Professional Documents
Culture Documents
Table of Contents
Introduction.....................................................................................................................................4
Services........................................................................................................................................7
Market Size...................................................................................................................................8
Competitors.................................................................................................................................8
Objectives........................................................................................................................................9
Objective I........................................................................................................................................9
What are the HRM Problems and issues Apollo Hospitals Dhaka facing?...................................9
Objective II.....................................................................................................................................13
What sort of HRM approaches do you think need to be taken to ensure ongoing strategic
competitive challenge?..............................................................................................................13
Objective III....................................................................................................................................18
What HRM challenges will Apollo Hospitals Dhaka face in the 21 st Century?...........................18
Conclusion......................................................................................................................................22
Recommendation..........................................................................................................................23
References.....................................................................................................................................24
Apollo Hospitals Dhaka 3
Executive Summary
Apollo Hospitals Dhaka is one of the best hospitals in Bangladesh. But in the past few years,
they had faced some serious allegations, which were proved to be right later on, about selling
counterfeit and expired drugs. There were also various claims about misbehaving with few
patients and mistreating them. These were very serious charges against such an internationally
renowned class-A healthcare provider who was willing to rule the health sector in Bangladesh.
So, we tried to build an HR related case using this information and help them to find a solution
to these problems. Our main objective is to find out what HRM issues and problems they are
facing and what approach they should take to solve them and what might be their upcoming
challenges regarding this 21st century. We followed the course topics that we were taught and
took help from the internet and came up with our ideas & solutions. This report discusses the
HRM approaches need to be taken to ensure ongoing strategic competitive challenge and HRM
challenges Apollo Hospitals Dhaka will be facing in this 21 st century. Finally, some
INTRODUCTION
network of health services has been established following the administrative web of
Bangladesh. It is a circuitous form of healthcare network spread across the country ranging
from policy-making bodies to healthcare facilities down to the community level. The
infrastructure of healthcare facilities can be divided into three levels: Medical University,
Medical College Hospitals, Specialized Hospitals exist at Tertiary Level. District Hospitals,
Upazila (Sub District) Health Complex, Union Health & Family Welfare Centers,
Community Clinics (Lowest-level healthcare facilities) are the Primary Level healthcare
Bangladesh's GDP was 3.35% in 2009. In the parliamentary budget of 2017-18, only the budget
has been set for the health sector is 16 thousand 203 crores 36 lakhs Bangladeshi Taka. The
number of hospital beds per 10,000 population is 3. The General government expenditure on healthcare
as a percentage of total government expenditure was 7.9% as of 2009 and the citizens pay most of their
health care bills as the out-of-pocket expenditure as a percentage of private expenditure on health is
In recent times Bangladesh has made important gains in health outcomes. In terms of providing
primary health care, the country has made important strides and most of the health indicators
show steady gains and the health status of the population has improved.
Apollo Hospitals Dhaka 5
Presently, a number of steps have been taken by the government to improve its
leadership and regulatory role to improve equity and quality of services, especially to reach the
poor and the disadvantaged. Initiatives for development of new health policy, revitalization of
primary health care by making all community clinics functional with required human resource,
supplies and logistics, recruitment and appropriate deployment of human resource for health
and gradual extension of e-health services to the rural areas are some of the examples for
Apollo Hospital Dhaka is a private hospital in Bangladesh and is part of the Apollo Hospital
Chain. Apollo Hospitals Dhaka is the only JCI licensed 425-bed multi-disciplinary super-specialty
tertiary care hospital in Bangladesh, confidently providing comprehensive health care with the
latest medical, surgical and diagnostic facilities. Expert medical professionals, skilled nurses and
The hospital started its operation on April 16, 2005, with a mission to provide high
quality international standard health care, which will meet the needs and exceed the
land with 435,000 square feet floor space, which was constructed with the assistance of
renowned architecture company Smith Group, USA. The hospital is a joint project of Apollo
Hospitals Enterprise Limited and STS Holdings Limited (STS Group). The Hospital is located in
Bashundhara Residential Area. In December 2015 Apollo Hospital started online appointment
In 2016, Apollo Hospital Dhaka awarded as the Best International Hospital in Bangladesh
by International Healthcare Commission (IHC), USA. The hospital carried out programs including
in Jamuna Future Park to raise awareness on the World Heart Day. On 12 March 2016, an
autologous stem cell transplantation was carried out in the hospital, the first successful one in
Bangladesh. STS Holdings, the holding company of the hospital, held roadshows, over plans to
make the hospital go public, for institutional investors. Apollo Dhaka in the flagship venture of
STS Holding.
