Project of Management

MBA C#1

Submitted to:

Sir Asif Iqbal

Submitted by:

Hafiz Majid (10428)

Muhammad Zakaria Ilyas (10431)

Rizwan Jafar (10437)

Adnan Hashmi (10445)

Khurram Shahzad (10456)

Awais Rasool (10457)

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Service Hospital

History

 1958: A separate outdoor clinic formed for government employees, a satellite clinic of
Mayo Hospital.
 1960: Clinic named as Wahdat Hospital. Subsequently renamed as Services Hospital.
 1977: Services Hospital becomes the teaching hospital for the newly formed Allama
Iqbal Medical College(AIMC).
 1995: Teaching hospital for Postgraduate Medical Institute(PGMI).
 1999: Declared as autonomous. A management board was setup to look after the
affairs.
 2002: Services Hospital declared as the teaching hospital for the newly formed Services
Institute of Medical Sciences(SIMS).

Brief history
In 1958, a separate outpatient department of Mayo Hospital, Lahore was setup for the use of
government employees. In 1960, this was converted into 55-bedded and name as Wahdat
Hospital; it had medical and surgical facilities, together with laboratory and X-Rays unit. It was
later renamed “Services Hospital

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In 1977, the bed strength was increased to 192(50% for the general public) and it became the
teaching hospital of Allam Iqbal Medical College, (AMIC). In 1986, various additional buildings
were constructed and the bed strength was raised to 904.In 1995, AIMC moved to its new
campus, attached to Jinnah Hospital. Services Hospital then became attached to the
Postgraduate Medical Institute, (PGMI), with increased bed strength of 1096.Services Hospital
Lahore was declared as "Autonomous Institution" in 1999. Most recently PGMI has become
attached to the Lahore General Hospital; it will be shifted to the premises of LGH on completion
of its building.

The Emergency and Trauma Centre was setup in 2002 and is now being upgraded and
modernized under the Chief Minister's initiative of "Strengthening of Emergency Medical
Services" (SEMS). This scheme has been approved by the Board of Management, at a total
cost of Rs. 80 million. Construction work is being carried out by the Communication and Works
Department. Equipment worth Rs. 9.9 million is also being purchased under SEMS. As per
Chief Minister's initiative, the emergency staff is receiving an additional allowance equivalent to
50% of their basic pay. In addition, all patients attending the Emergency and Trauma Centre
are getting medicines free of cost. In order to make the emergency department fully functional,
a comprehensive ATLS training program of undergraduate MBBS and nursing student is being
Organized.

Emergency & Trauma Centre

Services Hospital, Lahore

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In addition, Staff working in the emergency department is being trained on regular basis to
handle emergency patients and disaster victims. Diagnostic facilities at Services Hospital are
being further improved by purchasing a "Periscan PIM II Laser Doppler Imager" and a "Whole
Body Multi (16 slices) Computerized Tomography System (CT Scanner)". It is planned to create
fully equipped "Vitro-retinal Surgery Unit" and Endocrinology equipment in various department
of Services Hospital Lahore, has been approved at a total cost of Rs. 205 million. This will
ensure that every department of the hospital has most modern equipment, So that all health
delivery services can function efficiently. Another ADP scheme, "Construction of Waiting Area
for MOT, ophthalmology Day care centre and extension Medical Block in Services Hospital
Lahore" was also approved during 2004-2005, at a cost of Rs. 20.03 million, and construction
under this Scheme is in progress; a day care centre for ophthalmology patients will be set up
and a waiting area for patient's attendants will be created.

