Chioma Francisca Nwabuaju

FEASIBILITY STUDY ON HOSPITAL PROJECT (MEDICAL TOURISM) Overview Once the space of curative discovery has formalized that there is no better way to recuperate from physical hazard such as industrial pollution than to put to manifestation the vigor of medical tourism. This perception for decades has given rise to the development of contemporary wellness and health concerns of a tourist’s migration, which Ken de la Barre in his quote stated that “the wilderness for centuries were searching for maximum health purification which the quest led to a cross cultures of transcended politics, illusive control of human perception on the true meanings and values of health reformation” Based on his emphasis, the new development of medical tourism was generalized for the purpose of enhancing health condition; however, the challenges of financial, philosophical and political oneness are overcrowding the control of the principles in medical tourism. Apart from the psychological concept of medical tourism, we may evaluate the importance of the system using a single definition of MT as were a patient moves from one nation to another in turn to obtain a medical care and attention. In this report, we will evaluate the feasibility of medical tourism while staging a case study that will analyze the fundamental background, existed ownership, biographies, establishment of staffs and management, items, market investigation and so much more. History of the project: Prior study had shown an evaluated outcome of health and wellness necessity, especially why consumers are after a common interest of looking good, healthier and feeling better with their medical records and physical appearance. The core reason behind the increase in response in recent medical practices and therapeutic affairs is due to a recreational innovation in culture, spa, health and tourism. The fundamental history which guides the evolution of the project commenced before the 19th century when the principles of minerals and hot spring came to light with a held focus on Neolithic bronze ages of European utilization of thermal spring as a curative power for health and wellbeing. This accustomed belief existed during the middle ages with a firmly realization of health tourism and medical established characterization. The medical established industry offers both medical diagnosis to the migrated tourist, a therapeutic diagnosis using medical wellness and spa and air & fresh sea antidote diagnosis. Ponce de leon on his research during the 16th centuries called the project a conceptual development to a new world while the development of a creative health tour system named the Spa town started in 1700s and1800s. According to Ross research which demonstrated the revolution of Rancho La Puerta Fitness Resort in US with the establishment of $17.50 on personal tent-spa and health living retreat in 1939. Before the early 20th century, there was an expansion of healthy living idea to the northern San-Diego and the opening of Tucson's Canyon Ranch used to provide a pampered care giving to personal health, curing of different illnesses and offering of good health reviving diets. Till date, health and physical wellbeing hospitals were equally established to expose the significance of giving life more meaning by travelling the world for proper health care and SPA destinations for health attention. Existing and proposed ownership of the company The existence of medical tourism dated back to European findings on health evolution which extends to Baden-Baden popular spa that lies between the two sides of the Atlantic ocean. Its existed priority left Europe to North America where Jackson Lears noted the process as a therapeutic world law-view and very quite in Canada, the tourist industry in regards to health advancement has grown extensively especially during the holiday season. It’s proposed ownership furthered down to Ethiopia, Pakistan, Yemen, Bulgaria, Siberia, and El Salvador Brief Biographies of the owners of the Company Based on the outlined feasibility case study, the originality of medical tourism was first founded by Bladud the father or King Lear in 867BC, who was known for using the hot spring and fresh sea as a curative strength and power to protect his people. The reign extends down to Florida in the 1800s which led to the development of Baden-Baden and further to the establishment of Spa International association in 1991 whereby Ross recorded the incidence of Medical tourist expansion from US to Canada which Jasen wrote on his research named Wild Things: Nature, Culture, and Tourism in Ontario-, p. 107. Its existence persisted in US with an actualization of Saratoga Springs in New York, and Hot Springs in Arkansas. Moreover, the southwest attracted dosages of warm dry climate were notified to help people with respiratory problems. The ownership and expansion were further established in Africa and middle east, places such as Israel, Iran, Jordan, United Arab Emirates and South Africa. Details on Management Staff: Positions, Designation and brief biographies. For expansion project, identify the existing and potential needs of the project: This feasibility report highlights the dynamic integration of finances, technical data, HR Considerations, and human resources planning. Emphasizing on the management and HR designation, the establishment of medical tourism involves designed HR resources such as; Manpower resources Recruitment Formulating HR policies, systems and procedures Managing the designed performance Inspiring the spirit of team work and work culture Training development Rewarding a thriving management For a proficient