moolai co-operative hospital challenges and opportunities reactivation, progress & review 2003...
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Moolai Co-operative Hospital
• Challenges and Opportunities• Reactivation, Progress & Review
2003 – 2008
Presented By:
Dr. R. Surenthirakumaran MBBS, MSC (Community Medicine),
PGD (Applied Statistics) ,MD (Community Medicine),
Trainee PGIM
Department of Community MedicineFaculty of MedicineUniversity of JaffnaThinnaveli, Sri Lanka
Medical SuperintendentMoolai HospitalChulipuram, Sri LankaEmail: [email protected]
Facts•Established in 1934
•5 Acre Campus, Potential Land Value ▫US $ 1 M
•34 Independent Structures Potential Value ▫US $ 1 M
History•Moolai hospital is a unique co-operative
venture in healthcare services.
•First successful initiative in South Asia
•Potential to serve 200K population.
•Approved by the Ministry of Finance as a charitable institution, under the Income Tax Ordinance
•All finances are audited by the Office of Commissioner of Cooperative Department.
Two Story Building
Sampanthan Quarters
Old Nurses Quarters
History Cont…•Moolai Hospital did not escape the effect of the
civil war.
•Almost all buildings were destroyed.
•Some are currently renovated.
•Dedicated effort from international and local donors and the management of the hospital have made it possible for the hospital to reactivate and provide essential healthcare services.
Partners in Progress 2003 to 2008
•T.R.R.O California $ 80 K
•Ratnam Foundation UK $ 40 K
•MIFT – Canada $ 16 K
•IMHO - USA $7.2 K
•MIOT - UK $1.6 K
Donors of Equipment2003 To 2008
• British High Commission $ 52 K
• Royal Netherlands Embassy $ 3 K
• US AID $ 95 K
• North Provincial Ministry $145 K(Govt. of SL)
• North Carolina Peace Foundation $ 5 K
• SCOT- UK $ 4 K
Healthcare Services• Cardiology Clinic (with ETT Facilities
donated by NPM)
• General Medical Clinic
• General Surgery Eye Clinic
• Maternity Clinic (Equipment donated by USAID with the support of TRRO California) - $95K Value
Healthcare Services Cont…
• Clinical Laboratory (by MIFT Canada)
• X-ray (unit by NPM)
• Ambulance Services (by NPM and maintained by
IMHO USA)
• Family Medicine Services (by MIOT – UK)
• Free Mobile Medical Services (by IMHO USA)
• Special Care Services
Healthcare Services Cont…•Dental Clinic (Equipment donated by
MIOT- UK & NPM)
•Diabetes Clinic (Free services - Courtesy Ratnam Foundation UK)
•Eye Care Clinic and Surgeries
•ENT Clinic
•Pediatric Clinic
•Trauma Counseling
Operation Theatre
Board of ManagementName Title
Mr. V. Velupillai President
Mr. K. Hallock Viswanathan
Secretary
Mr. K. Krishnamurthy Treasurer
Dr. S. Kannadasan Committee Member
Mr. V. Rajahkumar Committee Member
Mr. S. Thiyagalingam Committee Member
Mr. K. Muthurasa Committee Member
Mr. S. Santhiyapillai Committee Member
Providing Opportunities for
•Empowerment
•On the Job Training
•Employment for 52 Personnel
Physicians SpecialtyDr. R. Surenthirakumaran Medical Superintendent
Dr. Mrs. S. Nagendra Consultant Physician
Dr. K. Sritharan Obstetrician &Gynecologist
Dr. M. Sivakumar Surgeon
Dr. Mahesan General Physician
Dr. M. Thirumaran ENT Surgeon
Dr. S. Kugathasan Eye Surgeon
Dr. P. Luxman Cardiologist
Dr. Maruthainar Pediatrician
Dr. K. Gnanasothilingam Dermatologist
Dr. S. Sivasangar AMSMO
Dr. S. Suganthan OPDMO
Dr. Ragavan Diabetic Clinic MO
Dr. N. Jeyakumar Diabetic Clinic MO
Dr. S. Sivakumar Diabetic Centre
Dr. Hamlet Dental Surgeon
Title NumberMatron 1
Pharmacist 1
Nurse 1
Nursing Aid 5
Midwife 1
Nursing Trainees 9
Laboratory Trainee 1
Laboratory Aid 1
Accountant Assistant 2
Accounts Clerk 1
Computer Data Entry Clerk 1
Security Officer 4
Laborer 3
Ambulance Drivers 3
Cashier 1
Cook 1
Total Support Staff 36
Immediate Need
•Increase the current revenue by 10% each year for the next 3 years 2009-2011
•Achieve sustainable growth
How?
