. Some of the aspects that can be adopted are
flexibility for future expansion, larger secondary areas for better patient comfort, proper
deployment of utilities in wait areas, nurse stations, storage, changing rooms, alcoves for
stretchers/wheelchairs, adequate transport facilities, parking facilities, proper light and
ventilation, among others.
In short, a holistic approach for design, construction, operations and maintenance will help a
healthcare facility to fulfil its core mission of protecting human health, eventually providing the
country’s healthcare industry a facelift.

HOSMAC CONSULTANCY SERVICES

MANAGEMENT CONSULTANCY

The advent of corporate hospitals in India has ushered in a new era of healthcare in the country.
To meet the end of running a profitable or self-sustaining hospital, strategic business planning,
market research, controlling financial systems, costing of services, computerization, cost
reduction techniques, human resource development, training programs and corporate marketing
need to work together in sync. At HOSMAC, with attention paid to every intricate detail, we
harmonize all these aspects to form an effectively functioning whole.

Market Research Consultancy

Comprehensive Healthcare Market Study
Parameter Specific Healthcare Market Study
District / Geographical Area Profiling

Financial Consultancy
Financial Feasibility Study
Third Party Due - Diligence
 Business Plan Validation
Financial Structuring

Quality Consultancy
Accreditation Facilitation (JCI/NABH/NABL/ISO9001)
Internal Audit Facilitation
Peer Review Audit

Operations & Management Consultancy

Partner Identification
Independent Organization Management
Knowledge Partnering
Turn Around Strategy Implementation Support

Operations revamping (Brown Field)

Organization Assessment
Business Process Re-engineering
Activity Based Costing
Resource Analysis (Manpower / Consumables/Productivity etc)
Strategy Consulting
Document Review (Manuals/Protocols/Forms/Formats)

Commissioning Assistance (Green Field)

Operations Planning (Manpower/Tariff/Work Flow/Inventory etc)
Recruitment Facilitation
Documentation Assistance (SOPs, Brochures, Forms, Formats)
Regulatory Facilitation

Human Resource Consultancy

Sourcing Assistance
HR Planning Assistance (Organogram, Preparation/Review/Documentation)
Compensation Planning

HIS Consultancy
Implementation Assistance
HIS Review & Gap Analysis
PUBLIC HEALTH CONSULTANCY

Public healthcare systems are meant to meet the needs of the people, especially the
underprivileged population. Setting up these systems and programs can be a daunting task and
requires well-planned solutions. HOSMAC works towards assisting the stakeholders in
achieving this goal by providing quality technical support in all aspects and has been a preferred
choice by many multi-lateral agencies like European Commission (EC), GTZ, UNICEF,
NHSRC, State Health Society (SHS), World Health Organization (WHO), World Bank and
various states & central governments.

Health Need Assessment

Developing PPP Models
Impact Assessment, Monitoring and Evaluation
Technical Assistance for Program Implementation
Capacity Building and Training
Mid-term Evaluation/Surveys

Target Customer:

• Hospital CEOs
• Corporate groups
• Investors
• Entrepreneur doctors
• Architects
• Multilateral agencies
• Aspiring doctors and
• Venture Capitalists

DIRECT COMPETITORS (Direct competition in consultancy and project building services)

• Ace Vision
• Astron
• Hscc
• Nous Hospital Consultancy Services
• Feedback Ventures
• Hospic
• Hospicon
• Hospi Health Consultant
 • Professional Health Planners
• Medicontrivers India Pvt Ltd, Mumbai
• KSA Technopak, New Delhi
• Apollo Hospital Enterprise Ltd, Chennai
• Total Hospital Solutions, Jaipur
• H-PAMCO
• Fairkon Healthcare services
• Cedara Healthcare
• Technopak
• Fortis

