Medical Association "Santam"

Project description

Creating an effective medical infrastructure

Medical infrastructure – the complex of activities that complement each other, increasing efficiency and profitability.

In our case, under the medical infrastructure we understand the following areas:

1. Network of medical centers, providing medical services – this unit is basic, at the core of the infrastructure. Medical centers to form a network of polyclinics, which are to build long-term relationships with patients. The main activities of the clinics to implement family doctors, who are by far the most cost-effective mechanism for the delivery of medical services. Narrow areas are developing under "their" patients, increasing the overall profitability of individual clinics and the network as a whole.
2. Pharmacy at the medical centers main idea, which is implementation related sales to patients served in our clinics, which increases the level of service and the efficiency and profitability of the used space.
3. Post-graduate education of doctors – clinics are clinical bases of our educational organization that improves the quality of training of our doctors, reduces our expenditure on education can further make the doctors who are teachers, as well as an additional source of income in the provision of educational services to other organizations.
4. The concept of a single supplier – we optimize procurement using their own information system and implementing them through their own separate legal.face that allows us to reduce purchasing cost by consolidating orders from all medical centers, getting the most favorable conditions of supply.

The aim of the project:

— To create an effective and sustainable healthcare infrastructure in the regions of the Russian Federation

— Until 2029 to open 100 medical centers (own network + partnership), currently for 1. 5 years after launch we are launching for the 2nd med center in the city of Krasnoyarsk.

Until 2029 to service 10-30% of the population

— Development of already created Santam University (educational organization) corporate educational infrastructure, with the aim of improving and maintaining a high level of training of medical personnel centers

— Development of strategy of a single vendor (Basilca), reduction and optimization of expenses for the purchase of equipment Association.

— Increase of profitability of clinics through the implementation of related products (SOP products + pharmaceuticals) (a separate project that will have a number of competitive advantages to the pharmaceutical market, combined with a network of medical centres)

At the moment we have formed a pool of competitive advantages, thanks to which we, starting with a new brand in the city where there is already a market for medical services with their leaders and there is a significant number of competitors, achieved the following results:

1. Over a period of a little over 1-year has gained sufficient speed (the average of 3, 5 million per month/ tech in 2-3 months we plan to reach 4 million) to open a second clinic
2. For the 1st year of work each month, we will give a positive trend in the growth of working capital in a month
3. For the first year of operation we were returned to 4 million rubles, which were made in the investment period at the start of the loan agreements. Since these payments were made after the payment of the salaries and major expenditures, they can be considered profit.
4. We were able to reach operational profitability, i.e., to cover their mandatory expenditures in 6 months after obtaining a license.
5. After a year of work we are connected to all the economic mechanisms for payment of medical services
   1. Cash
   2. LCA (concluded contracts with 10 of the largest insurers operating in the Krasnoyarsk region)
   3. OMS (went complete function clinic via attachment to us population)
6. For the first year of operation from scratch we asked 7,000 people, of which 95% turned more than 2 times in a year, 50% more than 3 times (OMS during the first year were not connected, these patients received help for a fee)

What is interesting and beneficial interaction with us:

1. We implement already tested and proven our business model, which simplifies and accelerates the achievement of positive balance of the company and reduces the risks (similar to the mechanism of the franchise).
2. The clinic, working according to our model, more cost-effective compared with other medical centers due to:
   1. Number of functionality we take, the costs of which do not go to the costs of the clinic (the list of functionality see below).
   2. The model of the family doctor allows you to give a wide range of services with a minimum number of physicians moving to removable прием2-s family physicians, we can provide consultative techniques and a number of manipulation of at least 16 specialties.
   3. We are implementing the mechanism of centralized procurement to reduce costs of equipment, supplies and medications
   4. We have tested the model cross-selling at the clinic, which increases the average check and profitability of the used space
   5. We have our own license for postgraduate education of doctors, which allows us to reduce training costs and implement their own qualitative component of the process.
   6. We are constantly optimizing the business processes through the implementation of organizational know-how and IT tools that removes the load and allows the use of full-time equivalent of employees more efficiently (already developed: registry, electronic case history)

The IDEOLOGY of SANTAM: the health of the family through the generations

Interacting with the patients we solve a number of tasks aimed at building long-term relationships between our organization and the families of patients.