expansion of medical tourism, these listed types of services may be provided. Hair & Esthetic Studio’s Massage studios Health & wellness retreats Fitness centers Miscellaneous health services First Nations health services Environmental organizations and associations Religious and spiritual organizations Skills and management position required to run a hospital tourism are as follows; Medical Doctors Pharmacists Falun Gong Naturopaths Homeopathy Traditional Chinese Medicine & Acupuncture Chiropractic Physiotherapy Osteopathy Massage Therapy Trager & Rolfing Reflexology Energy Therapies & Spiritual Practitioners Psychology & Counseling Yoga & Meditation Therapies Shamanism First Nation Traditions Herbalists Nutritionist Pilates Reflexology Reiki Shiatsu, and miscellaneous practitioners Identify the existing and potential needs of the project: in turn to recognize the existing and potential needs of the project, we will require considering the demographic, change, cost and technology. The core rules of tourist acquisition are acceptability and adaptability. Here are identified types of services offered by tourism medical care centers; Bone marrow transplant Heart surgery Neurological and cancer treatment Cauterization Eye-surgery and plastic surgery Weight loss Kidney transplant Computer tomography Spa and therapeutic wellness Fertility, maternity and child care Specialist laboratory  List of all items needed to furnish the 50 beds Hospital and wards (General Surgery, Heart, Orthopedics, Dental, Eye, Mother and Child Care, Emergency Unit). X-Ray Unit, Ultrasound, Specialist Laboratory and Wellness Unit For a convenient remodeling and furnishing of a tourism medical care, these listed items are necessarily important to maintain the laboratory, surgery, x-ray and wellness unit; Medical facilities are; Cardiac Cath Lab (equipments are; Innova 2000 - The Innova 2000 by GE is a digital imaging system)  Multi - Speciality OT's ( Equipments are, high precision gadgets, new generation heart-lung machimes, intra aortic balloon pumps, touch screen flat panel monitors, advanced ventilators, cell savers and international laminar flow, Blood Gas (ABG and Electrolytes) & Steam sterilizer (flash),  CSSD through dumb waiter lifts )  Specialist Emergency Care (Equipments are Colonoscopy, Endoscopy, Bronchoscopy, IOL, D&C, Closed reductions, AV fistulas, Various Biopsies such as Trucut, Cystoscopy, Dilatation of stricture urethra without anesthesia)  Day Care Oncology(Equipments are Surgical Intensive Care Unit (SICU), Coronary Care Unit (CCU), Medical Intensive Care Unit (MICU), Speciality Intensive Care Unit (SPICU I & SPICU II) (single and multi-drug infustional chemotherapy devices)  Endoscopy (Equipments are Colonoscopy full length, Sigmoidoscopy, Endoscopic variceal band ligation, Endoscopic removal of stents, Endoscopic polypectomy, Colonoscopic polypectomy, Endoscopy, ERCP- diagnostic, ERCP- therapeutic-removal of CBD stone, Billary stenting, Oesophegal dilatation and stenting)  Nuclear Medicine (equipments are, Stress Thallium (SPECT), Pharmacological Stress Thallium (Adenosine/ Dobtamine), MUGA (Stress/Rest), HMPAO/ECD Brain Perfusion scan (SPECT), Ventilation/Perfusion scan (V/Q scan), Thyroid scan/uptake, Parathyroid scan, MIBG scan for Pheochromocytoma, Bone scan, SPECT bone scan Renal system DTPA scan DMSA scan Captoprill scan for RAS Oncology Gallium scan Radionuclide therapy (strontium/samarium) 131 I-Whole body scan Gastroentrology Gastric emptying study GI Bleed study HIDA scan  Sample Collection (Equipments are; FNAC fine needle aspiration cytology, Sample Collection Room/Phlebotomy, adjacent to the OPD Reception, Dade Dimension RxL Hycel-Celly Cell Counter, Bactec and other auto-analyzers)  Pulmonary Lab: This specialized pulmonary lab test devices and offers- PFT : - Pulmonary Function Test (Spirometry)-It is volume and flow rates measures while doing forced expiratory and inspiratory maneuvers. EEG : - Electroencephalopathy-Recording of brain electrical activity shows characteristic changes confirming partial (focal) seizures and may show the focus (location of cause) NCS : - Nerve Conduction Studies-NCS recordings are made using electrical stimulation of the peripheral nerves. EMG : - Electromyopathy-EMG activity measures the spontaneous and voluntary electrical activity produced in skeletal muscle. VEP : - Visual Evoked Parential-These studies are used to monitor the response of the peripheral or,more commonly,central nervous system to a variety of sensory or cognitive stimuli. PSG : - Polysomnography (Sleep Study)-Sleep study or polysomnography is a multiple-component test, which electronically transmits and records specific physical activities while you sleep. The recordings become data, which is read or analyzed by a qualified physician to determine whether or not you have a sleep disorder.  