STRATEGIC PLANNING FOR TECHNICAL OPERATIONS

- Dr Nikhil Patel

ABOUT US
PAST - where we have been
Being an initiative by Mrs Sybill Storz and Prof. T.E. Udwadia a center of
excellence for minimal access surgery was set up 5 yrs back just to enhance
the skills in MAS in India . Till date we have match up to the expectations and
had reach out to close to 6000 surgeons for MAS across 17 specialties.
TODAY - where we are now
Today we are an established brand wherein we have spread our foot across
national and internationally. We have developed association with various
organization/pharma companies. We are now backed with the expertise
team who are in the process of taking the all the good work done to the next
level.
VISION - where we should go and why
Our vision is to reach across all the sections of the medical fraternity actively to
encourage them to get themselves trained for the MAS in order to enable
them for safe practices and utmost patient care at an optimal cost
MISSION - who we are, how we work toward our vision, what makes us unique
Situated at a central location in a prime business hub in Mumbai, CEMAST boasts a
world-class infrastructure spread over 12,000 sq. ft. The state-of-the-art facilities and
ultra-modern equipment at CEMAST make it one of the most advanced centres that
not only promises to elevate skills of the surgeons but also gives them the confidence
and motivation to embrace, practice and master the art of Minimal Access Surgery.
The core strength of CEMAST lies in the philosophy with which the institute has been
conceptualised. CEMAST is much more than an excellently equipped state-of-the-art
training facility. CEMAST has its unique ethos, unique vision and thrust to ensure a
foundation of safe and structured Minimal Access Surgery training in every surgical
discipline.
Eminent faculty members having vast experience, expertise & reputation, Innovative
Course Design & Training which emphasis on extensive Hands-on experience for
participants, an Unmatched Infrastructure with a complete focus on Systems &
Processes, Individually innovated and crafted models to give a unique OR like
experience during hands-on training which Ensures Confidence & Motivation for
Surgeons to embrace, practice & master the art of Minimal Access Surgery which
makes us unique.
GOAL: -
LONG-TERM GOAL -
The goal is to make the CEMAST a world class renowned fame leading
academic training center in minimal access surgery

GOAL:-
Objectives
1. Ensure that the course is planned and executed as per schedule.
2. Ensure that Operation is managed efficiently.
3. Ensure that the cost optimization is done without any quality compromise
4. Plan and execute the new innovation
 Objective 1. Ensure that the course is planned and executed as per schedule.
Strategy
• Prepare Course calendar in joint
consultation with Director on Half
Yearly basis
• Stock availability
• Ensure that the tissue/animal is
available before the course
• Coordination with team for live
transmission / visit to OT
• Arranging of meal from vendor
• Course consumables availability
• Preparation of crafted models
• Availability of faculty
• Course Study Material distribution
• Adherence to SOP
Output
• Will help us and the participants to
plan thier work and enrol for the
courses accordingly.
• To run the course efficiently
• Will help them in understanding
the learned MAS skills on human
anatomy
• Will help in saving time and have
more interaction with the faculty
• Innovated and crafted models wil
give a unique OR like experience
during hands-on training.
• Study material will help the
particpants to refer the contentsfor
future reference
• To maintain uniform standards
Outcome
• A happy and now a skilled
participant will implement his
trained minimal acess surgery in
his day to day practices
• A word to mouth publicity by the
alumni who can act as an
ambassodor for promotion of
courses.
• Best practices in the industry will
help us to create a brand value of
the organization.
 Objective 2. Ensure that Operation is managed efficiently.
Strategy
• Identify multiple vendors
• Disposable of Bio Medical waste
• Manage the team efficiently
• Record the process
• Arrange the Travel and Stay
Management for the faculty
Output
• Multiple vendors will help to have
comparative quoted and ensure the
avaibility of the consumables on time
• BMW managment will help to have
control on waste generated and
disposed
• Continous motivation,training and leave
management to ensure that the staff is
accountable and continously upgraded
as per standards
• Recorded process will help us to
monitor continous improvement in
maintain uniformity across the
processes.
• Ensuring the travel and stay for the
faculty will result in time management
and avaibility of the best faculty for the
courses.
Outcome
• Will help us in having understanding of
the availability of the products at the
best price at comparative rate without
any quality compromise
• Infection prevention control
• To create a best team which can have
an excellency in thier domain for world
class standards.
• To give a world class quality standard of
training for the participants
• A willingness of faculty will be available
as they need not to worry for the travel
and accomadation
 Objective 3. Ensure that the cost optimization is done without any quality
compromise
Strategy Output Outcome

