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  1	
  
STEADMAN	
  HOSPITAL	
  
	
  
OPIM	
  Final	
  Project:	
  
Matt	
  Kahl,	
  Kendra	
  Otis,	
  Brook	
  Rice,	
  Karlyn	
  
Seidner	
  
	
  
	
  
	
  
Matthew	
  Kahl:	
  matthew.kahl@colorado.edu	
  	
  
Kendra	
  Otis:	
  Kendra.otis@colorado.edu	
  
Brooke	
  Rice:	
  brook.rice@colorado.edu	
  
Karlyn	
  Seidner:	
  karlyn.seidner@colorado.edu	
  
  2	
  
Table	
  of	
  Contents	
  
	
  
I. Executive	
  Summary	
  	
  	
  	
  	
  	
  	
  	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  3	
  
II. Introduction	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  5	
  
III. Overview	
  of	
  Data	
  analysis	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  8	
  
IV. Physical	
  Location	
  and	
  Financial	
  Plan	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  18	
  
V. Medical	
  Service	
  Plan	
  	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  25	
  
VI. Demand	
  Forecast	
   	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  30	
  
VII. E-­‐Commerce	
  &	
  E-­‐Business	
  Plan	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  34	
  
VIII. Equipment	
  Plan	
   	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  41	
  
IX. Supply	
  Chain	
  &	
  Inventory	
  Management	
  Plan	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  48	
  
X. Human	
  Resources	
  Staffing	
  Plan	
  and	
  Cost	
  Analysis	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  57	
  
XI. Revenue	
  analysis	
   	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  73	
  
XII. Simple	
  Three	
  year	
  financial	
  plan	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  74	
  	
  
XIII. Process	
  Maps	
  	
   	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  80	
  
XIV. Final	
  Summaries	
   	
   	
   	
   	
   	
   	
   	
   	
  	
  	
  	
  	
  	
  	
  	
  93	
  
XV. References	
   	
   	
   	
   	
   	
   	
   	
   	
  	
  	
   	
  	
  	
  	
  	
  	
  105	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
  3	
  
	
  
(III)	
  Executive	
  Summary:	
  
	
  
	
   Given	
  this	
  project	
  to	
  be	
  worked	
  on	
  for	
  one	
  semester	
  has	
  allowed	
  our	
  team,	
  
Steadman	
  Hospital,	
  to	
  skim	
  the	
  surface	
  of	
  what	
  a	
  realistic	
  operations	
  system	
  of	
  any	
  
business	
  may	
  be.	
  To	
  be	
  assigned	
  a	
  hospital	
  and	
  starting	
  from	
  the	
  absolute	
  beginning	
  
proved	
  to	
  be	
  a	
  challenge	
  yet	
  purposeful	
  project	
  when	
  developing	
  functional	
  
knowledge	
  for	
  the	
  subject	
  of	
  operations.	
  Our	
  group	
  began	
  where	
  any	
  business	
  
associate	
  should	
  begin	
  –	
  develop	
  the	
  first	
  set	
  of	
  goals	
  that	
  we	
  would	
  like	
  to	
  achieve.	
  
Being	
  said,	
  the	
  overall	
  objective	
  was	
  to	
  create	
  a	
  hypothetical,	
  yet	
  operational	
  
hospital	
  that	
  is	
  also	
  profitable.	
  At	
  the	
  very	
  beginning	
  of	
  the	
  semester,	
  all	
  members	
  
within	
  our	
  group	
  had	
  very	
  little	
  knowledge	
  on	
  how	
  a	
  general	
  hospital	
  functions,	
  
which	
  does	
  not	
  even	
  include	
  how	
  said	
  hospital	
  could	
  make	
  any	
  sort	
  of	
  profit.	
  
Therefore,	
  we	
  searched	
  for	
  a	
  mentor	
  who	
  could	
  give	
  us	
  the	
  initial	
  spark	
  of	
  this	
  
project.	
  After	
  a	
  long	
  back	
  and	
  forth	
  meeting,	
  our	
  mentor	
  (NAME)	
  and	
  various	
  
sourced	
  doctors	
  helped	
  us	
  generate	
  the	
  unique	
  idea	
  of	
  splitting	
  our	
  hospital	
  into	
  a	
  
Growth	
  hospital	
  and	
  a	
  Base	
  hospital	
  –	
  which	
  will	
  be	
  discussed	
  later	
  in	
  this	
  
document.	
  Having	
  this	
  idea	
  always	
  running	
  through	
  our	
  minds,	
  we	
  continued	
  
developing	
  the	
  basics	
  of	
  the	
  hospital	
  such	
  as	
  location	
  and	
  facility.	
  Once	
  the	
  location	
  
and	
  building	
  was	
  chosen	
  and	
  our	
  intellectual	
  strategy	
  of	
  Base	
  versus	
  Growth	
  was	
  
decided	
  on,	
  all	
  details	
  pertaining	
  to	
  the	
  remainder	
  of	
  the	
  project	
  fell	
  into	
  place.	
  	
  
	
   In	
  the	
  development	
  of	
  Steadman	
  Hospital,	
  we	
  found	
  that	
  successful	
  
organizations	
  are	
  not	
  simply	
  drawn	
  out	
  and	
  put	
  into	
  action.	
  Instead,	
  to	
  generate	
  a	
  
profitable	
  business	
  requires	
  immense	
  planning	
  and	
  detail	
  of	
  how	
  the	
  organization	
  
  4	
  
will	
  correlate	
  with	
  the	
  business	
  owners’	
  goals.	
  This	
  posed	
  as	
  an	
  initial	
  problem	
  with	
  
generating	
  a	
  hospital	
  because	
  hospitals	
  have	
  immense	
  expenses	
  with	
  an	
  even	
  larger	
  
initial	
  expense.	
  Of	
  course,	
  the	
  purpose	
  of	
  the	
  project	
  was	
  to	
  convince	
  an	
  investor	
  or	
  
several	
  investors	
  as	
  to	
  why	
  Steadman	
  Hospital	
  would	
  be	
  the	
  most	
  effective	
  hospital	
  
to	
  invest	
  in.	
  Though,	
  asking	
  an	
  investor	
  for	
  the	
  initial	
  several	
  hundred	
  million	
  
dollars	
  to	
  fund	
  the	
  creation	
  of	
  a	
  newly	
  improved	
  hospital	
  proved	
  to	
  be	
  an	
  unrealistic	
  
plan	
  that	
  was	
  not	
  in	
  the	
  best	
  interest	
  of	
  any	
  investor.	
  Because	
  of	
  this,	
  our	
  group	
  
found	
  that	
  just	
  because	
  there	
  is	
  a	
  simple	
  way	
  of	
  doing	
  something	
  does	
  not	
  make	
  it	
  
the	
  most	
  ideal	
  decision.	
  This	
  initial	
  hurdle	
  demonstrated	
  to	
  our	
  group	
  that	
  
organizations	
  must	
  think	
  outside	
  of	
  the	
  box	
  when	
  making	
  certain	
  important	
  
decisions.	
  This	
  newly	
  found	
  knowledge	
  allowed	
  our	
  group	
  to	
  form	
  a	
  successful	
  
business	
  plan	
  for	
  the	
  operations	
  of	
  Steadman	
  Hospital.	
  
Possibly	
  the	
  most	
  important	
  thing	
  we	
  learned	
  when	
  generating	
  the	
  
operations	
  for	
  Steadman	
  Hospital	
  was	
  that	
  we	
  are	
  developing	
  a	
  business	
  –	
  not	
  just	
  a	
  
product.	
  Some	
  companies	
  have	
  realized	
  that	
  when	
  creating	
  a	
  new	
  product,	
  they	
  
must	
  start	
  specific	
  and	
  move	
  towards	
  the	
  basics	
  of	
  their	
  organization.	
  Though,	
  
because	
  we	
  had	
  a	
  more	
  directed	
  focus	
  on	
  the	
  business	
  and	
  not	
  the	
  service	
  itself,	
  we	
  
found	
  it	
  easiest	
  and	
  most	
  successful	
  to	
  start	
  with	
  the	
  fundamentals	
  and	
  move	
  
towards	
  specific.	
  Therefore,	
  as	
  mentioned	
  before,	
  we	
  started	
  with	
  the	
  idea,	
  chose	
  a	
  
facility	
  (located	
  in	
  Los	
  Gatos,	
  California),	
  and	
  then	
  went	
  deeper	
  into	
  definite	
  
categories	
  such	
  as	
  medical	
  service	
  demands	
  and	
  human	
  resource	
  management.	
  By	
  
starting	
  with	
  these	
  basic	
  stages	
  of	
  development	
  and	
  moving	
  to	
  more	
  targeted	
  stages,	
  
  5	
  
it	
  allowed	
  our	
  team	
  to	
  fully	
  understand	
  each	
  operation	
  running	
  within	
  Steadman	
  
Hospital.	
  	
  
As	
  a	
  whole,	
  we	
  found	
  that	
  hospitals,	
  like	
  all	
  other	
  businesses,	
  are	
  changing	
  
with	
  the	
  modern	
  world.	
  New	
  ideas	
  and	
  operations	
  are	
  no	
  exception	
  to	
  this	
  change,	
  
which	
  accounted	
  for	
  a	
  whole	
  remodeling	
  of	
  the	
  operations	
  that	
  flow	
  within	
  
Steadman	
  Hospital.	
  As	
  a	
  result,	
  we	
  chose	
  our	
  location,	
  developed	
  a	
  medical	
  service	
  
plan	
  and	
  demand	
  forecast,	
  equipment	
  plan,	
  supply	
  chain	
  and	
  inventory	
  
management	
  plan,	
  human	
  resources	
  staffing	
  plan,	
  and	
  developed	
  a	
  financial	
  
forecast,	
  which	
  all	
  related	
  to	
  the	
  changes	
  American	
  is	
  currently	
  facing.	
  With	
  that,	
  we	
  
found	
  that,	
  to	
  be	
  a	
  successful	
  business	
  in	
  modern-­‐day	
  America,	
  the	
  company	
  must	
  
be	
  able	
  to	
  adapt	
  to	
  attract	
  and	
  retain	
  continuous	
  consumer	
  support.	
  
Throughout	
  the	
  process	
  of	
  this	
  project,	
  we	
  found	
  that	
  the	
  subject	
  of	
  
operations	
  management	
  is	
  a	
  complex	
  yet	
  important	
  field	
  when	
  generating	
  a	
  
profitable	
  business.	
  In	
  fact,	
  we	
  found	
  that	
  every	
  aspect	
  of	
  a	
  business	
  must	
  undergo	
  
some	
  form	
  of	
  operations	
  for	
  any	
  specific	
  department	
  to	
  exist.	
  With	
  that,	
  this	
  project	
  
allowed	
  an	
  enhanced	
  insight	
  on	
  the	
  world	
  of	
  business,	
  specifically	
  how	
  businesses	
  
operate	
  on	
  a	
  day-­‐to-­‐day	
  level.	
  
	
  
(IV)	
  General	
  introduction:	
  
	
   As	
  a	
  group	
  we	
  are	
  working	
  on	
  developing	
  a	
  detailed	
  and	
  efficient	
  business	
  
proposal	
  of	
  a	
  hospital	
  we	
  would	
  like	
  to	
  create.	
  We	
  have	
  decided	
  to	
  purchase	
  an	
  
existing	
  hospital	
  located	
  in	
  Los	
  Gatos,	
  California	
  called	
  Steadman	
  Hospital.	
  	
  Our	
  
hospital	
  will	
  be	
  a	
  branch	
  of	
  one	
  of	
  the	
  most	
  prestigious	
  and	
  well-­‐known	
  hospitals	
  in	
  
  6	
  
the	
  world	
  identified	
  as	
  The	
  Steadman	
  Clinic,	
  located	
  in	
  Vail,	
  Colorado.	
  Although	
  we	
  
associate	
  ourselves	
  with	
  Steadman	
  Clinic,	
  we	
  operate	
  as	
  a	
  full	
  serviced	
  hospital	
  
instead	
  of	
  just	
  a	
  specialized	
  clinic.	
  As	
  a	
  result,	
  Steadman	
  Hospital	
  uses	
  the	
  Steadman	
  
name	
  to	
  distinguish	
  the	
  difference	
  between	
  our	
  hospital	
  and	
  Vail’s	
  clinic	
  all	
  while	
  
maintaining	
  the	
  prestigious	
  name.	
  The	
  hospital	
  contains	
  143	
  total	
  beds,	
  has	
  about	
  
255,000	
  square	
  feet,	
  and	
  consists	
  of	
  three	
  different	
  buildings.	
  The	
  following	
  
business	
  and	
  strategic	
  decisions	
  made	
  to	
  create	
  this	
  newly	
  functional	
  hospital,	
  such	
  
as	
  the	
  different	
  departments	
  and	
  how	
  much	
  space	
  is	
  required	
  for	
  each	
  section,	
  is	
  
based	
  on	
  Steadman’s	
  higher	
  goals	
  of	
  efficiency,	
  importance,	
  accessibility	
  and	
  
affectivity.	
  	
  The main goal of the project is to develop an intelligent and functional
business plan of which will cause a desire for investors to invest in Steadman Hospital.
In order to focus on a specific target market and differentiate ourselves from other
hospitals, Steadman Hospital has created an intricate hybrid between business and
hospital that does not just function as a prestigious hospital. With that, the hospital is
going to be split into two diverse segments. The first segment will be hereby considered
as the ‘Base’ hospital, which will consist of typical functions within a general hospital.
The next section is what Steadman Hospital named the ‘Growth’ hospital, which is where
we will focus on separating ourselves from the other competition. As an alternative of
concentrating on one main section to specialize in, the “Growth” hospital will focus on
multiple highly profitable segments. Within this “Growth” hospital we will acquire
customers from all around America, and hopefully the world, whereas the Base hospital
will serve as a primary hospital for those within Los Gatos, California. As a result,
Steadman Hospital will have a high focus on the human resource department and having
  7	
  
the best doctors to function as an efficient and effective, and mostly, an attractive
hospital.
To be able to make a proficient and resourceful hospital we will display a detailed
service menu of the requirements for each of our different services Steadman has to offer,
which are listed below. In the detail given, we will first distinguish all various types of
equipment that each operational department will need for them to function as successful
as possible. This will begin at clarifying the proper equipment needed to provide comfort
in the lobby, such as: coaches, tables etc., to identifying specific tools and machines
needed in the Emergency Room. Likewise, we will purchase anything from operating
tables to MRI machines and CT scans. With that, we will provide an inventory
management strategy to make sure Steadman Hospital always have the correct amount of
tools to be able to offer the most quality services. To do this, our hospital will connect
with highly reliable manufacturers who will be able to maintain a set delivery schedule
for all the implementations needed.
Another important aspect of constructing our Steadman Hospital, and one of our
main priorities, is the elaborate human resource program. We will provide a specified
staffing plan along with a detailed cost analysis that focuses on each occupation within
the hospital. Further more, outside of having exceptional specified and general
professionals we will have physician assistants, nurses, customer representatives,
administrative support, faculty maintenance, and a strong management team. To help
maintain a successful and profitable hospital, Steadman’s primary goal is to keep our
employees happy because, like any other business, Steadman Hospital is only as good as
those working behind it.
  8	
  
Lastly, a central feature of our hospitals success is making sure we have accurate
financials. Having intelligent and precise numbers along with someone who fully
understand how to manage and disperse Steadman’s financials is vital to achieving our
goals. With that, we will make sure that all related employees are understanding of
Steadman Hospital’s financial structure. Steadman Hospital will be very transparent with
our financial information so there will be no secrets. In order to do this our hospital will
keep an up to date revenue analysis along with a detailed financial analysis. This will
enable us to recognize where the hospital stands as a business and what we can do to
change or improve on to eventually be California’s number one hospital.
Chosen	
  approach	
  to	
  the	
  market:	
  
	
   Choosing	
  a	
  specific	
  market	
  for	
  a	
  hospital	
  was	
  first	
  thought	
  to	
  be	
  simply	
  the	
  
area	
  surrounding	
  the	
  city	
  of	
  which	
  the	
  hospital	
  was	
  located	
  within.	
  Though	
  that	
  
works	
  with	
  smaller,	
  non-­‐profit	
  hospitals,	
  it	
  would	
  seem	
  that	
  this	
  strategy	
  is	
  too	
  
narrow	
  of	
  a	
  market	
  when	
  looking	
  to	
  make	
  any	
  profit.	
  So,	
  to	
  expand	
  our	
  target	
  
market,	
  we	
  did	
  the	
  following:	
  hypothetically	
  ‘separate’	
  the	
  hospital	
  into	
  two	
  major	
  
sections,	
  which	
  will	
  have	
  separate	
  operating	
  functions	
  within	
  each	
  section.	
  
	
   To	
  understand	
  the	
  two	
  segments	
  of	
  the	
  hospital,	
  it	
  is	
  easier	
  to	
  have	
  a	
  name	
  
for	
  each	
  major	
  faction.	
  The	
  first	
  division	
  is	
  what	
  is	
  called	
  the	
  “Base”	
  hospital.	
  The	
  
base	
  hospital	
  of	
  Steadman	
  Hospital	
  operates	
  very	
  similarly	
  to	
  any	
  general	
  hospital	
  
found	
  throughout	
  the	
  country,	
  and	
  is	
  designed	
  to	
  help	
  the	
  community	
  in	
  non-­‐
specialized	
  departments	
  of	
  medical	
  aid.	
  Therefore,	
  the	
  following	
  markets	
  would	
  be	
  
primarily	
  targeted:	
  
  9	
  
• Walk-­‐ins	
  
• Emergencies	
  
• Outpatient	
  
• Non-­‐reconstructive	
  surgeries	
  (surgical	
  services)	
  
• Infant/newborn	
  &	
  child	
  services	
  
• Woman’s	
  health	
  
• Men’s	
  health	
  
• Pediatrics	
  
• Senior	
  Services	
  
• Imaging	
  Center	
  
• Radiology	
  
• Cardiovascular	
  treatment	
  
• Cardiovascular	
  Research	
  
• Physical	
  therapy	
  
• Rehabilitation	
  
The	
  previously	
  listed	
  operations	
  are	
  designed	
  to	
  aid	
  the	
  population	
  of	
  Los	
  
Gatos	
  in	
  an	
  efficient,	
  effective	
  and	
  ordinary	
  fashion.	
  The	
  targeted	
  population	
  for	
  this	
  
Base	
  section	
  of	
  the	
  hospital	
  is	
  primarily	
  within	
  city	
  limits	
  because	
  hospitals	
  across	
  
the	
  globe	
  function	
  very	
  similarly	
  to	
  each	
  other,	
  given	
  the	
  listed	
  services.	
  And	
  
because	
  of	
  this,	
  individuals	
  across	
  the	
  country	
  will	
  not	
  choose	
  to	
  travel	
  the	
  distance	
  
for	
  simple	
  procedures	
  and	
  medical	
  attention.	
  Also,	
  within	
  the	
  list	
  of	
  services,	
  it	
  is	
  
clear	
  that	
  very	
  few	
  of	
  them	
  can	
  produce	
  any	
  significant	
  revenue	
  or	
  profit.	
  This	
  is	
  
because	
  they	
  are	
  rather	
  high-­‐expense,	
  low-­‐income	
  fields	
  to	
  simply	
  provide	
  service	
  
  10	
  
within	
  the	
  community.	
  These	
  services	
  are	
  projected	
  to	
  not	
  bleed	
  a	
  loss	
  for	
  the	
  
hospital,	
  and	
  are	
  functional	
  at	
  a	
  break-­‐even	
  or	
  small	
  profit	
  margins.	
  This	
  will	
  keep	
  
the	
  Hospital	
  at	
  a	
  functional	
  level	
  to	
  help	
  support	
  the	
  next	
  major	
  section.	
  
The	
  second	
  primary	
  section	
  of	
  the	
  hospital	
  is	
  what	
  is	
  called	
  the	
  “Growth”	
  
hospital.	
  Within	
  this	
  segment,	
  the	
  hospital	
  focuses	
  on	
  very	
  specific	
  and	
  specialized	
  
sections	
  of	
  hospital	
  procedures,	
  which	
  are	
  globally	
  known	
  to	
  be	
  costly	
  and	
  require	
  
enhanced	
  expertise.	
  The	
  following	
  sections	
  will	
  be	
  highly	
  focused	
  and	
  specialized	
  
within	
  the	
  Growth	
  hospital:	
  
• Specialized/reconstructive	
  surgeries	
  
• Cancer	
  treatment	
  
• Cancer	
  Research	
  
o Though,	
  because	
  of	
  Steadman	
  Hospital’s	
  location	
  and	
  
highly	
  contracted	
  cancers,	
  the	
  primary	
  focus	
  of	
  us	
  will	
  
be	
  breast	
  and	
  skin	
  cancer	
  
• Pharmaceuticals	
  	
  
• Drug	
  research	
  and	
  development	
  
Unlike	
  the	
  Base	
  section	
  of	
  the	
  hospital,	
  this	
  Growth	
  section	
  is	
  specifically	
  targeted	
  
towards	
  individuals	
  within	
  all	
  of	
  America	
  who	
  are	
  in	
  need	
  of	
  qspecialized	
  and	
  highly	
  
experienced	
  procedures.	
  As	
  mentioned	
  before,	
  these	
  fields	
  are	
  rather	
  costly	
  and	
  
require	
  close	
  attention	
  by	
  experienced	
  doctors.	
  Because	
  of	
  the	
  intended	
  doctors	
  
Steadman	
  Hospital	
  will	
  use,	
  who	
  are	
  widely	
  known	
  for	
  their	
  practices,	
  there	
  is	
  
realistically	
  no	
  limit	
  to	
  any	
  specific	
  market.	
  This	
  opens	
  up	
  a	
  very	
  large	
  range	
  of	
  
  11	
  
opportunities	
  for	
  Steadman	
  Hospital	
  to	
  become	
  widely	
  known	
  through	
  out	
  the	
  
country,	
  targeting	
  anyone	
  who	
  has	
  any	
  need	
  of	
  specialized	
  medical	
  attention.	
  
