Root Cause Analysis for Operating Loss in a 350-Bed Hospital
Prepared for 180 Degrees Consulting, BITS Goa
Executive Summary
Problem Statement:
- The hospital faces a $12 million operating loss due to Operating Expenses > Operating Revenue.
- Formula: Operating Profit = Operating Revenue - Operating Expenses.
Key Challenges:
- HR costs account for 50% of expenses, but layoffs are ruled out as the hospital is a key employer.
Root Causes:
1. High Operating Expenses: Inflation, unused equipment, maintenance costs, delayed
reimbursements.
2. Low Operating Revenue: No increase in patient volumes, competition, lack of modern services,
weak retention.
Proposed Solutions:
- Cost Optimization: Renewable energy, inventory management, reimbursement automation.
- Revenue Growth: High-demand services, telemedicine, loyalty programs, targeted marketing.
Expected Outcomes:
- Financial: Reduce expenses by 15-20%, increase revenue by 10-15%.
- Operational: Optimize non-HR expenses while maintaining staffing stability.
- Strategic: Enhance resource utilization and strengthen patient retention.
Root Cause Analysis
Root Cause Categories:
1. High Operating Expenses:
- Inflation.
- Unused equipment (post-pandemic effects).
- High maintenance costs.
- Delayed reimbursements.
- Inefficient medical supplies.
2. Low Operating Revenue:
- No increase in patient volumes.
- Rising competition.
- Lack of high-demand services.
- Weak patient retention strategies.
Solutions for Operating Expenses
1. Optimize Maintenance:
- Shift to renewable energy (e.g., solar).
- Conduct preventive maintenance.
2. Streamline Medical Supplies:
- Centralized inventory management.
- Negotiate supplier discounts and reduce wastage.
3. Address Reimbursement Delays:
- Automate billing systems.
- Assign dedicated teams to follow up on claims.
Solutions for Revenue Growth
1. Membership Cards and Loyalty Programs:
- Encourage repeat visits with exclusive benefits.
2. Telemedicine:
- Expand online consultation services.
3. High-Demand Services:
- Introduce cosmetic surgery, fertility treatments, and wellness programs.
4. Referrals and Marketing:
- Build referral networks with smaller clinics.
- Launch targeted marketing campaigns.
Expected Outcomes
1. Financial Impact:
- Reduce expenses by 15-20%.
- Increase revenue by 10-15%.
2. Operational Impact:
- Improved resource utilization.
- Faster reimbursement cycles.
3. Strategic Impact:
- Strengthened market position.
- Enhanced patient retention and loyalty.