In 2003 , the Government of Punjab has established a unique, self financing Services Institute
of Medical Sciences (SIMS) for undergraduate medical students and attached to services
Hospital. It is planned to construct SIMS hostels and residences for the hospital-related staff on
the premises of PGMI and the main SIMS campus within Services Hospital itself SIMS, which
has been provisionally recognized by Pakistan Medical and Dental Council, had been
functioning on the campus of the Postgraduate Medical Institute using he faculty of PGMI.
According to the requirement of Pakistan Medical Dental Council, Board of Management,
SIMS / Services Hospital , has created posts for teaching and allied staff, authenticated by
Finance Department. The 6-Birdwood Road premises have been handed over to SIMS and now
we have got our own premises and faculty to teach our students. Teaching posts have been
filled with teachers and Professors of the highest rank and contractual recruitment of Assistant
Professors of the disciplines is under way. Supporting Staff have also been recruited on
contractual basis. As a result, Services Hospital is now functioning at par with any other
teaching institution. The Health Department of the Government of Punjab has appointed a
Project Director for SIMS and approved its Project Implementation Unit (PIU). PC-i of SIMS has
been approved by planning and Development Department and Construction work is likely to
start in the near future. After completion of College building and provision of most modern
equipment SIMS will be comparable with any national or international teaching institution.

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Profile of leader;

Faisal Masud

Faisal Masud(born October 16, 1954) is the current Principal Chief Executive of Services
Hospital/ Services Institute of Medical Sciences in Lahore, Pakistan. His appointment as
principal was controversial as many more senior professors were overlooked.

He became a Member of Royal College of Physicians, Edinburgh, Glasgow and London in 1982
and a Fellow of Royal College of Physicians, Edinburgh in 1998. His area of interest is
endocrinology.

Masud has 24 years of teaching experience. During his teaching career he has taught at King
Edward Medical College, Lahore, Post Graduate Medical Institute, Lahore and Services Institute
of Medical Sciences, Lahore. He has the unique honor of direct selection to the posts of
Assistant Professor, Associate Professor and then Professor by the Punjab Public Service
Commission.

As a research scholar, Dr. Faisal Masud has 18 research publications to his credit. He has
participated in numerous International Conferences, Seminars and Workshops.

Masud has also proved his administrative skills as Principal Executive Officer of Services
Hospital.

Departmentalization:-

 SIMS ADMINISTRATIVE DEPARTMENTS

 SIMS FINANCE DEPARTMENT
 SIMS ESTABLISHMENT DEPT.
 SIMS I.T. DEPARTMENT
 ESCULAPIO CREATIVE DEPT.

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 SIMS Departments
 ORTHOPAEDIC SURGERY
 PAEDIATRICS
 PAEDS MED (NEONATOLOGY)
 PAEDIATRIC SURGERY ANATOMY
 ANAESTHESIA
 BIO CHEMISTRY
 CHEMICAL PATHOLOGY
 COMMUNITY MEDICINE
 DERMATOLOGY
 ENDOCRINOLOGY & DIABETES
 ENT
 FORANSIC MEDICINE
 HAEMATOLOGY
 HISTO PATHOLOGY
 INFECTIOUS DISEASE
 MEDICINE
 MAXILLOFOCIAL SURGERY
 MICRO PATHOLOGY
 NEUROLOGY
 NEURO SURGERY
 OBSTETRICS & GYNAE
 OPHTHALMOLOGY
 ORTHOPAEDICS
 PATHOLOGY
 PHYSIOLOGY
 PHARMACOLOGY
 PLASTIC SURGERY
 PSYCHIATRY
 PULMONLOGY
 RADIOLOGY
 SURGERY
 THORACIC SURGERY

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  UROLOGY

Culture :-

The original source of an organization is culture usually

reflects the vision and mission of the organization’s
founder. This hospital focuses on vision and mission which
helps to make strong culture of this hospital. The behavior
of top management like Medical superintendent with
employees is very friendly and employees feel comfortable
in duty hours.

CHALLENGES AND ISSUES:-

 Shortage of parking area

 Shortage of beds in emergency department.
 Insufficient equipments.

COMPETITIVE STRATEGIES:-

 Clean & neat atmosphere of this hospital.

 Medical Board.

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S.I.M.S. was recognized by the iMed. In 2008 as soon as its first batch passed out.

The S.I.M.S. journal "THE ESCULAPIO" is one of a kind in the quality of medical research it
boasts off and has received great international acclaim.

The students also have an yearly magazine that comes out by the name of the "SIMSONIAN".

The new college building, a state of the art building on which more than 100 million rupees have
already been invested, will be open by 15th December 2009.

S.I.M.S. students are considered the best medical students in Pakistan.