	
  
Competitive	
  advantages/differentiators:	
  
	
   A	
  struggling	
  concern	
  for	
  all	
  businesses	
  would	
  be	
  how	
  to	
  effectively	
  separate	
  
your	
  business	
  from	
  all	
  similar	
  companies.	
  A	
  hospital	
  is	
  no	
  different	
  than	
  a	
  company	
  
in	
  this	
  way.	
  To	
  begin	
  separating	
  the	
  hospital,	
  it	
  is	
  easiest	
  to	
  look	
  at	
  the	
  most	
  obvious	
  
ways	
  to	
  differentiate	
  yourself,	
  and	
  move	
  to	
  more	
  complicated	
  differentiations.	
  
Therefore,	
  the	
  first,	
  most	
  obvious	
  way	
  to	
  segment	
  Steadman	
  Hospital	
  away	
  from	
  
other	
  hospitals	
  is	
  to	
  hire	
  highly	
  talented,	
  trained	
  and	
  experienced	
  doctors	
  to	
  initially	
  
work	
  for	
  the	
  hospital.	
  This	
  will	
  capture	
  the	
  attention	
  of	
  people	
  across	
  the	
  country,	
  
which	
  will	
  understand	
  the	
  quality	
  of	
  work	
  done	
  at	
  Steadman	
  Hospital.	
  Though,	
  
having	
  these	
  doctors	
  to	
  directly	
  fix	
  and	
  help	
  patients	
  is	
  not	
  their	
  only	
  intended	
  use	
  
at	
  the	
  hospital.	
  Stanford	
  University,	
  a	
  prestigious	
  school	
  located	
  only	
  a	
  few	
  miles	
  
away	
  from	
  Los	
  Gatos,	
  has	
  a	
  surplus	
  of	
  students	
  striving	
  to	
  learn	
  by	
  professionals.	
  By	
  
having	
  the	
  University	
  neighbor	
  Steadman	
  Hospital,	
  it	
  targets	
  the	
  students	
  to	
  become	
  
interns	
  and	
  young	
  employees	
  looking	
  for	
  experience,	
  to	
  work	
  for	
  Steadman	
  
Hospital.	
  This	
  opens	
  an	
  opportunity	
  for	
  young	
  adults	
  to	
  be	
  trained	
  by	
  the	
  best	
  
doctors	
  known	
  which	
  will	
  create	
  the	
  next	
  generation	
  of	
  the	
  best	
  doctors.	
  	
  
	
   Creating	
  the	
  future	
  of	
  medical	
  staff	
  is	
  only	
  the	
  beginning	
  of	
  how	
  our	
  hospital	
  
is	
  different	
  and	
  considerably	
  better	
  than	
  other	
  hospitals	
  within	
  the	
  country.	
  The	
  
next	
  factor	
  consists	
  of	
  Steadman	
  Hospital	
  focusing	
  much	
  of	
  its	
  attention	
  towards	
  
human	
  resources	
  management.	
  To	
  begin,	
  the	
  only	
  way	
  to	
  retain	
  doctors	
  and	
  early	
  
  12	
  
interns	
  is	
  to	
  have	
  them	
  want	
  to	
  stay.	
  Given	
  this,	
  doctors	
  and	
  other	
  staff	
  will	
  receive	
  
benefits	
  related	
  to	
  their	
  status	
  of	
  employment.	
  Many	
  of	
  these	
  benefits	
  are	
  found	
  
within	
  successful	
  companies	
  across	
  America.	
  Some	
  of	
  these	
  benefits	
  include:	
  
• 401k	
  retirement	
  plan	
  
• Stock	
  options	
  
• Various	
  insurance	
  plans	
  
• Significant	
  Wages	
  
• Publication	
  benefits	
  
• Grant	
  Benefits	
  (research	
  studies)	
  
A	
  very	
  unusual	
  benefit	
  listed	
  above,	
  for	
  a	
  hospital,	
  is	
  stock	
  options.	
  This	
  is	
  another	
  
section	
  where	
  Steadman	
  Hospital	
  differentiates	
  itself.	
  The	
  strategy,	
  which	
  will	
  be	
  
explained	
  in	
  more	
  detail	
  later,	
  is	
  rather	
  simple.	
  The	
  hospital	
  has	
  a	
  large	
  drug	
  and	
  
cancer	
  research	
  and	
  development	
  section	
  within	
  the	
  hospital.	
  This	
  is	
  projected	
  to	
  
not	
  only	
  increase	
  retention,	
  but	
  also	
  heighten	
  participation	
  of	
  experienced	
  doctors.	
  
This	
  development	
  of	
  drugs	
  and	
  treatments	
  is	
  essentially	
  another	
  company	
  within	
  
the	
  hospital	
  itself	
  –	
  though	
  under	
  the	
  same	
  staff.	
  	
  This	
  not	
  only	
  helps	
  bring	
  in	
  a	
  
rather	
  significant	
  amount	
  of	
  research,	
  but	
  it	
  also	
  helps	
  increase	
  profits	
  through	
  
being	
  a	
  public	
  company	
  within	
  the	
  stock	
  market	
  and	
  even	
  increase	
  retention	
  within	
  
the	
  hospital.	
  	
  
	
   These	
  factors	
  are	
  all	
  part	
  of	
  the	
  bigger	
  picture	
  on	
  how	
  Steadman	
  Hospital	
  is	
  
different	
  than	
  other	
  hospitals	
  within	
  Los	
  Gatos	
  or	
  the	
  rest	
  of	
  the	
  country.	
  This	
  
‘bigger	
  picture’	
  is	
  understood	
  that,	
  Steadman	
  Hospital	
  is	
  applying	
  good	
  business	
  
practices	
  within	
  the	
  hospital.	
  This	
  is	
  somewhat	
  uncommon	
  for	
  most	
  hospitals,	
  for	
  
  13	
  
they	
  typically	
  only	
  know	
  how	
  to	
  run	
  a	
  hospital	
  as	
  a	
  hospital.	
  By	
  integrating	
  
intelligent	
  business	
  systems	
  and	
  operations	
  within	
  the	
  hospital,	
  we	
  hold	
  an	
  
advantage	
  within	
  many	
  sections	
  of	
  a	
  business.	
  Some	
  of	
  these	
  advantages	
  would	
  
include:	
  
• Increased	
  efficiency	
  and	
  effectiveness	
  
• Faster	
  communication	
  
• Higher	
  Retention	
  
• Happier	
  employees	
  
• Cost-­‐effective	
  operations	
  
• Best	
  doctors	
  and	
  educated	
  interns	
  
• Top	
  internship	
  programs	
  
These	
  advantages	
  will	
  help	
  put	
  Steadman	
  Hospital	
  above	
  others	
  within	
  similar	
  
specializations	
  with	
  the	
  understanding	
  that	
  other	
  hospitals	
  do	
  not	
  necessarily	
  know	
  
how	
  to	
  function	
  as	
  anything	
  beyond	
  a	
  hospital.	
  Therefore,	
  with	
  the	
  collaboration	
  
between	
  hospital	
  and	
  business,	
  Steadman	
  Hospital	
  is	
  superior	
  to	
  the	
  majority	
  of	
  
hospitals	
  throughout	
  the	
  country.	
  
	
   The	
  next	
  major	
  differentiating	
  factor	
  that	
  Steadman	
  Hospital	
  has	
  over	
  other	
  
hospitals,	
  especially	
  within	
  the	
  Northern	
  California	
  region,	
  is	
  that:	
  our	
  hospital	
  is	
  
associated	
  with	
  the	
  name	
  “Steadman”.	
  As	
  mentioned	
  before,	
  the	
  Steadman	
  name	
  is	
  
highly	
  valued	
  for	
  specialized	
  procedures	
  taken	
  place	
  within	
  Vail,	
  Colorado.	
  By	
  
connecting	
  the	
  Steadman	
  name	
  to	
  our	
  hospital,	
  we	
  immediately	
  obtain	
  a	
  
comparable	
  value	
  of	
  the	
  Clinic	
  in	
  Vail.	
  This	
  added	
  value	
  will	
  attract	
  customers	
  to	
  our	
  
location	
  who	
  would	
  typically	
  look	
  for	
  other	
  prestige	
  medical	
  services.	
  As	
  a	
  result,	
  
  14	
  
Steadman	
  Hospital	
  will	
  have	
  a	
  heightened	
  advantage	
  over	
  other	
  hospitals,	
  
particularly	
  hospitals	
  that	
  are	
  recently	
  operational.	
  
	
   After	
  noting	
  the	
  several	
  important	
  differentiating	
  factors	
  that	
  Steadman	
  
Hospital	
  obtains,	
  it	
  would	
  be	
  best	
  to	
  understand	
  our	
  hospital’s	
  direct	
  competition	
  
and	
  opportunities	
  for	
  partnership.	
  Therefore,	
  the	
  following	
  information	
  suggests	
  
just	
  that:	
  	
  
1. 	
   Los	
  Gatos	
  Surgical	
  Center:	
  	
  
Los	
  Gatos	
  Surgical	
  Center	
  is	
  located	
  in	
  the	
  heart	
  of	
  Los	
  Gatos,	
  California	
  
approximately	
  2.4	
  miles	
  south	
  of	
  The	
  Steadman	
  Hospital.	
  The	
  Los	
  Gatos	
  
Surgical	
  Center	
  is	
  a	
  facility	
  designed	
  strictly	
  for	
  outpatient	
  surgeries.	
  They	
  
focus	
  much	
  of	
  their	
  treatment	
  towards	
  family	
  care	
  and	
  provide	
  an	
  excessive	
  
amount	
  of	
  their	
  attention	
  towards	
  the	
  individual	
  patient.	
  The	
  surgical	
  center	
  
does	
  not	
  specialize	
  in	
  one	
  specific	
  surgery,	
  rather	
  they	
  have	
  a	
  large	
  variety	
  of	
  
different	
  services	
  such	
  as:	
  gynecology,	
  vascular,	
  ophthalmology,	
  
gastroenterology,	
  and	
  plastic	
  surgeries.	
  Based	
  off	
  research	
  and	
  the	
  general	
  
sizes	
  of	
  hospitals	
  and	
  centers	
  in	
  the	
  surrounding	
  area,	
  Los	
  Gatos	
  Surgical	
  
Center	
  is	
  not	
  an	
  extremely	
  large	
  center.	
  Even	
  though	
  this	
  is	
  a	
  surgical	
  center,	
  
what	
  differentiates	
  The	
  Steadman	
  Hospital	
  from	
  Los	
  Gatos	
  Surgical	
  center	
  is	
  
not	
  only	
  the	
  fact	
  the	
  reconstructive	
  surgery	
  is	
  something	
  we	
  specialize	
  in	
  but	
  
also	
  since	
  we	
  are	
  linked	
  with	
  the	
  Steadman	
  Clinic	
  out	
  of	
  Vail,	
  Colorado	
  we	
  
automatically	
  have	
  that	
  competitive	
  edge	
  over	
  other	
  hospitals	
  surrounding	
  
us.	
  This	
  is	
  due	
  to	
  the	
  simple	
  reason	
  that	
  the	
  Steadman	
  Clinic	
  is	
  one	
  of	
  the	
  
most	
  famous	
  and	
  well-­‐known	
  hospitals	
  in	
  the	
  world	
  and	
  being	
  linked	
  with	
  
  15	
  
them	
  allows	
  us	
  to	
  have	
  the	
  top	
  doctors	
  treat	
  our	
  patients.	
  In	
  addition,	
  The	
  
Steadman	
  Hospital	
  has	
  its	
  own	
  physical	
  therapy	
  clinic	
  right	
  on	
  campus,	
  
which	
  allows	
  our	
  patients	
  to	
  get	
  all	
  the	
  treatment	
  they	
  need	
  in	
  one	
  place.	
  
Having	
  the	
  reconstructive	
  surgeries	
  being	
  apart	
  of	
  our	
  ‘growth’	
  business	
  
proves	
  to	
  patients	
  that	
  we	
  are	
  attracting	
  a	
  high	
  range	
  of	
  patients	
  due	
  to	
  our	
  
extraordinary	
  service.	
  	
  
2. Stonebrook	
  Health	
  and	
  Rehabilitation:	
  Stonebrook	
  Health	
  and	
  
Rehabilitation	
  is	
  located	
  in	
  Los	
  Gatos,	
  California	
  about	
  3.2	
  miles	
  south	
  of	
  The	
  
Steadman	
  Hospital.	
  The	
  center	
  focuses	
  on	
  helping	
  individuals	
  recover	
  from	
  
surgeries,	
  injuries	
  or	
  serious	
  illnesses.	
  The	
  main	
  segment	
  that	
  Stonebrook	
  
targets	
  is	
  more	
  of	
  the	
  older	
  generation,	
  as	
  they	
  provide	
  nursing	
  and	
  social	
  
services	
  to	
  these	
  patients.	
  The	
  clinic	
  is	
  made	
  up	
  of	
  about	
  73	
  beds	
  and	
  believes	
  
in	
  helping	
  individuals	
  thrive.	
  Stonebrook	
  Health	
  and	
  Rehabilitation	
  center	
  
focuses	
  on	
  different	
  aspects	
  of	
  health	
  services	
  then	
  The	
  Steadman	
  Hospital	
  
does.	
  Stonebrook	
  is	
  concentrated	
  on	
  providing	
  a	
  nurturing	
  facility	
  for	
  the	
  
elder	
  generation	
  that	
  contains	
  various	
  types	
  of	
  therapy.	
  The	
  Steadman	
  
Hospital	
  does	
  not	
  target	
  the	
  older	
  population	
  as	
  highly	
  as	
  we	
  target	
  the	
  more	
  
active	
  generation.	
  Although,	
  having	
  Stonebrook	
  so	
  close	
  to	
  The	
  Steadman	
  
Hospital	
  could	
  lead	
  to	
  us	
  having	
  more	
  patients	
  from	
  the	
  ages	
  of	
  70	
  and	
  above.	
  
Since	
  Stonebrook	
  Health	
  and	
  Rehabilitation	
  does	
  not	
  provide	
  surgical	
  
procedures	
  that	
  could	
  be	
  somewhere	
  where	
  we	
  come	
  in	
  which	
  would	
  give	
  
The	
  Steadman	
  Hospital	
  a	
  competitive	
  advantage	
  over	
  the	
  Stonebrook	
  Center.	
  	
  
  16	
  
3. Stanford	
  Hospital	
  and	
  Clinics:	
  Stanford	
  Hospitals	
  and	
  Clinics	
  is	
  the	
  main	
  
hospital	
  that	
  surrounds	
  The	
  Steadman	
  Hospital.	
  It	
  is	
  a	
  huge	
  organization	
  
located	
  mainly	
  in	
  Palo	
  Alto,	
  California	
  but	
  is	
  also	
  spread	
  around	
  various	
  parts	
  
of	
  Northern	
  California.	
  Stanford	
  Hospitals	
  is	
  approximately	
  20	
  miles	
  north	
  of	
  
The	
  Steadman	
  Hospital	
  and	
  provides	
  our	
  hospital	
  with	
  many	
  opportunities.	
  
The	
  Stanford	
  Hospital	
  has	
  over	
  fifty	
  different	
  complex	
  services	
  along	
  with	
  
twenty	
  separate	
  buildings.	
  This	
  gives	
  The	
  Steadman	
  Hospital	
  a	
  slight	
  
advantage	
  because	
  all	
  of	
  our	
  services	
  take	
  place	
  in	
  three	
  buildings	
  that	
  are	
  
just	
  steps	
  away	
  from	
  one	
  another.	
  We	
  also	
  designed	
  the	
  buildings	
  so	
  that	
  
similar	
  patient	
  needs	
  can	
  be	
  accessed	
  within	
  the	
  same	
  structure.	
  Going	
  to	
  a	
  
large	
  hospital	
  can	
  be	
  over	
  whelming	
  and	
  the	
  size	
  of	
  our	
  hospital	
  gives	
  our	
  
doctors	
  and	
  employees	
  the	
  opportunity	
  to	
  be	
  able	
  to	
  really	
  connect	
  with	
  each	
  
patient	
  and	
  give	
  them	
  a	
  memorable	
  experience.	
  Even	
  though	
  Stanford	
  
Hospital	
  does	
  specialize	
  in	
  many	
  different	
  services,	
  one	
  they	
  do	
  concentrate	
  
more	
  on	
  is	
  organ	
  transplants,	
  which	
  The	
  Steadman	
  Hospital	
  does	
  not	
  do.	
  We	
  
specialize	
  in	
  other	
  reconstructive	
  surgeries	
  and	
  because	
  we	
  dedicate	
  
ourselves	
  to	
  fewer	
  ‘growth’	
  services	
  it	
  allows	
  our	
  doctors	
  to	
  really	
  excel	
  in	
  
them.	
  In	
  addition,	
  Stanford	
  does	
  have	
  a	
  very	
  prominent	
  research	
  center	
  and	
  
intern	
  program.	
  Instead	
  of	
  seeing	
  this	
  as	
  a	
  threat	
  The	
  Steadman	
  Hospital	
  
looks	
  at	
  is	
  as	
  an	
  opportunity	
  because	
  we	
  are	
  also	
  conjoined	
  with	
  Stanford.	
  
Our	
  goal	
  is	
  to	
  bring	
  in	
  the	
  medical	
  students	
  from	
  University	
  of	
  Stanford	
  to	
  
help	
  our	
  doctors	
  with	
  their	
  research,	
  while	
  gaining	
  experience	
  from	
  some	
  of	
  
the	
  best	
  around.	
  It	
  is	
  merely	
  impossibly	
  for	
  the	
  Stanford	
  Hospital	
  to	
  accept	
  
  17	
  
every	
  medical	
  student	
  looking	
  for	
  an	
  intern	
  ship.	
  Therefore,	
  being	
  correlated	
  
with	
  Stanford	
  allows	
  us	
  to	
  work	
  with	
  them	
  and	
  distinguish,	
  which	
  interns	
  
will	
  work	
  where	
  based	
  on	
  what	
  they	
  want	
  to	
  specialize	
  in	
  and	
  experience.	
  
One	
  aspect	
  of	
  research	
  we	
  focus	
  on	
  that	
  Stanford	
  does	
  not	
  is	
  pharmaceutical	
  
research.	
  Likewise,	
  besides	
  having	
  the	
  greatest	
  minds	
  behind	
  our	
  drug	
  
research,	
  those	
  interns	
  who	
  want	
  to	
  excel	
  in	
  the	
  pharmaceutical	
  field	
  will	
  
come	
  to	
  The	
  Steadman	
  Hospital	
  in	
  order	
  to	
  give	
  them	
  the	
  best	
  shot	
  at	
  
succeeding	
  and	
  outshining	
  others.	
  	
  	
  Also,	
  even	
  though	
  Stanford	
  Hospital	
  and	
  
Clinics	
  is	
  very	
  well	
  known	
  throughout	
  Northern	
  California,	
  the	
  “Steadman	
  
name”	
  is	
  famous	
  throughout	
  the	
  whole	
  world.	
  
4. El	
  Camino	
  Hospital	
  Mountain	
  View:	
  El	
  Camino	
  Hospital	
  Mountain	
  view	
  is	
  
located	
  in	
  Mountain	
  View,	
  California	
  about	
  twelve	
  miles	
  north	
  of	
  The	
  
Steadman	
  Hospital.	
  This	
  hospital	
  contains	
  395	
  beds	
  and	
  is	
  a	
  non-­‐profit	
  
organization	
  promoting	
  more	
  freedom	
  with	
  their	
  patients.	
  The	
  El	
  Camino	
  
hospital	
  is	
  more	
  of	
  a	
  general	
  based	
  hospital	
  providing	
  services	
  such	
  as	
  
surgeries	
  to	
  daily	
  care.	
  They	
  also	
  have	
  a	
  wide	
  range	
  or	
  programs	
  such	
  as	
  
psychiatric	
  aid,	
  eating	
  disorder	
  programs,	
  and	
  sleep	
  disorder	
  programs.	
  Even	
  
though	
  El	
  Camino	
  offers	
  a	
  few	
  similar	
  services	
  The	
  Steadman	
  Hospital	
  does,	
  
we	
  still	
  have	
  a	
  great	
  advantage	
  because	
  of	
  the	
  fact	
  we	
  are	
  associating	
  
ourselves	
  with	
  the	
  Steadman	
  Clinic	
  out	
  of	
  Vail.	
  This	
  allows	
  us	
  to	
  have	
  the	
  best	
  
doctors,	
  which	
  will	
  have	
  a	
  positive	
  impact	
  on	
  our	
  patients.	
  The	
  Steadman	
  
Hospital	
  also	
  has	
  a	
  very	
  efficient	
  and	
  well-­‐rounded	
  research	
  program,	
  which	
  
El	
  Camino	
  Hospital	
  does	
  not	
  have.	
  This	
  will	
  help	
  our	
  doctors	
  become	
  more	
  
  18	
  
educated	
  along	
  with	
  them	
  being	
  able	
  to	
  publish	
  studies	
  to	
  assist	
  other	
  
hospitals	
  throughout	
  the	
  world.	
  By	
  showing	
  that	
  we	
  are	
  distributing	
  a	
  large	
  
amount	
  of	
  informative	
  studies	
  it	
  will	
  show	
  the	
  knowledge	
  and	
  
professionalism	
  that	
  goes	
  in	
  behind	
  our	
  work.	
  Once	
  again,	
  The	
  Steadman	
  
Hospital	
  is	
  slightly	
  smaller	
  then	
  El	
  Camino	
  Hospital	
  which	
  leads	
  to	
  better	
  
patient	
  to	
  physician	
  connection	
  and	
  easier	
  access	
  to	
  our	
  various	
  facilities.	
  
Our	
  greatest	
  advantage	
  over	
  El	
  Camino	
  Hospital	
  will	
  be	
  the	
  fact	
  that	
  we	
  
specialize	
  in	
  reconstructive	
  surgeries,	
  cancer	
  treatment,	
  cancer	
  research,	
  
pharmaceuticals,	
  and	
  drug	
  research	
  and	
  development.	
  Also,	
  being	
  affiliated	
  
with	
  Stanford	
  gives	
  us	
  a	
  competitive	
  benefit	
  considering	
  the	
  elite	
  level	
  of	
  
education	
  of	
  the	
  university.	
  	
