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Management

Practices at Shifa
International

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TABLE OF CONTENTS

I PART 1 SOMETHING GENERAL ABOUT SHIFA INTERNATIONAL P #’s


HOSPITAL 1

I.1 ORGANIZATION’S BRIEFING 1


I.1.1 THEIR HISTORY 1
I.1.2 THEIR MISSION 1
I.1.3 THEIR VISION 1
I.1.4 THEIR ETHICAL GOALS 1
I.1.5 THEIR VALUES 2
I.1.6 THE DECOMPOSITIONING 2
I.1.6.1 THE MEDICAL AFFIARS DEPARTMENT 2
I.1.6.1.1 DEPARTMENT OF MEDICINE 2
I.1.6.1.2 DEPARTMENT OF SURGERY 2
I.1.6.2 OFFICE OF CHIEF OPERATING OFFICER 3
I.1.7 ORGANIZATION DECOMPOSITIONING CHART 3

II PART 2 MANAGEMENT PRACTICES AT SHIFA INTERNATIONAL


HOSPITAL 4

II.1 MANAGEMENT FUNCTIONS AT SHIFA INTERNATIONAL 4


II.1.1 PLANNING 4
II.1.2 ORGANIZING 4
II.1.3 LEADING 4
II.1.4 CONTROLLING 4
II.1.4.1 EXECUTIVE MANAGEMENT COMMIITTEE 4
II.2 DIVERSITY MANAGEMENT AT SHIFA 5
II.3 ETHICAL MANAGEMENT PRACTICES AT SHIFA 5
II.4 CENTRALIZED MODE OF MANAGEMENT 5
II.5 MARKETING STAGE 6
II.6 MANAGEMENT SKILLS 6
II.7 SCIENTIFIC MANAGEMENT 6
II.8 SHIFA AS AN OPEN SYSTEM 6
II.9 SOCIAL RESPONSIBILITY AT SHIFA INTERNATIONAL 7
II.10 SHIFA STAKE HOLDERS 8
II.11 VANGUARD ORGANIZATION 8
II.12 TYPE Z MANAGEMENT STYLE AT SHIFA HOSPITAL 9
II.13 INTERORGANIZATIONAL CULTURE AT SHIFA 9

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II.14 THEORY Y 9
II.15 EMPLOYEES’S DEPARTMENTAL ROTATION 9
II.16 FACILITIES AT SHIFA 9
II.17 EMPLOYEES SHIFT 10

III PART 3 ELEMENTS OF MEGA ENVIRONMENT 11

III.1 CHAPTER 1 ECONOMIC ELEMENT 11

III.1.1 PRESENT NATIONAL SCENARIO 11


III.1.2 DISTRICT GOVERNMENT SYSTEM 11
III.1.3 DEPENDENCE 11
III.1.4 PAKISTAN ECONOMY 11
III.1.5 BUSINESS ACTIVITES 12
III.1.6 THE EMERGING POTENTIAL 12

III.2 CHAPTER 2 TECHNOLOGICAL ELEMENT 15

III.2.1 MANAGEMENT INFORMATION SYSTEMS 15


III.2.2 INTERNET ACCESS 15
III.2.3 INFORMATION MANAGEMENT TRAINING 15
III.2.4 COMMUNICATIONS 16
III.2.5 ONLINE APPOINTMENT 16
III.2.6 ONLINE PHARMACY 16
III.2.7 ONLINE PAYMENT 16

III.3 CHAPTER 3 INTERNATIONAL ELEMENT 18

III.3.1 INTERNTIONAL LEVEL COMPETITORS 18


III.3.1.1 ARGENTINA 18
III.3.1.2 AUSTRALIIA 18
III.3.1.3 AUSTRIA 18
III.3.1.4 BAHRAIN 19
III.3.1.5 BARBADOS 19
III.3.1.6 BELGIUM 19
III.3.1.7 BRAZIL 19
III.3.1.8 CANADA 20
III.3.1.9 COLUMBIA 21
III.3.1.10 CUBA 21
III.3.1.11 CZETCH REPUBLIC 21
III.3.1.12 CHILE 21
III.3.1.13 CHINA 21
III.3.1.14 COST RICA 21
III.3.1.15 CROATIA 21
III.3.1.16 CYPRUS 22
III.3.1.17 DEMNARK 22

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III.3.1.18 EGYPT 22
III.3.1.19 FINLAND 22
III.3.1.20 FRANCE 22
III.3.1.21 GERMANY 23
III.3.1.22 GREECE 23
III.3.1.23 HAITI 23
III.3.1.24 HONGKONG 23
III.3.1.25 HUNGARY
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III.3.1.26 ICELAND 24
III.3.1.27 INDIA 24
III.3.1.28 IRELAND 24
III.3.1.29 ISRAEL 25
III.3.1.30 ITALY 25
III.3.1.31 JMAICA 25
III.3.1.32 JORDAN 26
III.3.1.33 JAPAN 26
III.3.1.34 KENYA 26
III.3.1.35 LEBANON 26
III.3.1.36 LITHUANIA 26
III.3.1.37 KOREA 26
III.3.1.38 MALAYSIA 26
III.3.1.39 MALTA 27
III.3.1.40 MEXICO 27
III.3.1.41 NETHERLANDS 27
III.3.1.42 NEWZEALAND 27
III.3.1.43 NICARAGUA 27
III.3.1.44 NIGERIA 27
III.3.1.45 NORWAY 28
III.3.1.46 OMAN 28
III.3.1.47 PANAMA 28
III.3.1.48 PARAGUA 28
III.3.1.49 PERU 28
III.3.1.50 PHILLINPES 28
III.3.1.51 POLAND 28
III.3.1.52 PORTUGAL 29
III.3.1.53 SUADI ARABIA 29
III.3.1.54 SOUTH AFRICA 29
III.3.1.55 SPAIN 30
III.3.1.56 SWEEDEN 30
III.3.1.57 SWITZERLAND 30
III.3.1.58 TAIWAN 31
III.3.1.59 THAILAND 31
III.3.1.60 TURKEY 31
III.3.1.61 UK 31
III.3.1.62 UKRAINE 32

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III.3.1.63 UNITED ARAB EMIRATES 32
III.3.1.64 VIETNAM 32
III.3.2 INTERNATIONAL ORGANIZATIONS 32
III.3.2.1 WORLD HEALTH ORGANIZATION 32
III.3.2.2 WHO INTERNATIONAL DIGEST O F HEALTH LEGIALATION 33

III.4 CHAPTER 4 SOCIOCULTURAL ELEMENT 34

III.5 CHAPTER 5 LEGAL POLITICAL ELEMENT 35

III.5.1 THE PAKISTAN MEDICAL RESEARCH COUNCIL 35


III.5.2 NATIONAL HEALTH SURVEY OF PAKISTAN 36
III.5.3 NATIONAL INSTITUTE OF HEALTH, ISLAMABAD 36
III.5.4 PAKISTAN COLLEGE OF SURGEONS & PHYSICIANS 36
III.5.5 HEALTH SERVICES ACADEMY, ISLAMABAD 36
III.5.6 PRIVATE MEDICAL INSTITUTIONS 36

IV PART 4 ELEMENTS OF TASK ENVIRONMENT 38

IV.1 CHAPTER 6 LABOR SUPPLY 38

IV.1.1 EMPLOYEES AT INTERNAL MEDICINE 38


IV.1.2 EMPLOYEES AT CRITICAL CARE 38
IV.1.3 EMPLOYEES AT SECTION OF INFECTIOUS DISEASES 38
IV.1.4 EMPLOYEES AT PSYCHIATRY SECTION 39
IV.1.5 EMPLOYEES AT NEUROLOGY SECTION 39
IV.1.6 EMPLOYEES AT DERMATOLOGY SECTION 39
IV.1.7 EMPLOYEES AT CARDIAC SURGERY SECTION 39
IV.1.8 EMPLOYEES AT GENERAL SURGERY SECTION 39
IV.1.9 EMPLOYEES AT DENTISTRY SECTION 40
IV.1.10 EMPLOYEES AT ENT SECTION 40
IV.1.11 EMPLOYEES AT OPHTHALMOLOGY SECTION 40
IV.1.12 EMPLOYEES AT UROLOGY SECTION 40
IV.1.13 EMPLOYEES AT ANESTHESIOLOGY SECTION 40
IV.1.14 EMPLOYEES AT PEDIATRICS SECTION 41
IV.1.15 EMPLOYEES AT OTHER BRANCHES 41

IV.2 CHAPTER 7 CUSTOMERS & CLIENTS 43

IV.3 CHAPTER 8 SUPPLIERS 44

IV.4 CHAPTER 9 COMPETITORS 46

IV.4.1 AGA KHAN HOSPITAL KARACHI


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IV.4.1.1 SOMETHING GENERAL 46

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IV.4.2 SHAUKAT KHANUM CANCER HOSPITAL AND RESEARCH 48
CENTER
IV.4.3 FUTURE COMPETITORS 49
IV.4.3.1 SAHARA FOR LIFE TRUST 49
IV.4.3.2 QIH’S (QUAID-I-AZAM INTERNTIONAL HOSPITAL) 50

IV.5 CHAPTER 10 GOVERNEMENT AGENCIES 51

IV.5.1 CENTRAL BOARD OF REVENUE 51


IV.5.2 CAPITAL DEVELOPMENT AUTHORTY 51
IV.5.2.1 THE COMPLETED PROJECTS 51
IV.5.2.2 THE CONTINUED PROJECTS 51
IV.5.3 THE INCOME TAX IT 53
IV.5.4 PAKISTAN MEDICAL & DENTAL ASSOCIATION 53
IV.5.5 BAHRIA UNIVERSITY 53
IV.5.6 OTHER PROJECTS OF SHIFA 53
IV.5.6.1 SHIFA COLLEGE OF MEDICINE 53
IV.5.6.2 SHIFA COLLEGE OF NURSING 55
IV.5.6.3 TAMMER I MILLAT FOUNDATION 56

V PART 5 PROJECT SCHEDULING & MANAGEMENT 58

V.1 MANAGEMENT ACTIVITIES 58


V.2 GANTT CHART FOR MANAGEMENT ACTIVITIES 59

APPENDIX A
APPENDIX B
APPENDIX C
APPENDIX D
APPENDIX E
APPENDIX F
REFERENCES

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I PART 1 SOMETHING GENERAL ABOUT SHIFA INTERNATIONAL
HOSPITAL

I.1 ORGANIZATION’S BRIEFING

I.1.1 THEIR HISTORY

The Hospital was founded by a group of doctors who were working in USA. It was
incorporated on Sept 29, 1987, as a private limited company and converted into a public
limited company in 1989. The hospital is listed in Karachi, Lahore and Islamabad stock
exchanges. The project was stated by a group of professionals working in USA.

I.1.2 THEIR MISSION

To provide good quality medical care in medicine and surgery to all patients in a caring
and compassionate manner by an outstanding team of health care professionals in an
atmosphere conductive to values and practice of good medicine.

I.1.3 THEIR VISION

Shifa International Hospital is established to provide the highest quality of medical care
to the people of Pakistan. Their objective is to achieve e a high class quality goal in many
factors:

 Medical Expertise
 Clinical Excellence
 State of the Art Technology
 Caring people
 Preventive Medicine
 Healthcare Management

I.1.4 THEIR ETHICAL GOALS

They include:

 Consumer satisfaction
 Service quality
 Sustain long term viability
 To improve competitive position

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 To improve work environment

I.1.5 THEIR VALUES

They Include:

 Respect
 Compassion
 Integrity
 Efficiency
 Excellence
 Transparency

I.1.6 THE DECOMPOSITIONING

The whole hospital operations are decomposed into two main wings.