The hospital is the first and only in Bangladesh to get accredited by Joint Commission
International (JCI), which reassures its continued commitment to the highest quality
international standard of healthcare in the region. Since its inception to date, approximately
6,60,116 patients have registered with Apollo Hospitals Dhaka and over 25,14,152 patients
Apollo Hospitals Dhaka has all the characteristics of a world-class hospital with a wide
range of services and specialists, equipment and technology, ambiance and service quality. The
paperless medical records. The skilled nurses, technologists and administrators of Apollo
Hospitals Dhaka, aided by state-of-the-art equipment, provide a congenial infrastructure for the
softly launched the state-of-the-art Comprehensive Cancer Care Center on 4 September 2017.
The center is ready to provide world-class cancer treatment facilities starting from preventive
to palliative care under one roof. Apollo Hospitals Dhaka offers team-based quality patient care
that is widely acknowledged to be amongst the best in Bangladesh. At Apollo Hospitals Dhaka,
Apollo Hospitals Dhaka 7
patients have ready access to more than 29 specialized departments and services, which are
established as national referral centers. We have five Centers of Excellence and five Strategic
Business Units.
Apollo Hospitals Dhaka has successfully completed 13 years in 2018, of its operation in
Bangladesh. During the past 13 years, they have crossed many milestones, saved the lives of
many with the latest treatment facilities with compassionate service to around 50 Lakhs
patients, and earned reliance. Apollo is committed to putting more effort to provided serve its
Services
2. Heart Centre
5. Neuroscience Centre
7. Diagnostic Centre
9. Surgical Centre
Nutrition, Hospitality, Counselling, and Nursing.
Market Size
The last information we could find about Apollo Hospitals Dhaka is for 2008-2009.
During 2009 they had a remarkable success after only four years of operation and have been
able to make a Net Profit of Taka 46.75M through establishing new strategic business policies.
Their annual turnover reached up to Taka 1,701.95M in 2009 compared to Taka 1,348.08M in
2008, a growth of 26%. Gross margin also improved to 50% in 2009 as against 45% in 2008.
Operating cost was controlled by adopting different cost control measures and consequently,
EBITD increased to 19%. Their financial strategy continues to focus on maintaining an efficient
balance sheet while using cash resources to invest in their strategic priorities in order to
Competitors
United Hospital.
Ibn-Sina Hospital
Apollo Hospitals Dhaka 9
OBJECTIVES
I. What are the HRM Problems and issues Apollo Hospitals Dhaka facing?
II. What sort of HRM approaches do you think need to be taken to ensure ongoing
III. What HRM challenges will Apollo Hospitals Dhaka face in the 21 st Century?
OBJECTIVE I
What are the HRM Problems and issues Apollo Hospitals Dhaka facing?
Apollo Hospitals Dhaka is one of the finest hospitals in Dhaka city. They are famous for
their better treatment services and surgeries. From the very early beginning, Apollo hospital is
so much concerned about their services and they always try to ensure customer’s satisfaction
(means patient satisfaction). But a few years ago, they committed lots of illegal activities. As a
result, the whole system of Apollo hospitals got infected and raised questions about the service
In 2015, there was complain that they took high charges for the dead body (even that
baby died when it was born) but the Apollo hospital’s management team gave wrong
information to the guardians. They told them their baby was immature so that it needed extra
incentive care. But the actual scenario was different. They did that for adding high charges.
After a week, Apollo hospital charged almost 5 lacks Taka and told the Guardian that their child
is no more. When they got the dead body and tested in another medical center, the other
Apollo Hospitals Dhaka 10
doctors reported that the child died 7 days ago. After that, the parents issued a legal complaint
Not only that, recently Apollo hospital got fined for keeping expired medicine. Medicine
is important utensils for every medical hospital. Apollo is one of the biggest organizations in the
healthcare sector of
to other regular
pharmacies. But it is
investigator investigated
management of Apollo,
mismanagement. They
medicines. The
pharmacists argued that they kept the expired medicine but they didn’t sell to the patient.