  
Through	
  the	
  given	
  information,	
  Steadman	
  Hospital	
  proves	
  to	
  be	
  at	
  a	
  rather	
  high	
  
advantage	
  compared	
  to	
  other	
  hospitals	
  within	
  the	
  Los	
  Gatos	
  area.	
  With	
  that,	
  along	
  
with	
  Steadman	
  Hospital	
  being	
  associated	
  with	
  Steadman	
  Clinic,	
  we	
  assume	
  
successful	
  business	
  projections	
  within	
  the	
  near	
  future.	
  
	
  
(V)	
  Overview	
  of	
  Data	
  Used	
  in	
  Analysis	
  
Overview	
  of	
  Data	
  Used:	
  
	
   In	
  order	
  to	
  provide	
  the	
  most	
  accurate	
  and	
  reliable	
  business	
  plan	
  possible,	
  our	
  
group	
  was	
  very	
  careful	
  about	
  differentiating	
  what	
  data	
  sources	
  to	
  use	
  in	
  our	
  
proposal.	
  It	
  is	
  vitally	
  important	
  that	
  Steadman	
  Hospital	
  West	
  has	
  the	
  most	
  
dependable	
  and	
  precise	
  data	
  to	
  be	
  able	
  to	
  prove	
  why	
  the	
  hospital	
  is	
  striving	
  to	
  be	
  
  19	
  
one	
  of	
  the	
  best	
  in	
  the	
  world.	
  All	
  of	
  our	
  information	
  presented	
  was	
  found	
  through	
  
trustworthy	
  sources	
  and	
  numerous	
  hours	
  of	
  concise	
  and	
  effective	
  research.	
  	
  	
  
Websites:	
  	
  
	
   A	
  majority	
  of	
  our	
  data	
  sources	
  came	
  from	
  informative	
  online	
  websites.	
  The	
  
group	
  would	
  thoroughly	
  research	
  each	
  resource	
  we	
  came	
  across,	
  making	
  sure	
  it	
  was	
  
the	
  best	
  and	
  most	
  knowledgeable	
  source	
  we	
  were	
  able	
  to	
  find.	
  We	
  based	
  Steadman	
  
Hospital	
  West	
  off	
  an	
  existing	
  hospital	
  in	
  Los	
  Gatos,	
  California	
  named	
  El	
  Camino	
  
Hospital	
  Los	
  Gatos.	
  Based	
  off	
  of	
  this,	
  a	
  majority	
  of	
  our	
  generalized	
  facts	
  about	
  the	
  
hospital	
  campus	
  came	
  from	
  their	
  website.	
  We	
  were	
  able	
  to	
  develop	
  a	
  well	
  organized	
  
campus	
  for	
  Steadman	
  Hospital	
  West	
  due	
  to	
  the	
  layout	
  on	
  El	
  Camino’s	
  website.	
  El	
  
Camino’s	
  website	
  was	
  one	
  of	
  our	
  most	
  prominent	
  resources	
  towards	
  the	
  beginning	
  
of	
  the	
  project	
  because	
  it	
  gave	
  us	
  the	
  opportunity	
  to	
  evaluate	
  a	
  current	
  hospital	
  and	
  
learn	
  what	
  we	
  could	
  apply	
  when	
  constructing	
  our	
  business	
  plan.	
  This	
  was	
  also	
  the	
  
reason	
  we	
  decided	
  to	
  buy	
  out	
  an	
  existing	
  hospital	
  because	
  we	
  were	
  aware	
  that	
  the	
  
information	
  about	
  El	
  Camino	
  would	
  help	
  us	
  in	
  gaining	
  ideas	
  for	
  Steadman	
  Hospital	
  
West.	
  	
  
	
   Another	
  main	
  data	
  source	
  for	
  us	
  was	
  using	
  salary.com	
  and	
  indeed.com.	
  These	
  
websites	
  were	
  extremely	
  resourceful	
  when	
  it	
  came	
  to	
  our	
  human	
  resource	
  staffing	
  
plan.	
  More	
  specifically,	
  we	
  were	
  able	
  to	
  accurately	
  define	
  key	
  employee	
  salaries	
  by	
  
finding	
  the	
  average	
  pay	
  rate	
  within	
  the	
  San	
  Jose,	
  California	
  area.	
  We	
  decided	
  to	
  use	
  
these	
  websites	
  because	
  they	
  allowed	
  us	
  to	
  get	
  as	
  precise	
  as	
  possible	
  when	
  it	
  came	
  to	
  
generating	
  the	
  salaries	
  because	
  of	
  the	
  ability	
  for	
  us	
  to	
  choose	
  the	
  geographic	
  area.	
  In	
  
addition,	
  our	
  group	
  utilized	
  a	
  number	
  of	
  collegiate	
  website	
  that	
  supplied	
  
  20	
  
professionally	
  written	
  journals.	
  These	
  journals	
  were	
  mainly	
  based	
  off	
  a	
  study	
  that	
  
had	
  been	
  conducted	
  at	
  a	
  prestigious	
  university.	
  The	
  section	
  where	
  the	
  periodicals	
  
were	
  most	
  helpful	
  was	
  within	
  our	
  e-­‐commerce	
  segment.	
  We	
  came	
  to	
  a	
  conclusion	
  to	
  
use	
  the	
  sources	
  we	
  did	
  due	
  to	
  the	
  simple	
  fact	
  that	
  the	
  research	
  presented	
  was	
  based	
  
on	
  e-­‐commerce	
  role	
  in	
  the	
  medical	
  sector.	
  By	
  doing	
  this,	
  we	
  were	
  able	
  to	
  support	
  
our	
  information	
  with	
  very	
  accurate	
  evidence	
  because	
  of	
  the	
  experiments	
  that	
  were	
  
done	
  which	
  were	
  shown	
  in	
  the	
  journals.	
  	
  
	
   Lastly,	
  the	
  rest	
  of	
  our	
  websites	
  were	
  found	
  from	
  various	
  sources	
  in	
  which	
  we	
  
felt	
  were	
  the	
  most	
  correct	
  and	
  reflective	
  of	
  our	
  hospital.	
  Our	
  group	
  did	
  not	
  just	
  use	
  
the	
  first	
  website	
  we	
  came	
  across	
  on	
  when	
  finding	
  certain	
  information.	
  Rather,	
  we	
  
found	
  a	
  significant	
  number	
  of	
  sources	
  for	
  each	
  piece	
  of	
  data	
  we	
  had	
  to	
  find	
  and	
  then	
  
filtered	
  the	
  sites	
  out	
  as	
  we	
  went	
  from	
  general	
  to	
  specific.	
  Also,	
  we	
  would	
  compare	
  
each	
  website	
  with	
  another	
  in	
  similar	
  categories	
  to	
  make	
  sure	
  major	
  ideas	
  and	
  facts	
  
were	
  the	
  same	
  throughout	
  multiple	
  sources.	
  	
  
	
  
Interviews:	
  
	
   For	
  our	
  project	
  we	
  were	
  able	
  to	
  connect	
  and	
  interview	
  four	
  different	
  people	
  
who	
  each	
  assisted	
  us	
  in	
  their	
  own	
  way.	
  First	
  was	
  Mike	
  Stears	
  whom	
  we	
  found	
  
through	
  the	
  mentor	
  program.	
  Mike	
  did	
  not	
  have	
  any	
  experience	
  working	
  in	
  the	
  
healthcare	
  industry	
  but	
  he	
  did	
  have	
  a	
  vital	
  amount	
  of	
  knowledge	
  when	
  it	
  came	
  to	
  
operations	
  management.	
  Mike	
  helped	
  us	
  excessively	
  at	
  the	
  very	
  start	
  of	
  the	
  project.	
  
Within	
  our	
  group	
  none	
  of	
  us	
  were	
  familiar	
  with	
  hospitals,	
  which	
  is	
  why	
  we	
  decided	
  
to	
  talk	
  with	
  someone	
  who	
  had	
  a	
  strong	
  familiarity	
  in	
  the	
  business	
  world.	
  We	
  found	
  
  21	
  
that	
  it	
  really	
  helped	
  to	
  converse	
  with	
  someone	
  because	
  we	
  were	
  able	
  to	
  bounce	
  
ideas	
  off	
  of	
  me	
  and	
  gain	
  his	
  insight.	
  Mike	
  gave	
  us	
  great	
  assistance	
  in	
  where	
  we	
  
should	
  being	
  our	
  project	
  and	
  what	
  we	
  should	
  mainly	
  concentrate	
  on	
  from	
  the	
  start,	
  
which	
  we	
  came	
  to	
  a	
  conclusion	
  was	
  our	
  competitive	
  advantage.	
  The	
  main	
  reason	
  we	
  
decided	
  to	
  talk	
  with	
  Mike	
  was	
  because	
  of	
  the	
  advice	
  we	
  had	
  received	
  in	
  class	
  about	
  
meeting	
  with	
  a	
  mentor.	
  In	
  the	
  end,	
  we	
  are	
  very	
  happy	
  we	
  met	
  with	
  Mike	
  because	
  he	
  
really	
  gave	
  us	
  a	
  starting	
  edge	
  on	
  our	
  project.	
  
	
   The	
  next	
  person	
  we	
  contacted	
  was	
  Kathy	
  Stevens.	
  Kathy	
  is	
  one	
  of	
  our	
  group	
  
member’s,	
  Kendra	
  Otis,	
  aunt	
  who	
  works	
  in	
  the	
  hospital	
  El	
  Camino	
  Hospital	
  
Mountain	
  View.	
  This	
  was	
  the	
  sister	
  hospital	
  to	
  the	
  existing	
  we	
  bought	
  out	
  called	
  El	
  
Camino	
  Hospital	
  Los	
  Gatos.	
  Kathy	
  was	
  able	
  to	
  provide	
  us	
  with	
  general	
  information	
  
such	
  as	
  what	
  the	
  hospital	
  specialized	
  in	
  and	
  key	
  facts.	
  Kathy	
  worked	
  with	
  us	
  
throughout	
  the	
  entire	
  project	
  and	
  when	
  we	
  came	
  to	
  a	
  question	
  that	
  we	
  were	
  unable	
  
to	
  find	
  about	
  the	
  existing	
  hospital	
  we	
  were	
  able	
  to	
  communicate	
  with	
  her	
  very	
  
easily.	
  One	
  are	
  where	
  Kathy	
  really	
  helped	
  us	
  was	
  in	
  the	
  financial	
  analysis	
  segment.	
  
Even	
  though	
  we	
  gain	
  a	
  ton	
  of	
  knowledge	
  about	
  hospitals,	
  Kathy	
  was	
  able	
  to	
  supply	
  
us	
  with	
  a	
  more	
  detailed	
  idea	
  of	
  how	
  and	
  why	
  we	
  should	
  price	
  Steadman	
  Hospital	
  
West.	
  She	
  also	
  helped	
  us	
  in	
  conducting	
  our	
  income	
  statement	
  and	
  balance	
  sheet	
  by	
  
giving	
  us	
  data,	
  which	
  she	
  thought	
  would	
  be	
  useful.	
  We	
  decided	
  to	
  work	
  with	
  Kathy	
  
because	
  she	
  has	
  experience	
  and	
  currently	
  works	
  in	
  a	
  hospital,	
  and	
  better	
  yet	
  she	
  
works	
  in	
  a	
  very	
  similar	
  hospital	
  that	
  we	
  bought.	
  	
  
	
   Thirdly,	
  we	
  were	
  able	
  to	
  interview	
  and	
  ask	
  questions	
  to	
  Doctor	
  Robert	
  
LaPrade.	
  Robert	
  LaPrade	
  currently	
  works	
  in	
  the	
  Steadman	
  Clinic	
  located	
  in	
  Vail,	
  
  22	
  
Colorado.	
  He	
  is	
  known	
  as	
  one	
  of	
  the	
  best	
  knee	
  surgeons	
  in	
  the	
  world	
  and	
  
professional	
  athletes	
  from	
  across	
  the	
  globe	
  will	
  travel	
  to	
  Vail	
  to	
  be	
  treated	
  by	
  him.	
  
Our	
  group	
  member,	
  Brooke	
  Rice,	
  was	
  fortunate	
  enough	
  to	
  gain	
  a	
  close	
  relationship	
  
with	
  Dr.	
  LaPrade	
  when	
  she	
  underwent	
  an	
  ACL/LCL	
  surgery	
  and	
  received	
  her	
  
surgery	
  from	
  him.	
  Dr.	
  LaPrade	
  helped	
  us	
  with	
  many	
  of	
  the	
  equipment	
  questions,	
  
such	
  as	
  if	
  certain	
  tools	
  come	
  in	
  bulk.	
  He	
  was	
  also	
  very	
  useful	
  with	
  staffing	
  hours	
  and	
  
during	
  what	
  times	
  of	
  year	
  certain	
  departments	
  were	
  busier.	
  Those	
  were	
  the	
  main	
  
sections	
  Robert	
  LaPrade	
  assisted	
  us	
  in,	
  but	
  we	
  were	
  aware	
  that	
  if	
  we	
  had	
  any	
  
further	
  needs	
  he	
  would	
  respond	
  to	
  us	
  within	
  two	
  days.	
  We	
  decided	
  to	
  contact	
  Dr.	
  
LaPrade	
  because	
  we	
  are	
  basing	
  our	
  hospital	
  off	
  of	
  the	
  Steadman	
  Clinic	
  in	
  Vail	
  so	
  we	
  
figured	
  it	
  would	
  be	
  the	
  most	
  resourceful	
  to	
  talk	
  to	
  one	
  of	
  the	
  most	
  prestigious	
  
doctors.	
  	
  
	
  	
   The	
  last	
  person	
  we	
  were	
  able	
  to	
  gain	
  insight	
  from	
  was	
  Brolin	
  Mawejje.	
  Brolin	
  
is	
  currently	
  a	
  pre-­‐med	
  major	
  at	
  Westminster	
  College	
  in	
  Salt	
  Lake	
  City,	
  Utah.	
  He	
  has	
  
spent	
  his	
  last	
  four	
  summer	
  working	
  at	
  The	
  Massachusetts	
  General	
  Hospital	
  in	
  
Boston,	
  Massachusetts	
  working	
  as	
  an	
  intern	
  for	
  one	
  of	
  the	
  top	
  doctors	
  in	
  the	
  world,	
  
Fred	
  Hochburg.	
  Brolin	
  is	
  in	
  the	
  process	
  of	
  studying	
  for	
  the	
  MCATS	
  and	
  having	
  
worked	
  in	
  one	
  of	
  the	
  best	
  hospitals	
  we	
  were	
  able	
  to	
  ask	
  him	
  for	
  advice	
  throughout	
  
the	
  project.	
  Brolin	
  assisted	
  us	
  in	
  defining	
  our	
  specialty	
  and	
  most	
  profitable	
  sector	
  of	
  
Steadman	
  Hospital	
  West	
  along	
  with	
  answering	
  general	
  questions	
  about	
  hospitals.	
  
Brolin	
  also	
  was	
  able	
  to	
  look	
  over	
  our	
  interim’s	
  to	
  see	
  if	
  he	
  had	
  any	
  further	
  
suggestions	
  for	
  them.	
  We	
  decided	
  to	
  seek	
  Brolin’s	
  help	
  because	
  he	
  was	
  easily	
  
accessible,	
  due	
  to	
  the	
  fact	
  of	
  being	
  a	
  close	
  friend,	
  and	
  have	
  been	
  studying	
  this	
  field	
  
  23	
  
for	
  many	
  years.	
  He	
  has	
  also	
  conducted	
  a	
  large	
  amount	
  of	
  research	
  for	
  Massachusetts	
  
General	
  Hospital	
  and	
  has	
  experience	
  working	
  with	
  some	
  of	
  the	
  top	
  surgeons.	
  	
  
Hospital	
  Book:	
  
	
   One	
  of	
  our	
  final	
  and	
  most	
  essential	
  resources	
  was	
  the	
  Hospital	
  Book	
  that	
  we	
  
were	
  provided.	
  We	
  used	
  the	
  hospital	
  book	
  throughout	
  the	
  entire	
  project	
  to	
  help	
  us	
  
with	
  sectional	
  information	
  along	
  with	
  confirming	
  ideas	
  and	
  thoughts	
  that	
  we	
  had.	
  
This	
  book	
  was	
  extremely	
  helpful	
  in	
  our	
  human	
  resource	
  staffing	
  plan	
  along	
  with	
  
giving	
  us	
  ideas	
  for	
  different	
  departments	
  such	
  as	
  the	
  emergency	
  room.	
  The	
  book	
  is	
  
filled	
  with	
  a	
  ton	
  of	
  information,	
  but	
  we	
  knew	
  what	
  facts	
  we	
  were	
  looking	
  for	
  and	
  
were	
  able	
  to	
  narrow	
  it	
  down	
  based	
  on	
  that.	
  	
  Basically,	
  the	
  hospital	
  book	
  was	
  a	
  
consecutive	
  resource	
  for	
  us	
  throughout	
  the	
  project	
  that	
  we	
  referred	
  to	
  because	
  of	
  its	
  
availability	
  to	
  our	
  group.	
  	
  
	
  
Data	
  Analysis	
  
The	
  data	
  Steadman	
  Hospital	
  used	
  to	
  develop	
  our	
  accurate	
  forecasting	
  plan	
  
was	
  collected	
  through	
  multiple	
  strategies,	
  depending	
  on	
  what	
  subject	
  or	
  field	
  was	
  
being	
  looked	
  at.	
  To	
  begin,	
  the	
  first	
  stage	
  of	
  collecting	
  our	
  data	
  was	
  based	
  on	
  the	
  
physical	
  location	
  needed	
  to	
  develop	
  a	
  profitable	
  hospital.	
  Because	
  there	
  are	
  so	
  many	
  
regions	
  within	
  the	
  United	
  States	
  that	
  are	
  applicable	
  for	
  starting	
  a	
  good	
  hospital,	
  we	
  
decided	
  to	
  start	
  with	
  a	
  strategy	
  similar	
  to	
  the	
  ‘slice-­‐and-­‐dice’	
  or	
  multidimensional	
  
strategy.	
  Using	
  this	
  strategy,	
  we	
  began	
  looking	
  at	
  all	
  profitable	
  hospitals	
  within	
  the	
  
United	
  States.	
  We	
  then	
  reevaluated	
  those	
  specific	
  hospitals	
  to	
  find	
  one	
  located	
  in	
  a	
  
wealthier	
  region.	
  Finally,	
  we	
  arrived	
  at	
  our	
  specific	
  location,	
  Los	
  Gatos,	
  California,	
  by	
  
  24	
  
singling	
  out	
  the	
  hospital	
  with	
  the	
  most	
  potential	
  of	
  opportunity	
  and	
  growth.	
  
Therefore,	
  our	
  cubical	
  analysis	
  was	
  divided	
  among	
  the	
  following:	
  Region,	
  
profitability	
  and	
  opportunity	
  for	
  growth.	
  By	
  using	
  this	
  strategy	
  of	
  data	
  collection,	
  we	
  
were	
  able	
  to	
  find	
  a	
  building	
  that	
  has	
  a	
  very	
  large	
  opportunity	
  for	
  immense	
  profits	
  
and	
  growth.	
  
	
   Our	
  means	
  of	
  data	
  collection	
  is	
  hard	
  to	
  be	
  classified	
  solely	
  as	
  ‘drill-­‐down’	
  or	
  
‘roll-­‐up’	
  because	
  we	
  managed	
  to	
  use	
  both	
  strategies	
  in	
  the	
  development	
  of	
  
Steadman	
  Hospital.	
  Because	
  we	
  started	
  off	
  looking	
  at	
  all	
  hospitals	
  and	
  narrowing	
  
down	
  our	
  data	
  to	
  find	
  the	
  single	
  best	
  location,	
  that	
  stage	
  could	
  be	
  classified	
  as	
  ‘drill-­‐
down’.	
  But	
  then	
  we	
  reversed	
  our	
  means	
  of	
  collecting	
  data	
  when	
  looking	
  at	
  what	
  
facilities	
  would	
  be	
  useful	
  at	
  Steadman’s	
  campus.	
  To	
  do	
  this,	
  we	
  sought	
  out	
  the	
  most	
  
profitable	
  procedures	
  hospitals	
  do,	
  and	
  then	
  compared	
  that	
  to	
  our	
  competition.	
  This	
  
allowed	
  us	
  to	
  incorporate	
  as	
  many	
  low-­‐cost	
  and	
  high-­‐profit	
  operations	
  to	
  generate	
  
the	
  most	
  profit.	
  
	
   Similarly	
  to	
  the	
  previous	
  example,	
  Steadman	
  Hospital	
  used	
  several	
  forms	
  of	
  
both	
  quantitative	
  and	
  qualitative	
  data	
  to	
  generate	
  successful	
  information,	
  which	
  
translated	
  to	
  proper	
  operations.	
  To	
  do	
  this,	
  it	
  was	
  mentioned	
  earlier	
  that	
  we	
  were	
  in	
  
contact	
  with	
  several	
  doctors	
  and	
  a	
  mentor	
  to	
  help	
  arrive	
  at	
  useful	
  data.	
  These	
  people	
  
acted	
  in	
  a	
  way	
  a	
  business	
  ‘sage’	
  would	
  act	
  for	
  training	
  a	
  new	
  manager	
  how	
  to	
  run	
  a	
  
store.	
  To	
  gain	
  insider	
  knowledge	
  from	
  these	
  doctors,	
  we	
  set	
  up	
  a	
  questionnaire	
  that	
  
was	
  related	
  to	
  each	
  individual	
  doctor.	
  This	
  allowed	
  us	
  to	
  gain	
  further	
  data	
  on	
  certain	
  
hospital	
  procedures	
  and	
  potential	
  profitability,	
  along	
  with	
  consumer	
  congestion	
  
  25	
  
during	
  specific	
  seasons.	
  By	
  asking	
  a	
  sage	
  such	
  as	
  an	
  experienced	
  doctor,	
  we	
  were	
  
able	
  to	
  come	
  to	
  specific	
  conclusions	
  that	
  related	
  to	
  our	
  specific	
  hospital.	
  
	
   When	
  looking	
  at	
  operational	
  and	
  overhead	
  costs	
  to	
  operate	
  Steadman	
  
hospital,	
  we	
  chose	
  to	
  look	
  at	
  quantitative	
  data.	
  In	
  this,	
  we	
  observed	
  historical	
  costs	
  
and	
  other	
  expenses	
  related	
  to	
  the	
  current	
  hospital’s	
  location	
  to	
  help	
  gauge	
  
approximate	
  expenses	
  Steadman	
  Hospital	
  will	
  experience.	
  Generally,	
  all	
  quantitative	
  
data	
  used	
  for	
  Steadman	
  hospital	
  was	
  for	
  future	
  forecasts	
  of	
  expenses	
  and	
  revenues.	
  
