Moolai Co-operative Hospital • Challenges
and Opportunities • Reactivation, Progress & Review 2003 – 2008
Presented By:
Dr. R. Surenthirakumaran MBBS, MSC (Community Medicine), PGD (Applied Statistics) , MD (Community Medicine), Trainee PGIM Department of Community Medicine Faculty of Medicine University of Jaffna Thinnaveli, Sri Lanka Email: srajendira@yahoo.com surenthirakumaran@gmail.com moolaii@yahoo.com
Medical Superintendent Moolai Hospital Chulipuram, Sri Lanka
Facts • Established in 1934 • 5 Acre Campus, Potential Land Value ▫ US $ 1 M • 34 Independent Structures Potential Value ▫ US $ 1 M
History • Moolai hospital is a unique co-operative venture in healthcare services. • First successful initiative in South Asia • Potential to serve 200K population. • Approved by the Ministry of Finance as a charitable institution, under the Income Tax Ordinance • All finances are audited by the Office of Commissioner of Cooperative Department.
Two Story Building
Sampanthan Quarters
Old Nurses Quarters
History Cont… • Moolai Hospital did not escape the effect of the civil war. • Almost all buildings were destroyed. • Some are currently renovated. • Dedicated effort from international and local donors and the management of the hospital have made it possible for the hospital to reactivate and provide essential healthcare services.
Partners in Progress 2003 to 2008 • T.R.R.O California
$ 80 K
• Ratnam Foundation UK
$ 40 K
• MIFT – Canada
$ 16 K
• IMHO - USA
$7.2 K
• MIOT - UK
$1.6 K
Donors of Equipment 2003 To 2008 • British High Commission
$ 52 K
• Royal Netherlands Embassy
$
• US AID
$ 95 K
• North Provincial Ministry (Govt. of SL)
$145 K
• North Carolina Peace Foundation
$
5K
• SCOT- UK
$
4K
3K
Healthcare Services •
Cardiology Clinic (with ETT Facilities donated by NPM)
•
General Medical Clinic
•
General Surgery Eye Clinic
•
Maternity Clinic (Equipment donated by USAID with the support of TRRO California) - $95K Value
Healthcare Services Cont… • Clinical Laboratory (by MIFT Canada) • X-ray (unit by NPM) • Ambulance Services (by NPM and maintained by IMHO USA) • Family Medicine Services (by MIOT – UK) • Free Mobile Medical Services (by IMHO USA) • Special Care Services
Healthcare Services Cont… • Dental Clinic (Equipment donated by MIOT- UK & NPM) • Diabetes Clinic (Free services - Courtesy Ratnam Foundation UK) • Eye Care Clinic and Surgeries • ENT Clinic • Pediatric Clinic • Trauma Counseling
Operation Theatre
Board of Management Name Mr. V. Velupillai
Title President
Mr. K. Hallock Viswanathan Secretary Mr. K. Krishnamurthy
Treasurer
Dr. S. Kannadasan
Committee Member
Mr. V. Rajahkumar
Committee Member
Mr. S. Thiyagalingam
Committee Member
Mr. K. Muthurasa
Committee Member
Mr. S. Santhiyapillai
Committee Member
Providing Opportunities for • Empowerment • On the Job Training •
Employment for
52
Personnel
Physicians
Specialty
Dr. R. Surenthirakumaran
Medical Superintendent
Dr. Mrs. S. Nagendra
Consultant Physician
Dr. K. Sritharan
Obstetrician &Gynecologist
Dr. M. Sivakumar
Surgeon
Dr. Mahesan
General Physician
Dr. M. Thirumaran
ENT Surgeon
Dr. S. Kugathasan
Eye Surgeon
Dr. P. Luxman
Cardiologist
Dr. Maruthainar
Pediatrician
Dr. K. Gnanasothilingam
Dermatologist
Dr. S. Sivasangar
AMSMO
Dr. S. Suganthan
OPDMO
Dr. Ragavan
Diabetic Clinic MO
Dr. N. Jeyakumar
Diabetic Clinic MO
Dr. S. Sivakumar
Diabetic Centre
Dr. Hamlet
Dental Surgeon
Title
Number
Matron
1
Pharmacist
1
Nurse
1
Nursing Aid
5
Midwife
1
Nursing Trainees
9
Laboratory Trainee
1
Laboratory Aid
1
Accountant Assistant
2
Accounts Clerk
1
Computer Data Entry Clerk
1
Security Officer
4
Laborer
3
Ambulance Drivers
3
Cashier
1
Cook
1
Total Support Staff
36
Immediate Need • Increase the current revenue by 10% each year for the next 3 years 2009-2011 • Achieve sustainable growth
How? • Renovate the existing building and to provide competitive laboratory services. ▫ $30K cost of renovation under consideration by MIFT Canada • Improve and provide competitive pharmaceutical products. ▫ $20K cost to implement this program ▫ Sponsorship Needed!!
