Tuesday, September 4, 2012


Funds syndication for hospital financing - Q & A
Tarun Katiyar, Principal Consultant, Hospaccx India Systems 
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Funds Syndication in a nut shell: A syndicated loan is one that is provided by a group of lenders and is structured, arranged, and administered by one or several commercial banks or investment banks known as arrangers. In other words, it is a way of arranging funds for an individual (Borrower) by a group of people (Lenders)

How can any healthcare set-up benefit from it?
Even a small health care center or a diagnostic center can raise the fund through fund syndication and the best part of it is that they find active partners in terms of investors who can directly or indirectly support the center in increasing the revenue. Fund allocation purely depends on the need of the borrower. 

What kind of healthcare centres will be able to avail this service?
All kinds of healthcare centres ranging from a small nursing home to a chain of diagnostic centres, day care centres, corporate hospital, chains of clinics etc. will be able to avail this service.



What are the criteria a borrower should fulfil in order to be eligible for funds syndication?

The borrower should have a self-sustainable business with a good brand name in that particular region for the last 5-10 years.

How is it different from loans of financial institutions or term loan?
Loans from financial institutions require one to go through tedious procedures and is time consuming. Moreover, the financial institutions offer the loans based on your credit history and other related details.The most important part is that the bank is only partner in profit but when it comes to fund syndication they are partners in the loss also as they are partner in the business. Funds Syndication is more prevalent in US and European markets.

What are the merits of syndicated funds?
Syndicated funds offer significant merits over other investment options.

  • Less paper work required as in a Loan from Financial Institutions, No tedious procedures involved.
  • Financial risk involved is limited as it is equally borne by all the investors.
  • Less risk involved when it comes to the borrower as risk is divided among all.
  • Best merit is that the funder also become a promoter for your business and directly or indirectly he increases your revenue. Best example is when the investors are a group of doctors for a diagnostic center - Patient referral becomes easy, thereby indirect inflow of patients from the investors is seen.
What are the demerits of syndicated funds?
As all the other loan/investment related options have certain demerits involved, Funds syndication is no different either. But, it outweighs the other option.

  • As the investors are a group of people, they tend to influence decision making in the organisation.
  • Transparency is always an issue in such cases.
  • The client should have a self-sustainable business module.
Why is this required for smaller healthcare set-ups?
Sometimes smaller set ups/organisations do not have enough financial credentials to be presented before the bank, which makes it difficult for them to secure sufficient funds for their needs. Whereas, funds syndications do not have any such issues to deal with.They can use their capex in expansion or marketing of their services.

Conclusion

Any small diagnostic center, polyclinic, nursing home or a day care center which is looking forward expansion in massive mode. Fund syndication is a useful tool for them to reach the destination. 


For more information contact : tarun.k@hospaccx.in

Sunday, October 18, 2009

Management consulting projects

Management consulting projects :
1. Market Research for Clinical Molecular Diagnostics- JK Group
Map the market size, Growth opportunities and future Projections of the Molecular Diagnostic Market. Identify high growth applications in different therapeutic areas, with focus on communicable diseases. Identify Barriers in the growth of Molecular Diagnostics.Identify viable technologies drivers through comprehensive look at various platform technologies for molecular diagnostics.
2. Market Research for 100 Bedded Hospital Project in Gwalior – Escort Heart Institute
Indian Healthcare Scenario- Macro level, Healthcare Scenario of the specific area in terms of, Exiting healthcare Infrastructure, Cachement Area, Bed population ratio, Unmet needs, Growth potential, Thrust Areas, Critical Success factors etc.
3. Feasibility Study for 100 Bedded hospital in Muzaffarpur, (Bihar) 50 Bedded Hospital Project in Mathura (U.P)- Protech Group
Market Research and Financial Analysis. Total project Cost, Debt Equity Ratio, Cost of Operations, Revenue Projections Project Appraisal {Breakeven, Payback Period, NPV, IRR, DSCR}.
4 . Market research and Financial Feasibility Study for Center of Excellence for cardiology in Greater Noida.
5. Market feasibility of Cancer Hospital at Jammu for Mata Vaisnodevi trust.
6. Operationalization of First Referral Unit in the State of Uttar Pradesh and Bihar.
[Funded by European Commission]
Selection, Up-gradation and Certification of 140 Community Health Centres to First Referral Unit, in the State of Uttar Pradesh
We cater to all the customers segments of Healthcare Sector, ranging from diagnostic centers to large hospitals. We would also like to bring this very fact to your notice that despite being the new company, we are firmly rooted into strong professional value systems.