 The Medical Affairs


 Support Services

The Medical Affairs department is headed by MD (Medical Director) and the Support
Services department is headed by COO (Chief Operating Officer). These two
departments have been further decomposed into many departments and sub departments.

I.1.6.1 THE MEDICAL AFFAIRS DEPARTMENT

It includes the other departments like:

I.1.6.1.1 DEPARTMENT OF MEDICINE

This further includes section like:

 Section of Internal Medicine


 Section of Pulmonolgy
 Section of Cardiology
 Section of Infectious diseases
 Section of Nephrology
 Section of Neurology
 Section of Radiology

I.1.6.1.2 DEPARTMENT OF SURGERY

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 General and Vascular Surgery Section
 Orthopedic Surgery Section
 Urology Section
 Pediatric Surgery Section
 Cardio Surgery Section
 Neurosurgery Section
 ENT Section
 Plastic Surgery section
 Anesthesia Section
 Dental Surgery Section
 Gynecology Section
 Emergency Room

I.1.6.2 OFFICE OF CHIEF OPERATING OFFICER

It includes departments like:

 Admin& General
 Nursing Administration
 Accounts &Finance
 Pharmacy
 Patient Services
 Material Management & Purchase
 Bio- medical
 Management Information Systems
 Maintenance and Plant Operations
 Human Resources
 Marketing Services
 Housekeeping

I.1.7 ORGANIZATION DECOMPOSINING CHART (MAIN BODIES)

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II PART 2 MANAGEMENT PRACTICES AT SHIFA INTERNATIONAL


HOSPITAL

Since Shifa is an organization where different people work for a pre-defined goal. The
management practices adopted at Shifa include:

II.1 MANAGEMENT FUNCTIONS AT SHIFA INTERNATIONAL

II.1.1 PLANNING

The Chairman of the Hospital, Dr. Zaheer Ahmed has a goal before him. He has a plan to
extend the hospital business activities all around the year. He thinks that 2005 was a
profitable year for them. Their earnings increased up to 53 %. Secondly, he has a vision
to provide the best medical health care facilities to the people of Pakistan.

II.1.2 ORGANIZING

Different people from different backgrounds are working at Shifa. Their HR department
is responsible for hiring employees and giving them specific jobs. Mr. Shahzad Choudry,
Senior Manager HRD is dealing with all these.

II.1.3 LEADING

Every section has a head to lead the other employees under him/her. There is one Head
consultant and under him/her, two or more assistant consultants are working. Since there
are many sections and each of these sections has the same level of Hierarchy.

II.1.4 CONTROLLING

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To assure the quality of the services at Shifa, different committees have been formed.
These committees make sure that the rules are not being violated. The services are quality
oriented. Different quality assurance committees at Shifa include:

II.1.4.1 EXECUTIVE MANAGEMENT COMMITTEE

 Quality Assurance Committee


 Nursing Quality Assurance Committee
 ER Committee
 Internal Audit Committee
 Waste Management Committee
 Social Welfare Affairs Committee
 Pharmacy Committee

The QA department is involved in developing and implementing effective quality based


management systems, and quality improvement programs. It aims at developing solutions
which are quality based and patient satisfaction.
II.2 DIVERSITY MANAGEMENT AT SHIFA

The diversity is in:

Race Culture
Traditions
Gender

Work Diversity Subculture


Groups

Work
Places Religion
Ethics Style

Figure 1

II.3 ETHICAL MANAGEMENT PRACTICES AT SHIFA

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People at Shifa believe in:

 Respect
 Compassion
 Integrity
 Efficiency
 Excellence
 Transparency

II.4 CENTRALIZED MODE OF MANAGEMENT AT SHIFA

It is clear from the data given above that there is a strong centralized management at
Shifa International Hospital. The CEO and Chairman is the main person. The MD &
COO come under the CEO. Then there is a long hierarchy chain of command at different
departments and Sections. Different sections have a head and under that head many
consultants and senior consultants are working. This chain of command shows that there
is a strong centralized management at Shifa International.

II.5 MARKETING STAGE

Right now, Shifa is a totally customer oriented organization. It started as a private sector
unit in 1987. Its main concern in on customer satisfaction and care, in a compassionate
way. It is right now in the prosperity stage.

II.6 MANAGEMENT SKILLS

Since it is a very huge organization, different employees come here with different skills.
For example, Dr. Zaheer Ahmed the CEO & Chairman of the company has a mission
before him. Different doctors at different levels have key knowledge skills according to
their field of specializations. (MD, FCPS, or having any other degree). These also have a
relationship with the assistants or subordinates at different levels. For example a doctor
from one department has a good relationship with the employees at the radiology or any
other department. He has to see the reports of the patients. This depicts a level of human
skills.

II.7 SCIENTIFIC MANAGEMENT

Obviously we find a scientific management at Shifa. People with different jobs are
working and their jobs are broken down into specific routines. There workers are fully
trained and selected on a merit basis. Then they have a relationship among themselves to
make sure that they are working in the proper manner. Each person is responsible foe
performing his own task which is designated to him. Each person is ware of his/her job.
We also find bureaucratic management at Shifa where there is an implicit set of
formalized rules and regulations. Each employee has to follow the set of rules. The

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organization has a well defined hierarchy. Every one knows that he or she is responsible
to whom. Obviously, highly qualified doctors are selected and then trained.

II.8 SHIFA AS AN OPEN SYSTEM

Obviously, Shifa is an open system. It is using its HR, financial and other resources,
through managerial and technological abilities, to provide best medical care to the people.
The system is providing services to patients. To get a feed back from the environment
and stay in touch with the media, Shifa has a magazine named Shifa News
International. The editor is Mr. Amer Farooq. The feed back and certain FAQ’s from
the readers are encouraged in the “LETTERS TO THE EDITOR “Section of the
magazine. The “MEDIA PRINTING & RELIGIOUS “department is there for this
purpose. They also keep on arranging different seminars on different health related topics
to create awareness among the general public.

II.9 SOCIAL RESPONSIBILITY AT SHIFA INTERNATIONAL

The Shifa people are well aware of their social responsibilities. In the recent earth quake
in Pakistan, Shifa contributed a lot. The Tammer millat Foundation of Shifa International
Hospital has announced to adopt 2,000 children orphaned in the devastating earthquake
that struck Pakistan and Azad Kashmir on October 8.

MUSLIMS, the Voice of Muslims America


18th Nov, 2005
The Tameer-e-Millat Foundation has decided to initiate a complete rehabilitation
program for the affected children in a residential environment," said TMF chairman Dr.
Zaheer Ahmad while announcing the first major initiative in Pakistan's private sector for
the rehabilitation and resettlement of those children who lost every thing in the disaster.
The unprecedented initiative has been named "Tameer-e-Jannat (Building of heaven). He
informed Muslims Weekly over telephone from Islamabad, Pakistan, that Tameer-e-
Jannat is aimed at providing standardized living, brought up, education and training to
2,000 children initially for a period of 12 years. He added that if the required support and
funding was available, the TMF might adopt as many as 10,000 of these orphans.
"We are offering ‘Sponsor a Child' program to the well off and God-fearing individuals,
families and institutions," said Dr. Zaheer while explaining the way his organization
intends to raise funds for the project. Every sponsor, he said, will be asked to donate
$1000 / child annually for 12 years to provide him/her all needs of life including quality
education. Dr. Zaheer Ahmad, it may be recalled, is a respected Pakistani doctor who has
spent all his life in the service of humanity. He set a new precedent in Pakistan's history
in the 1980s, when he founded Shifa Hospital in Islamabad. The state of the art hospital,
costing hundreds of millions of dollars, today is one of the best medical facilities in
Pakistan which offers diverse and quality services. In later years, Dr. Zaheer also founded
Shifa Foundation which helps the deserving patients in Pakistan and the Tameer-e-Millat
Foundation.

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Tameer-e-Millat Foundation has extensive experience in the education sector. Currently,
it is running over 380 schools in rural areas of Pakistan where over 20,000 students are
receiving education. The TMF says that because of its strong credentials, it is capable of
shouldering this huge task.

Daily Mail

The Prime Minister also appreciated the administration of Shifa International for taking
care of over 100 injured from the affected areas and for providing them excellent care.
He said the patients informed that they were well looked after. “Every individual has an
important role in tackling this enormous challenge that confronts the nation. It has shown
the capacity of the entire country to cope with such calamities,” he said.
He also lauded the role of NGOs, individuals, national and multinational organizations
and international community for reaching out to the people affected by this tragedy.—
APP

“Pak Tribune”

ISLAMABAD, November 09(Online): Prime Minister Shaukat Aziz has said estimate
of earth quake loss will be released on Thursday adding that the estimated loss will be
presented in donors’ conference on November 19.

The Prime Minister was talking to journalists here Tuesday in Shifa International
Hospital where he had gone to inquire about the health of those injured in killer quake.
Health minister Dr Naseer Khan and secretary health Syed Anwar Mehmood also
accompanied the Prime Minister.

Earlier, the Prime Minister inquired about the health of injured quake survivors and
distributed Rs 10000 each in cash among them.

"We pay tributes to private hospitals, which are providing free treatment to the injured
survivors", prime minister underscored. Besides we express gratitude to over sixty
countries, which had extended help. The spirit demonstrated by the world countries
particularly people of Pakistan in helping the quake affectees is unprecedented, he
remarked.

Shaukat Aziz noted that treatment process of the injured people was moving ahead.
Serious patients are being shifted here from the field hospitals. Health ministry has been
directed to make rapid arrangements for wheel chairs and artificial limbs for disabled
patients, he indicated.

They also keep on organizing different seminars on different health related topics to
create awareness among the general public. They also re-constructed the “NALA”
passing behind the main building. They had to suffer due to the wrong engineering
planning of CDA. They had to lose 40 millions. But the reconstruction was self financed.

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II.10 SHIFA STAKE HOLDERS

The social stake holders at Shifa are:

 Shareholders
 Customers
 Employees
 society
 Local community

II.11 VANGUARD ORGANIZATION

A vanguard organization is one which pays its social responsibility along with its other
operations. A few companies or organizations in the world have attained this status up till
now. Shifa tended to play its social duty during the 8 th Oct earth quake of Pakistan. It
contributed money, looked after patients and provided free medical treatment to them. It
has proved it self in the queue of vanguard organizations. They are also keen about their
environment. The Shifa people have planned to make the green belt before the hospital
more beautiful, as it would make the capital more beautiful. They have passed this plan
from CDA and started working on it. They have one more plan to build a public park for
general public and the patients as well. They are well aware of their social responsibility.

II.12 TYPE Z MANAGEMENT STYLE AT SHIFA

Type Z theory of management is there where there is a medium pace career and workers
are given some relaxation and some decision making ability is also given to them. The
workers are allowed to some extent to make their own decisions in Theory Z
management style. Obviously, when there is problem where the senior doctor or head is
not present, the junior level doctors are allowed to take their own decision. They can
solve the problem encountered. When the senior manager is not available, then the junior
level manager is given the privilege to make his own decision.

II.13 INTER ORGANIZATIONAL CULTURE AT SHIFA

The inter-organizational culture at Shifa is relaxing. There is a dress code for the nursing
staff, ward boys, house keeping department and for the security guards as well. However,
the doctors are to wear the white coat. The surgical staff has to wear blue-green dress.
They also provide different types of training to newly hired as well as the old employees
to make them more aware about different scenarios and situations.