Improve the Mobile Clinic Services (currently sponsored by IMHO USA) 1) Purchase a vehicle equipped for mobile clinics 2) Improve the staff capacity to handle the mobile clinics 3) Purchase equipment and materials for mobile clinics 4) Purchase small generator for mobile clinics ---
Sponsorship Required For $50K ---
Current Mobile Clinic Services (Sponsored by IMHO USA) • Treatment of vulnerable communities for common ailments. • Screening and early detection of nutritional and non-communicable diseases such as diabetes, hypertension and cancer. • Screening for eye diseases • Health Awareness Program
Develop Moolai Into An Accepted Training Facility For • Paramedics • Nurses (minimum 30 per batch)
Expenditure Statement from May 2003 – May 2008 Expenses Category
Cumulative in US $ $ 36,744 $ 7,000 $ 48,547 $ 4,362 $ 29,023 $ 6,059 $ 360 $ 48,743 $ 1,658 $ 4,319 $ 1,916 $ 2,545 $ 6,407 $ 1,166 $ 2,218 $ 13,165 $ 26,442 $ 580 $ 2,958 $ 491 $ 664 $ 1,095 $ 473 $ 2,547 $ 292
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Salary for Doctors Salary for Doctors - Diabetic Clinic Salary for Staffs Salary for Staffs - Diabetic Clinic Consultants' Fee Employment Provident Fund Employment Trust Fund Purchase of Drugs Medical Disposable Repairs to Building Repairs to Operation Theatre Labor Electricity Generator Telephone Ambulance Repair & Diesel Expenses Miscellaneous Retired Employees Gratuity Transport Fencing Advertising Electrical Spares Uniform Repair & Main. Of Equip. & Furniture O2 Gas Refilling
26
Total Recurring Expenses
$ 249,772
27
Capital Expenditure / X-Ray
$ 44,422
28
Total Recurring & Capital Expenditure
$ 294,195
Current Patient Statistics DAILY CLINICS
CONSULTANT CLINICS ON WEEK ENDS MONTHS MEDICAL SURGICAL
VOG
CARDIOLOGY DENTAL SKIN DR. LUXMAN
X-RAY DR.UMA ENT
PEDS DIABETES
OPD
EYE TEST
TOTAL
Jan-08
20
53
70
74
36
10
0
0
0
7
552
900
Feb-08
42
61
59
71
39
7
0
0
0
0
573
1,016
0
1,868
Mar-08
32
76
38
56
62
5
0
0
0
24
566
1,003
0
1,862
Apr-08
13
37
59
31
24
15
0
0
0
18
565
1,143
0
1,905
May-08
76
45
85
38
61
0
33
21
0
11
598
1,082
59
2,109
Jun-08
69
68
66
99
38
11
0
0
0
0
647
1,103
32
2,133
Jul-08
111
107
75
50
18
0
0
0
0
0
619
1,060
41
2,081
Aug-08
125
75
86
63
46
0
43
0
15
0
595
1,046
50
2,144
Sep-08
138
53
66
47
33
0
43
0
30
0
581
891
41
1,923
357
48
119
60
5,296
223
17,747
0
1,722
Oct-08 Nov-08 Dec-08 TOTAL
626
575
604
529
21
45
9,244
Income & Expenditure Summary From May 2003 to May 2008 No
Details of Income/Remittance
Cumulative in $US
% Of Rev.
1
OPD & Inpatient
$131,695
47%
2 3 4 5 6 7 8
Ambulance T.R.R.O California Ratnam Foundation MIOT for Family Medicine IMHO for Free Mobile Service Other Donations Fixed Deposit Interest
$4,330 $80,153 $39,115 $1,625 $7,242 $12,080 $4,791
2% 29% 14% 1% 3% 4% 2%
9
Total Income
$281,032
100%
10
Total Recurring & Capital Expenditure
$294,195
11
Total Profit/Loss
($13,163)
5%
Patients Seen From Jan 2008 to Sept 2008 Clinics
Total
Average
Daily Clinics
14,763
75 Per Day
Weekend Clinics
2,984
83 Per Weekend
Total
17,747
66 Per Day
THANK YOU for Making the REACTIVATION of MOOLAI a REALITY
Your continued support is always appreciated!
http://moolaihos.com