The First Prof. Part 1 result declared on 15th December 2009 affirmed S.I.M.S. as the best
medical college in punjab, the college showing an unprecedented 96 percent result.!!

As the SIMS had been accommodated on the PGMI's Birdwood Road campus and given a
maximum space for its offices as well, the board observed that the PGMI was now facing
scarcity of space even for its offices. It demanded that the government should hand over at least
two rooms in the administrative block back to the PGMI.
Talking to Dawn, a board member said it was perturbed over the en masse transfer of faculty.
The board wanted that this premier institution should stay for imparting postgraduate medical
education.
He said the board had called for immediate posting of required teaching staff at the PGMI or
approval to appoint teaching staff through special selection board.
It also called for the provision of sufficient budget for the research and laboratory facilities,
besides upgrade of its library. The board agreed that it would prepare a PC-1 for the
construction of the PGMI's new building on a 20-kanal tract on the LGH campus. The PC-1 will
also include equipment and personnel requirements of the institution.

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Jinnah Hospital, Lahore

Jinnah Hospital

Jinnah is the second largest teaching hospital in the Pakistani province of Punjab spread over
105 acres (0.42 km2) and with 1100 beds. It is the first autonomous hospital that has been
properly built according to a premeditated design with three main areas. First there is a
residential area for doctors, students and for the first time a rest area by the name of "Sarai"
where the relatives of the patients can find temporary lodgings. The Affiliated medical college is
Allama Iqbal Medical College.

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Jinnah Hospital is recognized by Pakistan Medical and Dental Council (PMDC) for house job
and specialist training and by College of Physicians and Surgeons of Pakistan (CPSP) for Post
Graduate Studies (FCPS). Most of the training programs are also recognized in United Kingdom
and Ireland by Royal College of Physicians, Royal College of Surgeons and Royal College of
Obstetrics and Gynecology.
Jinnah Hospital is where all major or minor accident cases from the Motorway are brought for
immediate management being the best Level I trauma center of Lahore. A majority of patients at
Jinnah come from the surrounding poor suburbs like Bhai Pheru, Pattoki, Raiwind and all the
near villages. Jinnah also caters to the southern localities of Lahore as well as southern Punjab.
Jinnah is a teaching hospital as well. With 1416 students studying to be doctors at Allama Iqbal
Medical College and learning practical procedures at Jinnah, over 7,000 doctors have graduated
from here over the last ten years.
It has a team of 65 consultant physicians and surgeons which are among the top ranking
professionals in the country. It has all departments like Ob/Gyn, Ophthalmology, Orthopedics,
Laboratory and General Surgery. What make Jinnah stand out among the other public hospitals
is additional departments like Oncology, Radiology, Plastic Surgery, Dermatology, Urology,
Neurosurgery.
Jinnah Hospital's services in terms of equipment also make it shine. Complete pathology tests
and scans including x-rays, ultrasound, mammography and CT scan are performed here. There
are certain services, machines and equipment which, although easily available in the private
sector are too expensive to purchase or maintain in the public sector. Jinnah Hospital has an
edge over the other public hospitals in having certain machinery like a Radiotherapy Machine
(Cobalt 60) which is functional in Jinnah Hospital.
An average of 550,000 patients visit the Out-Patient and Emergency Department every year,
where 70% of the treatment is given completely free. Every year more than 1,500,000 tests are
carried out in Pathology Laboratory. During year 2004, the Accident and Emergency department
has treated 134,477 patients, which were not charged even a single penny for admission, tests
or in case an operation is carried out. Emergency is open 24 hrs, Outdoor 7:00 am until 2:00 pm
Jinnah Hospital, Lahore

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Brief History

For every Pakistani 'Jinnah' is the symbol of Unity, Faith & Discipline and moral ethics like
dedication, commitment, hard work and selfless services. Named after father of the Nation,
Quaid e Azam Mohammad Ali Jinnah, the Hospital having strong history of serving hundred of
thousands of poor and deserving patients, providing practical training opportunities to the
medical graduates. Jinnah hospital is 1250 bed teaching hospital with 114% bed occupancy. It
is attached to Allam Iqbal Medical College, Lahore. It has got almost all the specialties in the
medical field. In this part of the world, Jinnah hospital is providing medical treatment services to
all humanity regardless race, cast, nationality and status. In the times to come this hospital will
be a great medical service provider organization.