This	
  is	
  primarily	
  because	
  most	
  of	
  the	
  data	
  collected	
  on	
  how	
  to	
  operate	
  the	
  physical	
  
building	
  is	
  best	
  collected	
  through	
  personal	
  sources.	
  With	
  that,	
  the	
  primary	
  use	
  for	
  
quantitative	
  data	
  collection	
  methods	
  was	
  for	
  financial	
  reports	
  and	
  forecasts.	
  	
  
	
  
	
  
(VI)	
  Physical	
  Location	
  and	
  Financial	
  Plan:	
  
The chosen destination that Steadman Hospital is to be located in is Los Gatos,
California. Los Gatos is within the Northern region of California, and is recognized as
one of the wealthier cities of America. We chose this location because we understand
that, like many companies, the only way to make a significant profit with a stationary
‘brick’ company, is to have a target market that can afford the products. Because
specialized medical care is rather costly for patients, so to be located within a wealthy
section of the country is a priority for Steadman Hospital. With that, we hope that our
specialized services and doctors, combined with our location, will be highly attractive for
individuals with a need for medical attention. This will result in the value of the
Steadman name to increase, and further, for profits to dramatically increase. But to begin
  26	
  
making a profit, we must first examine the initial expenses required to buy the currently
standing building within Los Gatos that we will soon transform into Steadman Hospital.
The building chosen to be developed into Steadman Hospital is currently named
“El Camino Los Gatos”. This building was chosen because this location within Los Gatos
is a highly valued piece of property. With that, we found that the following financial
information:
• As a result of purchasing the physically standing structure that is already laid out
and functioning as an existing hospital known as El Camino, we are asking for
$8,797,500 from you as a primary investor to help fund this developmental
hospital. Assuming monthly payments of $58,700 would be included, the average
revenue of a hospital is approximately $100,000,000 per year. This, over time,
will balance out the initial payments towards Steadman Hospital. Additionally, to
rent or lease this physical building, it would cost a total of $652,800 per month (or
$7,833,600 per year). The standard thirty-year mortgage for this hospital is
estimated to be valued at $235,008,000 for the entire campus, which would not
include supplies needed for standard operations. These calculations were based
off of an average $230 per square footage cost within Northern California.
Finally, to maintain the Steadman name, we agreed to include a yearly expense
(based off profits) to the Steadman Corporation. As a result, Steadman Hospital
will provide 9% of its yearly profits to the Steadman Company in allowance for
us to become a franchise under the Steadman name.
• How we determined the asking investment price we suggest earlier followed this
guideline: you as an investor will automatically buy into 15% of the total cost to
  27	
  
build Steadman Hospital. For this investment, you will receive, in turn, a total of
30% of the organization plus a royalty of 3% (of profits) yearly. The remaining
amount needed to build Steadman Hospital will be achieved through various other
reliable investments.
One	
  campus	
  –	
  255,000	
  square	
  feet	
  
3	
  Buildings	
  –	
  143	
  beds	
  
1st	
  building	
  –	
  100-­‐110	
  beds	
  
2nd	
  building	
  –	
  30+	
  beds	
  
3rd	
  building	
  –	
  ±5	
  beds	
  
Three	
  buildings	
  
1. Main	
  Hospital	
  –	
  100,000	
  square	
  feet	
  
Basement	
  –	
  3,000	
  square	
  feet	
  
• Storage	
  3,000	
  square	
  feet	
  
The	
  basement	
  for	
  now	
  is	
  going	
  to	
  be	
  a	
  place	
  for	
  storage	
  and	
  backup	
  
equipment	
  and	
  supplies.	
  This	
  also	
  can	
  be	
  a	
  place	
  for	
  employees	
  to	
  be	
  while	
  
off	
  the	
  clock.	
  
1st	
  floor	
  –	
  40,000	
  square	
  feet	
  
• Lobby	
  1,500	
  square	
  feet	
  
• Cafeteria	
  1,500	
  square	
  feet	
  
• Gift	
  Shop	
  1,000	
  square	
  feet	
  
• ER	
  10,000	
  square	
  feet	
  
• Intensive	
  Care	
  6,000	
  square	
  feet	
  
• Pediatrics	
  10,000	
  square	
  feet	
  
  28	
  
• Pharmaceuticals	
  10,000	
  square	
  feet	
  
The	
  first	
  floor	
  is	
  typically	
  the	
  place	
  of	
  entrance	
  for	
  patients	
  and	
  visitors.	
  
The	
  lobby,	
  cafeteria,	
  and	
  gift	
  shop	
  make	
  the	
  most	
  sense	
  to	
  be	
  on	
  the	
  first	
  floor	
  
where	
  visitors	
  can	
  eat	
  and	
  buy	
  gifts,	
  while	
  patients	
  check-­‐in	
  in	
  the	
  lobby.	
  The	
  
ER,	
  Intensive	
  Care,	
  Pediatrics,	
  and	
  Pharmacy	
  are	
  also	
  located	
  on	
  the	
  first	
  
floor.	
  Emergency	
  rooms	
  on	
  the	
  first	
  floor	
  make	
  the	
  most	
  logical	
  sense	
  as	
  
patients	
  are	
  arriving	
  from	
  ambulances	
  or	
  other	
  forms	
  of	
  transportation	
  and	
  
need	
  to	
  be	
  quickly	
  attended	
  to.	
  Intensive	
  care	
  being	
  much	
  associated	
  with	
  
emergency	
  needs	
  to	
  be	
  located	
  on	
  the	
  first	
  floor	
  so	
  that	
  it	
  is	
  easy	
  and	
  
convenient	
  to	
  transport	
  patients	
  directly	
  there	
  or	
  even	
  from	
  the	
  ER.	
  
Pediatrics	
  should	
  also	
  be	
  located	
  on	
  the	
  first	
  floor	
  for	
  easy	
  access	
  for	
  children	
  
and	
  their	
  guardians.	
  Finally,	
  the	
  Pharmacy	
  will	
  be	
  on	
  the	
  first	
  floor	
  because	
  of	
  
the	
  ease	
  of	
  accessibility	
  and	
  as	
  it	
  is	
  considered	
  a	
  quicker	
  process	
  of	
  getting	
  a	
  
customer	
  in	
  an	
  out	
  of	
  the	
  facility.	
  Each	
  wing	
  and	
  department	
  of	
  the	
  first	
  floor	
  
will	
  have	
  its	
  respective	
  overnight	
  rooms	
  and	
  rooms	
  for	
  outpatients,	
  which	
  
will	
  total	
  to	
  about	
  85-­‐90	
  beds.	
  
2nd	
  floor	
  –	
  40,000	
  square	
  feet	
  
• Radiology	
  10,000	
  square	
  feet	
  
• Specialized/Reconstructive	
  Surgeries	
  10,000	
  square	
  feet	
  
• Cardiovascular	
  10,000	
  square	
  feet	
  
• Cancer	
  Treatment	
  10,000	
  square	
  feet	
  
The	
  second	
  floor	
  is	
  mainly	
  consisting	
  of	
  more	
  intense,	
  yet	
  planned	
  
operations.	
  Surgeries	
  of	
  the	
  reconstructive	
  and	
  specialized	
  type	
  are	
  planned	
  
  29	
  
and	
  can	
  be	
  kept	
  out	
  of	
  the	
  way	
  of	
  the	
  first	
  floor	
  emergencies.	
  The	
  same	
  goes	
  
for	
  cardiovascular	
  operations,	
  radiology,	
  and	
  cancer	
  treatment.	
  Although	
  
these	
  conditions	
  could	
  be	
  serious,	
  they	
  typically	
  come	
  with	
  planning	
  and	
  
preparation	
  and	
  could	
  be	
  separated	
  from	
  sudden	
  operations	
  or	
  traumas	
  
located	
  on	
  the	
  first	
  floor.	
  The	
  second	
  floor	
  will	
  also	
  have	
  its	
  respective	
  beds	
  
necessary	
  for	
  any	
  outpatients	
  or	
  overnight	
  patients,	
  which	
  will	
  total	
  to	
  about	
  
25-­‐30	
  beds.	
  Fewer	
  beds	
  are	
  needed	
  on	
  the	
  second	
  floor	
  than	
  on	
  the	
  first	
  floor	
  
because	
  the	
  operations	
  held	
  on	
  the	
  second	
  floor	
  can	
  be	
  controlled	
  and	
  
prepared	
  for,	
  while	
  the	
  need	
  for	
  first	
  floor	
  beds	
  is	
  inconsistent,	
  unknown,	
  and	
  
unplanned.	
  	
  
PARKING	
  LOT–	
  17,000	
  square	
  feet	
  
TOTAL	
  of	
  Main	
  Hospital	
  =	
  100,000	
  square	
  feet	
  
2. Rehabilitation	
  and	
  Physical	
  Performance	
  Institute	
  –	
  6,000-­‐7,000	
  square	
  feet	
  
• Physical	
  Therapy	
  	
  
• Rehabilitation	
  –	
  30	
  beds	
  
• Psychiatric	
  aid	
  
We	
  have	
  a	
  second	
  building	
  for	
  Rehabilitation,	
  Physical	
  Therapy,	
  and	
  
Psychiatric	
  Aid,	
  which	
  is	
  completely	
  separate	
  and	
  typically	
  is	
  needed	
  following	
  
any	
  operations	
  that	
  take	
  place	
  in	
  the	
  main	
  hospital.	
  This	
  building	
  has	
  one	
  floor,	
  
and	
  is	
  not	
  a	
  far	
  distance	
  from	
  the	
  main	
  hospital,	
  so	
  transportation	
  is	
  easy.	
  
PARKING	
  LOT	
  –	
  10,000	
  square	
  feet	
  
TOTAL	
  of	
  Rehab/Physical	
  Performance	
  Institute	
  =	
  17,000	
  square	
  feet	
  
3. Cancer	
  &	
  Other	
  Research	
  Centers	
  –	
  3,000	
  square	
  feet	
  
  30	
  
• Cancer	
  Research	
  
• Cardiovascular	
  Research	
  
• Drug	
  research	
  and	
  development	
  
Our	
  third	
  building	
  is	
  mainly	
  dedicated	
  to	
  research	
  and	
  development	
  of	
  a	
  
variety	
  of	
  fields	
  that	
  our	
  hospital	
  of	
  El	
  Camino	
  Los	
  Gatos	
  specializes	
  in.	
  We	
  would	
  
like	
  to	
  further	
  our	
  knowledge	
  and	
  use	
  this	
  building	
  as	
  a	
  source	
  for	
  our	
  growth	
  as	
  
a	
  successful	
  business	
  of	
  operations.	
  
PARKING	
  LOT	
  –	
  2,000	
  square	
  feet	
  
TOTAL	
  of	
  Research	
  center	
  –	
  5,000	
  square	
  feet	
  
4. Parking	
  Structure,	
  Campus	
  Area	
  –	
  50,000	
  square	
  feet	
  
FINAL	
  TOTAL	
  OF	
  EL	
  CAMINO	
  LOS	
  GATOS	
  HOSPITAL	
  =	
  172,000	
  square	
  feet	
  
83,000	
  square	
  feet	
  to	
  spare	
  
	
  
(VII)	
  Medical	
  Service	
  Plan:	
  
Every	
  functioning	
  moment	
  at	
  Steadman	
  Hospital	
  requires	
  crucial	
  planning	
  on	
  
what	
  supplies	
  and	
  inventory	
  is	
  required	
  for	
  each	
  process	
  and	
  service	
  provided	
  by	
  
our	
  hospital.	
  We	
  recognized	
  that	
  every	
  step	
  from	
  when	
  a	
  patient	
  walks	
  into	
  the	
  door	
  
until	
  they	
  leave	
  involves	
  very	
  specific	
  set	
  of	
  tools	
  and	
  people	
  to	
  help	
  them	
  through	
  
safely	
  and	
  successfully.	
  Therefore,	
  we	
  have	
  developed	
  a	
  intricate	
  system	
  of	
  
understanding	
  exactly	
  what	
  supplies	
  will	
  be	
  needed	
  for	
  every	
  movement	
  happening	
  
on	
  Steadman’s	
  campus.	
  The	
  organizational	
  map	
  of	
  customer	
  movement	
  can	
  be	
  
referred	
  to	
  in	
  the	
  Appendix,	
  Image	
  7.1.	
  To	
  fully	
  understand	
  Steadman	
  Hospital’s	
  
systems,	
  it	
  is	
  best	
  to	
  visualize	
  they	
  processes	
  of	
  how	
  a	
  patient	
  moves	
  within	
  campus.	
  	
  
  31	
  
	
   The	
  map	
  is	
  segmented	
  by	
  number	
  into	
  each	
  individual	
  segment,	
  which	
  
involves	
  the	
  movement	
  or	
  actions	
  towards	
  a	
  patient.	
  Given	
  each	
  number,	
  the	
  tools	
  
used	
  by	
  each	
  department	
  are	
  identifiable	
  by	
  looking	
  at	
  the	
  Appendix,	
  Chart	
  7.1.	
  To	
  
read	
  the	
  map	
  accurately,	
  correspond	
  the	
  Blue	
  numbers	
  from	
  Image	
  7.1	
  onto	
  Chart	
  
7.1.	
  
	
   In	
  image	
  7.1,	
  you	
  can	
  identify	
  that	
  Steadman	
  Hospital	
  has	
  broken	
  down	
  the	
  
processes	
  into	
  a	
  readable	
  diagram.	
  As	
  mentioned	
  before,	
  this	
  diagram	
  represents	
  
the	
  movement	
  and	
  tools	
  used	
  for	
  each	
  movement	
  for	
  our	
  hospital	
  to	
  run	
  effectively.	
  
To	
  fully	
  grasp	
  the	
  idea	
  of	
  how	
  Steadman	
  Operates,	
  you	
  should	
  first	
  understand	
  how	
  
admitted	
  patients	
  arrive	
  at	
  the	
  hospital.	
  There	
  are	
  three	
  forms	
  of	
  admitted	
  patients:	
  
Emergency,	
  Appointment	
  and	
  (some)	
  Walk-­‐ins.	
  Patients	
  of	
  appointment	
  and	
  walk-­‐in	
  
arrive	
  through	
  the	
  main	
  entrance	
  to	
  be	
  greeted	
  by	
  a	
  receptionist.	
  These	
  patients	
  will	
  
then	
  sign	
  in	
  through	
  a	
  kiosk	
  system	
  and	
  be	
  asked	
  to	
  wait	
  within	
  the	
  Reception	
  Room	
  
until	
  called	
  upon	
  by	
  a	
  nurse.	
  Emergency	
  patients,	
  such	
  as	
  critical	
  injuries	
  or	
  laboring	
  
mothers,	
  will	
  be	
  admitted	
  once	
  within	
  a	
  treatment	
  center,	
  which	
  will	
  act	
  on	
  the	
  
situation	
  based	
  on	
  a	
  scale	
  of	
  intensity.	
  This	
  first	
  step	
  of	
  Steadman	
  Hospital’s	
  
operations	
  requires	
  minimal	
  equipment	
  for	
  walk-­‐in	
  and	
  appointment-­‐made	
  
patients.	
  For	
  Emergency	
  patients,	
  some	
  of	
  the	
  equipment	
  required	
  by	
  each	
  patient	
  
may	
  include	
  an	
  ambulance,	
  wheelchair	
  or	
  stretcher	
  (depending	
  on	
  the	
  situation).	
  
You	
  can	
  observe	
  some	
  of	
  the	
  general	
  equipment	
  required	
  by	
  this	
  department	
  
located	
  in	
  the	
  Appendix	
  under	
  Step	
  1	
  of	
  Chart	
  7.1.	
  
	
   Step	
  two	
  is	
  where	
  non-­‐critical	
  patients	
  are	
  asked	
  to	
  wait	
  within	
  the	
  
Reception	
  room.	
  Because	
  of	
  the	
  non-­‐crucial	
  moments	
  happening	
  within	
  this	
  stage	
  of	
  
  32	
  
hospital	
  operations,	
  the	
  primary	
  equipment	
  used	
  within	
  this	
  section	
  includes	
  items	
  
like	
  couches,	
  magazines,	
  televisions,	
  etc.	
  	
  	
  
	
   Step	
  three	
  is	
  dedicated	
  to	
  mothers	
  either	
  in	
  or	
  going	
  into	
  labor.	
  This	
  stage	
  of	
  
operations	
  requires	
  quick	
  movements	
  between	
  departments	
  for	
  the	
  mother	
  to	
  get	
  
the	
  medical	
  attention	
  required	
  within	
  a	
  short	
  amount	
  of	
  time.	
  Because	
  of	
  this,	
  there	
  
will	
  always	
  be	
  equipment	
  such	
  as	
  wheelchairs,	
  labor	
  gowns	
  and	
  health	
  monitors	
  
readily	
  available	
  both	
  within	
  close	
  proximity	
  of	
  the	
  main	
  entrance	
  and	
  within	
  the	
  
labor	
  rooms	
  of	
  the	
  Steadman	
  Hospital.	
  As	
  mentioned	
  before,	
  more	
  equipment	
  for	
  
this	
  operation	
  and	
  all	
  other	
  operations	
  occurring	
  at	
  Steadman	
  Hospital	
  can	
  be	
  found	
  
within	
  the	
  Appendix,	
  Chart	
  7.1.	
  	
  
	
   Step	
  four	
  is	
  a	
  very	
  crucial	
  stage	
  for	
  the	
  people	
  of	
  Los	
  Gatos.	
  Emergency	
  
surgeries	
  and	
  operations	
  must	
  be	
  quickly	
  moving	
  and	
  precise	
  to	
  avoid	
  undesired	
  
results.	
  As	
  a	
  result,	
  this	
  department	
  is	
  located	
  within	
  another	
  section	
  of	
  Steadman	
  
Hospital,	
  which	
  avoids	
  immediate	
  admittance.	
  There	
  is	
  an	
  extensive	
  list	
  of	
  
equipment	
  used	
  within	
  this	
  department,	
  which	
  will	
  later	
  be	
  discussed	
  under	
  the	
  
“Equipment	
  Plan”	
  section	
  of	
  this	
  document.	
  Though,	
  to	
  simplify	
  things	
  currently,	
  
some	
  of	
  the	
  equipment	
  used	
  to	
  transport	
  emergency	
  patients	
  from	
  the	
  unloading	
  
zone	
  too	
  the	
  emergency	
  operations	
  department	
  would	
  include:	
  stretchers,	
  portable	
  
beds,	
  and	
  emergency	
  supply	
  kits.	
  Though	
  this	
  is	
  not	
  limiting,	
  these	
  are	
  three	
  
essential	
  items	
  to	
  get	
  a	
  patient	
  from	
  one	
  location	
  to	
  another	
  with	
  as	
  little	
  risk	
  as	
  
possible.	
  
	
   Step	
  four	
  also	
  requires	
  patients	
  to	
  have	
  the	
  ability	
  to	
  stay	
  the	
  night	
  within	
  the	
  
hospital	
  for	
  extended	
  care.	
  This	
  will	
  require	
  all	
  equipment	
  that	
  can	
  be	
  found	
  within	
  
  33	
  
a	
  typical	
  hospital	
  bedroom,	
  along	
  with	
  emergency	
  medication	
  and	
  several	
  forms	
  of	
  
transportation	
  devices.	
  This	
  is	
  a	
  less	
  intensive	
  moment	
  for	
  the	
  operations	
  running	
  
within	
  Steadman	
  Hospital,	
  therefore	
  it	
  will	
  require	
  less	
  emergency	
  items	
  and	
  more	
  
general,	
  overnight	
  equipment.	
  	
  
	
   Moving	
  forward,	
  patients	
  that	
  have	
  been	
  waiting	
  for	
  a	
  short	
  time	
  within	
  the	
  
Reception	
  Room	
  are	
  then	
  taken	
  by	
  a	
  nurse	
  to	
  their	
  needed	
  department.	
  Because	
  of	
  
the	
  low	
  level	
  of	
  intensity,	
  there	
  will	
  be	
  fewer	
  modes	
  of	
  transportation	
  from	
  one	
  
department	
  to	
  the	
  next.	
  It	
  should	
  also	
  be	
  noted	
  that	
  specific	
  sections	
  of	
  the	
  hospital	
  
might	
  be	
  located	
  within	
  different	
  buildings	
  on	
  campus.	
  Therefore,	
  each	
  building	
  will	
  
have	
  a	
  separate	
  admittance	
  office	
  and	
  reception	
  room.	
  Located	
  on	
  Image	
  7.1,	
  this	
  
process	
  is	
  identified	
  by	
  separate	
  departments	
  labeled	
  five	
  until	
  eleven.	
  After	
  a	
  
patient	
  arrives	
  at	
  their	
  required	
  destination,	
  the	
  equipment	
  that	
  is	
  located	
  within	
  
each	
  room	
  is	
  department-­‐specific.	
  That	
  is,	
  the	
  equipment	
  used	
  for	
  surgeries	
  (10)	
  
will	
  differentiate	
  from	
  equipment	
  used	
  in	
  rehabilitation	
  (9).	
  For	
  a	
  department	
  
specific	
  list	
  of	
  equipment,	
  you	
  can	
  look	
  at	
  Chart	
  7.1.	
  
	
   Outpatient	
  simply	
  falls	
  under	
  the	
  category	
  of	
  Walk-­‐in	
  patients,	
  though	
  they	
  
do	
  not	
  follow	
  the	
  exact	
  guidelines.	
  They	
  may	
  skip	
  the	
  admissions	
  section	
  of	
  the	
  
hospital	
  depending	
  on	
  their	
  condition	
  and	
  do	
  not	
  spend	
  the	
  night	
  within	
  the	
  
hospital.	
  Therefore,	
  because	
  the	
  patients	
  do	
  not	
  spend	
  the	
  night	
  and	
  are	
  classified	
  as	
  
a	
  walk-­‐in	
  patient,	
  they	
  use	
  the	
  same	
  equipment	
  and	
  operations	
  that	
  the	
  previously	
  
listed	
  sections	
  use,	
  above.	
  	
