Moolai Co-operative Hospital Challenges and Opportunities Reactivation, Progress & Review 2003 – 2008.

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 MedicineFaculty of MedicineUniversity of JaffnaThinnaveli, Sri Lanka

Medical SuperintendentMoolai HospitalChulipuram, Sri LankaEmail: srajendira@yahoo.com

surenthirakumaran@gmail.com moolaii@yahoo.com

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 Equipment2003 To 2008

• British High Commission $ 52 K

• Royal Netherlands Embassy $ 3 K

• US AID $ 95 K

• North Provincial Ministry $145 K(Govt. of SL)

• North Carolina Peace Foundation $ 5 K

• SCOT- UK $ 4 K

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 ManagementName Title

Mr. V. Velupillai 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 SpecialtyDr. 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 NumberMatron 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

No Expenses Category Cumulative in US $

1 Salary for Doctors $ 36,7442 Salary for Doctors - Diabetic Clinic $ 7,000 3 Salary for Staffs $ 48,547 4 Salary for Staffs - Diabetic Clinic $ 4,362 5 Consultants' Fee $ 29,023 6 Employment Provident Fund $ 6,059 7 Employment Trust Fund $ 360 8 Purchase of Drugs $ 48,743 9 Medical Disposable $ 1,658

10 Repairs to Building $ 4,319 11 Repairs to Operation Theatre $ 1,916 12 Labor $ 2,545 13 Electricity $ 6,407 14 Generator $ 1,166 15 Telephone $ 2,218 16 Ambulance Repair & Diesel Expenses $ 13,165 17 Miscellaneous $ 26,442 18 Retired Employees Gratuity $ 580 19 Transport $ 2,958 20 Fencing $ 49121 Advertising $ 664 22 Electrical Spares $ 1,095 23 Uniform $ 473 24 Repair & Main. Of Equip. & Furniture $ 2,547 25 O2 Gas Refilling $ 292

26 Total Recurring Expenses $ 249,772

27 Capital Expenditure / X-Ray $ 44,422

28 Total Recurring & Capital Expenditure $ 294,195

Current Patient Statistics

MEDICAL SURGICAL VOGCARDIOLOGY DR. LUXMAN

DENTAL SKIN X-RAY DR.UMA ENT PEDS DIABETES OPDEYE

TEST

Jan-08 20 53 70 74 36 10 0 0 0 7 552 900 0 1,722

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

Oct-08

Nov-08

Dec-08

TOTAL 626 575 604 529 357 48 119 21 45 60 5,296 9,244 223 17,747

TOTALMONTHS

CONSULTANT CLINICS ON WEEK ENDS DAILY CLINICS

Income & Expenditure Summary

From May 2003 to May 2008No Details of Income/Remittance Cumulative in $US % Of Rev.

1 OPD & Inpatient $131,695 47%

2 Ambulance $4,330 2%

3 T.R.R.O California $80,153 29%

4 Ratnam Foundation $39,115 14%

5 MIOT for Family Medicine $1,625 1%6 IMHO for Free Mobile Service $7,242 3%7 Other Donations $12,080 4%8 Fixed Deposit Interest $4,791 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