• Vendoridentification • Vendor identification • Cost optimization

and Negotiations and negotiations will • Resource utilization
• Utilization of existing help us to get the best • Cost saving
resources product at
• Facility Management comparative rates and
at economical cost save the cost
• Better resource
managment
• Better and prompt
facility with cost
optimazation
 Objective 4. Plan and execute the new innovation

Strategy Output Outcome

• Identify new vendors • Will be able to get • We will be having one

for 3D models more detailed and
• Plan and execute new quick delivery of the
models models
• Upgrading the in • Newer models
house innovated developed will help us
models to add newer courses
• Furnished upgraded
models
of the best in house
developed models
which can be used for
training the candidates
for better experience
 Resource Management
Human Resource- To achieve the Goal we will be requiring the support from the
existing technical team and the housekeeping. Currently we have a team of 6
technicians and 8 housekeeping staff who manages the event on day to day basis. A
continuous training and motivating the team will evolve as a better team to deliver
best outcome.

Financial Support- Our courses are highly subsided, and the deficit is currently being
supported by KSI to run the center.
 Risk and Mitigation: -
To ensure that we achieve our goal we have identified some risk and its mitigation.

Risk 1 High dependency on availability of External faculty which holds the potential to disrupt the planned
schedule of a course.
Mitigation:
a) Faculty Management plan (Updated SOP number) in place and updated regularly.
b) Intimation of course calendar well in advance & blocking of faculty’s dates, with advance
confirmation
c) Course Directors will take over the allocated didactic and hands-on responsibility of Faculty

Risk 2 Potential for sudden Equipment/ Instrument breakdown/ damage/ power failure leading to
disruption of a course
Mitigation:
a. Regular Preventive Maintenance/ Calibrations (Updated SOP number) in place.
b. Availability of standby/ back up equipment/ instruments/ simulators/ UPS/ generators
c. Structured refund policy

Risk 3 Non- availability/ delay of animal tissue leading to disruption of the set agenda
Mitigation:
a. Contract with reliable vendor
b. Availability of backup/ standby resource for supply
c. Flexible Agenda

Risk 4 Dependency on Hospitals for Live Surgery demonstrations/ AV transmission leading to disruption of
the set agenda
Mitigation:
a. Timely intimation and confirmation in advance
 b. Pool of edited/ unedited videos

Risk 5 Lack of optimal number of participants / students for courses offered at CEMAST.
Mitigation:
a. Develop a strategy and plan in advance
b. Maintain, update and back up regularly the Data bases on potential consumers
c. Have vendors in place for all outsourced tasks and keep a second line of vendors ready

Risk 6 Karl Storz provides an educational grant which increases the dependency on external resources
Mitigation:
a. Setting measures to ensure cost effectiveness such as replacing entire carcass with unique
models wherein only harvested tissue is required (e.g. Bronchoscopy model in development)
b. To fill training batches to maximum capacity
c. Optimization of existing resources e.g. Multitasking
Risk 7 Developmental Cost of a Course / Model
Mitigation:
 Cost optimization measures

Risk 8 Model not mimicking actual surgical requirements

Mitigation:
 Explore the availability of similar models within and outside the country

Risk 9 Development of similar/ smaller training centers leading to sub-optimal course participation at
CEMAST
Mitigation:
a. Continuous upgradation and development of new courses based on recent advances
Risk 10 Health risks for personnel handling animal tissue
Mitigation:
a. Regular health check- ups for employees
b. Animal tissue handling and Biomedical waste management SOP in practise
c. Infection Prevention Protocol in practise
d. All employees covered with Health Insurance

Risk 11 Monopoly of vendor/ s for creating exclusive models/ consumables having the potential of misuse
of confidential design
Mitigation:
a. Exclusivity and Non- disclosure contract
b. Patent of the models