Harvard Case
Shouldice Hospital: A Case Study in Expansion
The Shouldice Hospital, as it is described in the case analysis serving this discussion, is a highly progressive hernia treatment facility which not only specialized in this particular surgical procedure but which also provides a unique setting for convalescence. Through the promotion of ambulatory recovery and the creation of a context which is both clinically excellent and highly social, Shouldice offers a positive healing environment. The hospital experiences good results, positive patient feedback and a successful business model. Indeed, as confirmed by the Navjeevan Hospital (2011) sponsored Hernia Help Center, "Ambulatory Hernia surgery allows patients to walk as much as possible, which helps in faster recovery." (Navjeevan Hospital, p. 1) The positive outcomes and glowing reputation associated with the mode of surgery and the Shouldice Hospital respectively are central to this discussion. As the account hereafter will demonstrate, the greatest challenges before Shouldice largely involve finding ways to better sieze on and build upon its successes.
Major Issues:
Many of the most pressing organizational issues facing Shouldice involve the hospital's continuing growth. For the hospital's chief administrator, Alan O'Dell and for Dr. Shouldice (son of the founding Dr. Shouldice), most of the challenges facing the healthcare facility involve handling an constantly growing backlog of prospective patients. In response to this and several other growth-related needs, Dr. Shouldice indicated the need to increase "the hospital's capacity while at the same time maintaining control over the quality of the service delivered, the future role of government in the operations of the hospital [and] the use of the Shouldice name by potential competitors." (Heskett, p. 11)
Essentially, this denotes that the area in which Shouldice most needs to improve is in remaining abreast of market opportunities as they continue to emerge. This is especially true given both the commonality of the procedure and the increased popularity of the minimally invasive procedure in which the Shouldice facility specializes. According to the article by Landro (2012), more than one million patients a year undergo a hernia repair procedure. Landro goes on to indicate that "studies show that patients undergoing minimally invasive...
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