Saturday, October 3, 2009

A paradigm shift: Hospital turns into hospitality

A paradigm shift: Hospital turns into hospitality

Did you know that hotels are sometimes also used for post-operative recovery? It seems that staying in a hotel gives patients certain personalized comforts that a hospital does not. (Notice that I didn’t say cannot.)Hospital designers can actually learn a lot from hotel designers. Hotels offer a better ambiance for different moods, designated spaces for visitors/family to stay and a wide selection of room services to choose from — and these are just a few of the hotel amenities that hospitals can incorporate. Trends in hospital design today should lean toward the better integration of nature, color and information management. It is my hope that as hotels evolve to better satisfy their clientele, hospital designers will be paying attention. In today's hospital environment, healing has taken on a whole new look and feel.
Having being spurred on by the burgeoning medical tourism market in India, many hospitals have jumped on to the 'being hospitable' bandwagon to cash in on the boom time. The advent of this phenomenon has caused many hospitals to redefine their quality and service standards, in particular, the hospitality side of their business. And it is to meet this need, to spruce up its hospitality that many hospitals are turning to the hospitality industry for expertise to provide its patients with a wonderful healthcare experience.
Architectural view : hospital have to learn a lot from hotel
It is no secret that hospital patients are influenced by their surroundings. Hospital design directly impacts patient health – in more ways than one might think. Today hospital designers are trying to evolve hospitals beyond their infamously sterile décor. Care is being taken to use color, nature and way finding to ease a patient’s hospital stay. The following are five ways hospital design influences patient health – where care should be taken to improve patient recovery.
1) Residential elements
In the private rooms, several elements help create a more residential atmosphere. At the head of each bed sits a cherry wood wall storage unit that houses medical equipment. A visitors' seating area has a small sleeper couch or upholstered chairs. A work station for staff as well as visitors is at the opposite end of the bed. Shaded lamps, wallpaper, draperies, framed paintings and a comforter round out the feel.
The rooms also have refrigerators, Internet access hookup and even guest books. The bathrooms also fit into the concept with colored fixtures, decorative tile and roll-in showers.
Instead of a typical nurse station, the work area appears much like a hotel concierge. The lobby contains a water fountain and grand piano to give it a more soothing appearance and feel. Valet parking also is available.
2) PRIVATE ROOMS: Also important to hospital design is the frequency of private rooms in a hospital. Providing private rooms reduces medication error and falling instances.(1) I’m sure you can imagine that private rooms also make for better visiting with patients and their loved ones.
3) NATURE + ARTWORK: Hospitals that include nature and artwork are providing for more positive patient experiences. Both nature and artwork contribute to patients having a greater “sense of well-being” where spaces lend themselves toward contemplation and feeding the senses.
4) NOISE: A major problem within hospitals today is noise. Often patients cannot sleep through the night as medical carts screech through the halls and doors open and close. Hospital designers should pay greater attention to acoustics within hospitals as noisy environments generate more stress for patients. Also, sleep is critical for patient recovery.
5) COLOR: Use of color in hospital design has a multitude of uses. Color can help patients have a sense of orientation – where color is used to give different hospital areas a sense of place. Also, color has been known to be associated with mood. Using the right colors in waiting areas, examination rooms, hallways or patient private rooms can have a definite affect on patient motivation and stress levels.
Operational view: Health Care Hospitality Pays
Patients no longer simply look for a private room but one with a view and a welcome mat.
A new trend is emerging in the healthcare Industry which has many patients and visitors smiling. Faced with improving their lagging patient satisfaction levels, many hospitals are adapting a hotel style model of hospitality, with related amenities such as valet parking, greeters, courtesy shuttles, and concierge services. While one would normally only expect to find such luxuries at the finer hotels in the world, they are now being delivered every day at more and more hospitals throughout the country.
Not only do the services provide added convenience for patients and visitors, but they can also solve a variety of challenges related to new construction and state mandated seismic upgrade projects which many hospitals are dealing with. If you're still not convinced, Here’s some other reasons why it might pay to incorporate a few health care hospitality solutions...
Scoring Higher on Patient Surveys: Surveys have shown that hospital facilities which deliver extra amenities such as valet parking, patient concierge service and other hospitality related services score higher on patient satisfaction surveys . Patients who receive stress-relieving services such as valet parking and concierge are more likely to give favorable overall ratings to the hospital, and would be more likely to recommend the hospital to friends and family.
Even Government is supporting to hospitals to spur hospitality
The tax holiday extended by the union budget for hospitals in the tier-II and III cities is poised to fuel a mutually beneficial hospital-hotel partnership, and augurs well for medical tourism in the country. Land banks lying with hospital groups are now expected to be used for developing hotels on a partnership basis, where hospitals retain ownership of the land and the hotel companies oversee the management of the property.