INTRODUCTION:
Named after founder of Pakistan Quai-e-Azam Mohammad Ali Jinnah, 1100 bedded Jinnah
hospital Lahore become operational in the year 1994, initially by providing outdoor facilities only.
The hospital was formally inaugurated on February 2nd, 1996 by the Prime Minister of Pakistan
and then started the new era of quality health care delivery in the south western region of the
metropolitan. In the beginning, health care facilities was confined to limited specialties but with
the passage of time, more specialties and departments were added and now, the Jinnah
Hospital is providing quality health care services in almost all the specialties of medicine,
surgery and allied health sciences. In the year 2005 with the inauguration of new 100 bedded
Accident & Emergency Department, Jinnah Hospital was officially notified by the government as

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1250 bedded teaching hospital.
Now Jinnah Hospital, Lahore is a tertiary care teaching hospital attached to Allama Iqbal
Medical College. It is a 1250 bedded hospital comprising of 30 Departments of different
specialties. It has been acknowledged and rated as the leading institution of Punjab in
recognition of its excellent services, cleanliness and development works.
The performance of this hospital can be gauged from the fact that the total number of patients in
year 2003 was 500,000 and it has increased to 700,000 patients in year 2007. Hence, there is
an increase of 200,000 patients indicating the faith of general public in the services of this
institution.
Regarding the Accident & Emergency Department, it is a 100 bedded department with 50 beds
in Surgical Emergency and 50 beds in Medical Emergency. The Accident & Emergency
Department was strengthened in year 2005 under “SEMS” program. A total number of
approximately 300,000 patients were treated in Accident & Emergency Department during the
year 2007. Moreover, the consultants of on call units of Medical, Surgical, Orthopaedics,
Neurosurgery etc. are also available round the clock.

Jinnah Hospital – Departments

In Jinnah hospital, following clinical departments are working round the clock to provide services
to the public. The faculty details regarding these departments can be seen under the
Departments & Faculty link in Allama Iqbal Medical College heading.

• Department of Medicine. • Department of Surgery.

Medical Unit I. Surgical Unit I.

Medical Unit II. Surgical Unit II.
Medical Unit III. Surgical Unit III.
Medical Unit IV. Surgical Unit IV.
Coronary Care Unit. Intensive Care Unit.
• Department of Obstetrics & • Department of Otolaryngology
Gynecology. (ENT).

Gynae Unit I. ENT Unit I.

Gynae Unit II. ENT Unit II.

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 • Department of Pulmonology (TB
& Chest).
• Department of Psychiatry.
• Department of Pediatric
Medicine.
• Department of Dermatology.
• Department of Oncology.
• Department of Radiotherapy.
• Department of Clinical
Pathology.
• Department of Pharmacy.
• Department of Orthopedic
Surgery.
• Department of Urology.
• Department of Plastic Surgery.
• Department of Ophthalmology.
• Department of Neuro Surgery.
• Department of Anaesthesia.
• Department of Radiology.
• Department of Dentistry.

Administration - Jinnah Hospital

Medical Superintendent Dr. Zahid Pervez.

Additional Medical Superintendent Dr. Salah-ud-Din Khan.

Deputy Medical Superintendent (Admin) Dr. Masood Anwar.

Dr. Ghulam Mustafa

Director Accident & Emergency
Arain.

Adminstrative Officer Mr. Imtiaz Ali

Jinnah Hospital - Services Provided

Since its time of inception, Jinnah Hospital has maintained its repute of being one of the most
advanced health care centers in the Government sector. The Jinnah Hospital provides tertiary
health care facilities to patients from all over the country and from all factions of the society.
Most of the out of city patients belong to central and southern Punjab. All the road traffic
accidents from the M2 motorway are referred here. Because of its strategic location, it is the
hospital of choice for most of the newly developed colonies of Lahore covering Allama Iqbal

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Town, Canal View, Faisal Town, Garden Town, Township and many other areas of the city.
According to the folklore, Jinnah Hospital is the most neat and clean hospital in the Government
sector.