II.14 THEORY Y

Theory Y implies that the workers are highly motivated and hard working. They are fully
trained and using their full potential in achieving their goals. This is the assumption used
at Shifa Hospital. The workers are fully trained personnel in their field of specialization.

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Each and every one of them is equally responsible for the improvement and work.
Different tasks are assigned to different workers and they are there to perform these. The
Hospital provides a 24 hour service, ensuring that the workers (doctors) are working at
their full.

II.15 EMPLOYEES’ DEPARTMENTAL ROTATION

Employees are subject to departmental rotation after 3-4 years based on their experience,
to increase their skills and knowledge. The employees at junior levels face more rotation.

II.16 FACILITIES AT SHIFA

Shifa is right now providing, transport, allowances, bonuses, dividend to their share
holders. It also gives shields and certificates to the best performers. Different job
incentives are also rewarded according to the efficiency and effectiveness of the
employees.

 Shifa Card
 Shifa Lab Pickup Point.

II.17 EMPLOYEES SHIFT

Right now, 3 shifts at Shifa:

 7am -3pm
 3pm-11pm
 11pm -7am

The employees can work in any shift which they find comfortable to work in.

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III PART 2 ELEMENTS OF MEGA ENVIRONMENT

III.1 CHAPTER 1 ECONOMIC ELEMENT

III.1.1 PRESENT NATIONAL SCENARIO

Presently Pakistan has a short fall in the context of private sector based hospitals. The
population rate in Pakistan is expected to grow at a rate of 2.5% per year. Almost 31%
percent population of Pakistan has been declared poor by PRSP (Poverty Reduction
Strategy Papers) in 1999. The poverty level has increased up to 32.1 % in 2002. One is
considered to be poor if his per capita income is less than Rs. 1800.
Planning Commission of Pakistan has got its own standards. A per capita income of
about Rs. 670 per month makes a person less poor. Due to the rise in commodity prices
and inflation, health care was moving beyond the range of people earning up to Rs.
10,000 per month. The PRSP program was launched to jot down the factors and efforts to
change the further process. Federal Budgetary allocation for the health sector has been
launched from Rs. 4 million to Rs. 6 million during the year 2004-05.

III.1.2 DISTRICT GOVERNMENT SYSTEM

The district government system provides ground for increase in development at the local
level. The NGO’s and other local agencies including WHO have implemented health care
programs for the community.

III.1.3 DEPENDENCE

But there is still a dependence on private practitioners. Most of the people go to private
dispensaries and hakims, instead of going to the doctors. The availability of doctors and

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time is another constraint for the people of Pakistan. Presently, Pakistan is facing a
reduction tendency in health care hospitals in the private sector. As birth rates go high,
and death rates go slow, Pakistan has to move ahead in health care privatization.

Since Shifa International Hospital is a private sector based hospital, the days it was being
launched, most of the market experts were of the view not to go for a private sector
hospital. The government hospitals were much more in fashion. But the investors went
for implementing the idea and the result was a positive one within 7-10 years. Pakistan is
a developing country, and building a private sector hospital in this regard was an
encouraging sign for investors in this sector. It provided a better health care facility and
an increase in the governmental revenue. The appendices in the end show that the
hospital has earned revenue in millions from the year 2000.

III.1.4 PAKISTAN’S ECONOMY

The Pakistan’s economy has gained more strength in the past few years. The data from
different market experts predict that Pakistan’s economy has attained a growth rate of 8%
this year. The key indicators of the economy are agriculture, industry and services
sectors, which show strong performances.

III.1.5 BUSINESS ACTIVITIES

The business activities of Shifa International hospital have expanded throughout the year.
The net revenues for the year have reached Rs. 921 million approximately.

III.1.6 THE EMERGING POTENTIAL

Today, Pakistan is the world’s ninth most populous country with a population exceeding
140 millions. During the past few years, Pakistan has seen a pace of development. The
open markets outside and inside do play a vital role. Even there is a demand in the
expansion of health care markets as well. Diversification in this regard is required as
well. Health care facilities also need to have a change and go beyond limits. Most recent
trading on local share market has been there to record the high inflation and changes in
price levels. Shifa has already many investors and share holders and made its way
through the market economy. The following data relates to Shifa Hospital, Islamabad.

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Figure 2

Figure 3

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Figure 4

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Figure 5

Figure 6

III.2 CHAPTER 2 TECHNOLOGICAL ELEMENT

III.2.1 MANAGEMENT INFORMATION SYSTEMS

MIS at Shifa is being used. It is a network of computer based information supported by


manual procedures by computer professionals. To provide concurrent, up to date and
accurate information to patients any time. The information may be required in decision
making, and research purposes as well. MIS supports and facilitates the needs of all the
information users at Shifa Network and helps them in carrying out their tasks. MIS at
Shifa provides work flow automation, in-house development of oracle based software,
dictation server and clients for medical record transcription, intranet, internet security,
automation of lab diagnostic equipment data entry, DICOM imaging standard for
cardiology and radiology and implementation of LDAP. Its future plan is to develop
market healthcare related software.
The objective if MIS includes:

 Timely and quick access to the information related to the patient and hospital
 Improved Data accuracy
 Balance of appropriate security levels
 Continual Re evaluation of Critical Information Systems
 Improve Information Sharing among different departments

21
 knowledge based information for patients and staff

III.2.2 INTERNET ACCESS

The 24 hour internet access with user authentication facility is also available at Shifa
International Hospital. It has:

 Dedicated ISDN line


 LINUX based proxy server for user
 Router based hardware protection
 128 K capacity
 Centralized anti virus software

III.2.3 INFORMATION MANAGEMENT TRAINING

MIS is responsible for sharing and ensuring that all staff members who use information
systems and software packages are trained in using the systems. Different courses are
arranged for the staff which is not computer literate, from time to time to make them
computer literate. All newly hired employees associated with information systems have
to go through on job information systems training.

III.2.4 COMMUNICATIONS

The Shifa International Hospital has aimed to improve communication to ensure good
customer service. There is a level of communication between the employees and the
customers. Telephone facility is available in each ward and room. Reception operators
are there in each department. Fax and PCO services are also available for patients as well
as visitors. A new component namely, on the top of line Apollo PABX system has also
been installed and put into use.

III.2.5 ONLINE APPOINTMENT

This service is allowed to the authorized users who have a login. It is restricted to
everyone.

III.2.6 ONLINE PHARMACY

They are trying to make it online. This process is still under construction.

III.2.7 ONLINE PAYMENT

22
They are trying to make this facility on line as well. This project is also in its
development process.

23
Figure 7

24
III.3 CHAPTER 3 INTERNATIONAL ELEMENT

These elements include foreign competitors. International laws, international hospital


federations etc. These factors influence the working of an organization. These are the
factors which exist in the outside countries of Pakistan.

III.3.1 INTERNATIONAL LEVEL COMPITETORS

III.3.1.1 ARGENTINA

 Hospital de Clinicas Jose de San Martin, Universidad de Buenos Aires (UBA)


- Buenos Aires, Argentina
 Hospital Francisco Santojanni - Buenos Aires, Argentina
 Hospital Municipal de San Miguel - San Miguel, Provincia de Buenos
Aires,
 Republica Argentina
 Hospital de Niños 'Dr. Ricardo Gutierrez' - Buenos Aires, Argentina
 Hospital Manuel Belgrano - Buenos Aires, Argentina
 Hospital de Niños 'Pedro Elizalde' - Buenos Aires, Argentina
 Hospital Regional Rio Gallegos - Rio Gallegos, Santa Cruz, Argentina
 Hospital Virtual de Moron - Buenos Aires, Argentina
 Servico De Quirofano - H.R.R.G. - Rio Gallegos, Santa Cruz, Argentina

III.3.1.2 AUSTRALIA

 Australian Medical E-Services Directory (Australian Hospital Index, and


more!)
 The Austin and Repatriation Medical Centre - Melbourne, Victoria, Australia
 Avon Health Service - Northam, Western Australia
 Bendigo Hospital - Victoria, Australia
 Canberra Hospital - Canberra, Australian Capital Territory, Australia
 Cape Hawke Community Private Hospital - Forster, Australia
 Flinders Medical Centre - Adelaide, Australia
 Freemasons Hospital - Melbourne, Victoria, Australia
 Fremantle Hospital & Health Service - Fremantle, Western Australia,
Australia
 Stawell District Hospital - Victoria, Australia
 Swan Hill District Hospital - Swan Hill, Victoria, Australia
 Sydney Adventist Hospital - Sydney, Australia
 Sydney Hospital / Sydney Eye Hospital - Sydney, Australia

III.3.1.3 AUSTRIA

 Community Hospital Neunkirchen (surgical dept). - Austria


 General Hospital Kirchdorf (Radiology Dept) - Kirchdorf, Austria
 General Hospital Vienna - Vienna, Austria

25
 Krankenhaus St.Josef - Braunau am Inn, Upper Austria, Austria
 Krankenhaus Frohnleiten - Styria, Austria
 Kurbad Althofen - Carinthia, Austria
 Moorheilbad - Harbach, Austria
 Privatklinik Althofen - Carinthia, Austria
 Privatklinik Dobling - Vienna, Austria
 Privatklinik Josephstadt - Vienna, Austria
 Sanatorium Villach - Carinthia, Austria
 Wiener Privatklinik - Vienna, Austria

III.3.1.4 BAHRAIN

 Bahrain Defence Force Hopspital - Riffa, Bahrain

III.3.1.5 BARBADOS

 Queen Elizabeth Hospital - Bridgetown, St.michael, Barbados

III.3.1.6 BELGIUM

 Index of Belgian Hospitals (Belgian Health Forum) - Belgium


 Academisch Hospitaal van de Vrije Universiteit Brussel AZ-VUB - Brussels,
Belgium
 A.Z. St. Dimpna - Geel, Belgium
 Cliniques Universitaires Saint-Luc - Brussels, Belgium
 Elisabeth Ziekenhuis - Sijsele-Damme, Belgium
 Europe Hospitals (St.-Elisabeth - 2 Alice - St-Michel) - Brussels, Belgium
 General Hospital Middelheim - Antwerp, Belgium
 Heilig-Hartziekenhuis - Roeselare, Belgium
 Hopital Ambroise Pare - Mons, Belgium
 Hopital Universitaire Saint Pierre - Brussels, Belgium

III.3.1.7 BRAZIL

 Clinica Sao Vicente - Rio de Janeiro, Rio de Janeiro, Brazil


 Hospital Barra D'Or -Rio de Janeiro, RJ, Brazil
 Hospital Beneficência Portuguesa de São Paulo - São Paulo, SP, Brazil
 Hospital Copa D'Or - Rio de Janeiro, RJ, Brazil
 Hospital das Clínicas da UFMG - Belo Horizonte, MG, Brazil
 Hospital das Clínicas da UFPE - Recife, PE, Brazil
 Hospital de Clinicas da UFPR - Parana, Brazil
 Hospital das Clinicas da FMUSP - Sao Paulo, Brazil
 Hospital das Clínicas da UFRGS - Porto Alegre, RS, Brazil
 Hospital das Clínicas da Unicamp - Campinas, SP, Brazil
 Hospital do Cancer - AC Camargo - Sao Paulo, SP, Brazil
 Hospital da Criança - São, SP, Brasil