There is a question of how much valid their argument is? If there in case any accident due to
Apollo Hospitals Dhaka 11
expired medicine who will take the responsibility? The hospital management system or the
responsible pharmacist? For these reasons, the investigator fined them around 5 lac Taka for
their irresponsibility and also warned them if these types of activities happened further, they
would have to face more fines. These types of activities impact negatively overall on the
organization’s brand image. Not only that, sometimes we heard lots of unprofessional activities
against Apollo hospital like sometimes they are providing wrong information about the patient
(though these cases are very rare). But these types of incidents happened in Apollo.
Every people have a soft corner about good treatment and good service system. Apollo
hospital achieved this trust from the customer through a time. But for some staffs the whole
unit and management team faces an embarrassing situation. When we investigate the reasons
for these incidents, we found that the actual scenario why those staffs behaved like that. Every
organization’s selection process is different (job description and job specification). Apollo is a
hospital so they need experienced and well-trained nurses and staffs. But for some dishonest
HR persons, sometimes they recruit the wrong person in the wrong place. For instance, cabins
need more experienced nurses. When they announce vacancies, their required experience was
a minimum of 5 years. But some HR persons took their relatives even though they didn’t have
much experience in that field. As a result, when they joined their actual work field, they faced
lots of problems. They didn’t know how to tackle those VIP patients in a professional way.
Because some cabins were booked by VIP persons. So, they actually look for high-quality
services from their staffs. When they failed to get that they have negative experiences in Apollo
For these reasons, now Apollo hospital is more restricted in this regard. They are more
concerned and restricted to talent recruitment and selection process. They have rearranged
their HR management system. They discharged those dishonest HR people for those the whole
brand image got in trouble. They have appointed the most prominent HR persons who are
honest and have a clear idea about the recruitment and selection process. Because Apollo
believes that if the organization recruit right and the appropriate person in the right place, they
don’t have to face any kind of obstacles in the near future. For an example: Suppose Apollo is
now looking to appoint neuron surgeon who has almost 12-15 years’ work experience. If a
person more skilled but his/her experience is below 10 they do not even call that surgeon for
the interview session. After selecting the candidates, they are under the observation of some
experts who are famous for their specialization. After passing that session they have to pass
several sessions. These several sessions are taken by different persons. And after getting
different persons’ report, Apollo appoints the best surgeon among the others. These different
sessions are done by different persons because there will be no chance to raise a question
about the recruitment and selection process of Apollo. And Apollo will get the best doctors for
their organization. For these remarkable changes, Apollo hospital is now noticing that the
complains are decreasing comparatively before and the satisfaction level are increasing
positively.
So, from the overall analyses, we notice that the overall performance of an organization
fully depends on their employees and employees’ performances. And recruitment and selection
are the processes through which every organization select their prominent employees among
the thousands of candidates. For these reasons, every organization is more sensitive and
Apollo Hospitals Dhaka 13
emphasizes more on that recruitment and selection process so that they don’t have to face any
OBJECTIVE II
What sort of HRM approaches do you think need to be taken to ensure ongoing strategic
competitive challenge?
In order to get rid of the problems Apollo is facing now, they can look into some human
resource management approaches- Job analysis, recruitment & selection process, increase
Job Analysis: Job Analysis is a process to identify and determine in detail the particular
job duties and requirements and the relative importance of these duties for a given job. Job
Analysis is a process where judgments are made about data collected on a job. There are two
major aspects of job analysis - job description & job specification. Job description deals with the
subjective part like what the job will be and what are the responsibilities that an employee has
to carry. It involves- the job title, location, specific operations & task involved, materials &
equipment’s the worker uses, supervision given or received, nature of operations, working
Job specification is the objective part of the job analysis. It is a statement that contains
mental, physical and other demands required of a person to perform the specific job
uncommon sense demands, such as sight, smell, hearing. (Dessler & Varkkey, 2011)
Apollo Hospitals Dhaka 14
Recruitment & Selection Process : Recruitment & selection process is hiring the right
person for the right job to do the right work at the right place. A major concern of recruitment
exists when the pool of availability of workforce is limited. However, due to the requirement of
organization provides work for people in a different position to achieve their own goals. Most of
the organizations have a vacancy at a different time around the year and they need to be filled
them on time to continue their work effectively. For recruiting and selecting the best person for
the vacancy organizations have to follow certain processes. The personnel decision process
helps the organization to make a decision about the person who is going to appoint. It makes
sure that it will be fairly treated with all the individuals who are going to apply for the post. All
the candidates are evaluated on the basis of related skills and behaviors.