  	
  
	
   Steadman	
  Hospital	
  is	
  dedicated	
  on	
  getting	
  patients	
  the	
  quality	
  service	
  they	
  
need	
  and	
  deserve.	
  And	
  the	
  only	
  way	
  to	
  achieve	
  this	
  is	
  to	
  have	
  an	
  efficient	
  mode	
  of	
  
  34	
  
transportation	
  between	
  departments	
  along	
  with	
  all	
  of	
  the	
  necessary	
  equipment	
  
found	
  within	
  each	
  department.	
  To	
  do	
  this,	
  our	
  hospital	
  has	
  separated	
  each	
  
individual	
  path	
  a	
  patient	
  could	
  take	
  and	
  will	
  make	
  it	
  clear	
  to	
  management	
  exactly	
  
what	
  is	
  necessary	
  to	
  have	
  for	
  successful	
  operations.	
  With	
  that,	
  Steadman	
  Hospital	
  
will	
  prove	
  to	
  be	
  quick	
  and	
  tentative	
  to	
  each	
  patient’s	
  needs	
  within	
  any	
  given	
  
situation.	
  	
  
	
  
(VIII)	
  Demand	
  Forecast:	
  
Walk-­ins:	
  Walk-­‐in	
  services	
  will	
  be	
  continuous	
  –	
  in	
  that	
  it	
  will	
  be	
  twenty-­‐four	
  
hours	
  a	
  day,	
  seven	
  days	
  a	
  week.	
  Though,	
  because	
  it	
  is	
  clear	
  that	
  people	
  typically	
  do	
  
not	
  require	
  too	
  much	
  medical	
  assistance	
  during	
  the	
  middle	
  of	
  the	
  night,	
  Steadman	
  
Hospital	
  will	
  operate	
  accordingly.	
  This	
  section	
  of	
  the	
  hospital	
  is	
  forecasted	
  to	
  have	
  a	
  
rather	
  consistent	
  congestion	
  of	
  patients	
  through	
  out	
  the	
  year,	
  suggesting	
  that	
  
Steadman	
  Hospital	
  does	
  not	
  change	
  any	
  operating	
  procedures	
  throughout	
  the	
  year	
  
according	
  to	
  month	
  or	
  season.	
  	
  Though,	
  through	
  various	
  sources	
  of	
  information,	
  it	
  is	
  
evident	
  that	
  the	
  flu	
  season,	
  which	
  occurs	
  typically	
  in	
  early	
  January	
  until	
  late	
  
February,	
  that	
  walk-­‐in	
  patients	
  somewhat	
  increase.	
  Although	
  this	
  is,	
  California	
  has	
  
lower	
  rates	
  of	
  the	
  flu	
  compared	
  to	
  those	
  of	
  other	
  states.	
  As	
  a	
  result,	
  Steadman	
  
Hospital	
  will	
  react	
  accordingly	
  by	
  hiring	
  slightly	
  more	
  nurses	
  to	
  administer	
  the	
  flu	
  
shot	
  and,	
  by	
  a	
  small	
  margin,	
  increase	
  the	
  amount	
  of	
  pediatric	
  doctors	
  to	
  compensate	
  
for	
  additional	
  walk-­‐in	
  patients.	
  Other	
  than	
  that,	
  this	
  department	
  is,	
  as	
  stated	
  before,	
  
very	
  consistent	
  throughout	
  the	
  year.	
  Therefore,	
  the	
  slight	
  addition	
  during	
  these	
  
  35	
  
months	
  is	
  relatively	
  insignificant,	
  considering	
  the	
  minimal	
  turnover	
  rate	
  from	
  
patient-­‐to-­‐patient	
  receiving	
  the	
  flu	
  shot.	
  
	
   Emergencies	
  and	
  Outpatient:	
  Similar	
  to	
  Walk-­‐ins,	
  Steadman	
  Hospital’s	
  
emergency	
  department	
  will	
  operate	
  around-­‐the-­‐clock,	
  through	
  out	
  the	
  year.	
  
Through	
  given	
  research,	
  there	
  does	
  not	
  appear	
  to	
  be	
  any	
  direct	
  correlation	
  between	
  
emergency	
  and	
  day	
  of	
  the	
  week.	
  Though,	
  during	
  the	
  day,	
  research	
  shows	
  that	
  during	
  
rush	
  hour	
  (3pm-­‐9pm),	
  there	
  are	
  the	
  most	
  non-­‐fatal	
  emergencies	
  as	
  a	
  result	
  of	
  
vehicular	
  accidents.	
  And	
  from	
  9pm-­‐12am	
  there	
  are	
  the	
  most	
  fatal	
  emergencies	
  
related	
  to	
  alcohol.	
  Therefore,	
  the	
  emergency	
  department	
  will	
  function	
  at	
  consistent	
  
level	
  throughout	
  the	
  week,	
  though	
  during	
  the	
  time	
  frames	
  listed	
  above,	
  it	
  will	
  be	
  
most	
  highly	
  demanded	
  during	
  the	
  most	
  curial	
  times	
  of	
  day.	
  Because	
  of	
  Steadman	
  
Hospital’s	
  location,	
  within	
  Los	
  Gatos,	
  California,	
  there	
  are	
  minimal	
  changes	
  in	
  
quantity	
  of	
  emergency	
  patients	
  and	
  outpatient	
  services	
  due	
  to	
  weather.	
  Therefore,	
  
the	
  services	
  provided	
  within	
  these	
  sections	
  of	
  the	
  hospital	
  will	
  have	
  little	
  change	
  
throughout	
  the	
  year	
  as	
  a	
  result	
  of	
  an	
  unchanging	
  demand.	
  
	
   Non-­reconstructive	
  surgeries	
  (surgical	
  services):	
  General	
  surgical	
  
services	
  will	
  be	
  held	
  during	
  surgeon’s	
  work	
  hours.	
  A	
  surgeon’s	
  typical	
  workday	
  for	
  
Steadman	
  Hospital	
  is	
  from	
  7am	
  until	
  5pm.	
  Depending	
  on	
  the	
  doctor,	
  scheduled	
  
surgeries	
  will	
  occur	
  Monday	
  through	
  Saturday	
  throughout	
  the	
  year.	
  Noted,	
  
emergency	
  surgeries	
  are	
  part	
  of	
  the	
  emergency	
  department,	
  which	
  will	
  be	
  
functional	
  during	
  the	
  times	
  given	
  above.	
  There	
  does	
  not	
  appear	
  to	
  be	
  any	
  significant	
  
change	
  of	
  general	
  surgical	
  procedures	
  based	
  on	
  the	
  month	
  or	
  season.	
  Given	
  that,	
  a	
  
  36	
  
surgeon’s	
  workday	
  will	
  not	
  typically	
  change	
  throughout	
  the	
  year	
  to	
  comply	
  with	
  
seasonal	
  changes.	
  	
  
	
   Infant/Newborn	
  and	
  Child	
  Services:	
  Infant	
  and	
  Newborn	
  Services	
  are	
  
relatively	
  random	
  compared	
  to	
  other	
  services	
  provided	
  by	
  Steadman	
  Hospital.	
  
There	
  does	
  not	
  seem	
  to	
  be	
  any	
  connection	
  between	
  hour	
  of	
  the	
  day	
  and	
  baby	
  births,	
  
though	
  according	
  to	
  the	
  US	
  Census,	
  babies	
  are	
  most	
  likely	
  to	
  be	
  born	
  on	
  a	
  Tuesday,	
  
with	
  Wednesday,	
  Thursday,	
  and	
  Friday	
  not	
  too	
  far	
  behind.	
  The	
  same	
  article	
  also	
  
explained	
  that:	
  the	
  summer	
  months	
  of	
  the	
  year,	
  July	
  and	
  August,	
  seem	
  to	
  be	
  the	
  
most	
  popular	
  birth	
  month,	
  with	
  October,	
  November	
  and	
  December	
  being	
  the	
  least	
  
popular	
  months	
  for	
  births.	
  Given	
  this,	
  doctors	
  and	
  nurses	
  within	
  this	
  field	
  will	
  have	
  
schedules	
  which	
  correlate	
  to	
  these	
  highly	
  or	
  hardly	
  demanded	
  months	
  and	
  days.	
  
	
   Men’s/Women’s	
  Health	
  &	
  Pediatrics:	
  This	
  department	
  of	
  Steadman	
  
Hospital	
  is	
  specifically	
  by	
  appoint	
  only,	
  with	
  certain	
  functioning	
  hours	
  of	
  the	
  day.	
  
Given	
  that,	
  the	
  typical	
  hours	
  for	
  this	
  field	
  range	
  from	
  7am	
  until	
  4pm,	
  which	
  will	
  be	
  
directly	
  connected	
  to	
  doctor’s	
  work	
  hours.	
  Studies	
  show	
  that	
  the	
  most	
  congested	
  
times	
  of	
  year	
  for	
  this	
  department	
  is	
  during	
  early-­‐year	
  months	
  (January	
  until	
  March).	
  
As	
  a	
  result,	
  there	
  will	
  be	
  more	
  doctors	
  working	
  during	
  these	
  months,	
  to	
  respond	
  to	
  
the	
  increased	
  demand.	
  During	
  the	
  week,	
  Steadman	
  Hospital	
  will	
  provide	
  these	
  
services	
  Monday	
  through	
  Saturday.	
  
	
   Senior	
  Services:	
  Senior	
  services	
  will	
  be	
  functional	
  twenty-­‐four	
  hours	
  a	
  day,	
  
seven	
  days	
  a	
  week	
  to	
  comply	
  with	
  senior’s	
  health	
  conditions.	
  With	
  that,	
  there	
  will	
  
always	
  be	
  attentive	
  nurses	
  to	
  help	
  with	
  these	
  patients.	
  During	
  winter	
  months,	
  there	
  
is	
  a	
  rather	
  drastic	
  increase	
  for	
  the	
  amount	
  of	
  elderly	
  patients	
  that	
  require	
  assistance.	
  
  37	
  
This	
  is	
  resulted	
  from	
  seniors	
  within	
  the	
  Midwest	
  and	
  Northern	
  states	
  who	
  move	
  out	
  
to	
  warmer	
  states,	
  such	
  as	
  California,	
  to	
  escape	
  the	
  cold	
  and	
  unstable	
  weather.	
  
During	
  the	
  week,	
  there	
  are	
  no	
  differentiating	
  factors	
  that	
  suggest	
  a	
  busier	
  time.	
  
Therefore,	
  the	
  staff	
  provided	
  will	
  not	
  change	
  throughout	
  the	
  week.	
  Though,	
  on	
  an	
  
hourly	
  basis,	
  it	
  is	
  apparent	
  that	
  the	
  elderly	
  require	
  more	
  assistance	
  during	
  the	
  day,	
  
compared	
  to	
  the	
  night.	
  This	
  change	
  in	
  demand	
  will	
  allow	
  for	
  a	
  specific	
  schedule	
  for	
  
each	
  nurse	
  and	
  assistant.	
  
	
   Robotic	
  Surgeries,	
  Imaging	
  Center,	
  and	
  Radiology:	
  These	
  segments	
  within	
  
Steadman	
  Hospital	
  are	
  part	
  of	
  the	
  electronic	
  services,	
  which	
  have	
  specific	
  functional	
  
hours	
  during	
  the	
  day.	
  These	
  hours	
  range	
  from	
  7am	
  until	
  3pm,	
  and	
  are	
  appointment	
  
only.	
  The	
  procedures	
  will	
  occur	
  Monday	
  through	
  Saturday	
  throughout	
  the	
  year.	
  
There	
  are	
  no	
  factors,	
  which	
  suggest	
  a	
  change	
  in	
  demand	
  throughout	
  the	
  year,	
  week	
  
or	
  days	
  that	
  these	
  fields	
  are	
  required	
  by	
  patients.	
  Though	
  for	
  robotic	
  surgeries,	
  the	
  
most	
  typical	
  day	
  of	
  operation	
  occurs	
  on	
  Friday,	
  specifically	
  for	
  the	
  patient	
  to	
  recover	
  
on	
  hospital	
  grounds	
  until	
  the	
  following	
  Monday.	
  	
  
	
   Cardiovascular	
  Treatment:	
  Cardiovascular	
  treatment	
  will	
  occur	
  Monday	
  
until	
  Saturday	
  from	
  7am	
  until	
  4pm,	
  similarly	
  to	
  Men’s	
  and	
  Woman’s	
  heath.	
  This	
  field	
  
has	
  little	
  correlation	
  between	
  time	
  of	
  month	
  and	
  day	
  and	
  services	
  required;	
  
therefore	
  there	
  will	
  be	
  little	
  change	
  in	
  schedules	
  between	
  cardiovascular	
  doctors	
  
throughout	
  the	
  year.	
  	
  
Physical	
  Therapy	
  &	
  Rehabilitation:	
  These	
  sections	
  will	
  occur	
  during	
  similar	
  hours	
  
compared	
  to	
  that	
  of	
  General	
  Surgeries	
  and	
  Specialized	
  Surgeries.	
  This	
  is	
  because	
  
patients	
  typically	
  require	
  physical	
  therapy	
  and	
  rehabilitation	
  directly	
  after	
  (no	
  more	
  
  38	
  
than	
  a	
  day	
  after)	
  surgical	
  procedures.	
  Therefore,	
  the	
  operation	
  hours	
  of	
  these	
  
segments	
  within	
  Steadman	
  Hospital	
  will	
  happen	
  from	
  7am	
  until	
  5pm,	
  Monday	
  
through	
  Saturday.	
  The	
  most	
  demanded	
  time	
  of	
  year	
  for	
  Physical	
  Therapy	
  and	
  
Rehabilitation	
  are	
  during	
  the	
  late	
  summer,	
  early	
  fall	
  months,	
  being	
  August	
  until	
  
October.	
  As	
  a	
  result,	
  our	
  staffing	
  plan	
  will	
  correlate	
  to	
  these	
  months,	
  without	
  
changing	
  the	
  hours	
  of	
  operation.	
  
	
  
	
   The	
  Growth	
  section	
  of	
  Steadman	
  Hospital	
  will	
  run	
  within	
  a	
  similar	
  time	
  and	
  
staffing	
  fluctuation	
  that	
  was	
  listed	
  within	
  the	
  previous	
  Base	
  section.	
  In	
  doing	
  this,	
  
hospital	
  staff	
  will	
  have	
  a	
  rather	
  unchanging	
  schedule	
  depending	
  on	
  the	
  areas	
  on	
  
campus	
  that	
  require	
  their	
  attention.	
  Though	
  these	
  sections	
  are	
  considered	
  
specialized	
  categories	
  of	
  Steadman	
  Hospital,	
  and	
  may	
  take	
  more	
  time	
  per	
  procedure,	
  
the	
  intention	
  is	
  to	
  have	
  them	
  operate	
  at	
  a	
  similar	
  frequency	
  because	
  they	
  are	
  the	
  
high-­‐grossing	
  profit	
  procedures.	
  Therefore,	
  the	
  hours	
  that	
  these	
  specialized	
  
procedures	
  are	
  run	
  at	
  will	
  not	
  be	
  any	
  less	
  than	
  that	
  of	
  the	
  base	
  section.	
  Given	
  this,	
  
the	
  following	
  medical	
  demand	
  forecast	
  for	
  the	
  Growth	
  section	
  will	
  be	
  the	
  following:	
  
	
   Specialized/Reconstructive	
  Surgeries:	
  These	
  procedures	
  will	
  occur	
  during	
  
the	
  same	
  time	
  frame	
  of	
  General	
  Surgery	
  procedures.	
  That	
  is,	
  Monday	
  through	
  
Saturday,	
  from	
  7am	
  until	
  5pm.	
  The	
  demand	
  for	
  specialized	
  surgeries	
  does	
  have	
  a	
  
relation	
  between	
  month	
  and	
  injury,	
  which	
  is	
  very	
  similar	
  to	
  that	
  of	
  physical	
  therapy	
  
and	
  rehabilitation.	
  Because	
  of	
  this,	
  the	
  highest	
  population	
  of	
  patients	
  will	
  occur	
  
between	
  August	
  and	
  October	
  as	
  a	
  result	
  of	
  highly	
  physical	
  sports	
  injuries.	
  Each	
  
  39	
  
doctor	
  within	
  specialized	
  surgeries	
  will	
  have	
  specific	
  days	
  to	
  operate	
  on	
  certain	
  
procedures.	
  Though,	
  that	
  will	
  be	
  discussed	
  in	
  a	
  later	
  section	
  under	
  “Staffing	
  Plan”.	
  
	
   Cancer	
  Treatment:	
  Cancer	
  Treatment	
  is	
  a	
  very	
  random	
  and	
  difficult	
  field	
  to	
  
forecast	
  because	
  there	
  has	
  been	
  no	
  historical	
  research	
  to	
  suggest	
  when	
  an	
  individual	
  
is	
  most	
  likely	
  to	
  develop	
  any	
  form	
  of	
  cancer.	
  As	
  a	
  result,	
  Steadman	
  Hospital	
  will	
  have	
  
a	
  rather	
  steady	
  and	
  unchanging	
  schedule	
  for	
  what	
  and	
  when	
  specific	
  cancers	
  will	
  be	
  
treated.	
  Though,	
  to	
  help	
  increase	
  efficiency	
  and	
  effectiveness	
  of	
  the	
  hospital,	
  there	
  
will	
  be	
  certain	
  cancer	
  treatments	
  operating	
  during	
  specific	
  days	
  of	
  the	
  week;	
  
meaning	
  one	
  type	
  of	
  cancer	
  will	
  be	
  treated,	
  for	
  example,	
  on	
  Monday,	
  Wednesday,	
  
and	
  Thursday	
  –	
  where	
  as	
  other	
  cancers	
  will	
  be	
  treated	
  on	
  other	
  days.	
  The	
  most	
  
common	
  hours	
  of	
  operation	
  for	
  cancer	
  treatments	
  is	
  during	
  the	
  hours	
  of	
  8am	
  until	
  
5pm,	
  Monday	
  through	
  Friday.	
  This	
  will	
  remain	
  a	
  steady	
  schedule	
  for	
  this	
  procedure	
  
until	
  Steadman	
  Hospital	
  can	
  publish	
  a	
  correlating	
  graph	
  on	
  time	
  of	
  year	
  and	
  cancer	
  
developments.	
  	
  
	
   Pharmaceuticals:	
  Pharmaceuticals	
  is	
  a	
  never	
  fluctuating	
  operation	
  because	
  
it	
  applies	
  to	
  nearly	
  all	
  segments	
  within	
  hospitals.	
  Though	
  this	
  is,	
  there	
  may	
  be	
  
slightly	
  more	
  sales	
  during	
  the	
  flu	
  season	
  as	
  a	
  result	
  of	
  medication	
  prescribed	
  by	
  
doctors.	
  Therefore,	
  Steadman	
  Hospital	
  will	
  simply	
  staff	
  the	
  pharmaceuticals	
  
department	
  from	
  8am	
  until	
  5pm,	
  all	
  days	
  of	
  the	
  week.	
  This	
  is	
  compared	
  to	
  a	
  
pharmacy	
  similar	
  to	
  that	
  of	
  a	
  Walgreens,	
  which	
  will	
  help	
  keep	
  Steadman	
  Hospital	
  at	
  
a	
  competitive	
  advantage.	
  Because	
  people	
  and	
  the	
  hospital	
  are	
  always	
  functioning	
  
throughout	
  the	
  year,	
  pharmaceuticals	
  will	
  have	
  no	
  change	
  in	
  quantity	
  of	
  people	
  who	
  
  40	
  
need	
  drugs	
  when	
  compared	
  to	
  time	
  of	
  year.	
  Therefore,	
  Pharmaceuticals	
  will	
  run	
  at	
  a	
  
very	
  consistent	
  and	
  predictable	
  schedule.	
  
	
   All	
  Research	
  &	
  Development:	
  Research	
  and	
  Development	
  is	
  mostly	
  
operational	
  during	
  the	
  summer	
  months	
  within	
  the	
  US.	
  This	
  is	
  primarily	
  because	
  
many	
  college	
  medical	
  students	
  (such	
  as	
  those	
  attending	
  Stanford	
  University)	
  have	
  
time	
  over	
  the	
  summer	
  to	
  intern	
  for	
  desirable	
  hospitals,	
  such	
  as	
  Steadman	
  Hospital.	
  
Because	
  Research	
  and	
  Development	
  is	
  highly	
  related	
  to	
  the	
  business	
  field	
  within	
  the	
  
hospital,	
  the	
  time	
  of	
  research	
  and	
  development	
  will	
  occur	
  during	
  regular	
  business	
  
hours.	
  That	
  is,	
  Monday	
  through	
  Friday	
  from	
  7am	
  until	
  5pm.	
  This	
  time	
  frame	
  attracts	
  
college	
  students,	
  while	
  still	
  allowing	
  professionals	
  to	
  take	
  time	
  from	
  their	
  week	
  to	
  
participate	
  within	
  this	
  field.	
  Once	
  again,	
  R&D	
  is	
  always	
  occurring,	
  therefore,	
  the	
  
facility	
  will	
  be	
  functional	
  throughout	
  the	
  year,	
  though	
  with	
  a	
  higher	
  density	
  of	
  
researchers	
  during	
  the	
  late	
  summer	
  months.	
  
Visiting	
  hours:	
  Visiting	
  hours	
  are	
  entirely	
  important	
  for	
  the	
  sake	
  of	
  
overnight	
  patient’s	
  families	
  and	
  friends.	
  The	
  emotional	
  support	
  for	
  the	
  patient	
  
allows	
  for	
  customers	
  to	
  see	
  Steadman	
  Hospital	
  as	
  not	
  just	
  business	
  oriented	
  but	
  also	
  
tied	
  with	
  family	
  relations.	
  A	
  typical	
  day	
  of	
  visiting	
  hours	
  runs	
  from	
  10am	
  until	
  8pm	
  
for	
  adult	
  patients	
  and	
  anytime	
  for	
  children.	
  Although	
  these	
  hours	
  are	
  in	
  writing,	
  
they	
  are	
  not	
  entirely	
  limiting.	
  By	
  that,	
  Steadman	
  Hospital	
  allows	
  for	
  after-­‐hour	
  
visitations	
  by	
  family	
  that	
  can	
  be	
  made	
  by	
  appointment	
  through	
  phone	
  or	
  Internet.	
  