26
 Hospital Dona Helena - Joinville, Santa Catarina, Brazil
 Hospital Israelita Albert Einstein - São Paulo, SP, Brazil
 Hospital e Maternidade Sco Camilo - Sco Paulo, Brazil
 Instituto Nacional do Cênce - Rio de Janeiro, RJ, Brazil
 Hospital Sao Marcos - Teresina, Piaum, Brasil
 Hospital São Paulo - São Paulo, SP, Brazil

III.3.1.8 CANADA

 Regional Hospitals in Northwestern Ontario - Northwestern Ontario


Locations, Northwestern Ontario, Canada
 Alexandra Hospital - Ingersoll, Ontario, Canada
 The Aphasia Institute - Toronto, Ontario, Canada
 Atlantic Health Sciences Corporation - Saint John, New Brunswick, Canada
 Avonlea Care Centre - Kelowna, British Columbia, Canada
 Baffin Regional Health and Social Services Board - Iqaluit NWT Canada
 BC Rehab - Vancouver, Canada
 BC Women's Hospital - British Columbia, Canada
 Brandon Regional Health Authority - Brandon, Manitoba, Canada
 British Columbia's Children's Hospital - British Columbia, Canada
 Burnaby Hospital Society - Burnaby, British Columbia Canada
 Calgary Regional Health Authority - Calgary, Alberta, Canada
 Capital Health Authority - Edmonton, Alberta, Canada
 Centenary Health Centre - Scarborough, Ontario, Canada
 Centenary Health Centre (Pharmacy) - Scarborough, Ontario, Canada
 Centre Hospitalier Pierre-Boucher - Longueuil, Quibec, Canada
 Chedoke-McMaster Hospitals - Hamilton, Ontario, Canada
 Children's & Women's Health Centre of British Columbia - Vancouver,
BritishColumbia, Canada
 Children's Hospital of Eastern Ontario - Ottawa, Ontario, Canada
 Saskatoon City Hospital - Saskatoon, Saskatchewan, Canada
 Shouldice Hospital - Ontario, Canada
 Sir Mortimer B. Davis-Jewish General Hospital - Montreal, Quebec, Canada
 St. Mary's Hospital Center - Montreal, Quebec, Canada
 Sunnybrook Health Science Center - Toronto, Ontario, Canada
 Surrey Memorial Hospital - Surrey, British Columbia, Vancouver, Canada
 Trillium Health Centre - Mississauga, Ontario, Canada
 University Health Network - Toronto, Canada
 University of Alberta Hospital - Edmonton, Alberta, Canada
 Vancouver Hospital and Health Sciences Center - Vancouver, British
Columbia, Canada
 Vancouver General Hospital (Emergency Medicine) - Vancouver, British
Columbia, Canada
 Vancouver Island Health Authority - Victoria, British Columbia, Canada
 Victoria General Hospital - Winnipeg, Manitoba, Canada
 West Park Hospital - Toronto, Canada

27
 Whitehorse General Hospital - Whitehorse, Yukon, Canada

III.3.1.9 COLUMBIA

 Clinica De Occidente S.A. - Cali, Valle, Columbia

III.3.1.10 CUBA

 Centro de Restauraci—n Neurol—gica - Havana, Havana City, Cuba


 Centro de Retinosis Pigmentaria - Havana, Havana City, Cuba
 Cl’nica Central Cira Garc’a - Playa, Havana City, Cuba
 Hermanos Ameijeiras - Havana, Havana City, Cuba
 Hospital Alcivar La Peninsula - La Libertad, Guayas, Ecuador
 Medicina Tropical Pedro Kour’ - La Lisa, Havana City, Cuba
 U.S. Naval Hospital - Guantanamo Bay, Cuba

III.3.1.11 CZECH REPUBLIC

 Charles University Hospital - Pilsen, Czech Republic


 Jablonec nad Nisou General Hospital - Jablonec nad Nisou , Bohemia part,
Czech republic

III.3.1.12 CHILE

 Clinical Hospital (University of Chile) - Santiago, Chile


 Clinica Las Condes - Santiago, Chile

III.3.1.13 CHINA

 The First Affiliated Hospital of Nanjing Medical University - Nanjing,


Jiangsu, P.R.China
 Guang An Men Hospital - Beijing, China
 Peking Union Medical College Hospital - Beijing, China
 Suzhou Medical College Hospitals - Suzhou, China

III.3.1.14 COSTA RICA

 Hospital San Juan de Dios (Pathology) - San Jose, Costa Rica

III.3.1.15 CROATIA

 Clinical Hospital Split - Split, Dalmacija, Croatia


 Klinicka Bolnica Osijek - Osijek, Slavonia, Croatia

28
III.3.1.16 CYPRUS

 Larnaca General Hospital (Surgical Unit) - Larnaca, Cyprus

III.3.1.17 DENMARK

 Aarhus University Hospital - Denmark


 Bispebjerg Hospital - Copenhagen, Denmark
 County Hospital at Sankt Elisabeth - Denmark
 Hillerød Sygehus - Hillerød, , Denmark
 Hvidovre University Hospital - Copenhagen, Denmark
 Odense University Hospital - Denmark
 Privathospitalet Hamlet - Frederiksberg, Denmark
 Total Health Services of Frederiksborg County - Frederiksborg County,
Denmark

III.3.1.18 EGYPT

 Nasser Institute Hospital - Cairo, Cornich El Nile, Egypt


 Almoassat Hospital - Alexandria, Alexandria, Egypt

III.3.1.19 FINLAND

 Kuopio University Hospital - Finland


 Tampere University Hospital - Tampere, Finland

III.3.1.20 FRANCE

 Assistance publique-HÔpitaux de Paris (AP-HP) - Ile de France, France


 Amiens University Hospital - Amiens, France
 Angers University Hospital - Angers, France
 Broussais University Hospital - Paris, France
 Claude Bernard University Hospital - Lyons, France
 EPS Ville Evrard - Seine St Denis, France
 Grenoble University Hospital - Grenoble, France
 Henri Poincare University Hospital - Nancy, France
 Hopital Europeen Georges Pompidou - Paris, France
 Limoges University Hospital - France
 Missionsaerztliche Klinik - Academic Teaching Hospital - Wuerzburg,
Bavaria, Germany
 Nantes University Hospital - Nantes, France
 Necker University Hospital - Paris, France
 Reims University Hospital - Champagne, France
 Rennes University Hospital - Rennes, France
 Rouen University Hospital - France
 Saint-Antoine University Hospital - Paris/Jussieu, France

29
 Tourcoing Hospital (Department of Intensive Care and Infectious Diseases) -
Tourcoing, France
 University Hospital Wuerzburg - Wuerzburg, Bavaria, Germany

III.3.1.21 GERMANY

 Academic Teaching Hospital Juliusspital - Wuerzburg, Bavaria, Germany


 Academic Teaching Hospital Hannover Nordstadt (Department of
Anesthesiology and Intensive Care) - Hannover, Germany
 Carl von Hess Krankenhaus - Hammelburg, Germany ( German version)
 Department of Dermatology and Allergy - Biederstein, Germany
 Frauenklinik Rheinfelden - Rheinfelden, BW, Germany
 Johann Wolfgang Goethe University Hospital (Department of Infectious
Disease) - Frankfurt am Main, Germany
 Klinikum Darmstadt - Darmstadt, Germany
 Klinikum Wahrendorff GmbH - Hannover, Niedersachsen, Germany
 Marienkrankenhaus - Bergisch Gladbach, NRW, Germany
 Ulm Military Hospital - Ulm, Germany
 University of Bonn Medical Center - Bonn, Germany
 University Hospital - Magdeburg, Germany.
 University Hospital "Bergmannsheil" - Bochum, Germany
 University Hospital of Frankfurt (Department of Pediatrics) - Frankfurt,
Germany
 University of Regensburg Hospital (Pharmacy) - Germany
 Urologische Klinik Bamberg - Bamberg, Germany
 Vinzenzkrankenhaus Hannover - Hannover, Germany
 Wittgensteiner Kliniken AG - WKA - Bad Berleburg, , Germany

III.3.1.22 GREECE

 Metropolitan Hospital - Neo Faliro, Athens, Greece

III.3.1.23 HAITI

 Hopital Albert Schweitzer - Deschapelles, Haiti

III.3.1 .24 HONG KONG

 Adventist Hospital - Hong Kong, China


 Castle Peak Hospital - Hong Kong
 Hong Kong Hospital Authority - Hong Kong
 Hong Kong Sanatorium & Hospital - Happy Valley, , Hong Kong
 Prince of Wales Hospital - Hong Kong
 Queen Mary Hospital - Hong Kong
 St. Teresa's Hospital - Hong Kong
 Tuen Mun Hospital- Tuen Mun, New Territories, Hong Kong

30
 Tung Wah Group of Hospitals - Hong Kong

III.3.1.25 HUNGARY

 Szent János Kórház (Saint John's Hospital) - Budapest, Budapest, Hungary

III.3.1.26 ICELAND

 Landspitalinn (National University Hospital) - Reykjavik, Iceland


 NLFI Health and Rehabilitation Clinic - Hveragerdi, Iceland

III.3.1.27 INDIA

 Apollo Hospitals - India


 Amrita Institute of Medical Sciences - Cochin, Kerala, India
 Arasan Eye Hospital - Erode, Tamilnadu, India
 BSES MG HOSPITAL - MUMBAI, (BOMBAY), MAHARASTRA, INDIA
 Arasan Eye Hospital - Erode, Tamilnadu, India
 BKL Walawalkar Hospital and Diagnostic Centre - Shree Kshetra Dervan,
Tal. - Chiplun, Dist. - Ratnagiri, Maharashtra, India
 lark County Memorial - Jeffersonville, Indiana
 Community Hospital Of Bremen - Bremen, Indiana
 Culver Union Hospital - Crawfordsville, Indiana
 Dr. U Mohan Rau Memorial Hospital - Chennai(Madras), Tamilnadu, India
 Neo Clinic - Aurangabad, Maharashtra, India
 Escorts Heart Institute & Research Center - New Delhi, India
 Fayette Memorial Hospital - Connersville, Indiana
 Good Samaritan - Vincennes, Indiana
 Goshen General Hospital - Goshen, Indiana
 King Edward VII Memorial (K. E. M.) Hospital - Mumbai, Maharashtra,
India
 Lilavati Hospital - Bandra, Maharashtra, India
 Logansport Memorial Hospital - Logansport, Indiana
 Lutheran Hospital - Fort Wayne, Indiana
 Marion General Hospital - Marion , Indiana
 Narayana Hrudayalaya - Bangalore, Karnataka, India
 Om Hospital - Dombivli East, Thane, Maharashtra, India

III.3.1.28 IRELAND

 Beaumont Hospital - Dublin, Ireland


 Blackrock Clinic - Dublin, Ireland
 Coombe Women's Hospital - Dublin, Ireland
 Galvia Private Hospital - Galway, Ireland
 Mater Misericordiae Hospital - Dublin, Ireland
 Mater Private Hospital - Dublin, Ireland

31
 Merlin Park Hospital - Galway City, County Galway, Ireland
 St. James's Hospital - Dublin, Ireland
 University College Hospital - Galway, County Galway, Ireland

III.3.1.29 ISRAEL

 Hillel Yaffe Medical Center - Hadera, Israel


 addasah Hospital – Israel
 Laniado Hospital - Netanya, Israel
 Rambam Medical Center - Israel
 Rabin Medical Center - Petah-Tikva, , Israel
 Schneider Children's Medical Center - Petach Tikva, Israel
 Shaare Zedek Medical Center - Jerusalem, Israel
 Soroka Medical Center - Beer Sheva, Israel
 Tel-Aviv Sourasky Medical Center (Ichilov) - Tel Aviv, Israel