As most of the patients are of low socio-economic status, the hospital has a wide infrastructure
for catering to the needs of the poor. The hospital receives generous amounts of donations each
year, allowing free treatment and investigations for many poor patients. There are two areas for
the initial checkup points of the patients: the Outpatients department and the Emergency
department.

DEPARTMENT OF ACCIDENT & EMERGENCY

As soon as you enter the hospital, you will find the emergency department nosing out at the
front. It provides free treatment to an ever-increasing number of people. In year 2004 alone,
almost over 175,000 patients were provided case and relief in this department. There are four
emergency departments actively working 24 hours a day. These are Medicine, Surgery with
Orthopedics and Trauma, Pediatrics and Gynecology. The number of patient turnout in medical
emergency on a full sunny routine day is around 100. This value is around 80 in Surgical and 50
in the Gynae & Obs. Emergencies.

There are units on call which include Cardiology, Otolaryngology (ENT), Intensive Care Unit,
Ophthalmology, Plastic Surgery and Urology. There are emergency operation theatres actively
managing surgical, orthopedic and gynecological emergencies. Recently upgraded with new
expensive medicines for emergency patients, the fully air-conditioned emergency floor provides
lots of medicines not available to any other public sector hospital. Streptokinase injections,
Octreotide injections, Novapressin injections, Naloxone injections and Activated Charcoal are
the most expensive medical items to count a few while orthopedic implants that cost Rupees
5000 each are available for orthopedic emergencies. Such provisions standardize the
management of Acute Variceal Bleeding of Hepatitis C patients, patients of poisoning especially
organo-phosphorus poisoning, Myocardial Infarction (Heart Attack), fracture cases and care of
the terminally ill. Available for all and sundry, this equipment shows that medical science has
grown bolder and more successful than ever.

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There is a busy blood bank working 24 hours a day. It provides free blood donation services to
emergency patients on non-donor basis. Working on a give-and-take basis, the blood bank has
minimized the chances of getting blood from potential drug abusers.

Investigations form a backbone in modern medicine. There are free investigations services for
emergency department. The blood and urine investigations, Electrocardiography, X-Rays and
Ultrasonography services are completely free. The CT scan facility is also available in the
hospital & for cases of head injury presented in emergency this investigation is provided free of
cost.

Out Patient Department

The Outpatients department provides services for checking patients for follow-ups & common
and complex ailments. In year 2004, almost over 350,000 patients were catered in OPD. With a
nominal amount of Rupees 10, a patient can consult internationally reputed consultants. There
are more than 150 competent consultants available in this department. The medical, surgical
and gynecological outpatient departments are the busiest with over 200 medical, 90 surgical
and 250 gynecological patients checked on a bright sunny day. The complex and serious
patients are reviewed by consultants for admission. There are outpatients’ rooms for almost
every body system. There are three clinics: a tumor clinic, a diabetic clinic and a rheumatology
clinic.

In Patient Department

The wards have admission cases that are serious and complex. Entertaining admissions from
outpatients and emergency, most of the wards are peaceful, neat and clean. The number of
patients per consultant during a round is usually around 20. This means that adequate amount
of individual attention is paid on all patients. In year 2004, over 38,000 patients were catered in
various in-patient departments.
There are 4 medical wards. While all the wards are equally equipped for dealing with all sorts of
patients, some wards have specialized in particular fields depending upon the tastes of the
consultants. Medical I for example is specialized for neoplastic and endocrinology disorders,

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Medical II for Rheumatology and Pulmonology related problems, Medical III for
Gastroenterology and liver disorders and Medical IV for Central Nervous System disorders. Like
the medical floor, there are four surgical wards. Surgical I is specialized for hand and breast
surgery, Surgical II for liver & biliary tract surgeries and Surgical III & Surgical IV for
laparoscopic surgeries.
The orthopedics ward is the busiest ward in the hospital. With over 50 beds, the ward is most of
the times completely filled. There is a Urology ward in which facilities like Renal Transplantation
and Lithotripsy are available. There are two Gynecology wards, two otolaryngology wards, a
pediatrics ward, an Ophthalmology ward, a dermatology ward, a plastic surgery ward, a
psychiatry ward, a TB chest ward and a radiation oncology ward.