By	
  doing	
  this,	
  Steadman	
  hopes	
  to	
  make	
  families	
  comfortable	
  with	
  our	
  processes	
  and	
  
be	
  highly	
  active	
  with	
  patients	
  that	
  require	
  extensive	
  care.	
  
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OPIM FINAL TURN IN

  • 1.   1   STEADMAN  HOSPITAL     OPIM  Final  Project:   Matt  Kahl,  Kendra  Otis,  Brook  Rice,  Karlyn   Seidner         Matthew  Kahl:  matthew.kahl@colorado.edu     Kendra  Otis:  Kendra.otis@colorado.edu   Brooke  Rice:  brook.rice@colorado.edu   Karlyn  Seidner:  karlyn.seidner@colorado.edu  
  • 2.   2   Table  of  Contents     I. Executive  Summary                                                  3   II. Introduction                                                                                      5   III. Overview  of  Data  analysis                                    8   IV. Physical  Location  and  Financial  Plan                          18   V. Medical  Service  Plan                                25   VI. Demand  Forecast                                30   VII. E-­‐Commerce  &  E-­‐Business  Plan                            34   VIII. Equipment  Plan                                41   IX. Supply  Chain  &  Inventory  Management  Plan                        48   X. Human  Resources  Staffing  Plan  and  Cost  Analysis                      57   XI. Revenue  analysis                                73   XII. Simple  Three  year  financial  plan                            74     XIII. Process  Maps                                  80   XIV. Final  Summaries                                93   XV. References                                  105                              
  • 3.   3     (III)  Executive  Summary:       Given  this  project  to  be  worked  on  for  one  semester  has  allowed  our  team,   Steadman  Hospital,  to  skim  the  surface  of  what  a  realistic  operations  system  of  any   business  may  be.  To  be  assigned  a  hospital  and  starting  from  the  absolute  beginning   proved  to  be  a  challenge  yet  purposeful  project  when  developing  functional   knowledge  for  the  subject  of  operations.  Our  group  began  where  any  business   associate  should  begin  –  develop  the  first  set  of  goals  that  we  would  like  to  achieve.   Being  said,  the  overall  objective  was  to  create  a  hypothetical,  yet  operational   hospital  that  is  also  profitable.  At  the  very  beginning  of  the  semester,  all  members   within  our  group  had  very  little  knowledge  on  how  a  general  hospital  functions,   which  does  not  even  include  how  said  hospital  could  make  any  sort  of  profit.   Therefore,  we  searched  for  a  mentor  who  could  give  us  the  initial  spark  of  this   project.  After  a  long  back  and  forth  meeting,  our  mentor  (NAME)  and  various   sourced  doctors  helped  us  generate  the  unique  idea  of  splitting  our  hospital  into  a   Growth  hospital  and  a  Base  hospital  –  which  will  be  discussed  later  in  this   document.  Having  this  idea  always  running  through  our  minds,  we  continued   developing  the  basics  of  the  hospital  such  as  location  and  facility.  Once  the  location   and  building  was  chosen  and  our  intellectual  strategy  of  Base  versus  Growth  was   decided  on,  all  details  pertaining  to  the  remainder  of  the  project  fell  into  place.       In  the  development  of  Steadman  Hospital,  we  found  that  successful   organizations  are  not  simply  drawn  out  and  put  into  action.  Instead,  to  generate  a   profitable  business  requires  immense  planning  and  detail  of  how  the  organization  
  • 4.   4   will  correlate  with  the  business  owners’  goals.  This  posed  as  an  initial  problem  with   generating  a  hospital  because  hospitals  have  immense  expenses  with  an  even  larger   initial  expense.  Of  course,  the  purpose  of  the  project  was  to  convince  an  investor  or   several  investors  as  to  why  Steadman  Hospital  would  be  the  most  effective  hospital   to  invest  in.  Though,  asking  an  investor  for  the  initial  several  hundred  million   dollars  to  fund  the  creation  of  a  newly  improved  hospital  proved  to  be  an  unrealistic   plan  that  was  not  in  the  best  interest  of  any  investor.  Because  of  this,  our  group   found  that  just  because  there  is  a  simple  way  of  doing  something  does  not  make  it   the  most  ideal  decision.  This  initial  hurdle  demonstrated  to  our  group  that   organizations  must  think  outside  of  the  box  when  making  certain  important   decisions.  This  newly  found  knowledge  allowed  our  group  to  form  a  successful   business  plan  for  the  operations  of  Steadman  Hospital.   Possibly  the  most  important  thing  we  learned  when  generating  the   operations  for  Steadman  Hospital  was  that  we  are  developing  a  business  –  not  just  a   product.  Some  companies  have  realized  that  when  creating  a  new  product,  they   must  start  specific  and  move  towards  the  basics  of  their  organization.  Though,   because  we  had  a  more  directed  focus  on  the  business  and  not  the  service  itself,  we   found  it  easiest  and  most  successful  to  start  with  the  fundamentals  and  move   towards  specific.  Therefore,  as  mentioned  before,  we  started  with  the  idea,  chose  a   facility  (located  in  Los  Gatos,  California),  and  then  went  deeper  into  definite   categories  such  as  medical  service  demands  and  human  resource  management.  By   starting  with  these  basic  stages  of  development  and  moving  to  more  targeted  stages,  
  • 5.   5   it  allowed  our  team  to  fully  understand  each  operation  running  within  Steadman   Hospital.     As  a  whole,  we  found  that  hospitals,  like  all  other  businesses,  are  changing   with  the  modern  world.  New  ideas  and  operations  are  no  exception  to  this  change,   which  accounted  for  a  whole  remodeling  of  the  operations  that  flow  within   Steadman  Hospital.  As  a  result,  we  chose  our  location,  developed  a  medical  service   plan  and  demand  forecast,  equipment  plan,  supply  chain  and  inventory   management  plan,  human  resources  staffing  plan,  and  developed  a  financial   forecast,  which  all  related  to  the  changes  American  is  currently  facing.  With  that,  we   found  that,  to  be  a  successful  business  in  modern-­‐day  America,  the  company  must   be  able  to  adapt  to  attract  and  retain  continuous  consumer  support.   Throughout  the  process  of  this  project,  we  found  that  the  subject  of   operations  management  is  a  complex  yet  important  field  when  generating  a   profitable  business.  In  fact,  we  found  that  every  aspect  of  a  business  must  undergo   some  form  of  operations  for  any  specific  department  to  exist.  With  that,  this  project   allowed  an  enhanced  insight  on  the  world  of  business,  specifically  how  businesses   operate  on  a  day-­‐to-­‐day  level.     (IV)  General  introduction:     As  a  group  we  are  working  on  developing  a  detailed  and  efficient  business   proposal  of  a  hospital  we  would  like  to  create.  We  have  decided  to  purchase  an   existing  hospital  located  in  Los  Gatos,  California  called  Steadman  Hospital.    Our   hospital  will  be  a  branch  of  one  of  the  most  prestigious  and  well-­‐known  hospitals  in  
  • 6.   6   the  world  identified  as  The  Steadman  Clinic,  located  in  Vail,  Colorado.  Although  we   associate  ourselves  with  Steadman  Clinic,  we  operate  as  a  full  serviced  hospital   instead  of  just  a  specialized  clinic.  As  a  result,  Steadman  Hospital  uses  the  Steadman   name  to  distinguish  the  difference  between  our  hospital  and  Vail’s  clinic  all  while   maintaining  the  prestigious  name.  The  hospital  contains  143  total  beds,  has  about   255,000  square  feet,  and  consists  of  three  different  buildings.  The  following   business  and  strategic  decisions  made  to  create  this  newly  functional  hospital,  such   as  the  different  departments  and  how  much  space  is  required  for  each  section,  is   based  on  Steadman’s  higher  goals  of  efficiency,  importance,  accessibility  and   affectivity.    The main goal of the project is to develop an intelligent and functional business plan of which will cause a desire for investors to invest in Steadman Hospital. In order to focus on a specific target market and differentiate ourselves from other hospitals, Steadman Hospital has created an intricate hybrid between business and hospital that does not just function as a prestigious hospital. With that, the hospital is going to be split into two diverse segments. The first segment will be hereby considered as the ‘Base’ hospital, which will consist of typical functions within a general hospital. The next section is what Steadman Hospital named the ‘Growth’ hospital, which is where we will focus on separating ourselves from the other competition. As an alternative of concentrating on one main section to specialize in, the “Growth” hospital will focus on multiple highly profitable segments. Within this “Growth” hospital we will acquire customers from all around America, and hopefully the world, whereas the Base hospital will serve as a primary hospital for those within Los Gatos, California. As a result, Steadman Hospital will have a high focus on the human resource department and having
  • 7.   7   the best doctors to function as an efficient and effective, and mostly, an attractive hospital. To be able to make a proficient and resourceful hospital we will display a detailed service menu of the requirements for each of our different services Steadman has to offer, which are listed below. In the detail given, we will first distinguish all various types of equipment that each operational department will need for them to function as successful as possible. This will begin at clarifying the proper equipment needed to provide comfort in the lobby, such as: coaches, tables etc., to identifying specific tools and machines needed in the Emergency Room. Likewise, we will purchase anything from operating tables to MRI machines and CT scans. With that, we will provide an inventory management strategy to make sure Steadman Hospital always have the correct amount of tools to be able to offer the most quality services. To do this, our hospital will connect with highly reliable manufacturers who will be able to maintain a set delivery schedule for all the implementations needed. Another important aspect of constructing our Steadman Hospital, and one of our main priorities, is the elaborate human resource program. We will provide a specified staffing plan along with a detailed cost analysis that focuses on each occupation within the hospital. Further more, outside of having exceptional specified and general professionals we will have physician assistants, nurses, customer representatives, administrative support, faculty maintenance, and a strong management team. To help maintain a successful and profitable hospital, Steadman’s primary goal is to keep our employees happy because, like any other business, Steadman Hospital is only as good as those working behind it.
  • 8.   8   Lastly, a central feature of our hospitals success is making sure we have accurate financials. Having intelligent and precise numbers along with someone who fully understand how to manage and disperse Steadman’s financials is vital to achieving our goals. With that, we will make sure that all related employees are understanding of Steadman Hospital’s financial structure. Steadman Hospital will be very transparent with our financial information so there will be no secrets. In order to do this our hospital will keep an up to date revenue analysis along with a detailed financial analysis. This will enable us to recognize where the hospital stands as a business and what we can do to change or improve on to eventually be California’s number one hospital. Chosen  approach  to  the  market:     Choosing  a  specific  market  for  a  hospital  was  first  thought  to  be  simply  the   area  surrounding  the  city  of  which  the  hospital  was  located  within.  Though  that   works  with  smaller,  non-­‐profit  hospitals,  it  would  seem  that  this  strategy  is  too   narrow  of  a  market  when  looking  to  make  any  profit.  So,  to  expand  our  target   market,  we  did  the  following:  hypothetically  ‘separate’  the  hospital  into  two  major   sections,  which  will  have  separate  operating  functions  within  each  section.     To  understand  the  two  segments  of  the  hospital,  it  is  easier  to  have  a  name   for  each  major  faction.  The  first  division  is  what  is  called  the  “Base”  hospital.  The   base  hospital  of  Steadman  Hospital  operates  very  similarly  to  any  general  hospital   found  throughout  the  country,  and  is  designed  to  help  the  community  in  non-­‐ specialized  departments  of  medical  aid.  Therefore,  the  following  markets  would  be   primarily  targeted:  
  • 9.   9   • Walk-­‐ins   • Emergencies   • Outpatient   • Non-­‐reconstructive  surgeries  (surgical  services)   • Infant/newborn  &  child  services   • Woman’s  health   • Men’s  health   • Pediatrics   • Senior  Services   • Imaging  Center   • Radiology   • Cardiovascular  treatment   • Cardiovascular  Research   • Physical  therapy   • Rehabilitation   The  previously  listed  operations  are  designed  to  aid  the  population  of  Los   Gatos  in  an  efficient,  effective  and  ordinary  fashion.  The  targeted  population  for  this   Base  section  of  the  hospital  is  primarily  within  city  limits  because  hospitals  across   the  globe  function  very  similarly  to  each  other,  given  the  listed  services.  And   because  of  this,  individuals  across  the  country  will  not  choose  to  travel  the  distance   for  simple  procedures  and  medical  attention.  Also,  within  the  list  of  services,  it  is   clear  that  very  few  of  them  can  produce  any  significant  revenue  or  profit.  This  is   because  they  are  rather  high-­‐expense,  low-­‐income  fields  to  simply  provide  service  
  • 10.   10   within  the  community.  These  services  are  projected  to  not  bleed  a  loss  for  the   hospital,  and  are  functional  at  a  break-­‐even  or  small  profit  margins.  This  will  keep   the  Hospital  at  a  functional  level  to  help  support  the  next  major  section.   The  second  primary  section  of  the  hospital  is  what  is  called  the  “Growth”   hospital.  Within  this  segment,  the  hospital  focuses  on  very  specific  and  specialized   sections  of  hospital  procedures,  which  are  globally  known  to  be  costly  and  require   enhanced  expertise.  The  following  sections  will  be  highly  focused  and  specialized   within  the  Growth  hospital:   • Specialized/reconstructive  surgeries   • Cancer  treatment   • Cancer  Research   o Though,  because  of  Steadman  Hospital’s  location  and   highly  contracted  cancers,  the  primary  focus  of  us  will   be  breast  and  skin  cancer   • Pharmaceuticals     • Drug  research  and  development   Unlike  the  Base  section  of  the  hospital,  this  Growth  section  is  specifically  targeted   towards  individuals  within  all  of  America  who  are  in  need  of  qspecialized  and  highly   experienced  procedures.  As  mentioned  before,  these  fields  are  rather  costly  and   require  close  attention  by  experienced  doctors.  Because  of  the  intended  doctors   Steadman  Hospital  will  use,  who  are  widely  known  for  their  practices,  there  is   realistically  no  limit  to  any  specific  market.  This  opens  up  a  very  large  range  of  
  • 11.   11   opportunities  for  Steadman  Hospital  to  become  widely  known  through  out  the   country,  targeting  anyone  who  has  any  need  of  specialized  medical  attention.     Competitive  advantages/differentiators:     A  struggling  concern  for  all  businesses  would  be  how  to  effectively  separate   your  business  from  all  similar  companies.  A  hospital  is  no  different  than  a  company   in  this  way.  To  begin  separating  the  hospital,  it  is  easiest  to  look  at  the  most  obvious   ways  to  differentiate  yourself,  and  move  to  more  complicated  differentiations.   Therefore,  the  first,  most  obvious  way  to  segment  Steadman  Hospital  away  from   other  hospitals  is  to  hire  highly  talented,  trained  and  experienced  doctors  to  initially   work  for  the  hospital.  This  will  capture  the  attention  of  people  across  the  country,   which  will  understand  the  quality  of  work  done  at  Steadman  Hospital.  Though,   having  these  doctors  to  directly  fix  and  help  patients  is  not  their  only  intended  use   at  the  hospital.  Stanford  University,  a  prestigious  school  located  only  a  few  miles   away  from  Los  Gatos,  has  a  surplus  of  students  striving  to  learn  by  professionals.  By   having  the  University  neighbor  Steadman  Hospital,  it  targets  the  students  to  become   interns  and  young  employees  looking  for  experience,  to  work  for  Steadman   Hospital.  This  opens  an  opportunity  for  young  adults  to  be  trained  by  the  best   doctors  known  which  will  create  the  next  generation  of  the  best  doctors.       Creating  the  future  of  medical  staff  is  only  the  beginning  of  how  our  hospital   is  different  and  considerably  better  than  other  hospitals  within  the  country.  The   next  factor  consists  of  Steadman  Hospital  focusing  much  of  its  attention  towards   human  resources  management.  To  begin,  the  only  way  to  retain  doctors  and  early  
  • 12.   12   interns  is  to  have  them  want  to  stay.  Given  this,  doctors  and  other  staff  will  receive   benefits  related  to  their  status  of  employment.  Many  of  these  benefits  are  found   within  successful  companies  across  America.  Some  of  these  benefits  include:   • 401k  retirement  plan   • Stock  options   • Various  insurance  plans   • Significant  Wages   • Publication  benefits   • Grant  Benefits  (research  studies)   A  very  unusual  benefit  listed  above,  for  a  hospital,  is  stock  options.  This  is  another   section  where  Steadman  Hospital  differentiates  itself.  The  strategy,  which  will  be   explained  in  more  detail  later,  is  rather  simple.  The  hospital  has  a  large  drug  and   cancer  research  and  development  section  within  the  hospital.  This  is  projected  to   not  only  increase  retention,  but  also  heighten  participation  of  experienced  doctors.   This  development  of  drugs  and  treatments  is  essentially  another  company  within   the  hospital  itself  –  though  under  the  same  staff.    This  not  only  helps  bring  in  a   rather  significant  amount  of  research,  but  it  also  helps  increase  profits  through   being  a  public  company  within  the  stock  market  and  even  increase  retention  within   the  hospital.       These  factors  are  all  part  of  the  bigger  picture  on  how  Steadman  Hospital  is   different  than  other  hospitals  within  Los  Gatos  or  the  rest  of  the  country.  This   ‘bigger  picture’  is  understood  that,  Steadman  Hospital  is  applying  good  business   practices  within  the  hospital.  This  is  somewhat  uncommon  for  most  hospitals,  for  
  • 13.   13   they  typically  only  know  how  to  run  a  hospital  as  a  hospital.  By  integrating   intelligent  business  systems  and  operations  within  the  hospital,  we  hold  an   advantage  within  many  sections  of  a  business.  Some  of  these  advantages  would   include:   • Increased  efficiency  and  effectiveness   • Faster  communication   • Higher  Retention   • Happier  employees   • Cost-­‐effective  operations   • Best  doctors  and  educated  interns   • Top  internship  programs   These  advantages  will  help  put  Steadman  Hospital  above  others  within  similar   specializations  with  the  understanding  that  other  hospitals  do  not  necessarily  know   how  to  function  as  anything  beyond  a  hospital.  Therefore,  with  the  collaboration   between  hospital  and  business,  Steadman  Hospital  is  superior  to  the  majority  of   hospitals  throughout  the  country.     The  next  major  differentiating  factor  that  Steadman  Hospital  has  over  other   hospitals,  especially  within  the  Northern  California  region,  is  that:  our  hospital  is   associated  with  the  name  “Steadman”.  As  mentioned  before,  the  Steadman  name  is   highly  valued  for  specialized  procedures  taken  place  within  Vail,  Colorado.  By   connecting  the  Steadman  name  to  our  hospital,  we  immediately  obtain  a   comparable  value  of  the  Clinic  in  Vail.  This  added  value  will  attract  customers  to  our   location  who  would  typically  look  for  other  prestige  medical  services.  As  a  result,  
  • 14.   14   Steadman  Hospital  will  have  a  heightened  advantage  over  other  hospitals,   particularly  hospitals  that  are  recently  operational.     After  noting  the  several  important  differentiating  factors  that  Steadman   Hospital  obtains,  it  would  be  best  to  understand  our  hospital’s  direct  competition   and  opportunities  for  partnership.  Therefore,  the  following  information  suggests   just  that:     1.   Los  Gatos  Surgical  Center:     Los  Gatos  Surgical  Center  is  located  in  the  heart  of  Los  Gatos,  California   approximately  2.4  miles  south  of  The  Steadman  Hospital.  The  Los  Gatos   Surgical  Center  is  a  facility  designed  strictly  for  outpatient  surgeries.  They   focus  much  of  their  treatment  towards  family  care  and  provide  an  excessive   amount  of  their  attention  towards  the  individual  patient.  The  surgical  center   does  not  specialize  in  one  specific  surgery,  rather  they  have  a  large  variety  of   different  services  such  as:  gynecology,  vascular,  ophthalmology,   gastroenterology,  and  plastic  surgeries.  Based  off  research  and  the  general   sizes  of  hospitals  and  centers  in  the  surrounding  area,  Los  Gatos  Surgical   Center  is  not  an  extremely  large  center.  Even  though  this  is  a  surgical  center,   what  differentiates  The  Steadman  Hospital  from  Los  Gatos  Surgical  center  is   not  only  the  fact  the  reconstructive  surgery  is  something  we  specialize  in  but   also  since  we  are  linked  with  the  Steadman  Clinic  out  of  Vail,  Colorado  we   automatically  have  that  competitive  edge  over  other  hospitals  surrounding   us.  This  is  due  to  the  simple  reason  that  the  Steadman  Clinic  is  one  of  the   most  famous  and  well-­‐known  hospitals  in  the  world  and  being  linked  with  
