HBA credential exhibits

Samples of client work

CONFIDENTIAL
11
21
st
May 2013
HealthBridge has worked with some of the most highly regarded healthcare
players across several emerging markets
Some of our clients
2
Prince Aly Khan
Hospital, Mumbai
Sir J. J. Group of
Hospitals, GoM
We have conducted engagements from a variety of perspectives,
through venture life-cycles and across functional areas
Variety of stakeholders
and fiduciaries Across all functional areas
Charitable donors
Trustees (public
and private)
Pan-life cycle experience
Business
concept
Venture
Turn-
Strategy
Due diligence and risk
assessment
Business model evaluation
& specialty strategy
Operations
ADT, asset efficiency
3 Source: HealthBridge
Promoters
Operators
Government
Venture
evalu-
ation
Green-
field
develop
ment
Growth
planning
Turn-
around
ADT, asset efficiency
Long-term performance
improvement
Leadership & Org
Governance & policy
Change management
Doctors model
Technology
IT Strategy and
implementation
Distinctive in our approach, domain knowledge and pragmatism
CEO-agenda led, strategic approach
Laser focus on single domain
4
Focus on achieving results
Source:
HealthBridge has worked with operators, owners and other fiduciaries of
healthcare institutions to provide advisory and implementation support (1/3)
Greenfield practice Project description
Tertiary care teaching
hospital , Govt. of
Maharashtra
Won an international bid to build a multi-specialty tertiary care teaching hospital
Developed design basis for facility including design principles, facility standards,
layout and space requirements. Developed patient centric workflows.
Work areas in progress: operating model , setting up systems / processes and
HIS, patient centric workflows
Tertiary care hospital in
South India
Delivery of turnkey hospital project including activities right from feasibility and
planning to implementation and commissioning of the hospital
Major tertiary care hospital
in Gujarat
Overall facility and layout planning for a 450+ beds tertiary care hospital in
Gujarat, the flagship hospital for a leading corporate group
5
Business strategy/ investor
advisory practice
Diabetes and eye care
strategy for Indian private
equity firm
Conducted comprehensive market assessment of diabetes and eye care spaces
Evaluated care model within context of existing healthcare delivery system
Proposed realignment of business models to suit local dynamics
Major PE funded for-profit
hospital in Gujarat state
Improving bed occupancy and ALOS management
Conducted a study of inpatient operations, case mix, BOR and occupancy to
identify opportunities to release capacity to accommodate rapidly growing super-
specialty practices. Identified ways to release upto 5,000 additional bed nights
Pre management contract
due diligence for Hospital in
GCC
Conducted overall organization, manpower and talent assessment;
identified cost saving opportunities from procurement and supply chain
Investment strategy for PE/
venture capital firm
Conducted due diligence of leading hospitals current performance, growth
plans and physician engagement model in NCR region
HealthBridge has worked with operators, owners and other fiduciaries of
healthcare institutions to provide advisory and implementation support (2/3)
Major charitable trust
hospital in South Mumbai
Major charitable trust
hospital in Delhi
Multi- year operations improvement program
Conducted business process re-engineering of admission, discharge and
related cycles to streamline patient and materials flow
Achieved cost savings by reducing OT inventory and introducing best
practices in supply chain management
Developed go-to marketing strategies to increase revenue from patient
groups
Assessed organizational structure against benchmark hospitals
Conducted business process re-engineering of admission, discharge and
related cycles to streamline patient and materials flow
Project description
Operations practice
6
hospital in Delhi
Private super specialty
hospital in Kerala
Diagnostic evaluations at
over 10 hospitals across
India
related cycles to streamline patient and materials flow
Introducing best practices in supply chain management to reduce costs
Developing go-to marketing strategies to increase revenue from patient
groups
Revised and standardized packages to increase revenue
Revised and restructured current bed complement by evaluating current
and projected clinical case mix
Developed robust MIS and decision support capabilities to offer real-time
insight into operational processes and business intelligence
A unique product developed by HealthBridge to benchmark a hospitals
performance and use of best practices; identify operational challenges
and improvement areas
HealthBridge has worked with operators, owners and other fiduciaries of
healthcare institutions to provide advisory and implementation support (3/3)
Project description
Public Health practice
Charitable foundation in
Nigeria
Charitable trust to leading
eyecare hospitals in
Southern India
Improving maternal and child health services for over 200,00
Nigerians
Evaluated program design and interventions against best practices
Designed monitoring and evaluation system; set resource and
activity targets linked to intervention effectiveness
Improving patient care processes and outcomes in eyecare
Evaluated community outreach program against best practices
Defined performance indicators for patient care and service quality
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Southern India
Defined performance indicators for patient care and service quality
Aligned organizational structure with program goals
HealthBridge has conducted multiple due diligences/audits for investors in
India and abroad
Investment
thesis :
Expanding the
EBITDA of the
flagship
hospital over a
short period of
time
Study brief Outcome
A well known PE firm planned to acquire a strategic stake in a
major hospital chain in India, for which, HBA conducted an