III.3.1.30 ITALY

 Azienda Ospedaliera Papardo - Messina, Sicily, Italy


 Azienda Ospedaliera Policlinico - Bari, Puglia, Italy
 Bologna Public Health Departments - Bologna, Italy
 Careggi Hospital of University of Florence - Florence, Italy
 Cattinara Hospital - Trieste, Italy
 Ceccarini Hospital - Riccione, Italy
 Cuneo Health System (Lung Cancer Study Group) - Cuneo, Italy
 Fondazione Salvatore Maugeri - Clinica del Lavoro e della Riabilitazione -
Pavia, Italy
 General Hospital of Brescia - Brescia, Italy
 Hospitaller Order of St. John of God - Italy
 H San Raffaele - Milano, Italy
 Mauro Leonardis - Roma, Italy
 Orthopedic Institute Gaetano Pini - Milan, Italy
 Ospedale Civile di Desenzano Del Garda - Desenzano Del Garda, Brescia,
Italy
 S.Camillo Zonal Hospital - Treviso, , Italy
 San Giovanni di Dio Hospital - Florence, Italy
 Azienda Sanitaria di Modena - Modena, Italy
 Azienda Sanitaria Ospedaliera Molinette - Northern Italy
 United States Naval Station Hospital - Naples, Italy

III.3.1.31 JAMAICA

 University Hospital West Indies - West Indies, Kingston, Jamaica


 St. Josephs hospital - Kingston, Deanery road, Kingston, Jamaica

32
III.3.1.32 JORDAN

 -Jordan Hospital- Amman, Jordan


 Speciality Hospital - Amman, , Jordan

III.3.1.33 JAPAN

 Akashi Tsuchiyama Hospital (ATMH) - Hyogo, Japan


 Chidoribashi General Hospital (Rehabilitation) - Hakata-ku, Fukuoka-city,
Japan
 Fukae Nagasaka Clinic - Ogaki-cho, Fukae, Hiroshima, Japan
 International Medical Center of Japan - Toyama, Shinjuku-ku, Tokyo, Japan
 Osaka University Hospital - Osaka, Japan
 Tokyo Medical University Hospital - Shinjuku, Tokyo, Japan
 University of Tsukuba Hospital - Ibaraki, Japan

III.3.1.34 KENYA

 The Mombasa Hospital - Mombasa, Coast Province, Kenya


 Ojele Memorial Hospital - Suna , Migori, Kenya

III.3.1.35 LEBANON

 American University of Beirut Medical Center - Beirut, Lebanon


 Hospital Al Koura - Al Koura, Lebanon
 Sahel Hospital - Beirut, , Lebanon
 Hopital Libanais Geitaoui - Beirut, Lebanon

III.3.1.36 LITHUANIA

 Klaipeda Hospital - Klaipeda, Lithuania

III.3.1.37 KOREA

 Samsung Medical Center - Seoul, South Korea

III.3.1.38 MALAYSIA

 Damai Service Hospital (HQ) - Kuala Lumpur, Federal Territory, Malaysia


 Ipoh Specialist Hospital - Ipoh, Perak, Malaysia
 Johor Specialist Hospital - Johor bahru, Johor Bahru, Malaysia
 Klang Valley Orthopaedic & Trauma Center - Malaysia
 KPJ Healthcare Berhad - Kuala Lumpur, Kuala Lumpur, Malaysia
 Kuala Lumpur Hospital (KLH) - Kuala Lumpur, Malaysia
 Pantai Medical Center - Kuala Lumpur, Wilayah, Malaysia

33
III.3.1.39 MALTA

 St Luke's Hospital - Guardamangia, Pieta, Malta

III.3.1.40 MEXICO

 The American British Cowdray Medical Center, I.A.P. - Mexico City, Mexico
 Ameri+Med Hospitals - Puerto Vallarta, Mexico
 hildren's Hospital of the State of Sonora - Hermosillo, Sonora, Mexico
 Fundacion Clinica Medica Sur - Mexico City, Mexico
 Hospital General Dr. Manuel Gea Gonzalez - Mexico City, Mexico
 Hospital San Jose-ITESM de Monterrey - Monterrey, Nuevo Leon, Mexico
 Instituto Mexicano de Psiquiatria - Mexico City, Mexico
 Instituto Nacional de la Nutricion Salvador Zubiran - Mexico City, Mexico
 Sanatorio Español - Torreón, Coahuila, México
 Spanish Hospital - Mexico City, Mexico

III.3.1.41 NETHERLANDS

 The Digital Hospital - The Netherlands


 Free University Hospital - Amsterdam, The Netherlands
 Westeinde Hospital - The Hague, The Netherlands
 University Hospital of Leiden - Leiden, The Netherlands
 University Hospital of Rotterdam - Rotterdam, The Netherlands
 University Hospital St Radboud - Nijmegen, The Netherlands
 Ziekenhuis Centrum Apeldoorn - The Netherlands

III.3.1.42 NEW ZEALAND

 Ascot Integrated Hospital - Auckland, Auckland, New Zealand


 Canterbury District Health Board - Christchurch, , New Zealand
 Capital Coast Health - Wellington, New Zealand
 Healthcare Hawkes Bay - New Zealand
 New Zealand Hospitals Online - New Zealand
 Waikato District Health Board - Hamilton, Waikato, New Zealand

III.3.1.43 NICARAGUA

 Baptist Hospital - Managua, Nicaragua

III.3.1.44 NIGERIA

 Parklande Specialist Hospital - Surulere, Lagos, Nigeria

34
III.3.1.45 NORWAY

 Aker University Hospital - Oslo, Norway.


 Namdal Sykehus - Namsos, Norway
 National Hospital (Rikshospitalet) - Olso, Norway
 The Norwegian Radium Hospital - Oslo, Norway
 university hospital of Trondheim - Trondheim, Norway
 Vestfold Hospital Trust - T¿nsberg, Horten, Larvik, Sandefjord, Vestfold,
Norway

III.3.1.46 OMAN

 The Royal Hospital, Ministry of Health, Sultanate of Oman - Al Ghubra,


Muscat, Oman

III.3.1.47 PANAMA

 Centro Medico San Judas Tadeo - Panama, Republic of Panama


 Hospital Nacional - Panama City, Republic of Panama

III.3.1.48 PARAGUAY

 Centro Medico Bautista - Paraguay

III.3.1.49 PERU

 Children's Hospital of Lima - Lima, Peru


 Hospital Apoyo Iquitos - Iquitos, Maynas, PERÚ
 Maison de Sante - Lima, Peru

III.3.1.50 PHILIPPINES

 De La Salle University Medical Center - Dasmarinas, Cavite, Philippines


 Lorma Medical Center - San Fernando City, La Union, Philippines
 National Kidney and Trnsplant Institute - Quezon City, Metro-Manila,
Philippines
 Philippine General Hospital (University of the Philippines) - Manila,
Philippines
 University of Santo Tomas Hospital - Manila, Philippines
 St. Luke's Medical Center - Quezon City, Metro Manila, Philippines

III.3.1.51 POLAND

 Lodz Medical University - Lodz, Poland


 Ludwik Rydygier State Hospital - Torun, Poland
 Panstwowy Szpital Kliniczny Nr4 - Lublin, Poland

35
 Wojewodzki Szpital im. A.Falkiewicza - Legnica, Poland

III.3.1.52 PORTUGAL

 Hospital Distrital de Faro - Faro, Portugal


 Hospital Feira Min-Saude Portugal
 Hospital de Santa Cruz - Carnaxide, Portugal
 Santa Maria Hospital - Lisbon, Portugal
 Hospital de Sao Teotonio - Viseu, Portugal

III.3.1.53 SAUDI ARABIA

 Al Hada & Taif Military Hospitals - Taif, , Saudi Arabia


 Dr. Erfan and Bagedo Hospital - Jeddah, Western, Saudi Arabia
 Dr. Sulaiman Al Habib Medical Center - King Fahad-Olaya, Riyadh, Saudi
Arabia
 King Faisal Specialist Hospital & Research Centre - Riyadh, Saudi Arabia
 Abha Private Hospital - Abha, Aseer, Saudi Arabia
 King Abd.Aziz Medical City - Riyardh, Saudi Arabia
 King Khalid Eye Specialist Hospital - Riyadh, Central, Saudi Arabia
 Saudi German Hospital - Jeddah, , Saudi Arabia
 Security Forces Hospital Program - Riyadh, Central region, Saudi Arabia
 Singapore
 East Shore Hospital - Singapore
 Gleneagles Hospital - Singapore
 Kandang Kerbau Hospital (Singapore Women's & Children's Hospital) -
Singapore
 Mount Elizabeth Hospital - Singapore
 National Skin Centre - Singapore
 National University Hospital - Singapore
 Singapore General Hospital - Singapore
 Tan Tock Seng Hospital - Singapore

III.3.1.54 SOUTH AFRICA

 Constantiaberg Oncology Unit - Plumstead, South Africa


 East Cape Oncology Unit - Centrahill, South Africa
 Medi-Clinic - South Africa
 Netcare - south africa
 Panorama Oncology Unit - Panorama, South Africa
 Pretoria-Oos Private Hospital and The Pretoria Orthopaedic & Neuro
Institute - Pretoria, South Africa
 Pretoria Urology Hospital - Pretoria, South AfricA

36
III.3.1.55 SPAIN

 Clinica Moncloa - Madrid, Spain


 Clinica Universitaria de Navarra - Pamplona, Navarra, Spain
 Corporación Parc Taulí - Sabadell, Catalunya, Spain
 Fundación Hospital Ver’n - Verín, Orense (Galicia), Spain
 Fundacion Hospital Alcorcûn - Alcorcón, Madrid, Spain
 Hospital de Albacete - Albacete, Castilla-La Mancha, Spain
 Hospital de Basurto - Bilbao, Bizkaia, Spain
 ospital de Cabueñes - Gijon, Asturias, Spain
 Hospital de Cruces - Barakaldo, Bizkaia, Spain
 Hospital De Figueres - Figueres, Girona, Spain
 Hospital de Galdakao - Galdakao, Bizkaia, Spain
 Hospital de Gran Canaria - Canary Islands, Spain
 ** List of Hospitals in Canary Island.
 Hospital Carlos Haya - Spain
 Hospital Centro Medico La Zarzuela - Madrid, Spain
 Hospital de Laredo - Laredo, Cantabria, Spain
 Hospital General Yagüe - Burgos, Castilla-León, Spain
 Hospital Obispo Polanco - Teruel, Aragin, Spain
 Hospital de Sagunto - Valencia, Spain
 Hospital San Agustin - Spain
 Hospital San Jorge Insalud Huesca Huesca - Spain
 Hospital Sierrallana - Torrelavega (Cantabria), Spain

III.3.1.56 SWEDEN

 Akademiska sjukhuset, Uppsala University Hospital - Uppsala, Sweden


 Karolinska Institute - Stockholm, Sweden
 Linkoping University Hospital - Sweden
 Malmö University Hospital - Malmö, Skåne, Sweden
 Orebro University Hospital - Orebro, Sweden
 Ostra Hospital (Department of Geriatrics) - Goteborg, Sweden
 Sahlgrenska University Hospital - Gothenburg, Sweden
 S:t Görans Sjukhus - Stockholm, Kungsholmen, Sweden
 University Hospital of Umea - Sweden

