Shouldice Hospital Limited Group Case Study Feb. 14th, 2012 Brief Synopsis In 1982 Shouldice hospital comprised of 89 beds and performed 6,850 hernia operations while being staffed by 12 full time surgeons, 7 assistant surgeons, an anesthesiologist and 30 nurses in addition to support staff. The Shouldice hospital employed unique surgical techniques and post operation routines which led to a speedier recovery and a lower than average hernia reoccurrence rate. The hospital had gained a reputation for providing a quality service and relied mostly on word of mouth marketing. Many of their patients were from Ontario (56%) and the US (42%) with a smaller percentage (2%) travelling from Europe or other provinces in Canada. Shouldice performed two types of hernia operations which they classified as primary (first time occurrences) and secondary (reoccurrences or repairs).
Target Analysis Summary We carefully reviewed Target’s 10 K report and found that Target’s auditor Ernst& Young LLP, expressed unqualified opinions on both Target’s consolidated financial statements and internal controls. Based on that, we reviewed the notes to Target’s financial statement and concluded summary in the following. According to independent auditor’s report, financial statements of Target Corporation and its subsidiaries comply with US GAAP, and Target doesn’t have significant accounting policy changes for the past year. No major development beyond the end of accounting period was found in the notes. Also, based on Target’s income statements, Target doesn’t have any revenues or expenses non-recurring in nature.
Specializing in external abdominal hernias, Shouldice doctors execute the “Shouldice Technique” developed by founder Dr. Edward Earle Shouldice. This precise technique has resulted in early ambulation and higher success rates (greater than 99%) for Shouldice patients for over 55 years. However, what makes Shouldice so successful is that it is not just a
Introduction As cardiovascular disease (CVD) is the leading cause of death in the United States and prevalent throughout the world, a large population of people find themselves asking about their own risk for heart attack or stroke. Due to the number of people with CVD and the frequency of CVD occurrence, there is a great need for increased general knowledge concerning current medications and treatment plans available to CVD patients. Statins are the main medication prescribed to those suffering from CVD. Therefore, an increased level of understanding of the effect of statins in all forms of CVD is essential in making an informed decision about personal health. It is especially important that each patient understands both the benefits and risks involved in using statins.
Shouldice Hospital offers a very high level of customer intimacy by keeping a friendly staff and putting patient care quality as their top priority. Because of this the Shouldice hospital has a very high reputation and very high customer loyalty. Combining Dr. Shouldice revolutionary technique in hernia repair in conjunction with the application of the Shouldice model the Shouldice Hospital has become the most respected and in demand hospital for hernia repair in the world. Below is a SWOT analysis of Shouldice Hospitals current business operations. SWOT ANALYSIS |STRENGTHS |WEAKNESSES | | | | |Specialized superior technique |Narrow product line | |Great reputation |Only 1 location | |Customer intimacy through staff
These two famous psychologists developed theories of development that have been studied and followed for several years now and have been incorporated into medical and nursing care. These theories are excellent sources for nurses to use in developing care plans that will gratify the needs of most all patients. Erikson’s theory of psychosocial development describes eight developmental stages through which a healthy developing human should pass from infancy to late adulthood. Although all stages can be utilized in nursing, the first stage of Infancy, with its basic conflict of trust vs. mistrust, is the most essential of all stages. Erikson proposed this concept is present throughout an individual’s entire life, not just during infancy.
I am going to focus on some of the good and bad points by critically appraising this article. Firstly, the aims of this research are clearly stated in the title, abstract and main body. This piece of research had stated the goal and its relevance of this research to future rehabilitation. The authors stated why the need for this research was in the introduction and explained the aims were to attempt to evaluate patients’ perceptions on cardiac rehabilitation. This research is also relevant to the authors and the London Teaching Hospital so they can build opinions and improve their rehabilitation service.
From: Ofumwen Ogbebor To: John Van Vliet Date: 5 July 2009 Subject: Shouldice Hospital case Study How successful is the Shouldice Hospital? Since its establishment in 1945, Shouldice has become one of the most successful hospitals that specialize in Hernia removal. Shouldice currently boosts of 140,000 highly satisfied patients with a recurrence rate of 0.80% compared to the 10% in a traditional hospital. Shouldice also offers superior method of hernia which has resulted in a 1,200 backlog of scheduled operations; a clear indication that demand greatly exceeds supply. How do you account for its performance?
Some people may have very similar needs when it comes to treatment and or care but before new treatments and care plans are introduced it is important to carry out a research project or study to investigate the benefits of others. Charities and organisations whose purpose is to raise awareness and improve the care of individuals with illnesses, diseases or disorders can base and focus their research on better diagnosis so that they can identify people’s needs earlier as they can then start to help the patient/client by ensuring the correct treatment is given to them as soon as possible. Highlighting the gaps in provision Highlighting the gaps in the provision that is already available is important for health and social care workers also. This is because that gap could be affecting a huge amount of people who are ill or need assistance and can’t get the help that they need because the services just aren’t available to them. The needs of communities are constantly changing and new gaps in provision appear over time.
Sonography is commonly associated with obstetrics and the use of ultrasound imaging during pregnancy, but this technology has many other applications in the diagnosis and treatment of medical conditions throughout the body (http://www.bls.gov/oco/ocos273.htm). Most sonographers are employed in health care facilities, some travel to different health care facilities or the homes of disabled patients. Sonographers are needed these days and that is why employment for them is expected to increase by 2018 by 18 percent (http://www.bls.gov/oco/ocos273.htm). A 2005 Society of Diagnostic Medical Sonography (SDMS) Sonographers Salary and Benefits Survey found that the median salary figure for