Blood Bank  Dietetics  Cardiac OTs  Critical Care Units  Domiciliary Care (Wards, air-conditioned, curtains, television, a telephone and cupboards, couch and bedding, wardrobe, lounge, a pantry and a spacious washroom, 2000 sq ft per bed) Other hospital ward facilities are; Round the clock medical and nursing care Centralized oxygen and suction facility Nurse Call Bell Television / Phone Bed cum sofa for the convenience of the attendants  Dialysis  Radiology (Equipments are; 64 Slice CT Scan, Ultrasound, X-ray, MammographY)  Pathology (Equipments are; ISO; IEC 15189)  Urology Lab (Equipments are; Uroflowmetry, Cyclometry, Urethral pressure profile UPP)  Audiometric Tests (equipments are; Pure tune Audiometry, Impedence Audiometry, Speech test, Caloric test, Tone decay, Special test- SISI)  Physiotherapy: Physiotherapy devices includes : - Shortwave Diathermy Microwave Diathermy Electrotherapy Traction Ultrasound therapy Laser Hydrocalateral packs Cryopacks Advance techniques of Manaul therapy & Manipulation Supervised Excercises for 20 minutes & 1 hour Inital evalaution with excercises Consultation Cardiovascular Suite facilities for general public & staff. Mobile services at the patients doorstep  Sleep Study (equipments are; polysomnography (PSG) machine, Polysomnograph monitors) Non-Medical Facilities Fortis Healthcare inn Cafe Coffee Day 24 hour Chemist Shop Business center Prayer Room Book Shop Masterji Cafe 24 Hot Shoppe/Nestle Coffee bar Gazebo Banks and ATMs Kid's Corner Patient Welfare Department Heart Lung Machine : - During the by-pass surgery, the heart is made to stop and hence this machine takes over the function of the heart (pumping) and lung (Oxygenation). Supplied by Terumo, Model Sarns, 9000 has the advancement of built in four pumps. OT Table: Supplied by ALM, one of the advanced operation table in the market, fully operational electronically.  OT Lights : - Shadow less high power operation lights with 3 domes facilitate different activities of the operation like vein harvesting, sternal opening etc at the same time.  Anaesthesia Machine : - Drager Supplied Julian make anaesthesia machines are used to keep the patient sleeping during the surgery. This very user friendly and highly advanced anaesthesia workstation monitors the level of anaesthesia given to the patient.  Cautry Machines : - Used for cutting the skin/tissues with minimum loss of blood. Supplied by Valley lab with the advanced model, Force Fx.  ACT Machine : - This machine is used for measuring activated coagulation timing, very essential to identify the clotting time of the blood for cardiac patients.  Patient Monitor : - These advanced touch screen, modular type monitors supplied by Agilent Technology come with two slave monitors to facilitate the surgeons during surgery and can host, ECG, Spo2, Invasive & non invasive Blood pressure, Temp, CO2, Cardiac Output, EEG, Blood Gas Analyser parameters at the same time. These monitors have the direct access (Network) to the monitors in the SICU, through which the doctors can view the data of patients in SICU and vice versa.  Scrub Station : - Fully automatic, sensor based scrub station are used for scrubbing (washing hands) which is connected with ultra pure R.O water  Other equipments include; Ventilators Monitors ICU Beds (HILROM) Mattress (Ripple mattress) SICU Pendants Bed Head Panel Intra Aortic Balloon Pump (IABP)  Infusion / Syringe Pumps Critical Care Stat Lab Emergency Operation Theatre X-Ray room Ultrasound ECG Plaster room  List of all Drugs and Dressings, Reagents : Alkylating agents modify/damage cancer cell DNA Intravenously (IV)            – injected into a vein Intramuscular (IM)       – injected into a muscle intraperitoneal (IP)       – injected into the abdominal cavity Intracavitary (IC)            – injected into a body cavity Subcutaneous (sub.q.)    – injected just under the skin Oral (PO)                            – as a pill or a liquid to be swallowed.... Detailed information on the sources of the equipment and supplies listed above: For the purpose of offering a high-oriented equipments HWT is the most intensive suppliers of potential international health equipments used in perfecting the services given in medical tourist departments. Such supplies may include; Health supplementary Food products Organic herbs Herbs shops and agricultural farm product Technology oriented products and pharmaceutical drugs. Detailed Market investigation highlighting nature of demand/supply of the services local and international. Analysis of Retainer-ship, in and out patients The world international health economic profile has detailed the observed rise in demand and supply of both local and international services in medical tourism. Such growth were examined and recorded by the increase in number of medical tourist hospitals, spas and health care. For instance in US, over 250 new health tourist care center were formally opened in recent times and since-, the number has increase from 40%-79%. Here is a table which illustrates the demand and supply level of services both internationally and how far medical organizations has gone to maintain clients around the globe. Continents Demand Supply Retainer-ship North America 67% 79% 45% Middle East 96% 88% 42% Europe 91% `90% 55% Determination of nature of competition, pricing and service delivery in the industry. Prospect of the medical services in the industry. The price worth of service delivery in this industry varies based on the type of services required by a client. Whether a complementary or alternative medicine service, the delivery, medical tourism always portrays a high level of competition. The nature of competition lies on the performance level of the hospital, worth of service and product used in actualizing a better health for clients. It’s critically different from a materialized sense of rivalry but basically lies on how the hospital manage their patients which may give rooms to retaining or losing the patient to competitors. The quality of service assurance according to ISQUA (the international society for quality in health care) may summarize the reason why a tourist hospital will go out of the market or thrive and beat other performing hospitals. The rate of medical tourist charge may depend on the pre-flight arrangement. Whether the hospital is in charge of flight, feeding and accommodation, if not; the fee might be less. The real worth of medical tourism may cost from $3000-50,000.