III.3.1.57 SWITZERLAND

 Cantonal Hospital - St. Gallen, Switzerland


 Clinique de Montchoisi - Lausanne, Switzerland
 InselSpital - Berne, Berne, Switzerland
 Hospital of Lausanne - Lausanne, Switzerland
 Kantonsspital, Ob/Gyn Ward - Liestal, Basel Land, Switzerland
 Kantonsspital Basel Universitätskliniken - Bale, Bale, Switzerland
 Ob/Gyn-Ward, SRO Hospital - Langenthal, Switzerland

37
 University Hospital of Bern - Bern, Switzerland
 University Hospital of Geneva - Geneva, Switzerland
 University Hospital of Zurich - Zurich, Switzerland
 University Insel Hospital Berne - Bern, Bern, Switzerland

III.3.1.58 TAIWAN

 Jen-Ai Hospital - Taichung & Tali, Taichung, Taiwan


 Kaohsiung Medical College Hospital - Kaohsiung, Taiwan
 Mennonite Christian Hospital - Hualien, Taiwan
 National Taiwan University Hospital - Taipei, Taiwan
 Show Chwan Memorial Hospital - Changhwa City, Taiwan
 Veteren General Hospital - Taipei, Taiwan

III.3.1.59 THAILAND

 Bangkok Hospital - Bangkok, Thailand


 Bangkok Phuket Hospital - Phuket, Phuket, Thailand
 Kluaynamthai General Hospital - Bangkok, Thailand
 Phyathai Phuket Hospital - Phuket, Thailand
 Thonburi Hospital - Bangkok, Thailand
 Trang Ruampat Hospital - Trang, Thailand

III.3.1.60 TURKEY

 Ankara Numune Hospital - Ankara, Turkey


 Clinix Teshis Tedavi Merkezi - Istanbul, Turkey
 Dokuz Eylul University Hospital - Inciralti, Izmir, Turkey
 Ege University Hospital - Bornova, Izmir
 German Hospital (Universal Hospitals Group) - Istanbul,Turkey
 Haydarpafla Numune Hospital - Turkey
 International Hospital/ Istanbul - Istanbul, , Turkey
 Kaskaloglu Eye Hospital - Izmir, Turkey
 Meltem Birth and Children Hospital - Istanbul, Turkey

III.3.1.61 UK

 Addenbrooke's Hospital (Medical Physics Dept.) - Cambridge, UK


 Aberdeen Royal Infirmary (Aberdeen Medical School) - Aberdeen, Scotland,
U.K.
 Bath & West Community NHS Trust - Bath, Somerset, England, UK
 Benenden Hospital - Cranbrook, Kent, UK
 Birmingham Heartlands Hospital - Birmingham, UK
 Blackpool Victoria Hospital - Blackpool, Lancs, UK
 Bolingboke Hospital - London, UK
 Brighton Healthcare NHS Trust - Sussex, UK

38
 Bristol Hospital - Bristol, UK
 British Hernia Center - London, UK
 BUPA UK Hospitals * Resource List *
 Chester and Halton Community NHS Trust - Chester, UK
 Christie Cancer Research Centre - UK
 Clementine Churchill Hospital - Harrow, Middlesex, England
 Coppettswood Infectious Diseases Hospital at the Royal Free - London, UK
 Countess of Chester Hospital NHS Trust - Chester, UK
 Devonshire Hospital - London, UK
 Dorset Health Commission - Ferndown, Dorset, UK
 Dudley Group of Hospitals (Department of Gastroenterology and Nutrition) -
West Midlands, U K
 Northampton General Hospital NHS Trust (Northamptonshire Centre for
Oncology) - Northampton, Northamptonshire, UK
 Nottingham Healthcare NHS Trust (Finance Department) - Nottingham, UK
 Central Nottinghamshire Healthcare (NHS) Trust - Nottinghamshire, UK
 The Obstetric Hospital - Huntley Street, London, UK
 Pinderfields Hospitals NHS Trust - Wakefield, UK

III.3.1.62 UKRAINE

 Lviv Regional Neonatal Center (Lviv Regional Clinical Hospital) - Lviv,


Ukraine
 Zhovkva Central District Hospital - Zhovkva, Lviv Region, Ukraine

III.3.1.63 UNITED ARAB ERIMATES

 Zulekha Hospital - Sharjah,United Arab Emirates


 Universitario de Maracaibo - Maracaibo, Zulia, Venezuela

III.3.1.64 VIETNAM

 DialAsie Vietnam: International Hospital of Nephrology and Dialysis - Ho


Chi Minh City, Vietnam

III.3.2 INTERNATIONAL ORGANIZATIONS

III.3.2.1 WORLD HEALTH ORGANIZATION

Pakistan is a member of WHO. However, Pakistan is not a member of WMA (World


Medical Association).

39
III.3.2.2 WHO INTERNATIONAL DIGEST OF HEALTH LEGISLATION

An Ordinance (No. XXVIII of 1997) further to amend the Unani, Ayurvedic and
Homeopathic Practitioners Act, 1965. Dated 13 February 1997. (The Unani, Ayurvedic
and Homeopathic Practitioners (Amendment) Ordinance, 1997). (The Gazette of
Pakistan, Extraordinary, Part I, 13 February 1997, pp. 193-197)
Pakistan Nuclear Safety and Radiation Protection (Treatment of Food by Ionizing
Radiation) Regulations, 1996. S.R.O. 166(I) 96. Dated 7 March, 1996.

These Regulations deal with, inter alias, the types of radiation to be used in treating food,
licensing, the conditions governing treatment, packaging, re-irradiation, labeling,
inspection, the issuance of certificates for irradiated food items, and the import and
export of treated food.

“The Employment of Children Rules, 1995. S.R.O. 387(1) 1995.

These Rules, made under Secs. 13 and 18 of the Employment of Children Act,
1991 include the following: 3. Notice of period of work; 4. Certificate of
fitness; 5. Register of child workers; 6. Cleanliness in the place of work and its
freedom from nuisance; 7. Ventilation and temperature; 8. Lighting; 9. Drinking
water; 10. Latrines/urinals/washing/accommodations; 11. Precautions against
fire; 12. Fencing of machinery; 13. First aid; 14. Notice of accident; and 15.
Excessive weight.

The Factories Act, 1934. As amended to 1997

This Act includes the following Chapters: III. Health and safety (including the
following Sections: 13. Cleanliness; 14. Disposal of wastes and effluents; 15.
Ventilation and temperature; 19. Lighting; 20. Drinking water; 21. Latrines and
urinals; 23. Precautions against contagious or infectious diseases; 23-A.
Compulsory vaccination and inoculation; and 32. Prohibition of employment of
women and children near cotton openers); IV. Restrictions on working hours of
adults; and V. Special provisions for adolescents and children.

An Ordinance (No. XXVII of 1997) to provide for the protection, conservation,


rehabilitation and improvement of the environment, for the prevention and control of
pollution, and promotion of sustainable development. Dated 11 February 1997. (The
Pakistan Environmental Protection Ordinance, 1997). (The Gazette of Pakistan,
Extraordinary, Part I, 11 February 1997).
An Ordinance (No. III of 2001) to provide for the establishment of the Pakistan Nuclear
Regulatory Authority for regulation of nuclear safety and radiation protection in Pakistan
and the extent of civil liability for nuclear damage resulting from any nuclear incident.
Dated 22 January, 2001.”

III.4 CHAPTER 4 SOCIO-CULTURAL ELEMENT

40
Nothing much has to be discussed about the socio-cultural element of Shifa International
Hospital. We have come to know that it is an equal opportunity employment place.
Different women are serving at in different departments like Medicine, Radiology,
Gynecology, Endocrinology, Dietitians and surgery as well. However, non Muslims also
serve in the hospital. Most of the nursing staff is Christian. Ward boys are Christians.
People from different parts of Pakistan serve here irrespective of their rank, or caste.
(Punjabi, Bloch, Pathan or Sindhi). Since the hospital is a big corporation, consisting of
many stock holders, many people serve here. Starting from very senior doctors to young
fresh students. Shifa welcomes fresh people and is an equal opportunity place. People
from different cultures serve in the hospital. It has created a name in the hospital industry.
Basically, the management at Shifa believes in making a strong team of excellent
professionals who are able to serve at their core with their best potential, irrespective of
their age, sex, culture or gender. The staff they have right now has the best medical
specialists from all over Pakistan. It has more than 100 extensively trained surgeons and
physicians, form USA. They are all dedicated towards quality, comfort and safety of the
patient. They team of professionals work with unity to ensure good customer health and
satisfaction.
The management at Shifa is handling all these diversifications in an excellent manner.
Different shifts like morning and night shifts are working at Shifa. It motivates the
workers to be a part of the team and perform well. The overall objective is to provide
consumer satisfaction and good quality. Different departments work together in
collaboration to attain a long term objective.

III.5 CHAPTER 5 LEGAL POLITICAL ELEMENT

41
Pakistan became an independent sovereign state on 14 August 1947. At the time of
independence the territories that became Pakistan had one medical teaching college and
attached hospital and one university at Lahore. The health care delivery system consisted
of a few district and civil hospitals. As early as 1954 a Medical Reforms Commission
was set up to advise the Government on the organization and structure of the medical
services. One of the recommendations of the Commission was to establish a Medical
Research Fund. In 1962 a subsequent Medical Reforms Committee recommended the
establishment of the Pakistan Medical Research Council (PMRC), which was created
under the Ministry of Health and assigned responsibility for promoting, organizing and
coordinating medical research in the country, and for linking medical research to overall
national socio-economic planning.

Over the years, and especially in the 1980s, many commissions and committees were
constituted to advise the Government on health sector reform and development. (See
Annex I: Chronology of Health Sector Development in Pakistan). The Health Survey and
Development Committee (Bhore Committee) was set up in 1946, just a year before
partition of the subcontinent. The Committee’s recommendations encompassed the
concepts of universal access, equity, quality and community participation in the provision
of health care, concepts that were to be incorporated in the recommendations of
subsequent commissions and committees. However, to date they have eluded the kind of
implementation envisioned.

Under item 6 of the policy document - Resource development for health - community-
oriented medical education, the Pakistan Medical and Dental Council, and nursing and
paramedical staff development are listed. Under item 8 - Priority health programs - it lists
the National EPI Program, the Prime Minister’s Program for Family Planning and
Primary Health Care, maternal and child health, reproductive health, the National ARI
and Diarrhea Disease Control Program, Malaria Control Program, National Tuberculosis
Control Program, National AIDS Control Program, nutrition, mental health, oral and
dental health, Health Promotion and Health Education, School Health Program. Under
item 22 - Health systems research (HSR) - the policy acknowledges the neglect of health
research and promises to give it due importance, promote a research climate in academic
institutions, and institutionalize HSR.
II.5.1 Health research Institutions in Pakistan

III.5.1 THE PAKISTAN MEDICAL RESEARCH COUNCIL (PMRC)

The PMRC was assigned the functions of promoting, organizing and coordinating health
research and linking it to national socio-economic development planning. To achieve its
objectives, the PMRC adopted the strategy of establishing research centers in medical
teaching institutions, where it was assumed the research capacity was concentrated. The
Council has 18 such centers at present, located in major public sector undergraduate and
postgraduate medical institutions.
III.5.2 THE NATIONAL HEALTH SURVEY OF PAKISTAN (NHSP)

42
The PMRC carried out the NHSP in collaboration with FBS and the National Center for
Health Statistics (NCHS), USA, in 1990 – 1994. The sample size of 80 primary sampling
units of 30 households each was selected by the FBS within its sampling frame. The
objectives of the survey were:

 To provide a general health profile of the people of Pakistan;


 To provide a health profile of high risk groups;
 To assess the utilization of health services; and
 To provide this data in a form relevant to the health program, policy and
planning needs of the Government of Pakistan.

