Shouldice Hospital Case Solution

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Q. What are the unique features of Shouldice’s services, 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. • The patients were sedated in their rooms prior to being taken to the operating rooms. • The hospital encouraged the patients to explore the premises, talk to other people about their…show more content…
The hospital’s concern for employees reflected in its low turnover also keeps employees and therefore patients satisfied. • The facility, designed by Dr. Byrnes Shouldice, ensured that patients would have to walk and be mobile. Further, efforts were taken to ensure that the place did not seem like a hospital but had a more positive image in the eyes of the patients. Q. As Dr. Shouldice, what actions, if any, would you take to expand the hospital’s capacity? We describe the processes in an average day at Shouldice: PATIENT’S AVERAGE DAY- morning (6:45 am- 12:30 pm) Starting time: 6:45 am 7:25- 7:30 am 8:25am PATIENT’S AVERAGE DAY- afternoon (1 pm- 4 pm) CAPACITY CALCULATIONS The following gives capacity calculations for the various resources in the system. 1. OPERATION THEATER Minimum time for surgery : 45 mins (82%) Maximum time for surgery: 75 mins (18% average 60-90 mins) Average time for surgery: 50.4mins Allowing for delays, surgery time: 55 mins Morning session: 5 hours Afternoon session: 3 hours Maximum capacity of 5 op rooms: (5*60/55)*5+(3*60/55)*5= 40 operations/ day = 40 operations

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