•Renovate the existing building and to provide competitive laboratory services. ▫$30K cost of renovation under
consideration by MIFT Canada
•Improve and provide competitive pharmaceutical products. ▫$20K cost to implement this program▫Sponsorship Needed!!
Improve the Mobile Clinic Services (currently sponsored by
IMHO USA)1) Purchase a vehicle equipped for mobile clinics
2) Improve the staff capacity to handle the mobile clinics
3) Purchase equipment and materials for mobile clinics
4) Purchase small generator for mobile clinics
--- Sponsorship Required For $50K ---
Current Mobile Clinic Services (Sponsored by IMHO
USA)•Treatment of vulnerable communities for
common ailments.
•Screening and early detection of nutritional and non-communicable diseases such as diabetes, hypertension and cancer.
•Screening for eye diseases
•Health Awareness Program
Develop Moolai Into An Accepted Training Facility
For
•Paramedics
•Nurses (minimum 30 per batch)
Expenditure Statement from May 2003 – May 2008
No Expenses Category Cumulative in US $
1 Salary for Doctors $ 36,7442 Salary for Doctors - Diabetic Clinic $ 7,000 3 Salary for Staffs $ 48,547 4 Salary for Staffs - Diabetic Clinic $ 4,362 5 Consultants' Fee $ 29,023 6 Employment Provident Fund $ 6,059 7 Employment Trust Fund $ 360 8 Purchase of Drugs $ 48,743 9 Medical Disposable $ 1,658
10 Repairs to Building $ 4,319 11 Repairs to Operation Theatre $ 1,916 12 Labor $ 2,545 13 Electricity $ 6,407 14 Generator $ 1,166 15 Telephone $ 2,218 16 Ambulance Repair & Diesel Expenses $ 13,165 17 Miscellaneous $ 26,442 18 Retired Employees Gratuity $ 580 19 Transport $ 2,958 20 Fencing $ 49121 Advertising $ 664 22 Electrical Spares $ 1,095 23 Uniform $ 473 24 Repair & Main. Of Equip. & Furniture $ 2,547 25 O2 Gas Refilling $ 292
26 Total Recurring Expenses $ 249,772
27 Capital Expenditure / X-Ray $ 44,422
28 Total Recurring & Capital Expenditure $ 294,195
Current Patient Statistics
MEDICAL SURGICAL VOGCARDIOLOGY DR. LUXMAN
DENTAL SKIN X-RAY DR.UMA ENT PEDS DIABETES OPDEYE
TEST
Jan-08 20 53 70 74 36 10 0 0 0 7 552 900 0 1,722
Feb-08 42 61 59 71 39 7 0 0 0 0 573 1,016 0 1,868
Mar-08 32 76 38 56 62 5 0 0 0 24 566 1,003 0 1,862
Apr-08 13 37 59 31 24 15 0 0 0 18 565 1,143 0 1,905
May-08 76 45 85 38 61 0 33 21 0 11 598 1,082 59 2,109
Jun-08 69 68 66 99 38 11 0 0 0 0 647 1,103 32 2,133
Jul-08 111 107 75 50 18 0 0 0 0 0 619 1,060 41 2,081
Aug-08 125 75 86 63 46 0 43 0 15 0 595 1,046 50 2,144
Sep-08 138 53 66 47 33 0 43 0 30 0 581 891 41 1,923
Oct-08
Nov-08
Dec-08
TOTAL 626 575 604 529 357 48 119 21 45 60 5,296 9,244 223 17,747
TOTALMONTHS
CONSULTANT CLINICS ON WEEK ENDS DAILY CLINICS
Income & Expenditure Summary
From May 2003 to May 2008No Details of Income/Remittance Cumulative in $US % Of Rev.
1 OPD & Inpatient $131,695 47%
2 Ambulance $4,330 2%
3 T.R.R.O California $80,153 29%
4 Ratnam Foundation $39,115 14%
5 MIOT for Family Medicine $1,625 1%6 IMHO for Free Mobile Service $7,242 3%7 Other Donations $12,080 4%8 Fixed Deposit Interest $4,791 2%
9 Total Income $281,032 100%
10 Total Recurring & Capital Expenditure $294,195
11 Total Profit/Loss ($13,163) 5%
Patients Seen From Jan 2008 to Sept 2008
Clinics Total Average
Daily Clinics 14,763 75 Per Day
Weekend Clinics 2,984 83 Per Weekend
Total 17,747 66 Per Day
THANK YOU for Making the REACTIVATION of
MOOLAI a REALITY
Your continued support is always appreciated!
http://moolaihos.com