The model for the survey was the National Health and Nutrition Examination Survey
(NHANES) of the NCHS, USA.

III.5.3 NATIONAL INSTITUTE OF HEALTH, ISLAMABAD

The National Institute of Health (NIH) was established in the early 1960s with the title of
National Health Laboratories. The scope and functions of the Laboratories were
expanded in the 1980s and the institution was renamed the National Institute of Health.
Vaccine and diagnostics development are the major functions of the NIH, for which
research was an essential requirement. The Institute has the largest number of health
science personnel in the public sector, but in the field of research its contribution has
been negligible, due largely to a lack of know-how.

III.5.4 PAKISTAN COLLEGE OF SURGEONS AND PHYSICIANS (PCSP)

This is a fully autonomous institution at the federal level, established with the objective
of capacity building in specialized fields of medicine. The college trains for, and awards,
fellowships in different specialties (FCPS). The Government recognizes the degree as
equivalent to the memberships and fellowships awarded by the Royal Colleges in Britain
and the equivalent awards of the American Board.

III.5.5 HEALTH SERVICES ACADEMY, ISLAMABAD

The Health Services Academy, Islamabad was established to train personnel in health
management, public health and related subjects. The academy teaches and also
undertakes HSR. The Academy is currently offering a one-year course for a Master’s
degree in Public Health and short courses in health management and administration. It
has organized a field demonstration area for HSR.

III.5.6 PRIVATE MEDICAL INSITUTIONS

The private health sector’s contribution to the GDP of the country exceeds that of the
public sector. The National Health Survey of Pakistan has shown that 80% of curative
care visits are to private health practitioners. Some very well equipped and high quality
hospitals have been established by the private sector, the notable ones being the Aga

43
Khan University (AKU) Hospital, the Shaukat Khanum Cancer Hospital, the Al-Shifa
Eye Trust Hospital and the Shifa International Hospital. The specialists in these hospitals
contribute to the research effort, with the AKU especially in the forefront of medical
research. However, their impact on the research environment has yet to be seen. In the
field of capacity building, the private sector is a latecomer, but is expanding fast. Already
there are three private sector medical universities (all in Karachi) and several medical
colleges.

IV PART 4 ELEMENTS OF TASK ENVIRONMENT

44
IV.1 CHAPTER 6 LABOR SUPPLY

Labor supply comprises those individuals which are employable by an organization. The
people at Shifa are mostly USA qualified professionals who have an urge to serve the
people at their most with an objective. Labor supply at Shifa International consists of:

Dr. Zaheer Ahmed, Chairman & CEO


Dr. Manzur Qazi, MD (Medical Director)
Syed Illyas Ahmed COO (Chief Operating Officer)

IV.1.1 EMPLOYEES AT INTERNAL MEDICINE

NAME QUALIFICATION POSITION


Dr. Mazhar A. Mufti MD, DABIM, USA Consultant
Dr. Tara Jaffrey MD, DABIM USA Consultant
Dr. Amer Nazir Ahmed MD, DABIM, USA Consultant
Dr. Sabeen Mufti MD, DABIM, USA Consultant
Dr. Amjad Suhail MD, DABIM, USA Consultant
Dr. Mohammad Ata MD, DABIM, USA Consultant
Dr. Mahmud Majeed MD, DABIM, USA Consultant
Dr. Mohammad Iqbal MD, DABIM, USA Consultant

IV.1.2 EMPLOYEES AT CRITICAL CARE

NAME QUALIFICATION POSITION


Dr. Syed Arif Hussian FRCP Consultant Critical Care &
Pulmonary
Dr. Mohammad Anwar MD, DABIM, USA Consultant Critical Care
&Pulmonary
Dr. Shazli Manzur MD, DABIM, USA Consultant Critical Care
&Pulmonary
Dr. Aftab Akhtar MD, DABIM, USA Consultant Critical Care
&Pulmonary

IV.1.3 EMPLOYEES AT SECTION OF INFECTIOUS DISEASES

NAME QUALIFICATION POSITION


Dr. Mahmud Haider MD, DABIM Consultant Infectious
Diseases
Dr. Kh. Sayeed Ahmed MD, DABIM Consultant Infectious
Diseases
Dr. S. Nayyar Mahmud MD, DABIM Consultant Infectious
Diseases

45
IV.1.4 EMPLOYEES AT PSYCHIATRY SECTION

NAME QUALIFICATION POSITION


Dr. Rizwan Taj MRCPych UK Consultant Psychiatry
Dr. Fawad Kaiser MRCPych UK Consultant Psychiatry
Dr. Mohammad Amin FRCP Canada, MD Consultant Psychiatry
DABPych, USA
Dr. Mohammad Habib MRCPsych UK Consultant Psychiatry

IV.1.5 EMPLOYEES AT NEUROLOGY SECTION

NAME QUALIFICATION POSITION


Dr. Ali Hassan FCPS Consultant Neurology
Dr. Arsalan Ahmed MD Neurology Pakistan Consultant Neurology

IV.1.6 EMPLOYEES AT DERMATOLOGY SECTION

NAME QUALIFICATION POSITION


Dr. Rezzan Khan PhD Food & Nutrition Consultant Nutrition
Dr. Ikramullah Khan MRCP, UK Consultant Dermatology
Dr. Rasheed Choudry D. DERM, Pakistan Consultant Dermatology
Dr. Ahsan Hameed FCPS , Pakistan Consultant Dermatology

IV.1.7 EMPLOYEES AT CARDIAC SURGERY SECTION

NAME QUALIFICATION POSITION


Dr. Khalid Rasheed FRCS, UK Consultant Cardiac Surgery
Dr. Munir Ahmed FRCS, IRE Consultant Cardiac Surgery
Dr. Javed Hayat FRCS,IRE Consultant Cardiac Surgery

IV.1.8 EMPLOYEES AT GENERAL SURGERY SECTION

NAME QUALIFICATION POSITION


Dr. Tahir Hussain FCPS, Pakistan Consultant General Surgery
Dr. Mohammad Iqbal FRCS UK Consultant General Surgery
Dr. Mussadiq Khan MD DABS, FACS USA Consultant General Surgery
Dr. Tahira Farooq Mirza EMS USA Consultant General Surgery
Dr. Tahir Saleem FRCS DLS IRE Consultant General Surgery
Dr. Mohammad Amir FRCS UK, FRSP Pakisatan Consultant General Surgery

46
IV.1.9 EMPLOYEES AT DENTISTRY SECTION

NAME QUALIFICATION POSITION


Dr. Shahid Mehmood BDS Pakistan Consultant Dental surgery
Dr. Noeen Arshad BDS Pakistan, MSC UK Consultant Dental surgery

IV.1.10 EMPLOYEES AT ENT SECTION

NAME QUALIFICATION POSITION


Dr. Zafar Iqbal DLO Pakistan Consultant ENT
Dr. Zaffar Rabbani MCPS, FCPS Pakistan Consultant ENT
Dr. Zulfiqar Ali FRCS UK Consultant ENT

IV.1.11 EMPLOYEES AT OPHTHALMOLOGY SECTION

NAME QUALIFICATION POSITION


Dr. Farooq Afzal FRCS, FRCO UK Consultant Ophthalmology
Dr. Kamran Hamid FRCS UK Consultant Ophthalmology
Dr. Zeba Matin FCPS Pakistan, FRCS UK Consultant Ophthalmology

IV.1.12 EMPLOYEES AT UROLOGY SECTION

NAME QUALIFICATION POSITION


Dr. Ajaz Sami MD DABO USA Consultant Urology
Dr. Saeed Akhtar MD DABO USA Consultant Urology
Dr. Mian Khalid Akbar FRCS UK Consultant Urology
Dr. Asim Masood Choudry FRCS, D. USA Consultant Urology
Dr. Mukhtar Nasir MD DABO FACS USA Consultant Urology
Dr. Kamran Majeed FRCS UK Consultant Urology

IV.1.13 EMPLOYEES AT ANESTHESIOLOGY SECTION

NAME QUALIFICATION POSITION


Dr. Harris Baig MD DABA USA Consultant Anesthesiology
Dr. Mohammad Sami Iqbal MD USA Consultant Anesthesiology
Dr. Masooma Syed MD USA Consultant Anesthesiology
Dr. Bushra Noman Consultant Anesthesiology
Dr. Mohammad Iqbal FCPS Pakistan Consultant Anesthesiology
Memon
Dr. Rashid Mehmood MD DABA USA Consultant Anesthesiology
Dr. Mohammad Asraf FCPS Pakistan Consultant Anesthesiology
Dr. Mohammad Nasir Ayub FCPS Pakistan Consultant Anesthesiology

47
Khan

IV.1.14 EMPLOYEES AT PEDIATRICS SECTION

NAME QUALIFICATION POSITION


Dr. Rehana Syed MD USA Consultant Pediatrics
Dr. Ejaz A. Khan MD DAPB USA Consultant Pediatrics
Dr. Munir Iqbal Malik MD, DAPB USA Consultant Pediatrics
Dr. Iffat Fatima Zaman MD USA Consultant Pediatrics
DR. Khawaja Ahmed DCH FRCP FRCPCH UK Consultant Pediatrics
Abbas
Dr. Musarat Hussain MD DAPB USA Consultant Pediatrics
Dr. Kamran Khattak MRCP UK Consultant Pediatrics
Dr. Anwar ul Haq FCPS Pakistan Consultant Pediatrics

IV.1.15 EMPLOYEES AT OTHER BRANCHES

Name Position
Syed Munir Hussain GM Finance
Bukhari
Mr. Wazir Mohammad Manager Accounts &
Finance
Mr. Aqeel Mir Associate Manager
Purchase
Mr. Mohammad Shahid Assistant Manager Material
Tanvir Management
Mr. Mohammad Aslam Sr. Manager Patient
services
Shahzad Choudry Sr. Manager, Human
Recources & Development
Mr. Ahsan Hussain Manager MIS
Ms Nuzhat Sultana Manager Nursing
Mr. Anis Alam GM Allied Services
Mr. A D Zia Manager Food & Nutrition
Services
Maj. R Qaser Rafiq Manager Bio Medical
Services
Mr. M Rafiq Choudry Sr. Manager Maintenance
Mr. Afzal Ahmed Sr. manager Marketing
Mr. Azmattullah Qureshi Manager Media
Col. R Saeed Ahmed Associate Manager Security
Mr. Amer Farooq Editor Shifa Publications

48
IV.2 CHAPTER 7 CUSTOMERS & CLIENTS

49
Lists of customers of Shifa International Hospital are definitely patients. People having
health problems and suffering from any illness are patients. Now there are two Categories
of patients. Permanent Patients and short time patients. Short time patients include people
suffering from Typhoid, Malaria, Cholera or any dentistry problem. Long term Patients
include mothers on family way, Patients suffering from Cancer, Diabetes, Ulcer or High
BP. These patients need to go for a check up after certain periods and are placed in the
long term period. A person suffering from cancer undergoes many treatments (radiations)
and a Diabetic has to check his sugar level after certain time. Kidney Dialysis patients
also come in the long term category. They need to under go a dialysis after a certain
period of time. Mothers on family way also need to go for a medical check up after
several weeks. Patients of plastic surgery might not be the long term patients. They just
make it once. Heart patients (Cardiology section) also need to go for a complete check up
after some months. These are different categories of patients. There are certain patients
who after recovering and discharging, may be prescribed a routine visits, in order to make
sure that the relapse does not happen to them