There are two major sources for recruitment - Internal sources and external sources.
The internal source is basically where the company first look into within the organization to find
In our case, Apollo should go for the external source. There are wide ranges of strategies to hire
people from external sources. They could go for either referral or other medium to reach the
right people for their organization. Referrals are people who apply for a vacancy when someone
In terms of external source, they can use their company website, newspaper to hire
people. By using these sources, they can easily access to people of all class. People who have
high skill but not that familiar with technology also people who are both highly skilled and tech-
Apollo Hospitals Dhaka 15
savvy, all types of people can be reached through these external sources. Its time saving, cost
effective and mainly organization will get exposure to new people with new ideas.
The selection process is where the organization will decide which candidate to choose for the
organization. Here organization creates a selection process to hire people whose characteristics
Preliminary interview.
Final Selection
After the selection, the candidate gets a temporary period for 12 months. If he/she
employees. If employees don’t feel the belongings, they will not be motivated enough to do
their job properly. If an employee feels that they are a part of the organization, their existence
matters to the organization they will be highly motivated to do the job properly. The
management and the employees should share the same goal. If something doesn’t work for the
employee, management should sit with them and should try to resolve their problem.
Recognition. Employees want recognition and appreciation for what they are doing.
Always appreciate them no matter what are they doing. A simple ‘thank you’ is enough to lift up
Apollo Hospitals Dhaka 16
the employee’s mood. Whenever an employee worked hard on something, they expect a little
bit of appreciation from the supervisor. It affirms that their work is being appreciated and
management recognized the work that they did. If management appreciates the hard-working
employees, it will also be beneficial for the organization as the performance of the employees
will increase. If management failed to do so, it will have a huge impact on the organization.
Trust. There should be a decent amount of trust between the authority and the
employees. As we all know that without trust, morale will be at its lowest. It’s obvious that if
there is no trust then the work productivity will be stagnant and workers will not be recognized
for their work. The ‘I’m the best’ attitude ruins the work environment and makes it very difficult
to achieve the organizational goal. So there need to have a good a communication, consistency,
respect and most importantly trust which will help the organization to achieve its goal.
Encouragement. When a team is built with trust, the relationship between the
employees improves a lot. The work environment gets better which helps the employees to get
more creative with their ideas. They will generate new ideas, innovative ideas, unique ways to
overcome the problems etc. The organization can listen to those ideas, doesn’t necessary that
the ideas have to be great or good, the management can simply just listen to the ideas and tell
them to improve the ideas. By doing this, they will not be downhearted but will be motivated to
come up with a better idea next time. This is also beneficiary for the organization as well, as
they are getting new ideas just by changing their management perspective without investing a
Training & Development: Training plays an important role for the development of all
Considering the strategic direction, how the organization’s core competencies of employees
can be identified and advantages taken from environmental factors. From the training and
development terms, this can implement the classical training cycle and business planning come
Organization needs the training to increase the productivity of their employees. Different
methods of training for people. There are two types of training methods.
An in-service educational program for nurses and Continuous Medical Education for
Doctors (CME) is done for doctors. These programs are mainly focused to focus on soft skills. An
employee may be sponsored for full or part-time training programs outside the organization.
Annual training plans are drawn up based on the Organization’s initiatives development
priorities. Training plans are regularly reviewed. Effectiveness is measured using specified
qualitative indicators. We know that there are so many methods of training which can be
described as follows:
On-the-job method
Apprenticeship
Conference method
Also, Training needs analysis is done for the existing employees to see if they are weak in soft
OBJECTIVE III
What HRM challenges will Apollo Hospitals Dhaka face in the 21st Century?
