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Assignment #2:
Questions for Shouldice Hospital Limited
1. How Successful is the Shouldice Hospital? 2. How do you account for the success of the hospital? 3. What is the strategic service concept of Shoudice Hospital? How are the elements in the service systems designed and managed to support the strategic service concept? 4. As Dr. Shouldice, what actions, if any, would you take to expand the hospitals capacity? 5. How would you implement changes you propose?
3,041,400
2,800,000 241,400
Return on equity
Total Depreciated Assets: $5 mil Return on Asset:
1,837,650/5,000,000 = 37%
What is the return on Asset if they expand the capacity by 50% at the cost of $2 mil?
1,837,650 x 1.50 / 7,000,000 = 40%
Shodice is having
Highly satisfied customers Happy Employees Shouldice is also making high profit
A Focus Strategy
Market Focus focus on a narrow segment of potential patients who have hernia and they are predominantly male, older in age, essentially in good health large market potential: 600,000 operations in U.S. in 1979 Internal Focus Doctors: Dedicated to quality of shoudice method, tolerance for boredom, family oriented Nurses: people oriented, assist patients Staff: flexible, team oriented
Operating Concept
Shouldicce achieves outstanding results as a low price and at a high profit because:
Everything done by the hospital is designed to maximize the difference between perceived quality and the value of the service provided patients on one hand and the cost of providing the service on the other.
Sharing of expensive services such as anesthetist Short and relatively regular hours for surgeon high compensation ($50,000 + $40,000) Opportunities for surgeons to observe and and advise one another Peer group pressure that leads to higher level of selfcontrol of quality A conscious effort is made to make Shouldice a familyexperience
The elements in the service system to support the service Concept (managerial elements)
Service encounter
Doctors and nurses are carefully recruited Employees trained to help / counsel patients Communal dinning for doctors, nurses , staff and patients
Quality
adherence to Shouldice method opportunity for surgeon to observe & advise one another
The elements in the service system to support the service Concept (managerial elements)
Managing capacity & demand Admission by appointment: scheduled service Screening patients: easier to estimate the service time walk-in patients or local residents on waiting list to make up cancelled reservation Information Medical Information questionnaire Free annual check-up -> unique data base on the result of the surgery Annual reunion to keep alumni informed and gather customer feedbacks-> loyal customer base -> effective word-of-mouth
The elements in the service system to support the service Concept (structural elements)
Delivery system Maximum degree of customer participation Efficient and low cost Avoid a typical hospital atmosphere Facility design Acres of gardens to encourage exercise & rapid recovery minimize hospital feeling (carpeting and odorless disinfectant etc) Stairways are designed for patients to use right after operations No TVs and Telephones in rooms to encourage walking Operating rooms are located in semicircle to encourage doctors to help each other and use the same anesthetist
The elements in the service system to support the service Concept (structural elements)
Location large city near air port -> access to worldwide market large local population to fill up cancelled bookings Capacity planning Elective procedures -> scheduled operations Balancing Capacity and improving capacity utilization Needs to increase capacity
Capabilities
Examination Rooms: (6 rooms x 3 hrs (1-4 PM) x 5 days x 60 min/hr) / (20 min / exam) = 270 patients /week Admitting Procedure: (2 people x 4 hrs (1-5 PM) x 5 days/week x 60 min/hr) / (10min/patient) = 240 patients/week Nursing Station: (2 stations x 4 hrs (1-5 PM) x 5 days/week x 60min/hr)/(10 min/patient)=240 patients /week
Advantages
Easy to control and maintain quality Retain the culture and environment
Advantages
No investment is needed Can still maintain quality
New location close to the customers, say USA Improve its competitive position and increase its profits Operate in a less restrictive environment New Opportunities for existing personnel Transfer of knowledge and expertise to the new facilities
Requires a significant investment and Dr. Shoudices time Control of quality It is difficult to create the same culture and atmosphere Potential competition with the existing facility
Disadvantages
Discussion Questions
1. 2. Describe Shoudice Hospitals service package. How are the distinctive characteristics of a service firm illustrated by Shoudice Hospital?
Explicit Services
Quality hernia surgery using the Shouldice method, low recurrence Very experienced doctors
Characteristics
Customer Participation in the Service
END
Thank You