Dr. Suren Moolai PowerPoint Presentation

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