Case 2:  Shouldice Hospital

Limited
MGMT8090 Operations
Fundamental

TEAM MEMBERS :
STEPHANUS STEVEN PRIBADI (2001902476)
MUHAMMAD REIZA INDRAWAN (2001901952)
DANIEL LIVINGSTONE (2001897684)
GILBERT NABASHA (2001878483)
AYU NUR HIDAYATI (2001902463)

Instructor: Dr. Ahmad Syamil

MM Young Professionals
Binus Business School
Senayan, Jakarta
QUESTION 1
Answered by
MUHAMMAD REIZA INDRAWAN
(2001901952)
Summary
At shouldice hospital only external type of abdominal jermoas were
repaired while internal type were not treated. The hospital employed 12 full
time surgeons, 7 part time assistant surgeons, and one anesthetist. Each
operation teasm required a surgeon, an assistant surgeon, a scrub nurse,
and a circulation nurse. The operating load varied from 30 to 36 operations
per day.
The hospital was operated on a non profit basis and the clinic on a for
profit basis. Dr shouldice and mrs w. Urquhart,his sister, each owned 50%
of each and the hospital relied entirely on word of mouth advertising.
When asked about major questions confronting the management of the
hospital, dr. shouldice cited a desire to seek a ways of increasing hospital’s
capacity, while at the same time maintaining control over the quality of the
service delivered, the future role of government in the operations of the
hospital, the use of the shouuldice name by potential competitors, and the
selection of the next chief surgeon.
 Internal hernias are rare and involve part of organ
within abdomen pushing through and opening in the
wall of another organ.
 Externalhernias is when an organ within abdomen
pushing through an opening or weak areas in the
abdominal or pelvic wall and external hernias are
common
Cause of Hernia

Hernia caused by a combination of muscle

weakness and strain such as:
 Age
 Chronic coughing
 Damage from surgery
 Lifting heavy weight
 Pregnant
Symptom of Hernia

 bulge
 Swelling and pain
 Chest pain
 Swallowing difficulty
Hernia Treatment

 Don’t lie down after eating

 Exercise
 Surgery
Hernia

 https://www.youtube.com/watch?v=A3a2OaJ2u3w

 hernia is basically when a portion of your stomach has slipped

up into your chest and that can range from either being a
small slip or us what we call a sliding hiatal hernia or a large
pair esophageal hi all her Nia when a majority of your stomach
or sometimes even a portion of your colon can slip up in your
chest oftentimes people can have chest pain they may have
acid reflux disease.
Shouldice Hospital

 https://www.youtube.com/watch?v=0EFGQdydrIQ

 for over 65 years Joel dice Hospital has been renowned and
respected as the global leader in hernia repair no other
primary inguinal hernia repair technique. all surgeons are
fully trained and licensed and must complete an additional
training program available only at the shouldice hospital to
perform the shoulders pure natural tissue repair other hernia
repair techniques involve the use of synthetic mesh patches
or plugs.
Hernia Surgery
 https://www.youtube.com/watch?v=pLw3AjZx3NQ
 The abdominal wall consists of skin, fatty tissue, and muscle.
The intestines are protected by the abdominal wall. A hernia
occurs when there is a weakness in the muscle. This can lead
to a widening gap. Portions of intestine can get caught in the
gap. Over time, the herniated intestine can become larger. It
can twist and cut off blood supply.
 The only way to fix a hernia is with surgery. Hernia surgery
repairs the intestine, which involves reducing the hernia. It also
restores function to the muscle layer. The muscle gap is closed
to prevent hernias from recurring. Often a mesh is used to
strengthen the area. Scar revisions can sometimes be
performed.
QUESTION 2
Answered by
DANIEL LIVINGSTONE
(2001897684)
5 Ideas from chapter 24

 Robot doctor consultation

 Performance measurement
 Workforce scheduling
 Hospital layout and care chain
 Service quality
How do you apply the 5 ideas to
improve Shouldice Hospital?
 Increase the service quality
 Flexible week
 Increase the hospital capacity
 Using robot technology
 Increase the hospital performance
Apply your ideas to improve your
company
(PT. DWISELARAS JAYAPACK)
 Looking from 5P’s (Plant, People, Parts, Processes,
Planning andcontrol system)
 Employee survey and customer survey
 Focuson customer, quality, teamwork, and
maintenance of equipment
 Organization charts
 Responsibility chart
QUESTION 3
Answered by
STEPHANUS STEVEN PRIBADI
(2001902476)
 5 lessons from chapter 5 of the
textbook (strategic capacity
 management)
Capacity is the “ability to hold, receive, store, or accommodate”.
 Consideration in changing capacity – (maintaining system balance,
frequency of capacity additions and use of external sources of
operations)
 Capacity planning in services versus manufacturing. Service
capacity is more time and location dependent, and is subject to
more volatile demand fluctuations
 Service type companies require that capacity be available
immediately and if possible, located near the customer resides. For
e.g. banks
 Firms that offer services often need to deal with dramatic changes in
customer demand over time.
 How to apply 5
lessons to improve
Shouldice Hospitals

 Increase the capacity

 Flexibility over the
capacity
 Add more locations
 Diversify into other
specialties
 Improvement in the
system
PT. Agen Rokok 7

PT. Agen Rokok 7 is a retail or an “agen” for local

cigarettes. It receives goods from manufacturer and
distributes to ”toko-toko kelontong"
 Improving the capacity within the company
 Optimizingthe balance system within the capacity
through adding equipment and human resources
 Inventory availability
 Availability and location
 Handle dramatic changes on customer demand over time
QUESTION 4
Answered by
GILBERT NABASHA
(2001878483)
Create a decision tree for capacity
expansion. What is the best capacity
decision for Shouldice?

The best decision is

make Saturday
Operation
4.B Create a decision tree for your
company

The best decision is

make a New
system
THANK YOU