1. We choose the location of the clinics in the centre of residential areas by implementing the walking distance of patients to your doctor
2. We create a comfortable environment in the clinic to find in it patients of all ages and needs
3. We implement the principle of family medicine, which allows to reduce the costs of obtaining medical care (no need to go on a bunch of narrow specialists), and more comfortable for patients, they turn to the same doctor the whole family, knowing that the doctor will decide the whole range of their problems. Thus, the model of family physician is economic efficiency, both for us and for patients, and is the undisputed competitive advantage compared to the classical model.
4. We sell 100% quality control with continuous training of doctors, which gives a fairly high result from the point of view of quality of care
5. We develop and implement standards of service for patients, which is reflected in patient feedback and satisfaction
6. We are in constant communication with patients, which increases their loyalty to our organization:
   1. Multi-channel call center
   2. Actively work with social networks (answering questions, even making an appointment through them is)
   3. Start a personal account of the patient through our website
   4. In the summer, plans to launch a mobile app, so we were always on hand for patients

The functionality that implements the OOO "Santam" and he does not go to the expenses of the clinic:

1. Centralized call center
2. Quality control
   1. Telephone calls all patients within a few days after admission to collect information about satisfaction
   2. Control of all med protocols consultation and research experts, to identify defects of rendering of medical aid and timely adjustments
3. Marketing and promotion (Internet, social media, promotions, events for patients, television, magazines, Newspapers, radio)
4. Interaction with insurance for OMS and LCA, including the supply registers
5. Filing reports
6. Software (website, electronic medical chart, the program for the penetration of services through the cashier, we go from 1C) and technical support data programs
7. We independently and at their own expense through the Examination procedure, obtaining the conclusion of sanitary epidemiological and licensing. Given that we have an organization, these procedures will take less time.
8. Cooperation with Supervisory bodies
9. Training physicians in the specialty of family medicine on the stage start is being implemented at our expense, and not be cost clinic

The stages of the project:

1. The project starts after the initial payment
2. Since the signing of the lease on the premises we go to the examination, all procedures for obtaining a license we will take ± 3 months:
   1. We are working with the population to inform about the opening of the clinic (advertising, events, promotions) (performed by us)
   2. Recruitment and employment of staff and bear the original cost of them (we do)
   3. Training of administrators and doctors (we do)
   4. Organization of work processes (we do)
   5. Hold the attachment of the local population of OMS in order to the opening to reach the speed required to close the main items of expenditure
3. The exit to operational profitability – 6-8 months after obtaining a license

So the clinic experience requires constant reinvestment, we suggest the following model of settlements:

For entry into the project we ask for 5 million rubles, which can be transmitted via any mechanism (contract of services contract of loan that we will be with you after as you return part of the profit to close). We have submitted documents for registration of a trademark, after completion of this procedure, we plan to make a deal on the full mechanism of the franchise.

Guarantee for You:

1. All equipment and furniture to be in your property, the premises we are renting from You or take sub lease

Your costs in addition to the initial contribution:

1. Furniture
2. Org. Technique
3. Equipment

These expenditures can agree on defining the initial activities, which will be a start.

Settlement after the start of the activities:

1. You rent the room or it's in the ownership of
2. We take your premises in sub rent and rental equipment is purchased by you
3. The revolving funds are paid basic expenses (rent, utilities, if the lease is not included in the cost of rent, salary of staff working in the clinic, supplies, utility costs), we believe the rest is profit
4. 30% of the profits we reinvest in the development of the clinic (purchase of additional equipment, repair, etc.)
5. Divide the rest 50/50 %. Our part remains on our account, Your part to transfer you to cancellation of the loan agreement, after the treaties sub lease of premises and hire of equipment.