Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
2019
In 1940, hospital space and doctors were scarce, especially for this non-emergency surgery
• Contributing his services at no fee, he performed an innovative method of surgery on seventy of these
men.
• The delighted recruits soon made known their success stories and by the war's end, more than 200
civilians had contacted the doctor and were awaiting surgery.
The scarcity of hospitals beds however, created a major problem. There was only one solution
Dr. Shouldice decided to open his own hospital.
• Location: The hospital was located in Toronto in the southern part of Canada.
BOOKING A SURGERY
• Patients living within 100 km (60 miles) from the hospital should come to the office for a personal
examination.
• Examination Hours are: Monday to Friday- WALK IN CLINIC, NO APPOINTMENT NECESSARY from 9:30
am to 3:30 pm Saturday: BY APPOINTMENT ONLY from 10:00 am to 2:00 pm.
For patients living at a greater distance who wish to arrange an examination, admission and operation all
in one visit, please complete Questionnaires 1 and 2 by taking the following steps:
• Step 1. Click on Medical Information and print the questionnaire on your printer.
• Step 2. Return to the Booking for Surgery page, click on Insurance Information, and print it on your
printer.
• Step 3. Complete all documents as required and forward by fax (905-889-4216) or regular mail to our
office.
• Upon receipt of your completed documents, a surgeon will review the information, and office will make
the necessary arrangements to schedule you for surgery.
• Please allow two to three business days for processing
• There is no use of foreign bodies such as synthetic screens or meshes, except in extremely rare cases
where there has been destruction of the tissue usually due to previous surgery.
• The vast majority of our hernia repairs are done with a sedative (sleeping pill), analgesic (pain relief pill)
and local anesthesia. If necessary, additional medication is administered.
• The youngest patient to date was a child of 4 months, while the oldest was a man of 100 years.
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Shouldice Case 29.01.2019
Day-1
Day-2
Day-3
Day-4
Remove stitches, Walk, Play, Eat, Check-out
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Shouldice Case 29.01.2019
Cost Comparison:
Transportation $200-600 $0
Value of time lost (ranging from $50 to 500 per day) $450-4500 $750-7500
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Shouldice Case 29.01.2019
HOSPITAL
Cost 2,800,000
Profit: 241,400
Clinic:
Using the Capacity utilization rate formula on the data given on the table, these are the following beds
used per day and subsequently per week that we got:
Monday 60/90 66%
Then, using the data’s given to compute for the per week computation, we got:
90 beds x 7 days/ week = 630 beds available in a week
The hospital is currently utilizing 71.43% of their beds, the level of utilization is actually an ideal operating
point. To increase its rate of utilization might decrease the service quality. This also gives flexibility to the
operations for unforeseen events.
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Shouldice Case 29.01.2019
Advantages
– No investment is needed
– Can still maintain quality
Disadvantages
Advantages
Disadvantages
– Require to schedule doctors to the full capacity of five days per week
– Increase work load on admissions, kitchen, laundry, housekeeping and accounting
– Further staggering of meal hours for patients (100 seat dining room)
– Disruption during construction
Advantages
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Shouldice Case 29.01.2019
Disadvantages
A capacity analysis
• Shouldice has the capacity to perform 42 examinations/afternoon & send 38 eligible patients to the
operations rooms. However, it only performs 33 operations/day, so the bottleneck between these
2 processess is the no of operations performed/day.
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