Vastu Consideration In Hospital

Vastushastra can be applied in hospital location and construction

At the outset, while writing on vastu significance and its implications for hospitals, I was a bit hesitant as to how to co-relate these two different ideas. A hospital is place no less than a shrine where all concerned have a prayer on their lips and wish that prayers be answered quickly. Vastu in this regard plays a catalytic role as it channelises, organises and utilises-positive energy and minimises negative energy of all concerned namely medical staff and patients.

Apart from this, when stakes are high in hospital sector, vastushastra can be applied in hospital location and construction. Vastu works on positive and negative energy. If a hospital has higher positive energy, patient recovery would be faster and ALOS of the patient would be reduced resulting in increased bed turn-over ratio of the hospital.

Vastushastra

Vastushastra revolves around five elements. These five elements are: Earth: Geomagnetic energy.

  • Water: Gravitational energy, Fire: Solar energy, Air: Wind energy and Space: Cosmic radiation. These forces have a powerful influence on us and the environment.

Vastushastra deals with arranging our man-made environments so that we are in alignment with these forces of nature. If we are not aligned with solar and geomagnetic forces, it may lead to imbalance among the natural forces. As a result, we may experience illness, misfortune and struggle.

The East is the source of Solar, Ultra-violet rays, and the North is the source of magnetic energy. We benefit by keeping our environment open to these life supporting energies. The harmful infrared rays coming from the south, and the destructive gamma rays, coming from the west, cause disruption within the environment and our bodies. Using the principles of Vastushastra, we protect ourselves from these rays.

Each of these elements is associated with a particular direction- water in the North-East, fire in the South-East, earth in the South-West, air in the North-West, and space in the Centre. By balancing these elements in their proper proportions, we could minimise the number of risk factors and Levels.

Application of Vastu

Vastu for hospitals may ensure quick recovery of patients, conducting successful operations etc. Vastu advice for hospitals is based on the study of different factors like the proper location of hospital, hospital exteriors, location of operation theaters, emergency ward, placement of beds for the patient etc. The hospital planning begins with locating a proper site. The basic considerations, of course, would be to select the site near main roads. This way, the accessibility to the hospital would be good. North-east sites are ideal for hospitals. But, if corner sites are not available east and north-facing sites are recommended. Many a times, these sites are not available and one may be forced to go for a west or south facing site. A West-facing site may be preferred to South-facing one. However, in case even if a South-facing site is not available, Vastu can still be applied judiciously to get the sites the needed balance. A site that has all sides equal (square) would be ideal. In a square, all the primary elements of nature --- udaka (water) , gagana (space), pavana (air), dahana (fire) and prithvi (earth) are well balanced. If a rectangular site is selected, the length should not be more than twice the Breadth.

Importance of Sleeping Positions

The patient's cots can be placed such that their heads are to the South. This way, the magnetic energies coming from the various sides and the polarity induced in the body, vibe with each other to maintain a balanced blood circulation in the body, thereby strengthening the healing and curative properties of the body.


Published in Healthcare Express Aug 09 :http://www.expresshealthcare.in/200908/tradetrends04.shtml