performance assessment of the chains flagship hospital
HBA identified areas for performance improvement including gaps
in efficiency and their drivers (physical infra, process, incentives);
gave unbiased opinion on quality of management team
PE firm invested
in hospital in one
of the largest
such investments
in the country to
date
Investment
thesis :
Capitalize on
Study brief Outcome
Major PE/VE interested in investing in a mid-sized tertiary hospital
in major urban centre; strong location advantage with unused
headroom for expansion. HealthBridge mandate to evaluate
PE firm makes
investment;
drives
ILLUSTRATIVE LIST
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Capitalize on
strong
location and
market
advantage
headroom for expansion. HealthBridge mandate to evaluate
market and growth risks
Assessment reveals strong market position and location
advantage; identified need for strengthening core org to sustain
growth in scale and complexity
drives
development of
management
team
Investment
thesis : Build
scalable
single
specialty
network
Study brief Outcome
Multiple studies for evaluation of single specialty/single condition
chains across the country; clients include Indian and global PE/VC
funds
HealthBridge variously identifies business opportunity in each
specialty and attendant risks associated with rapid one-size-fits all
growth moves
Provides strong invest/avoid advisory
N/A
We focus comprehensively on drivers and enablers of performance (1/2)
Performance
assessment
Management
assessment
Operational performance assessment
Operational and financial assessment
o Deep and structured workload and volumes assessments (e.g. specialty
wise trends, conversion rates, share of spend, consultant level volumes)
o Assets utilization (including but not limited to ALOS, bed analysis, asset
volume turnover, productivity and utilization of major capex/opex heads
benchmarked to peer-facilities and global standards)
Deep Process evaluations
o Evaluation of key processes like RADT ( registration, admission, discharge
& transfer) to benchmark current performance and maturity in terms of IT
enablement and the outcome management
ILLUSTRATIVE LIST
9 Source: HealthBridge
assessment
Market assessment
enablement and the outcome management
Procurement and supply chain
HMIS product evaluation and utilization pattern analysis
Clinical performance management assessment
o Evaluation of core clinical performance management outcomes
o On-the-floor study (including primary and secondary data , if needed) to
evaluate adherence to known clinical quality and safety practices (e.g.
usage of ICU infection control bundles)
o Organizational and procedural evaluation of clinical governance
mechanisms (e.g. OT committees, performance reviews etc.)
We focus comprehensively on drivers and enablers of performance (2/2)
Performance
assessment
Management
assessment
HR and management assessment
Evaluation of the current workforce numbers
o Category wise head count comparison with the market benchmarks &
peers
o High level compensation comparative for selective designation
o P&L level comparison of workforce costs against market benchmarks
HR processes and policies
o Evaluation of the HR organization and team
o Assessment of the current HR policies and processes
o Expert evaluation of the quality and structure of the current performance
appraisal processes
Management assessment
ILLUSTRATIVE LIST
10 Source: HealthBridge
assessment
Market assessment
Management assessment
o Expert evaluation of the core management team in terms of skills,
mindsets and incentive structure to provide an opinion on their suitability
post investment
Brief competitor landscape assessment
What does the competitive landscape look like for your market? Who are the key
classes of competitors? What segments do they cater to? What are the key gaps
in the market today and in the foreseeable future?
What are the overall market economics? Are there any crucial discontinuities that
will disrupt the market (e.g. new technology, regulation) and how will they affect
your investment?
HealthBridge brings deep domain experience, reflecting our experience of
over 50 hospitals in a dozen countries (1/2)
11 Source: HealthBridge
HealthBridge brings deep prior experience, reflecting our experience of over
50 hospitals in a dozen countries (2/2)
12 Source: HealthBridge
HealthBridge has assessed and improved all aspects of operations in the
healthcare delivery business
Operations
Supply chain
Centralized inventory and
rationalized stock levels
using consumption based
re order levels releasing
Rs 2 Cr
ADT
Developed an all new
process- that began on
Manpower
Top Team
Assessed organizational
structure against
benchmark hospitals and
recruited leadership team
Manpower structure and
Design
Defined performance
Revenues
CT/ MRI
Added 18 CT and 16 MRI
slots daily by offering 24/7
appointments generating
Rs 2,00,00 per day
Packages
Revised and standardized
packages using clinical
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process- that began on
the day of admission- to
enable smooth discharge,
reducing discharge time
< 1 hour
Energy Management
Recommend the clients to
enter into Turkey contracts
with a vendor to
guarantee savings and
minimize risks saving Rs
28-30 Lakhs per annum
Defined performance
indicators for patient care
and service quality
Doctors Model
Designed patient centric
workflows to enable a
retail- type patient
experience and developed
an innovative doctors
model to support it
packages using clinical
pathways & surgery kits
for over 30 procedures
Key Account Management
Ensured steady patient
inflow by strong institutional
relationships
Thank You
www.health-bridge.in
14
Address:
HealthBridge Advisors Pvt. Ltd.
401- 404 Dynasty Business Park,
B Wing, Level 4,
Kanakia Spaces, Andheri-Kurla Road,
Andheri (East), Mumbai 400 059. India
Contact:
+91-22-42547001
info@health-bridge.in