One of the crucial activities for HR managers is HR planning. Regarding the HR functions
of the 21st century, the organizations have altered from “behind the scenes” to becoming the
critical differentiator in businesses. The HR roles have taken a new dimension in the 21st
requires specialized skills. During the previous few years, many transitions have taken place like
due to rise in there were numerous layoffs; many people lost their jobs that put a lot of
pressure on organization’s management to reassess its procedures and strategies. (Zorlu, 2009).
in healthcare involves recruiting. The quality of people hired depends highly on how effective
recruitment & selection strategies are. However, this process of recruitment & selection is not
always sailing smoothly and is faced with many challenges due to globalization that has allowed
firms to invest overseas. Tangible problems faced during the process may include the cost of
advertising job openings while intangible obstacles can be communication gaps between
recruiters and hiring managers. We know that every person is different from another; even the
hiring committee will make decisions on the basis of their own perceptions as they are
influenced by their values, beliefs and social views and thus it is difficult to rule out the
possibility of biases. The HR of multinationals and local firms is passing through a difficult time.
Both kinds of firms are struggling hard to find suitable candidates. In order to select the cream
of talented people out of the whole pool, it is extremely important for 21st-century managers
Apollo Hospitals Dhaka 19
to broaden their view of judging people on the basis of their origin, culture, values, ethnicity
and background.
Employee Turnover Rates: HRM is becoming a complex field with time as earlier the
employee was only concerned with his/her economic survival but now employees seek a more
balanced work and family life. Career prospects and pay is increasingly becoming more
important as we don’t really see an employee sticking to one company for his life like the
earlier days. Hence, it becomes imperative for an HR manager to consider several factors for
management and understand the reasons for employee turnover. A manager needs to be
aware of the reasons why an employee leaves a company and whether it could have been
prevented. In addition to hiring shortages, Apollo hospitals are also struggling to retain the
excellent staff members they already have. With so many jobs open to medical professionals,
it’s all too easy for staff to leave if they’re unhappy or dissatisfied. In the past six years, the
average registered nurse (RN) turnover rates have increased from 11.2 percent to 17.2 percent.
In 2016, turnover for bedside RNs ranged anywhere from 8.8 percent to a whopping 37
percent; so, while some organizations are dealing with more reasonable numbers, many others
are battling much larger deficits. What’s more, the rising national average indicates that it’s
only getting worse over time. The work of HR in Apollo hospitals and can help retain nurses by
addressing the changing demands of the workforce, making their organizations more attractive
compounding effect on employee turnover. On top of that, burnout has a negative impact on
both patient care and patient safety, as emotional, mental, and physical exhaustion leaves
Apollo Hospitals Dhaka 20
providers (doctors and nurse practitioners included) unable to perform their best. Recent
surveys have found that burnout rates for nurses are as high as 70 percent, while burnout rates
for doctors and nurse practitioners can reach as high as 50 percent. These statistics reflect an
epidemic, the ramifications of which include poorer patient health. There’s a significant
correlation between these burnout rates and increases in patient infection rates. Patients can
see the impact of burnout, too; they report lower satisfaction rates in facilities where burnout
rates are higher. HR professionals need to be aware of the effects an overworked and under-
supported staff can have on patient care. There is currently a nationwide push for safe staffing
legislation, which would mandate hospitals to keep the nurse-to-patient ratios within safer
limits.
today are looking to learn new skills and gain access to advancement opportunities. And
industry. Many in the nursing profession intend to further their careers by becoming nurse
practitioners, doctors, or nursing managers, and more and more often they expect help along
that journey from their employers. Providing career development employees desire can be
costly, but the costs of hiring and training replacements are far higher. Training employees is an
investment, and it pays dividends on the other end, both in retained employees and in their
increased capability. HR professionals need to be aware that systems like these are becoming
increasingly prolific in the industry. It’s also important to note that the functional roles of the
human resource department in healthcare may include the implementation of new training
today are having heterogeneous workforce; which is of course considered to be a positive thing
as diverse minds will guide to new creations & ideas, but managing the culture where people
have different mindsets and putting across the cultural values is indeed a challenging task. The
culture of any workplace is its root and hence HR managers really have to put a lot of effort into
developing a successful organizational culture. Due to acquisition and mergers in the 21st
century, HR managers have to develop such a culture that supports these changes (Williams,
2003).
Conflict Management & Resolution: Conflict has two sides’ one positive which is
called constructive conflict and another negative that is known to be destructive conflict.