IV.3 CHAPTER 8 SUPPLIERS

50
A group of suppliers would include those people who provide services to the Shifa
Hospital to run its operations effectively. Since it a big hospital and the no. of suppliers
would be a bigger one if mentioned all of them. However some of the suppliers are
mentioned:

DESCRIPTION SUPPLIER NAME


A XRAY IMAGING EQUIPMENT
CT Scanner Toshiba Japan
Laser Imager Processor Kodak-USA
X-Ray Film processors Japan/Germany
Ultrasounds Toshiba Japan
B CARDIAL EQUIPMENT
Integris SC4000- Digital Angiography Phillips Holland
ECG & Stress Test USA Japan
ECHO-Cardiograpghy Toshiba Japan
C KIDNEY CARE EQUIPMENT
MFL 5000 Phillips Holland
HemoDialysis Equipment Gambro Sweden
D OPERATING ROOM EQUIPMENT
Multipurpose Operating Table Siemens Germany
Defiblirator Siemens Elma Sweden
Servo Ventilator Siemens Elma Sweden
Hanalus Operating Light System Siemens Elma Sweden
Operating Table Siemens Elma Sweden
Laparoscopic Equipment Storres Germany
Plastic Surgery Equipment MISC
Ultrasonic cleaner Siemens Germany
Sterilizer 666 Siemens Germany
E RADIATION ENCOLOGY
Linera Accelerator Phillips Holland
Simulator Toshiba Japan
Cobalt 60 MDS Canada
F NEUROLOGICAL EQUIPMENT
EEG Toshiba Japan
EMG Toshiba Japan
G Other Equipment
Pulmonary function analyzer Fukuda Denshi Co.
Blood Gas Analyzer NOVA USA
Hematology Analyzer Abbott USA
Leica Microscope LEICA Germany
Video Endoscopes for Gastroenterology Olympus

51
These are the major equipment which helps Shifa People to run their system and impart
health care services.

IV.4 CHAPTER 9 COMPETITORS

We find two competitors of Shifa International Hospital.

IV.4.1 AGA KHAN HOSPITAL KARACHI

IV.4.1.1 SOME GENERAL INFORMATION

52
This provides high-quality patient care in a broad range of secondary and tertiary care
services. This academic medical center’s professional staff and facilities are among the
best in the region. Modern patient care is made possible through collaboration between
various health professionals and provision of state-of-the-art equipment to support
diagnosis and treatment. Care is available to all patients in need.
Services & Facilities at Aga Khan

Operating Rooms:

Main: 8
Lithotripsy and Day Care: 4
Obstetrics Labor: 2

Outpatient Services

 Emergency
 Consulting Clinics

Medicine

 Allergy
 Cardiology
 Dermatology
 Endocrinology and Diabetes
 Gastroenterology
 General Medicine
 Hematology
 Infectious Diseases
 Nephrology
 Neurology
 Oncology
 Pulmonary
 Rheumatology

Surgery

 Cardio-Thoracic
 Dental
 Ear Nose Throat
 General Surgery
 Maxillo-facial
 Neurosurgery
 Ophthalmology (Eyes)
 Orthopedics (Bones)
 Pediatric Surgery

53
 Plastic Surgery
 Urology including male infertility
 Vascular Surgery

Pediatrics

 Cardiology
 Gastroenterology
 General
 Hematology and Oncology (Blood disease / cancer)
 Infectious Diseases
 Nephrology (Kidney)
 Physiotherapy

 Obstetrics/Gynecology and Infertility

 Psychiatry (Mental Health)

 Family Medicine

 Community Health Centre – low cost walk-in clinics

Special Clinics

 Anesthesia
 Breast Screening
 Cleft Palate
 Colostomy
 Dietary/Nutrition
 ENT Head and Neck Cancer
 Executive Clinic – annual health screening programme.
 Family Planning
 Liposuction
 Lithotripsy (Stone in Kidneys)
 Nasal Allergy
 Physiotherapy
 Speech Therapy
 Stoma Care
 Surgical Day Care

Diagnostic Services

54
 Clinical Laboratory
 Blood Bank and Blood Products
 Clinical Chemistry
 Hematology
 Histopathology
 Microbiology

IV.4.2 SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND


RESEARCH CENTER, LAHORE

Figure 8

Services & Facilities


Medicine Department
The clinical areas include:

Medicine
Surgery
Anesthesiology
Medicine
Pediatric
Pharmacy
Radiation Oncology
Nuclear
Radiology
Pathology
Nursing

IV.4.3 FUTURE COMPETITORS

55
IV.4.3.1 SAHARA FOR LIFE TRUST

Outpatient Department

 OPDs

Ø        Internal medicine


Ø        20 beds Emergency/Trauma center
Ø        Surgery
Ø        Orthopedic
Ø        Pediatrics
Ø        Gynecology and obstetrics
Ø        Cardiology
Ø        Liver and Kidney clinic

 Inpatient Department

Ø        Obs/Gynae Ward


Ø        Male medical ward
Ø        Female medical -ward
Ø        Male surgical ward
Ø        Female surgical ward
Ø        Pediatrics ward
Ø        Paeds isolation ward
Ø        Nursery
Ø        Dialysis center
Ø        Coronary care unit
Ø        Intensive care unit
Ø        Operation theaters
Ø        Labor room
Ø Private rooms

 Allied Facilities

Ø 4 state of the art and modern Operation Theatres.


Ø Dialysis unit
Ø Free medicine provided to all the poor and
     deserving indoor and outdoor patients.
Ø free catering for all indoor patients.

 Radiology

56
Ø        X-ray
Ø        Ultrasound
Ø        Color Doppler

 Pathology

Ø       24 hours service laboratory


Ø       Blood bank facility

 Allied Services

Ø      24 hours free ambulance service for poor patients


Ø       Laundry, Incinerator, and Mortuary
Ø       Permanent staff accommodation
Ø       Help Line managed by duty medical officer to
     respond to the queries of the callers.
 

IV.4.3.2 QIH’S (QUAID-I-AZAM INTERNTIONAL HOSPITAL)

It is one of the future competitors. It is right now in the process of construction. It is


located near Frobles, Peshawar Road, RawalPindi.

IV.5 CHAPTER 10 GOVERNMENT AGENCIES

57
The government agencies, with which Shifa operates, are:

IV.5.1 CENTRAL BOARD OF REVENUE

Shifa International Hospital operates under CBR, for paying of its taxes and other bills.
The taxes include income taxes, Dispense taxes and other miscleaous taxes. Since, under
ordinance Act, some of the taxes are exempted and some have to be paid off.

IV.5.2 CAPITAL DEVELOPMENT AUTHORITY

Shifa is located in H-8/4 Islamabad. It is working on many extension projects like


expansion of certain wards and construction of certain departments. All these plans have
to be approved by CDA. Right now many under construction projects are:

IV.5.2.1 THE COMPLETED PROJECTS

Floor G-5
Under Deck IPD for Social work
Block D
Block E1
Block H1
Block H2

IV.5.2.2 THE CONTINUED PROJECTS

Block H3
Block H4
Block H5
Block F2 &3 ( for radiology department)
Block D1

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Figure 9

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IV.5.3 INCOME TAX IT

It is also an income tax authority with which Shifa operates.

IV.5.4 PAKISTAN MEDICAL & DENTAL ASSOCIATION

The Shifa College of Medicine is recognized by PMDC and it was approved in 2003. The
PMDC has the name of Shifa College of medicine in its approved lists of colleges.

IV.5.5 BAHRIA UNIVERSITY, ISLAMABAD

The Shifa College is affiliated with Bahria University for its BDS degree. The final BDS
degree is awarded by Bahria University. The University also implements rules and
regulations of PMDC to govern the professional MBBS examinations, syllabi and
academic standard of the college.

IV.5.6 OTHER PROJECTS OF SHIFA FOUNDATION HOSPITAL

IV.5.6.1 SHIFA COLLEGE OF MEDICINE

IV.5.6.1.1 THE VISION & MISSION

The founders of Shifa college of Medicine opened doors in 1998. It has a mission to
graduate doctors by the rule of scientific disciplines and knowledge based profession.
Shifa College of medicine is a medical school which strives to be a center of excellence
and rigor. It believes in preparing its students for the 21st century.

IV.5.6.1.2 STRUCTURE

The College has faculty heads and is headed by the Dean. It monitors and regulates the
clinical activities of the students, compliances with the regulations of Bahria University
and PMDC. It provides the best source of training and education. It is recognized by
PMDC. It is also included in the world wide directory of WHO. It is also included in
IMED (International medical Education Directory) and FAIMER (Foundation for
Advancement of International Medical education & Research).

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Figure 10

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IV.5.6.2 SHIFA COLLEGE OF NURSING

It is a project of Shifa Foundation, committed to health education and providing free


health care to the needy. SCN is in collaboration with Shifa College of Medicine. The
BSCN program is built on the premise that enables the nurse to make critical decisions
and providing care to the people. It is following under the rules of PNC (Pakistan Nursing
Council). A four year program which helps in basic nursing courses.

Figure 11

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Figure 12

IV.5.6.3 TAMMER MILLAT FOUNDATION

TMF was established in 1987 by a group of USA living Pakistanis. The organization is a
registered body. Since TMF is a charity based organization, all decisions related to
planning and implementations of projects are taken by Board of Governors. The policy
guide lines are also provided by BOG.
It has recently launched an education program to help people in getting ideas and its main
aim is to educate masses.

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Figure 13

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PART V PROJECT SCHEDULING & MANAGEMENT

V.1 MANAGEMENT ACTIVITES

The management activities included in our project were:

Formation of group
Selection of a team lead
Proposal writing
Data gathering
Project planning
Project costing
Report writing and presentations

Activities Time Taken Maximum Time Performed By


Allotted
Formation of Group 1 day NA All of the group
members
Team lead selection 1 day NA All group members
Proposal writing 1 day NA Sadaf Fayyaz
Data gathering 3 days NA Syed Alamdar
Hussain & Malik
Waqas Ali
Data Analysis 3 days NA All of the group
members
Brainstorming & 4 days NA All of the group
Group discussion members
Analysis of core 3 days NA Malik Waqas Ali &
modules Sadaf Fayyaz
Report Writing 4 days NA Sadaf Fayyaz
(Documentation)
Report Monitoring & 1 day NA Malik Waqas Ali
Proof Reading
Presentation 1 day NA All group members

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V.2 GANTT CHART OF MANAGEMENT ACTIVITIES

Activities (parallel) Time Taken in Days Performed By


D1 D2 D3 D4 D5 D6 D7 D8
Group Formation All Group Members

Team Lead selection All Group Members

Proposal Writing Sadaf Fayyaz

Data Gathering Syed Alamdar


Hussian & Malik
Waqas Ali
Data Analysis All of the group
members
Brainstorming & All of the Group
Group Discussion Members
Analysis of Core Malik Waqas Ali &
Modules Sadaf Fayyaz
Report Writing Sadaf Fayyaz
(Documentation)
Report Monitoring & Malik Waqas Ali
Proof Reading

Final Presentation and All of the group


Project Demonstration members

APPENDIX A

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APPENDIX B

67
APPENDIX C

68
APPENDIX D

69
APPENDIX E

70
APPENDIX F

71
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REFERENCES

www.globalhealth.org/
www.ama-assn.org/ama/pub/category/3345.html
www.google.com.pk
www.phrusa.org/
Shifa International Annual report, 2005
MUSLIMS, the Voice of Muslims America
“Pak Tribune”

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