INDIRECT COMPETITORS (Do not provide healthcare consultancy but are approached for
strategic consultancy giving us indirect competition)
• KPMG
• Deloitte
• Ernst and Young
• IBM
• Siemens
Key Clients:
DOMESTIC OVERSEAS
Asian Heart Institute and Research Centre, Mumbai ACTIS Advisory Services, UK
Dr L.H. Hiranandani Hospital, Mumbai Zulekha Hospital, Dubai
Aga Khan University Hospital,
Godrej Memorial Hospital, Mumbai
Nairobi
Fortis Healthcare, Chhattisgarh Medcare Hospital , Dubai
Shree Mahavir Cardiac Hospital, Gujarat Parkway Group, Singapore
Christian Medical College (CMC), Vellore Lifeline Hospitals, Dubai
ILS Hospital, Kolkata Welcare Hospital, Dubai
Breach Candy Hospital, Mumbai KPMG, Bahrain
P.D. Hinduja National Hospital, Mumbai Ascendas Pte Ltd., Singapore
Umkal Medical Institute, Gurgaon
National Health Systems and Resource Centre
(NHSRC), Patna
Lilavati Hospital & Research Centre, Mumbai
K.J. Somaiya Medical College, Mumbai
WHO, UNICEF, World Bank, GTZ
State Health Society, Bihar and MP
Manipal Group of Hospitals, New Delhi
 BSR Apollo Hospital, Chhattisgarh

Future:

Far reaching reforms are changing the relationships between key players of Healthcare
consultancy. One of the key drivers for the future lies in using information to create more
personalized care and standardization at the same time. Company is witnessing the “industrial
revolution” of Healthcare, enabled by IT. This will increase access, drive up quality and reduce
the overall cost of care. In this period of major change for the industry, hosmac Consulting
Group is helping its clients across many different aspects of healthcare provision, including
technology development and delivery and consulting services for life science companies, as well
as supporting the health sector in the delivery of care.

During its recruitment process, it became evident that health care consulting firms are boosting
the number of new hires, reporting having too many projects than people that can handle them.
It seems like healthcare consulting is currently in a time of feasting.

Recent compliance/regulatory changes as a result of new healthcare reform, laying off and
restructuring/refocusing are a large part of the work that are being sent off to healthcare
consulting firms. However, these are all short term, one and done type projects.

There will be fewer large “clients” in the future for health care consultants as failed companies
drop off. M&A between pharma and biotech (e.g. Roche & genentech, Sanofi & Genzyme) will
further reduce that number. So once these short term projects are accomplished with the next 2-3
years, what awaits the health care consulting industry? Certainly not projects related to new
drug releases.

Other than projects related to diversified industries (e.g. nutraceuticals, consumer goods, animal
health) and expansion into growth markets, what kind of work will there be and it will be enough
to sustain all the new consultants entering this field. Fewer clients and fewer drugs leading to
less need for services. Long term prospects don’t look to nourishing.
About the Consultant: Ms. Smita Sridharan
After formal education in Hospital Administration (2004-2006) from ASCI-HIHM, Hyderabad
and administrative residency at Tata Memorial Hospital, she joined HOSMAC as a consultant in
2006. She has been with this organisation since then, now in the capacity of senior consultant.
During these stints, she has handled more than 75 hospital projects.

At Tata Memorial Hospital, she was part of the team, which worked on preparation towards
NABL, NABH & JCI Accreditation involving documentation of manuals and preparation of
every department towards the standards prescribed by the accrediting agency.

At Hosmac, she has independently handled project areas of designing and preparing techno-
commercial feasibility reports, preparation of comprehensive business plans, validations of
business models, financial feasibility reports, due diligence studies, organizational assessments
and audits and funds syndication process in the health care domain.

She leads a team of ten consultants under her.

She was awarded the most promising consultant at HOSMAC India for the year 2009.

Smita Sridharan's Experience

Principal Consultant

HOSMAC India Pvt. Ltd.

Privately Held; Hospital & Health Care industry

September 2006 – Present (4 years 6 months)

Administrative Resident

Tata Memorial Hospital

Hospital & Health Care industry

June 2005 – June 2006 (1 year 1 month)

Smita Sridharan's Education

Administrative Staff College of India

MHA, Health care and Hospital Administration

2004 – 2006

Mumbai University

M.Com, Commerce

2004 – 2006

R A Poddar College of Commerce & Economics, Mumbai

B.Com, Commerce

1998 – 2003

Auxilium Convent High School

SSC

Smita Sridharan's Additional Information

Groups and Associations:

• Administrative Staff College Of India- MHA/PGDHM

• HEALTHCARE INDIA ( The largest networking forum for Indian Healthcare

Executives)

• Healthcare Jobs- India

• Healthcare MBA's

• Hosmac India Private Ltd