 |
ITEC is a provider of comprehensive healthcare consulting services specializing in all aspects of hospital management. |
 |
|
|
|
|
|
|
|
|
|
 |
|
|
|
| Case 1: Feasibility study for rebuilding a hospital |
|
|
|
Summary of Target Hospital
This hospital is a 250-bed private hospital located in Kanto Region.
It consists of four wards, and the oldest ward is 40 years old. Because it is apparently aged, the hospital management is planning to rebuild it in the near future.
Although the hospital is a bit far away from the railway station, it has a convenient bus route from and to the station. The only problem for transportation is the shortage of parking lots at the hospital.
The hospital is famous for cardiovascular internal medicine and always crowded with outpatients. Revenue per patient is relatively high since it is providing high-level treatment in the area.
Summary of Consultation
We conducted feasibility study for rebuilding the hospital from two aspects: (1) Management (2) Facilities
(1) For management, we analyzed current situation of management through interview with each department, balance sheets, work statistics, etc. We also analyzed clinical zone and patient trends as part of business envirotnment survey. We then listed up management.problems.
(2) For facilities, we studied best rebuilding methods and estimated construction cost.
We also simulated future revenue and expenditure based on the rebuilding plan.
Based on those studies we concluded that it is possible to rebuild the hospital by improving the current management.
Now we are moving to the next step for designing the details of the project. |
|
 |
 |
 |
|
|
|
| Case 2: Assitance for introduction of ordering system |
|
|
|
Summary of Target Hospital
This hospital is a 300-bed municipality hospital located in Tohoku Region in Japan.
It has introduced several information systems such as medical information system, but it has not introduced the ordering system yet.
Therefore, the hospital was planning to introduce the ordering system in a short period with minimum cost.
Summary of Consultation
Consultation was conducted in the following steps: (1) Inspection of current situation (2) Policy-making for introduction of ordering system (3) Preparation of specification sheet for the ordering system
(1) In order to check the current situation, we inspected each department and division and heard opinions from the staff. We also checked summary and status of current systems and studied possibilities to connect them to the new ordering system.
(2) For introduction of the ordering system, we formulated the master plan of new integrated information system based on the survey on current situations, and visualized the goal of hospital by introducing the system.
Because the hospital was in financially severe situation and this was the first introduction of ordering system, the invested cost was minimized in order to be collected in a short period of time.
We also proposed new organization chart adjusted to introduction of the system, as well as providing instruction on how to operate the new system.
(3) On specification sheet of new information system, we specified necessary operational functions. We also adviced important points in selecting a supplier.
After our consultation, the hospital selected a supplier and introduced the system. The system is now working successfully. |
|
 |
|
|
|
|
|
Example of PFI (private finance initiative) advisory work
PFI advisory service for the construction of Tokyo Metropolitan Tama Regional Hospital and Child Care Center |
| As a major PFI advisory work, we were engaged in the construction of Tama Regional Hospital and Child Care Center. |
 This project is designed to outsource management of two new hospitals to a private management company for 15 years after completion of the construction.
Tama Regional Hospital is a 786-bed hospital, and Child Care Center is a 561-bed hospital. Total number of beds of two hospitals is 1,350. On February 1, 2006, a special-purpose company named "Tama Medical PFI Corporation" won the tender and made a management contract in August, 2006.
ITEC assisted the PFI project as an advisor of the Tokyo Metropolitan Government. |
|
| Features and Challenges of the Project |
 It is notable that this is the first project in Japan in compliance with WTO's procurement standards. Under WTO rules, it is required to select a contractor by an open tender. It was a big challenge for us to use the open tender system and also allow tenderers freedom of their own plans, utilizing performance specification method.
There were difficulties to combine two hospitals into one PFI project, so this project employed the following methods: |
|
| Clarification of tender conditions |
| Announcement of ceiling price |
- We publicized the ceiling price in advance in order to employ performance speficication method.
- We also made six categories(construction cost, equipment cost, management fee, etc) and suggested estimate price of each category.
|
Provision of preconditions
Provision of information on medicines/diagnostic materials
|
- We specified preconditions of new hospital such as number of examination, meals, etc., and equalled the conditions for competition among candidates.
- We suggested estimate price of medicines and diagnostic materials based on the actual cost at Tokyo Metropolitan hospitals.
|
| Improvement of management ability |
| Outsourcing of management |
- We required the candidates to meet a certain level of management abilities to keep and develop smooth business relation with Tokyo Metropolitan Government and other companies.
- We also examined operational abilities of the candidates.
|
| Examination of proposal for new hospital, BPR, quality |
| Narrowing down points of screening |
- We discussed theme and points of screening and tried to narrow them down, focusing on important factors such as how to combine two hospitals and how to solve the problems the current hospitals have.
|
| Provision of sufficient information |
| Suffficient communication with candidates |
- We had three Q&A sessions, and two briefing sessions at each of four hospitals after prequalification.
- Upon on-site briefing of the new hospital, we held meetings with medical personnel to exchange opinions with them. On the second on-site briefing, we prepared a layout map of the new building in order to guide the candidates smoothly to the place they want to inspect.
|
|
|
|
|
|
|
|
|
 |
|
|
|
|
 |
