SHOULDICE HOSPITAL LIMITED

History
Dr. Earle Shouldice who was to found hospital.
Born on a Farm in Bruce County, Ontario.
In the years between the Two World Wars Dr. Earle Shouldice
holding a post as lecturer in anatomy at the University of Toronto.
In 1945, the Shouldice hospital only has
one person on staff, nurses and cooks. to
improve the service eventually Shouldice bought three
place and increase the number of staff.
His unique repair method improved surgical result and reduced
recovery time, quickly restoring the young recruits to physical
fitness for military training
As news of Dr. Shouldices success spread, there was a growing
demand for hernia surgery, but doctors and hospital space were
after the war and wait times for surgery were long Dr. Shouldice
responded to the problem by founding his own hospital.

Shouldice Method
Sholdice only serve patients with two types: external
type of abdominal hernias were repaired at Shouldice
but for internal tupe such as hiatus were not treated.
The first-time repairs only require 45 minutes.
in the shouldice method, the muscle of the abdominal
wall were arranged in three distinct layers and the
opening was repaired-each layer in turn.
After fixing each layer to reinforce the muscular wall of
the abdomen with six rows of suture(stitches) under the
skin cover, which was then closed with clamps that
were removed within 48 hours, after the operation.

Patience Experience
Many patients had their problem diagnosed by a personal physician and then took the
initiative to contact shouldice.
The process experienced by Shouldice patients depended on whether or not they lived
close enough to the hospital to visit the facility to obtain a diagnosis. Approximately 42% of
all Shouldice patients came from the United States.
for patients who are far from Shouldice, patients were given a questionnaires.
questionnnaires it will be provided by the surgeon sholdice to detect what type of hernia. if
patients were included to perform the operation shoulidice will send an operating given
date, the medical information was logged into a computerized data base, and sent a
confirmation card to patient. If confirmation cards were not returned by the patient three
days or more prior to the scheduled operation, that patient was contacted by phone. Upon
confirmation, the patients folder was sent to the reception desk to await his or her arrival.
All patient rooms at the hospital were semiprivate, containing two beds. Patients with
similar jobs, backgrounds, or interests were assigned to the same room to the extent
possible.
patients who've run the operation will be walk from the operating table to for psychological
as well as physiological [blood pressure, respiratory] reasons.
Patient were encourage to take advantage of the opportunity to explore the premises and
make new friends.
Most patients prefer to stay longer in shouldice because they can get so experience.

The Nurses
Shouldice employs 22 full-time
equivalent and 18 part-time nurses.
Nurses spend an unusually large amount
of time providing counseling services to
patients.
Due to low nurse turnover, there is a
waiting list of nurses wanting to work at
Shouldice.

The Doctors Experience

12 full time surgeons, 7 part-time
assistants,1 anesthetist.
Salary of full time surgeon is fixed based
on experience, plus bonus. 51% of $60
fee/patient for part-timer, and $300/day
for anesthetist.
Turnover is low.
Highly trained.

The Facility
Rooms are not equipped with phone or TV.
Patients must travel to make a phone call,
watch TV, socialize, eat, etc.
Small rise stairways make it easieron patients
who have just completed surgery.
Carpeting makes it feel warmand
comfortable.
Patients and staff eat together in thecafeteria.
Foods are all fresh ingredients and prepared
from scratch.

Administration

Turnover is low;
Profit sharing plans;
Cross training;
Managing director stays late one
night per week to interact with
patients and staff.

The Market
The market
The patients of hernia most common
performed on males.
Annual checkups are provided for alumni
free of charge.
The Strategy
Word-of-mouth advertising.

Problem
Increase the hospitals capacity.
Competitive encroachment.
Staffing.

Solution
Add Saturday (weekend) operations.
Establish a new facility for hernia.
Expand to other types of operations.
Patent the shouldice method.
Hire new staffs for the new operating
hours in weekend.