JINNAH HOSPITAL - "SARAI"

Walk into any public hospital. Gulab Devi or Mayo or Ganga Ram... you are in danger of tripping
over families of patients sleeping in corridors, lawn benches, any available chair or table. In our
society, with one patient the whole clan tries to move into the hospital and this is a norm. You
cannot ask or order them to leave as you cannot go against the masses, moreover the minute
you do so, they start complaining about mistreatment at the hands of the management creating
bad will & publicity.
Keeping in view the problem faced by Hospital Staff in functioning and the social & cultural
norms of our poor & un-educated section of the country, the management of Jinnah Hospital
had a novel idea of making a living area exclusively for the relatives of the patients in 1999. This
area called as "SARAI" or "Rest Area" is a completely separate block for residence built on a
half a kanal. It has halls with separate sections for males & females with all facilities for cooking,
washing and adjacent toilets to make their stay comfortable. On the average, more than 70
people can be accommodated in one night at the Sarai. Realizing the fact that people coming to
Jinnah Hospital belong to the poorest of poor villages and cities, the management charges only
Rs. 10 per night which is primarily for registration purpose & monitoring. In case a person is so
poor to afford the paltry fee of Rs. 10, the duty incharge has authority to make the
accommodation rent free.
The concept of "SARAI" has facilitated the smooth running of the services and has given the
hospital a cleaner and better managed appearance.

FOUR MANAGEMENT FUNCTIONS OF JINNAH HOSPITAL LAHORE

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Four functions of management performed by this top management of Jinnah hospital Lahore.
First of all top management of this hospital define. The goals that is provide first aid treatment to
patient and health care facilities save the life of human beings, then they assign the specialist
doctors and paramedical staff and established new departments providing specialist health care
facilities to the poor and deserving people then top management motivate the sub-ordinate e.g.
Jinnah hospital facilitate the house job physical for farther specialization and facilitate. The
Nurses for B.SC nursing and M.SC and at the last evaluate the performance of each
department.

CHALLENGES AND ISSUES:-

 Lack of paramedical Staff.

 Lack of beds in emergency.
 Lack of security.
 Emergency Rooms Under Stress

COMPETITIVE STRATEGIES:-

• 24 Hours first aid treatment with availability of every department specialist physician &
surgeon.
• Clean & neat environment of this hospital totally Government hospital and patient is
treated here free of cost.
• Plastic surgery is only available in “Jinnah hospital”.

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Burn Center

• Radiological department such as MRI (Magnetic Resonance Imagine) is available in

Jinnah hospital.
• Internet provided in every department.
• Computerized system in emergency.
• Cardiac surgery department and Cardiologist is present in this hospital.
• Allama Iqbal medical college.
• This hospital facilitates the house physicians for FCPS specialization.
• B.SC Nursing College is available only in Jinnah hospital.

CULTURE:-

The Culture of Jinnah hospital Lahore is very strong because every employee from top
management to lower level employee knows the shared values, Principals and ways of doing
their duties.

S.W.O.T. ANALYSIS

Services Vs Jinnah

Strength:

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  Services have medical board for employees.
 Services have less complicated procedure for emergency patients.
 Services have 33 departments, while Jinnah has 20 departments.
 Services Hospital staff is more cooperative.
 Diabetic management center is one of best in Asia.

Weakness:

 Jinnah has more covered areas than services hospital.

 Environment of Jinnah hospital is neat and clean than Services hospital

 Jinnah hospital has more specialized surgeon in Plastic surgery.

Opportunities:

 This year Services has an opportunity of getting more funds.

Threats:

 Recently BURN CENTER is inaugurated in Jinnah Hospital by

Prime Minister (Yousuf Raza Gillani)

 Availability of SARAI (rest area) for relatives of patients is only in Jinnah

Hospital.

Conclusion:

In above discussion we have discussed the functions of Jinnah and Services hospital. On this
conclusion one obvious thing is that both are almost the same as they are non-profit
organizations working under the government of Pakistan .One thing can raise their level is that
government and public support and as well as the loyalty of their managements.

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