Today’s managers have to be well trained to deal with both kinds of conflicts. The 21st century
has brought with it long working hours, high level of competition, the pressure to attain targets
etc. which is known to have stress and conflicts among organizational employees. The HR
managers need to find methods for coping up with conflict timely. They have to act as a
mediator and must quickly respond to the conflict before it results in drastic damage to an
communication plays a vital role in conflict resolution. Sometimes HR managers are expected to
explain the code of conducts to an employee to handle employee complaints and sometimes
they act as a liaison between employers and labor unions to resolve the conflict among parties.
Business Ethics & Values: Paying keen attention to business ethics and values is
important to any manager’s job. With the recent changes in workplace culture, strategies and
organizational structure, it has become more imperative to have values and ethics in place
Apollo Hospitals Dhaka 22
which will decide organizational sustainability in the global market for a longer period. The HR
department is bound to deal with an array of ethical issues or challenges as this unit directly
deals with employees of a company. HR department encounters many ethical hazards that may
damage the reputation of a company as well as its financial sustainability in the long run.
CONCLUSION
destination with comprehensive super specialty excellence touching lives with care and
empathy. They are working with a vision to be recognized as a health care industry leader,
valued by patients and healthcare providers, respected by the health care community, sought
after as an employer and admired by their competitors. The hospital is about not only cutting-
edge technology and performance-driven skill of doctors and nurses, but also about hope, as
symbolized by the flames of hope in the torch on their LOGO. In Bangladesh, most of the time,
Apollo Hospital has been on the positive sides in most of the times. However, there are a few
weaknesses as well, but those can be removed effectively. Apollo Hospitals Dhaka is trying to
bring healthcare of international standards within the reach of every individual. So, they are
healthcare benefit of humanity. Apollo believes that the employees are the central life of any
organization and so their management is highly important for achieving all the goals. It works as
Apollo Hospitals Dhaka 23
workforce. Their HR Department has been designed in a way to add value to an employee's
position by enriching with duties and responsibilities aimed to add to the company's image and
bring profitable business to the company. On the other hand, this company has demonstrated
their quality in Human Resource Management. The more precisely their works are done, the
more perfectly their commerce will accomplish its objective. Apollo Hospitals Dhaka always
tries to maintain a congenial working environment where employees will feel better and
contribute more to the success of the organization. They arrange various motivational
RECOMMENDATION
They should hire experienced HR people to deal with their existing problems
In order to get rid of the problems they are facing currently they need to hire
responsible people who will take the right decisions whenever it’s required
The selected candidates’ qualifications must match with their job requirements - Apollo
The organization should provide some attractive offers to regular patients in order to
They need to ensure that their employees are not involved in any types of unethical
work.
Apollo Hospitals Dhaka 24
REFERENCES
Apollo Hospital fined Tk16 lakh. (2015, September 08). Retrieved April 12, 2019, from
https://www.dhakatribune.com/uncategorized/2015/09/08/apollo-hospital-fined-tk16-
lakh
Best Hospital in Dhaka - Apollo International Hospitals. (n.d.). Retrieved April 12, 2019, from
https://www.apollohospitals.com/locations/international-hospitals/dhaka
https://bdnews24.com/bangladesh/2018/02/19/apollo-hospitals-in-dhaka-fined-for-
selling-counterfeit-drugs-keeping-expired-reagents
Dessler, G., & Varkkey, B. (2011). Human Resource Management. Delhi: Pearson Different
https://www.ukessays.com/essays/business/different-approaches-to-human-resource-
management-business-essay.php
Heathfield, S. M. (2018, December 12). You Can Boost Employee Morale. Retrieved from
https://www.thebalancecareers.com/you-can-boost-employee-morale-1918107
Mahendru, M., & Kaleka, J. K. (2011). Challenges to HRM in 21st Century. SSRN Electronic
Journal. doi:10.2139/ssrn.1841363
Nayab. (2018, November 18). Human Resource Management Traditional Approach: Processes
management/75466-a-traditional-approach-to-human-resource-management/
Apollo Hospitals Dhaka 26
Perucci, D. (2019, April 10). 4 Big Challenges Facing HR Professionals in the Healthcare Industry.
professionals-healthcare-industry/