  • 15.   15   them  allows  us  to  have  the  top  doctors  treat  our  patients.  In  addition,  The   Steadman  Hospital  has  its  own  physical  therapy  clinic  right  on  campus,   which  allows  our  patients  to  get  all  the  treatment  they  need  in  one  place.   Having  the  reconstructive  surgeries  being  apart  of  our  ‘growth’  business   proves  to  patients  that  we  are  attracting  a  high  range  of  patients  due  to  our   extraordinary  service.     2. Stonebrook  Health  and  Rehabilitation:  Stonebrook  Health  and   Rehabilitation  is  located  in  Los  Gatos,  California  about  3.2  miles  south  of  The   Steadman  Hospital.  The  center  focuses  on  helping  individuals  recover  from   surgeries,  injuries  or  serious  illnesses.  The  main  segment  that  Stonebrook   targets  is  more  of  the  older  generation,  as  they  provide  nursing  and  social   services  to  these  patients.  The  clinic  is  made  up  of  about  73  beds  and  believes   in  helping  individuals  thrive.  Stonebrook  Health  and  Rehabilitation  center   focuses  on  different  aspects  of  health  services  then  The  Steadman  Hospital   does.  Stonebrook  is  concentrated  on  providing  a  nurturing  facility  for  the   elder  generation  that  contains  various  types  of  therapy.  The  Steadman   Hospital  does  not  target  the  older  population  as  highly  as  we  target  the  more   active  generation.  Although,  having  Stonebrook  so  close  to  The  Steadman   Hospital  could  lead  to  us  having  more  patients  from  the  ages  of  70  and  above.   Since  Stonebrook  Health  and  Rehabilitation  does  not  provide  surgical   procedures  that  could  be  somewhere  where  we  come  in  which  would  give   The  Steadman  Hospital  a  competitive  advantage  over  the  Stonebrook  Center.    
  • 16.   16   3. Stanford  Hospital  and  Clinics:  Stanford  Hospitals  and  Clinics  is  the  main   hospital  that  surrounds  The  Steadman  Hospital.  It  is  a  huge  organization   located  mainly  in  Palo  Alto,  California  but  is  also  spread  around  various  parts   of  Northern  California.  Stanford  Hospitals  is  approximately  20  miles  north  of   The  Steadman  Hospital  and  provides  our  hospital  with  many  opportunities.   The  Stanford  Hospital  has  over  fifty  different  complex  services  along  with   twenty  separate  buildings.  This  gives  The  Steadman  Hospital  a  slight   advantage  because  all  of  our  services  take  place  in  three  buildings  that  are   just  steps  away  from  one  another.  We  also  designed  the  buildings  so  that   similar  patient  needs  can  be  accessed  within  the  same  structure.  Going  to  a   large  hospital  can  be  over  whelming  and  the  size  of  our  hospital  gives  our   doctors  and  employees  the  opportunity  to  be  able  to  really  connect  with  each   patient  and  give  them  a  memorable  experience.  Even  though  Stanford   Hospital  does  specialize  in  many  different  services,  one  they  do  concentrate   more  on  is  organ  transplants,  which  The  Steadman  Hospital  does  not  do.  We   specialize  in  other  reconstructive  surgeries  and  because  we  dedicate   ourselves  to  fewer  ‘growth’  services  it  allows  our  doctors  to  really  excel  in   them.  In  addition,  Stanford  does  have  a  very  prominent  research  center  and   intern  program.  Instead  of  seeing  this  as  a  threat  The  Steadman  Hospital   looks  at  is  as  an  opportunity  because  we  are  also  conjoined  with  Stanford.   Our  goal  is  to  bring  in  the  medical  students  from  University  of  Stanford  to   help  our  doctors  with  their  research,  while  gaining  experience  from  some  of   the  best  around.  It  is  merely  impossibly  for  the  Stanford  Hospital  to  accept  
  • 17.   17   every  medical  student  looking  for  an  intern  ship.  Therefore,  being  correlated   with  Stanford  allows  us  to  work  with  them  and  distinguish,  which  interns   will  work  where  based  on  what  they  want  to  specialize  in  and  experience.   One  aspect  of  research  we  focus  on  that  Stanford  does  not  is  pharmaceutical   research.  Likewise,  besides  having  the  greatest  minds  behind  our  drug   research,  those  interns  who  want  to  excel  in  the  pharmaceutical  field  will   come  to  The  Steadman  Hospital  in  order  to  give  them  the  best  shot  at   succeeding  and  outshining  others.      Also,  even  though  Stanford  Hospital  and   Clinics  is  very  well  known  throughout  Northern  California,  the  “Steadman   name”  is  famous  throughout  the  whole  world.   4. El  Camino  Hospital  Mountain  View:  El  Camino  Hospital  Mountain  view  is   located  in  Mountain  View,  California  about  twelve  miles  north  of  The   Steadman  Hospital.  This  hospital  contains  395  beds  and  is  a  non-­‐profit   organization  promoting  more  freedom  with  their  patients.  The  El  Camino   hospital  is  more  of  a  general  based  hospital  providing  services  such  as   surgeries  to  daily  care.  They  also  have  a  wide  range  or  programs  such  as   psychiatric  aid,  eating  disorder  programs,  and  sleep  disorder  programs.  Even   though  El  Camino  offers  a  few  similar  services  The  Steadman  Hospital  does,   we  still  have  a  great  advantage  because  of  the  fact  we  are  associating   ourselves  with  the  Steadman  Clinic  out  of  Vail.  This  allows  us  to  have  the  best   doctors,  which  will  have  a  positive  impact  on  our  patients.  The  Steadman   Hospital  also  has  a  very  efficient  and  well-­‐rounded  research  program,  which   El  Camino  Hospital  does  not  have.  This  will  help  our  doctors  become  more  
  • 18.   18   educated  along  with  them  being  able  to  publish  studies  to  assist  other   hospitals  throughout  the  world.  By  showing  that  we  are  distributing  a  large   amount  of  informative  studies  it  will  show  the  knowledge  and   professionalism  that  goes  in  behind  our  work.  Once  again,  The  Steadman   Hospital  is  slightly  smaller  then  El  Camino  Hospital  which  leads  to  better   patient  to  physician  connection  and  easier  access  to  our  various  facilities.   Our  greatest  advantage  over  El  Camino  Hospital  will  be  the  fact  that  we   specialize  in  reconstructive  surgeries,  cancer  treatment,  cancer  research,   pharmaceuticals,  and  drug  research  and  development.  Also,  being  affiliated   with  Stanford  gives  us  a  competitive  benefit  considering  the  elite  level  of   education  of  the  university.     Through  the  given  information,  Steadman  Hospital  proves  to  be  at  a  rather  high   advantage  compared  to  other  hospitals  within  the  Los  Gatos  area.  With  that,  along   with  Steadman  Hospital  being  associated  with  Steadman  Clinic,  we  assume   successful  business  projections  within  the  near  future.     (V)  Overview  of  Data  Used  in  Analysis   Overview  of  Data  Used:     In  order  to  provide  the  most  accurate  and  reliable  business  plan  possible,  our   group  was  very  careful  about  differentiating  what  data  sources  to  use  in  our   proposal.  It  is  vitally  important  that  Steadman  Hospital  West  has  the  most   dependable  and  precise  data  to  be  able  to  prove  why  the  hospital  is  striving  to  be  
  • 19.   19   one  of  the  best  in  the  world.  All  of  our  information  presented  was  found  through   trustworthy  sources  and  numerous  hours  of  concise  and  effective  research.       Websites:       A  majority  of  our  data  sources  came  from  informative  online  websites.  The   group  would  thoroughly  research  each  resource  we  came  across,  making  sure  it  was   the  best  and  most  knowledgeable  source  we  were  able  to  find.  We  based  Steadman   Hospital  West  off  an  existing  hospital  in  Los  Gatos,  California  named  El  Camino   Hospital  Los  Gatos.  Based  off  of  this,  a  majority  of  our  generalized  facts  about  the   hospital  campus  came  from  their  website.  We  were  able  to  develop  a  well  organized   campus  for  Steadman  Hospital  West  due  to  the  layout  on  El  Camino’s  website.  El   Camino’s  website  was  one  of  our  most  prominent  resources  towards  the  beginning   of  the  project  because  it  gave  us  the  opportunity  to  evaluate  a  current  hospital  and   learn  what  we  could  apply  when  constructing  our  business  plan.  This  was  also  the   reason  we  decided  to  buy  out  an  existing  hospital  because  we  were  aware  that  the   information  about  El  Camino  would  help  us  in  gaining  ideas  for  Steadman  Hospital   West.       Another  main  data  source  for  us  was  using  salary.com  and  indeed.com.  These   websites  were  extremely  resourceful  when  it  came  to  our  human  resource  staffing   plan.  More  specifically,  we  were  able  to  accurately  define  key  employee  salaries  by   finding  the  average  pay  rate  within  the  San  Jose,  California  area.  We  decided  to  use   these  websites  because  they  allowed  us  to  get  as  precise  as  possible  when  it  came  to   generating  the  salaries  because  of  the  ability  for  us  to  choose  the  geographic  area.  In   addition,  our  group  utilized  a  number  of  collegiate  website  that  supplied  
  • 20.   20   professionally  written  journals.  These  journals  were  mainly  based  off  a  study  that   had  been  conducted  at  a  prestigious  university.  The  section  where  the  periodicals   were  most  helpful  was  within  our  e-­‐commerce  segment.  We  came  to  a  conclusion  to   use  the  sources  we  did  due  to  the  simple  fact  that  the  research  presented  was  based   on  e-­‐commerce  role  in  the  medical  sector.  By  doing  this,  we  were  able  to  support   our  information  with  very  accurate  evidence  because  of  the  experiments  that  were   done  which  were  shown  in  the  journals.       Lastly,  the  rest  of  our  websites  were  found  from  various  sources  in  which  we   felt  were  the  most  correct  and  reflective  of  our  hospital.  Our  group  did  not  just  use   the  first  website  we  came  across  on  when  finding  certain  information.  Rather,  we   found  a  significant  number  of  sources  for  each  piece  of  data  we  had  to  find  and  then   filtered  the  sites  out  as  we  went  from  general  to  specific.  Also,  we  would  compare   each  website  with  another  in  similar  categories  to  make  sure  major  ideas  and  facts   were  the  same  throughout  multiple  sources.       Interviews:     For  our  project  we  were  able  to  connect  and  interview  four  different  people   who  each  assisted  us  in  their  own  way.  First  was  Mike  Stears  whom  we  found   through  the  mentor  program.  Mike  did  not  have  any  experience  working  in  the   healthcare  industry  but  he  did  have  a  vital  amount  of  knowledge  when  it  came  to   operations  management.  Mike  helped  us  excessively  at  the  very  start  of  the  project.   Within  our  group  none  of  us  were  familiar  with  hospitals,  which  is  why  we  decided   to  talk  with  someone  who  had  a  strong  familiarity  in  the  business  world.  We  found  
  • 21.   21   that  it  really  helped  to  converse  with  someone  because  we  were  able  to  bounce   ideas  off  of  me  and  gain  his  insight.  Mike  gave  us  great  assistance  in  where  we   should  being  our  project  and  what  we  should  mainly  concentrate  on  from  the  start,   which  we  came  to  a  conclusion  was  our  competitive  advantage.  The  main  reason  we   decided  to  talk  with  Mike  was  because  of  the  advice  we  had  received  in  class  about   meeting  with  a  mentor.  In  the  end,  we  are  very  happy  we  met  with  Mike  because  he   really  gave  us  a  starting  edge  on  our  project.     The  next  person  we  contacted  was  Kathy  Stevens.  Kathy  is  one  of  our  group   member’s,  Kendra  Otis,  aunt  who  works  in  the  hospital  El  Camino  Hospital   Mountain  View.  This  was  the  sister  hospital  to  the  existing  we  bought  out  called  El   Camino  Hospital  Los  Gatos.  Kathy  was  able  to  provide  us  with  general  information   such  as  what  the  hospital  specialized  in  and  key  facts.  Kathy  worked  with  us   throughout  the  entire  project  and  when  we  came  to  a  question  that  we  were  unable   to  find  about  the  existing  hospital  we  were  able  to  communicate  with  her  very   easily.  One  are  where  Kathy  really  helped  us  was  in  the  financial  analysis  segment.   Even  though  we  gain  a  ton  of  knowledge  about  hospitals,  Kathy  was  able  to  supply   us  with  a  more  detailed  idea  of  how  and  why  we  should  price  Steadman  Hospital   West.  She  also  helped  us  in  conducting  our  income  statement  and  balance  sheet  by   giving  us  data,  which  she  thought  would  be  useful.  We  decided  to  work  with  Kathy   because  she  has  experience  and  currently  works  in  a  hospital,  and  better  yet  she   works  in  a  very  similar  hospital  that  we  bought.       Thirdly,  we  were  able  to  interview  and  ask  questions  to  Doctor  Robert   LaPrade.  Robert  LaPrade  currently  works  in  the  Steadman  Clinic  located  in  Vail,  
  • 22.   22   Colorado.  He  is  known  as  one  of  the  best  knee  surgeons  in  the  world  and   professional  athletes  from  across  the  globe  will  travel  to  Vail  to  be  treated  by  him.   Our  group  member,  Brooke  Rice,  was  fortunate  enough  to  gain  a  close  relationship   with  Dr.  LaPrade  when  she  underwent  an  ACL/LCL  surgery  and  received  her   surgery  from  him.  Dr.  LaPrade  helped  us  with  many  of  the  equipment  questions,   such  as  if  certain  tools  come  in  bulk.  He  was  also  very  useful  with  staffing  hours  and   during  what  times  of  year  certain  departments  were  busier.  Those  were  the  main   sections  Robert  LaPrade  assisted  us  in,  but  we  were  aware  that  if  we  had  any   further  needs  he  would  respond  to  us  within  two  days.  We  decided  to  contact  Dr.   LaPrade  because  we  are  basing  our  hospital  off  of  the  Steadman  Clinic  in  Vail  so  we   figured  it  would  be  the  most  resourceful  to  talk  to  one  of  the  most  prestigious   doctors.         The  last  person  we  were  able  to  gain  insight  from  was  Brolin  Mawejje.  Brolin   is  currently  a  pre-­‐med  major  at  Westminster  College  in  Salt  Lake  City,  Utah.  He  has   spent  his  last  four  summer  working  at  The  Massachusetts  General  Hospital  in   Boston,  Massachusetts  working  as  an  intern  for  one  of  the  top  doctors  in  the  world,   Fred  Hochburg.  Brolin  is  in  the  process  of  studying  for  the  MCATS  and  having   worked  in  one  of  the  best  hospitals  we  were  able  to  ask  him  for  advice  throughout   the  project.  Brolin  assisted  us  in  defining  our  specialty  and  most  profitable  sector  of   Steadman  Hospital  West  along  with  answering  general  questions  about  hospitals.   Brolin  also  was  able  to  look  over  our  interim’s  to  see  if  he  had  any  further   suggestions  for  them.  We  decided  to  seek  Brolin’s  help  because  he  was  easily   accessible,  due  to  the  fact  of  being  a  close  friend,  and  have  been  studying  this  field  
  • 23.   23   for  many  years.  He  has  also  conducted  a  large  amount  of  research  for  Massachusetts   General  Hospital  and  has  experience  working  with  some  of  the  top  surgeons.     Hospital  Book:     One  of  our  final  and  most  essential  resources  was  the  Hospital  Book  that  we   were  provided.  We  used  the  hospital  book  throughout  the  entire  project  to  help  us   with  sectional  information  along  with  confirming  ideas  and  thoughts  that  we  had.   This  book  was  extremely  helpful  in  our  human  resource  staffing  plan  along  with   giving  us  ideas  for  different  departments  such  as  the  emergency  room.  The  book  is   filled  with  a  ton  of  information,  but  we  knew  what  facts  we  were  looking  for  and   were  able  to  narrow  it  down  based  on  that.    Basically,  the  hospital  book  was  a   consecutive  resource  for  us  throughout  the  project  that  we  referred  to  because  of  its   availability  to  our  group.       Data  Analysis   The  data  Steadman  Hospital  used  to  develop  our  accurate  forecasting  plan   was  collected  through  multiple  strategies,  depending  on  what  subject  or  field  was   being  looked  at.  To  begin,  the  first  stage  of  collecting  our  data  was  based  on  the   physical  location  needed  to  develop  a  profitable  hospital.  Because  there  are  so  many   regions  within  the  United  States  that  are  applicable  for  starting  a  good  hospital,  we   decided  to  start  with  a  strategy  similar  to  the  ‘slice-­‐and-­‐dice’  or  multidimensional   strategy.  Using  this  strategy,  we  began  looking  at  all  profitable  hospitals  within  the   United  States.  We  then  reevaluated  those  specific  hospitals  to  find  one  located  in  a   wealthier  region.  Finally,  we  arrived  at  our  specific  location,  Los  Gatos,  California,  by  
  • 24.   24   singling  out  the  hospital  with  the  most  potential  of  opportunity  and  growth.   Therefore,  our  cubical  analysis  was  divided  among  the  following:  Region,   profitability  and  opportunity  for  growth.  By  using  this  strategy  of  data  collection,  we   were  able  to  find  a  building  that  has  a  very  large  opportunity  for  immense  profits   and  growth.     Our  means  of  data  collection  is  hard  to  be  classified  solely  as  ‘drill-­‐down’  or   ‘roll-­‐up’  because  we  managed  to  use  both  strategies  in  the  development  of   Steadman  Hospital.  Because  we  started  off  looking  at  all  hospitals  and  narrowing   down  our  data  to  find  the  single  best  location,  that  stage  could  be  classified  as  ‘drill-­‐ down’.  But  then  we  reversed  our  means  of  collecting  data  when  looking  at  what   facilities  would  be  useful  at  Steadman’s  campus.  To  do  this,  we  sought  out  the  most   profitable  procedures  hospitals  do,  and  then  compared  that  to  our  competition.  This   allowed  us  to  incorporate  as  many  low-­‐cost  and  high-­‐profit  operations  to  generate   the  most  profit.     Similarly  to  the  previous  example,  Steadman  Hospital  used  several  forms  of   both  quantitative  and  qualitative  data  to  generate  successful  information,  which   translated  to  proper  operations.  To  do  this,  it  was  mentioned  earlier  that  we  were  in   contact  with  several  doctors  and  a  mentor  to  help  arrive  at  useful  data.  These  people   acted  in  a  way  a  business  ‘sage’  would  act  for  training  a  new  manager  how  to  run  a   store.  To  gain  insider  knowledge  from  these  doctors,  we  set  up  a  questionnaire  that   was  related  to  each  individual  doctor.  This  allowed  us  to  gain  further  data  on  certain   hospital  procedures  and  potential  profitability,  along  with  consumer  congestion  
  • 25.   25   during  specific  seasons.  By  asking  a  sage  such  as  an  experienced  doctor,  we  were   able  to  come  to  specific  conclusions  that  related  to  our  specific  hospital.     When  looking  at  operational  and  overhead  costs  to  operate  Steadman   hospital,  we  chose  to  look  at  quantitative  data.  In  this,  we  observed  historical  costs   and  other  expenses  related  to  the  current  hospital’s  location  to  help  gauge   approximate  expenses  Steadman  Hospital  will  experience.  Generally,  all  quantitative   data  used  for  Steadman  hospital  was  for  future  forecasts  of  expenses  and  revenues.   This  is  primarily  because  most  of  the  data  collected  on  how  to  operate  the  physical   building  is  best  collected  through  personal  sources.  With  that,  the  primary  use  for   quantitative  data  collection  methods  was  for  financial  reports  and  forecasts.         (VI)  Physical  Location  and  Financial  Plan:   The chosen destination that Steadman Hospital is to be located in is Los Gatos, California. Los Gatos is within the Northern region of California, and is recognized as one of the wealthier cities of America. We chose this location because we understand that, like many companies, the only way to make a significant profit with a stationary ‘brick’ company, is to have a target market that can afford the products. Because specialized medical care is rather costly for patients, so to be located within a wealthy section of the country is a priority for Steadman Hospital. With that, we hope that our specialized services and doctors, combined with our location, will be highly attractive for individuals with a need for medical attention. This will result in the value of the Steadman name to increase, and further, for profits to dramatically increase. But to begin
  • 26.   26   making a profit, we must first examine the initial expenses required to buy the currently standing building within Los Gatos that we will soon transform into Steadman Hospital. The building chosen to be developed into Steadman Hospital is currently named “El Camino Los Gatos”. This building was chosen because this location within Los Gatos is a highly valued piece of property. With that, we found that the following financial information: • As a result of purchasing the physically standing structure that is already laid out and functioning as an existing hospital known as El Camino, we are asking for $8,797,500 from you as a primary investor to help fund this developmental hospital. Assuming monthly payments of $58,700 would be included, the average revenue of a hospital is approximately $100,000,000 per year. This, over time, will balance out the initial payments towards Steadman Hospital. Additionally, to rent or lease this physical building, it would cost a total of $652,800 per month (or $7,833,600 per year). The standard thirty-year mortgage for this hospital is estimated to be valued at $235,008,000 for the entire campus, which would not include supplies needed for standard operations. These calculations were based off of an average $230 per square footage cost within Northern California. Finally, to maintain the Steadman name, we agreed to include a yearly expense (based off profits) to the Steadman Corporation. As a result, Steadman Hospital will provide 9% of its yearly profits to the Steadman Company in allowance for us to become a franchise under the Steadman name. • How we determined the asking investment price we suggest earlier followed this guideline: you as an investor will automatically buy into 15% of the total cost to
  • 27.   27   build Steadman Hospital. For this investment, you will receive, in turn, a total of 30% of the organization plus a royalty of 3% (of profits) yearly. The remaining amount needed to build Steadman Hospital will be achieved through various other reliable investments. One  campus  –  255,000  square  feet   3  Buildings  –  143  beds   1st  building  –  100-­‐110  beds   2nd  building  –  30+  beds   3rd  building  –  ±5  beds   Three  buildings   1. Main  Hospital  –  100,000  square  feet   Basement  –  3,000  square  feet   • Storage  3,000  square  feet   The  basement  for  now  is  going  to  be  a  place  for  storage  and  backup   equipment  and  supplies.  This  also  can  be  a  place  for  employees  to  be  while   off  the  clock.   1st  floor  –  40,000  square  feet   • Lobby  1,500  square  feet   • Cafeteria  1,500  square  feet   • Gift  Shop  1,000  square  feet   • ER  10,000  square  feet   • Intensive  Care  6,000  square  feet   • Pediatrics  10,000  square  feet  
