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Table of Contents

Accomplishing goals is a delicate balance of 

sheer determination and ingenious flexibility. With

Healthshare as your management partner, you will be

empowered to effectively manage your facility, nomatter how often, or how dramatically, the landscape

changes.

Pre Operational and Operational

Management of Hospitals  

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HEALTHSHARE HEALTH SOLUTIONS (PTY) LTD: FEASIBILITY PHASE SERVICES

Healthshare provides the following feasibility services:

Feasibility / Market study

Financial modelling

Business plan and / or InformationalMemorandum

The following information is included:

Data collection and analysis there of:o Data describing the size and the scope

of the hospital industry in the area andneighbouring areas

o The competitiveness of the healthcareindustry with specific relation to currentservices available

o Data on market potential (Socio-

economic profiles, population size andgrowth statistics and health profiles)o Data on the human resources with

specific relation to the healthcareindustry needs and the availability of healthcare professionals

o Comparative analysis of the public andprivate sector hospitals and presentneeds

o  Analysis of the policy and legislativeframework that could enable or complicate the planned project

o  Analysis of the burden of disease

Facility positioning and health servicesoffering

Site viability

Spatial development

Building development

Infrastructure developments

Preliminary architectural layout

Preliminary Order of Magnitude (POM)

estimation Financial modelling for the proposed

healthcare facility

Business plan or InformationMemorandum for the proposedhealthcare facility

The fee for these services is either based on an hourly rate plus expenses or a fixed fee per componentrequired.

To find out more about Healthshare SA’s portfolio and how to have Healthshare manage your

hospital/pharmacy/training program, visit the Healthshare website, or send an e-mail to

info@healthshare.co.za for further info.

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HEALTHSHARE HEALTH SOLUTIONS (PTY) LTD: HOSPITAL MANAGEMENT SERVICES

Healthshare provides the following operational management services on a contract basis:

General managementof the hospital

Strategic andoperationalmanagement, reviewand achieving of strategic objectives

Financial management

 Administration

Human resourcemanagement

Marketing

Public relations

Medical management

and clinical governance Nursing management

Management of specialists and generalpractitioners

Management of alliedhealth services

Management of contracts

Supply chainmanagement

Facility Management

MaintenanceManagement

Ensuring legalcompliance

Information technologymanagement

Quality management -quarterly balancedscorecard

In South Africa, certainhospital functions in private

hospitals need to be renderedby health professionals withtheir own private practices.This is required by law. Thepractices are covered byseparate legislation related toHealth Care Professionals.

These professionals sub-lease areas of the hospitaland are covered by servicelevel and lease agreements.These categories include thefollowing:

Medical specialists andgeneral practitioners

Radiology department

Laboratory

 Allied medicalprofessional e.g.physiotherapy,occupational therapy,psychologists, speechtherapists etc.

Many other non-core servicesare contracted out andperformed by specialisedcompanies. Outsourcedservices typically include thefollowing:

Catering e.g. CompassGroup, Fedix, RoyalSechaba

Laundry e.g. Boston,Bidvest Laundry group,Fedix

Cleaning e.g.Superclean, Supercare,Prestige

Security e.g. Servest,Fidelity

Medical Waste e.g.Compass WasteServices, Wastetech

Garden Services -usually a local company

Information Technologyincluding off-site hosting

e.g. T-systems (for the SAP system), Digidata,

Meditech

Pest control e.g.Prestige, Rent-a-Kill,Pest Control specialists

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Healthshare management contracts ensure the following service levels:

 Achievement of strategic andoperational objectivesas contained in the

business plan, whichhas been either complied by or approved byHealthshare 

Customer satisfactionratings of at least 90%

Compliance with thequarterly balancedscorecard

Relevant policies andprocedures

implemented in alldepartments

Planned maintenance inplace

Public liability insurance

in place Full legal compliance

Implementation andmanagement of thehospital informationsystem

HealthshareIn futurewill ensure that thehospital complies withthe National CoreStandards for HealthEstablishments (that

are being developed for the National HealthInsurance).

Healthshare’s Management fees are typically a percentage of revenue that is negotiated. TheHealthsharepercentage is largely influenced by hospital size. usually also negotiates a bonus based on

a percentage of profits over and above the budget or business plan.

HEALTHSHARE HEALTH SOLUTIONS (PTY) LTD: PRE-OPERATIONAL AND COMMISSIONINGSERVICES

Doing business withHealthshare enables you to

choose whatever strategy wilwin the day for cost-effective

quality healthcare. Eachsolution is tailor-made, notonly for each of our clients,

but also to take intoconsideration the prevailing

conditions at the time. 

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Healthshare’s services include the following:

Review of architectural, civil and electrical

engineering plans

Scope of the facility: Medical (clinical),administratively

Confirmation of market study: Patient

population, doctor population (practice

development, special interests and field of 

expertise)

Communication functions: Liaison with

doctor community in the area, client base,

community organizations and interestgroups

Funding of the capital requirements of the

project:

o Investigation of funding options

o Presentations to possible funders

Confirmation of market study:

o Patient population

o

Medical professionals population(practice development and fields of 

expertise)

Medical input on architect design of 

buildings

Input and communication with professional

team

Site visits (may also include an on-site

manager in bigger projects) Practitioner selection: Validate practice as a

business unit, registration with relevant

authorities, signing up practitioners as

tenants, supporting doctors, visiting doctors

Radiology practice: Recruiting and selecting

a private practice, plan imaging

requirements for hospital

Pathology practice: Recruiting and selecting

a private practice, plan layout and interface

with the hospital

Consulting rooms: Full time occupant,

design of consulting rooms layout, services

required, sessional rooms.

Equipment planning: “Work stream”planning, bill of quantities, market study of 

available products, quotations for possible

suppliers, product comparison, end user 

preferences, compatibility with clinical

needs, equipment budget. Tender process

or Turnkey solution negotiation.

Theatre equipment: Bill of quantities,

specialized equipment, technologyinterfacing

Office equipment

Liaison with Department of Health

Liaison with Pharmacy Council

License application for both hospital

pharmacy and retail pharmacy

Legal compliance with Pharmacy Council

Human resources planning: Re-planning thestaff requirements to fit activities in the

hospital, uniforms, staff management

systems

Hospital management team: Recruitment,

selection, appointment

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Services: Selecting and contracting -

Laundry, catering, gardening, Cleaning

Medical support services plan

Finance and Administration

IT System implementation

Policy and procedures (all departments)

 A detailed commissioning budget usually

part of the financial model

Healthshare provides these pre-operational services on the basis of a negotiated fixed monthly fee. The

fee depends on the size, complexity and location of the project.

Our exceptional executive team has contributed to developing an international healthcare company thatprovides customized, quality, affordable, private healthcare solutions to individuals and business innumerous developing countries.

HealthshareWith models, systems and networks that are not easily duplicated, is a leader in the field.Together with our intellectual property, our expertise in both a per diem and capitated market, theHealthshare Team delivers an exceptional service. We provide a number of hospital management andconsulting services to private and public hospitals as well as integrated healthcare services to businessin a variety of countries. Providing the best care is a dynamic process with consistent exploration anddiscovery for added value to a healthier planet.

Yours in health,

Dr. Tony de CoitoManaging Director