  • 28.   28   • Pharmaceuticals  10,000  square  feet   The  first  floor  is  typically  the  place  of  entrance  for  patients  and  visitors.   The  lobby,  cafeteria,  and  gift  shop  make  the  most  sense  to  be  on  the  first  floor   where  visitors  can  eat  and  buy  gifts,  while  patients  check-­‐in  in  the  lobby.  The   ER,  Intensive  Care,  Pediatrics,  and  Pharmacy  are  also  located  on  the  first   floor.  Emergency  rooms  on  the  first  floor  make  the  most  logical  sense  as   patients  are  arriving  from  ambulances  or  other  forms  of  transportation  and   need  to  be  quickly  attended  to.  Intensive  care  being  much  associated  with   emergency  needs  to  be  located  on  the  first  floor  so  that  it  is  easy  and   convenient  to  transport  patients  directly  there  or  even  from  the  ER.   Pediatrics  should  also  be  located  on  the  first  floor  for  easy  access  for  children   and  their  guardians.  Finally,  the  Pharmacy  will  be  on  the  first  floor  because  of   the  ease  of  accessibility  and  as  it  is  considered  a  quicker  process  of  getting  a   customer  in  an  out  of  the  facility.  Each  wing  and  department  of  the  first  floor   will  have  its  respective  overnight  rooms  and  rooms  for  outpatients,  which   will  total  to  about  85-­‐90  beds.   2nd  floor  –  40,000  square  feet   • Radiology  10,000  square  feet   • Specialized/Reconstructive  Surgeries  10,000  square  feet   • Cardiovascular  10,000  square  feet   • Cancer  Treatment  10,000  square  feet   The  second  floor  is  mainly  consisting  of  more  intense,  yet  planned   operations.  Surgeries  of  the  reconstructive  and  specialized  type  are  planned  
  • 29.   29   and  can  be  kept  out  of  the  way  of  the  first  floor  emergencies.  The  same  goes   for  cardiovascular  operations,  radiology,  and  cancer  treatment.  Although   these  conditions  could  be  serious,  they  typically  come  with  planning  and   preparation  and  could  be  separated  from  sudden  operations  or  traumas   located  on  the  first  floor.  The  second  floor  will  also  have  its  respective  beds   necessary  for  any  outpatients  or  overnight  patients,  which  will  total  to  about   25-­‐30  beds.  Fewer  beds  are  needed  on  the  second  floor  than  on  the  first  floor   because  the  operations  held  on  the  second  floor  can  be  controlled  and   prepared  for,  while  the  need  for  first  floor  beds  is  inconsistent,  unknown,  and   unplanned.     PARKING  LOT–  17,000  square  feet   TOTAL  of  Main  Hospital  =  100,000  square  feet   2. Rehabilitation  and  Physical  Performance  Institute  –  6,000-­‐7,000  square  feet   • Physical  Therapy     • Rehabilitation  –  30  beds   • Psychiatric  aid   We  have  a  second  building  for  Rehabilitation,  Physical  Therapy,  and   Psychiatric  Aid,  which  is  completely  separate  and  typically  is  needed  following   any  operations  that  take  place  in  the  main  hospital.  This  building  has  one  floor,   and  is  not  a  far  distance  from  the  main  hospital,  so  transportation  is  easy.   PARKING  LOT  –  10,000  square  feet   TOTAL  of  Rehab/Physical  Performance  Institute  =  17,000  square  feet   3. Cancer  &  Other  Research  Centers  –  3,000  square  feet  
  • 30.   30   • Cancer  Research   • Cardiovascular  Research   • Drug  research  and  development   Our  third  building  is  mainly  dedicated  to  research  and  development  of  a   variety  of  fields  that  our  hospital  of  El  Camino  Los  Gatos  specializes  in.  We  would   like  to  further  our  knowledge  and  use  this  building  as  a  source  for  our  growth  as   a  successful  business  of  operations.   PARKING  LOT  –  2,000  square  feet   TOTAL  of  Research  center  –  5,000  square  feet   4. Parking  Structure,  Campus  Area  –  50,000  square  feet   FINAL  TOTAL  OF  EL  CAMINO  LOS  GATOS  HOSPITAL  =  172,000  square  feet   83,000  square  feet  to  spare     (VII)  Medical  Service  Plan:   Every  functioning  moment  at  Steadman  Hospital  requires  crucial  planning  on   what  supplies  and  inventory  is  required  for  each  process  and  service  provided  by   our  hospital.  We  recognized  that  every  step  from  when  a  patient  walks  into  the  door   until  they  leave  involves  very  specific  set  of  tools  and  people  to  help  them  through   safely  and  successfully.  Therefore,  we  have  developed  a  intricate  system  of   understanding  exactly  what  supplies  will  be  needed  for  every  movement  happening   on  Steadman’s  campus.  The  organizational  map  of  customer  movement  can  be   referred  to  in  the  Appendix,  Image  7.1.  To  fully  understand  Steadman  Hospital’s   systems,  it  is  best  to  visualize  they  processes  of  how  a  patient  moves  within  campus.    
  • 31.   31     The  map  is  segmented  by  number  into  each  individual  segment,  which   involves  the  movement  or  actions  towards  a  patient.  Given  each  number,  the  tools   used  by  each  department  are  identifiable  by  looking  at  the  Appendix,  Chart  7.1.  To   read  the  map  accurately,  correspond  the  Blue  numbers  from  Image  7.1  onto  Chart   7.1.     In  image  7.1,  you  can  identify  that  Steadman  Hospital  has  broken  down  the   processes  into  a  readable  diagram.  As  mentioned  before,  this  diagram  represents   the  movement  and  tools  used  for  each  movement  for  our  hospital  to  run  effectively.   To  fully  grasp  the  idea  of  how  Steadman  Operates,  you  should  first  understand  how   admitted  patients  arrive  at  the  hospital.  There  are  three  forms  of  admitted  patients:   Emergency,  Appointment  and  (some)  Walk-­‐ins.  Patients  of  appointment  and  walk-­‐in   arrive  through  the  main  entrance  to  be  greeted  by  a  receptionist.  These  patients  will   then  sign  in  through  a  kiosk  system  and  be  asked  to  wait  within  the  Reception  Room   until  called  upon  by  a  nurse.  Emergency  patients,  such  as  critical  injuries  or  laboring   mothers,  will  be  admitted  once  within  a  treatment  center,  which  will  act  on  the   situation  based  on  a  scale  of  intensity.  This  first  step  of  Steadman  Hospital’s   operations  requires  minimal  equipment  for  walk-­‐in  and  appointment-­‐made   patients.  For  Emergency  patients,  some  of  the  equipment  required  by  each  patient   may  include  an  ambulance,  wheelchair  or  stretcher  (depending  on  the  situation).   You  can  observe  some  of  the  general  equipment  required  by  this  department   located  in  the  Appendix  under  Step  1  of  Chart  7.1.     Step  two  is  where  non-­‐critical  patients  are  asked  to  wait  within  the   Reception  room.  Because  of  the  non-­‐crucial  moments  happening  within  this  stage  of  
  • 32.   32   hospital  operations,  the  primary  equipment  used  within  this  section  includes  items   like  couches,  magazines,  televisions,  etc.         Step  three  is  dedicated  to  mothers  either  in  or  going  into  labor.  This  stage  of   operations  requires  quick  movements  between  departments  for  the  mother  to  get   the  medical  attention  required  within  a  short  amount  of  time.  Because  of  this,  there   will  always  be  equipment  such  as  wheelchairs,  labor  gowns  and  health  monitors   readily  available  both  within  close  proximity  of  the  main  entrance  and  within  the   labor  rooms  of  the  Steadman  Hospital.  As  mentioned  before,  more  equipment  for   this  operation  and  all  other  operations  occurring  at  Steadman  Hospital  can  be  found   within  the  Appendix,  Chart  7.1.       Step  four  is  a  very  crucial  stage  for  the  people  of  Los  Gatos.  Emergency   surgeries  and  operations  must  be  quickly  moving  and  precise  to  avoid  undesired   results.  As  a  result,  this  department  is  located  within  another  section  of  Steadman   Hospital,  which  avoids  immediate  admittance.  There  is  an  extensive  list  of   equipment  used  within  this  department,  which  will  later  be  discussed  under  the   “Equipment  Plan”  section  of  this  document.  Though,  to  simplify  things  currently,   some  of  the  equipment  used  to  transport  emergency  patients  from  the  unloading   zone  too  the  emergency  operations  department  would  include:  stretchers,  portable   beds,  and  emergency  supply  kits.  Though  this  is  not  limiting,  these  are  three   essential  items  to  get  a  patient  from  one  location  to  another  with  as  little  risk  as   possible.     Step  four  also  requires  patients  to  have  the  ability  to  stay  the  night  within  the   hospital  for  extended  care.  This  will  require  all  equipment  that  can  be  found  within  
  • 33.   33   a  typical  hospital  bedroom,  along  with  emergency  medication  and  several  forms  of   transportation  devices.  This  is  a  less  intensive  moment  for  the  operations  running   within  Steadman  Hospital,  therefore  it  will  require  less  emergency  items  and  more   general,  overnight  equipment.       Moving  forward,  patients  that  have  been  waiting  for  a  short  time  within  the   Reception  Room  are  then  taken  by  a  nurse  to  their  needed  department.  Because  of   the  low  level  of  intensity,  there  will  be  fewer  modes  of  transportation  from  one   department  to  the  next.  It  should  also  be  noted  that  specific  sections  of  the  hospital   might  be  located  within  different  buildings  on  campus.  Therefore,  each  building  will   have  a  separate  admittance  office  and  reception  room.  Located  on  Image  7.1,  this   process  is  identified  by  separate  departments  labeled  five  until  eleven.  After  a   patient  arrives  at  their  required  destination,  the  equipment  that  is  located  within   each  room  is  department-­‐specific.  That  is,  the  equipment  used  for  surgeries  (10)   will  differentiate  from  equipment  used  in  rehabilitation  (9).  For  a  department   specific  list  of  equipment,  you  can  look  at  Chart  7.1.     Outpatient  simply  falls  under  the  category  of  Walk-­‐in  patients,  though  they   do  not  follow  the  exact  guidelines.  They  may  skip  the  admissions  section  of  the   hospital  depending  on  their  condition  and  do  not  spend  the  night  within  the   hospital.  Therefore,  because  the  patients  do  not  spend  the  night  and  are  classified  as   a  walk-­‐in  patient,  they  use  the  same  equipment  and  operations  that  the  previously   listed  sections  use,  above.         Steadman  Hospital  is  dedicated  on  getting  patients  the  quality  service  they   need  and  deserve.  And  the  only  way  to  achieve  this  is  to  have  an  efficient  mode  of  
  • 34.   34   transportation  between  departments  along  with  all  of  the  necessary  equipment   found  within  each  department.  To  do  this,  our  hospital  has  separated  each   individual  path  a  patient  could  take  and  will  make  it  clear  to  management  exactly   what  is  necessary  to  have  for  successful  operations.  With  that,  Steadman  Hospital   will  prove  to  be  quick  and  tentative  to  each  patient’s  needs  within  any  given   situation.       (VIII)  Demand  Forecast:   Walk-­ins:  Walk-­‐in  services  will  be  continuous  –  in  that  it  will  be  twenty-­‐four   hours  a  day,  seven  days  a  week.  Though,  because  it  is  clear  that  people  typically  do   not  require  too  much  medical  assistance  during  the  middle  of  the  night,  Steadman   Hospital  will  operate  accordingly.  This  section  of  the  hospital  is  forecasted  to  have  a   rather  consistent  congestion  of  patients  through  out  the  year,  suggesting  that   Steadman  Hospital  does  not  change  any  operating  procedures  throughout  the  year   according  to  month  or  season.    Though,  through  various  sources  of  information,  it  is   evident  that  the  flu  season,  which  occurs  typically  in  early  January  until  late   February,  that  walk-­‐in  patients  somewhat  increase.  Although  this  is,  California  has   lower  rates  of  the  flu  compared  to  those  of  other  states.  As  a  result,  Steadman   Hospital  will  react  accordingly  by  hiring  slightly  more  nurses  to  administer  the  flu   shot  and,  by  a  small  margin,  increase  the  amount  of  pediatric  doctors  to  compensate   for  additional  walk-­‐in  patients.  Other  than  that,  this  department  is,  as  stated  before,   very  consistent  throughout  the  year.  Therefore,  the  slight  addition  during  these  
  • 35.   35   months  is  relatively  insignificant,  considering  the  minimal  turnover  rate  from   patient-­‐to-­‐patient  receiving  the  flu  shot.     Emergencies  and  Outpatient:  Similar  to  Walk-­‐ins,  Steadman  Hospital’s   emergency  department  will  operate  around-­‐the-­‐clock,  through  out  the  year.   Through  given  research,  there  does  not  appear  to  be  any  direct  correlation  between   emergency  and  day  of  the  week.  Though,  during  the  day,  research  shows  that  during   rush  hour  (3pm-­‐9pm),  there  are  the  most  non-­‐fatal  emergencies  as  a  result  of   vehicular  accidents.  And  from  9pm-­‐12am  there  are  the  most  fatal  emergencies   related  to  alcohol.  Therefore,  the  emergency  department  will  function  at  consistent   level  throughout  the  week,  though  during  the  time  frames  listed  above,  it  will  be   most  highly  demanded  during  the  most  curial  times  of  day.  Because  of  Steadman   Hospital’s  location,  within  Los  Gatos,  California,  there  are  minimal  changes  in   quantity  of  emergency  patients  and  outpatient  services  due  to  weather.  Therefore,   the  services  provided  within  these  sections  of  the  hospital  will  have  little  change   throughout  the  year  as  a  result  of  an  unchanging  demand.     Non-­reconstructive  surgeries  (surgical  services):  General  surgical   services  will  be  held  during  surgeon’s  work  hours.  A  surgeon’s  typical  workday  for   Steadman  Hospital  is  from  7am  until  5pm.  Depending  on  the  doctor,  scheduled   surgeries  will  occur  Monday  through  Saturday  throughout  the  year.  Noted,   emergency  surgeries  are  part  of  the  emergency  department,  which  will  be   functional  during  the  times  given  above.  There  does  not  appear  to  be  any  significant   change  of  general  surgical  procedures  based  on  the  month  or  season.  Given  that,  a  
  • 36.   36   surgeon’s  workday  will  not  typically  change  throughout  the  year  to  comply  with   seasonal  changes.       Infant/Newborn  and  Child  Services:  Infant  and  Newborn  Services  are   relatively  random  compared  to  other  services  provided  by  Steadman  Hospital.   There  does  not  seem  to  be  any  connection  between  hour  of  the  day  and  baby  births,   though  according  to  the  US  Census,  babies  are  most  likely  to  be  born  on  a  Tuesday,   with  Wednesday,  Thursday,  and  Friday  not  too  far  behind.  The  same  article  also   explained  that:  the  summer  months  of  the  year,  July  and  August,  seem  to  be  the   most  popular  birth  month,  with  October,  November  and  December  being  the  least   popular  months  for  births.  Given  this,  doctors  and  nurses  within  this  field  will  have   schedules  which  correlate  to  these  highly  or  hardly  demanded  months  and  days.     Men’s/Women’s  Health  &  Pediatrics:  This  department  of  Steadman   Hospital  is  specifically  by  appoint  only,  with  certain  functioning  hours  of  the  day.   Given  that,  the  typical  hours  for  this  field  range  from  7am  until  4pm,  which  will  be   directly  connected  to  doctor’s  work  hours.  Studies  show  that  the  most  congested   times  of  year  for  this  department  is  during  early-­‐year  months  (January  until  March).   As  a  result,  there  will  be  more  doctors  working  during  these  months,  to  respond  to   the  increased  demand.  During  the  week,  Steadman  Hospital  will  provide  these   services  Monday  through  Saturday.     Senior  Services:  Senior  services  will  be  functional  twenty-­‐four  hours  a  day,   seven  days  a  week  to  comply  with  senior’s  health  conditions.  With  that,  there  will   always  be  attentive  nurses  to  help  with  these  patients.  During  winter  months,  there   is  a  rather  drastic  increase  for  the  amount  of  elderly  patients  that  require  assistance.  
  • 37.   37   This  is  resulted  from  seniors  within  the  Midwest  and  Northern  states  who  move  out   to  warmer  states,  such  as  California,  to  escape  the  cold  and  unstable  weather.   During  the  week,  there  are  no  differentiating  factors  that  suggest  a  busier  time.   Therefore,  the  staff  provided  will  not  change  throughout  the  week.  Though,  on  an   hourly  basis,  it  is  apparent  that  the  elderly  require  more  assistance  during  the  day,   compared  to  the  night.  This  change  in  demand  will  allow  for  a  specific  schedule  for   each  nurse  and  assistant.     Robotic  Surgeries,  Imaging  Center,  and  Radiology:  These  segments  within   Steadman  Hospital  are  part  of  the  electronic  services,  which  have  specific  functional   hours  during  the  day.  These  hours  range  from  7am  until  3pm,  and  are  appointment   only.  The  procedures  will  occur  Monday  through  Saturday  throughout  the  year.   There  are  no  factors,  which  suggest  a  change  in  demand  throughout  the  year,  week   or  days  that  these  fields  are  required  by  patients.  Though  for  robotic  surgeries,  the   most  typical  day  of  operation  occurs  on  Friday,  specifically  for  the  patient  to  recover   on  hospital  grounds  until  the  following  Monday.       Cardiovascular  Treatment:  Cardiovascular  treatment  will  occur  Monday   until  Saturday  from  7am  until  4pm,  similarly  to  Men’s  and  Woman’s  heath.  This  field   has  little  correlation  between  time  of  month  and  day  and  services  required;   therefore  there  will  be  little  change  in  schedules  between  cardiovascular  doctors   throughout  the  year.     Physical  Therapy  &  Rehabilitation:  These  sections  will  occur  during  similar  hours   compared  to  that  of  General  Surgeries  and  Specialized  Surgeries.  This  is  because   patients  typically  require  physical  therapy  and  rehabilitation  directly  after  (no  more  
  • 38.   38   than  a  day  after)  surgical  procedures.  Therefore,  the  operation  hours  of  these   segments  within  Steadman  Hospital  will  happen  from  7am  until  5pm,  Monday   through  Saturday.  The  most  demanded  time  of  year  for  Physical  Therapy  and   Rehabilitation  are  during  the  late  summer,  early  fall  months,  being  August  until   October.  As  a  result,  our  staffing  plan  will  correlate  to  these  months,  without   changing  the  hours  of  operation.       The  Growth  section  of  Steadman  Hospital  will  run  within  a  similar  time  and   staffing  fluctuation  that  was  listed  within  the  previous  Base  section.  In  doing  this,   hospital  staff  will  have  a  rather  unchanging  schedule  depending  on  the  areas  on   campus  that  require  their  attention.  Though  these  sections  are  considered   specialized  categories  of  Steadman  Hospital,  and  may  take  more  time  per  procedure,   the  intention  is  to  have  them  operate  at  a  similar  frequency  because  they  are  the   high-­‐grossing  profit  procedures.  Therefore,  the  hours  that  these  specialized   procedures  are  run  at  will  not  be  any  less  than  that  of  the  base  section.  Given  this,   the  following  medical  demand  forecast  for  the  Growth  section  will  be  the  following:     Specialized/Reconstructive  Surgeries:  These  procedures  will  occur  during   the  same  time  frame  of  General  Surgery  procedures.  That  is,  Monday  through   Saturday,  from  7am  until  5pm.  The  demand  for  specialized  surgeries  does  have  a   relation  between  month  and  injury,  which  is  very  similar  to  that  of  physical  therapy   and  rehabilitation.  Because  of  this,  the  highest  population  of  patients  will  occur   between  August  and  October  as  a  result  of  highly  physical  sports  injuries.  Each  
  • 39.   39   doctor  within  specialized  surgeries  will  have  specific  days  to  operate  on  certain   procedures.  Though,  that  will  be  discussed  in  a  later  section  under  “Staffing  Plan”.     Cancer  Treatment:  Cancer  Treatment  is  a  very  random  and  difficult  field  to   forecast  because  there  has  been  no  historical  research  to  suggest  when  an  individual   is  most  likely  to  develop  any  form  of  cancer.  As  a  result,  Steadman  Hospital  will  have   a  rather  steady  and  unchanging  schedule  for  what  and  when  specific  cancers  will  be   treated.  Though,  to  help  increase  efficiency  and  effectiveness  of  the  hospital,  there   will  be  certain  cancer  treatments  operating  during  specific  days  of  the  week;   meaning  one  type  of  cancer  will  be  treated,  for  example,  on  Monday,  Wednesday,   and  Thursday  –  where  as  other  cancers  will  be  treated  on  other  days.  The  most   common  hours  of  operation  for  cancer  treatments  is  during  the  hours  of  8am  until   5pm,  Monday  through  Friday.  This  will  remain  a  steady  schedule  for  this  procedure   until  Steadman  Hospital  can  publish  a  correlating  graph  on  time  of  year  and  cancer   developments.       Pharmaceuticals:  Pharmaceuticals  is  a  never  fluctuating  operation  because   it  applies  to  nearly  all  segments  within  hospitals.  Though  this  is,  there  may  be   slightly  more  sales  during  the  flu  season  as  a  result  of  medication  prescribed  by   doctors.  Therefore,  Steadman  Hospital  will  simply  staff  the  pharmaceuticals   department  from  8am  until  5pm,  all  days  of  the  week.  This  is  compared  to  a   pharmacy  similar  to  that  of  a  Walgreens,  which  will  help  keep  Steadman  Hospital  at   a  competitive  advantage.  Because  people  and  the  hospital  are  always  functioning   throughout  the  year,  pharmaceuticals  will  have  no  change  in  quantity  of  people  who  
  • 40.   40   need  drugs  when  compared  to  time  of  year.  Therefore,  Pharmaceuticals  will  run  at  a   very  consistent  and  predictable  schedule.     All  Research  &  Development:  Research  and  Development  is  mostly   operational  during  the  summer  months  within  the  US.  This  is  primarily  because   many  college  medical  students  (such  as  those  attending  Stanford  University)  have   time  over  the  summer  to  intern  for  desirable  hospitals,  such  as  Steadman  Hospital.   Because  Research  and  Development  is  highly  related  to  the  business  field  within  the   hospital,  the  time  of  research  and  development  will  occur  during  regular  business   hours.  That  is,  Monday  through  Friday  from  7am  until  5pm.  This  time  frame  attracts   college  students,  while  still  allowing  professionals  to  take  time  from  their  week  to   participate  within  this  field.  Once  again,  R&D  is  always  occurring,  therefore,  the   facility  will  be  functional  throughout  the  year,  though  with  a  higher  density  of   researchers  during  the  late  summer  months.   Visiting  hours:  Visiting  hours  are  entirely  important  for  the  sake  of   overnight  patient’s  families  and  friends.  The  emotional  support  for  the  patient   allows  for  customers  to  see  Steadman  Hospital  as  not  just  business  oriented  but  also   tied  with  family  relations.  A  typical  day  of  visiting  hours  runs  from  10am  until  8pm   for  adult  patients  and  anytime  for  children.  Although  these  hours  are  in  writing,   they  are  not  entirely  limiting.  By  that,  Steadman  Hospital  allows  for  after-­‐hour   visitations  by  family  that  can  be  made  by  appointment  through  phone  or  Internet.   By  doing  this,  Steadman  hopes  to  make  families  comfortable  with  our  processes  and   be  highly  active  with  patients  that  require  extensive  care.