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MEDICAL ENTREPRENEURSHIP
Can doctors be entrepreneurs?
At a school of Medicine, students are
trained to be MBA at the same time
At MBAH program of the same famous
Graduate School, Entrepreneurship is a
desired elective
1. Running hospitals
2. Starting clinics and diagnostic centers;
3. Starting pharmas
4. Research
5. Running businesses unrelated to medical
practice
Many doctors are engaged in business
entrepreneurship:
Why are so many doctors
entrepreneurs?
Built to be entrepreneurs
1.Sustained efforts (marathon duty,
study, exams)
2.Focus
3.Helping others
Traits developed in MD training:
Study of word algorithm: MEDICAL
ENTREPRENEURSHIP
Entrepreneurship: “Creating
something from virtually nothing “
(bootstrapping)
“Creating something of value with
resources one does not have
control of”
Are cures by MDs/meds miracles?
Activities related to entrepreneurship:
Weekly exercises at MBAH - What is
new? NU 10
Imitation:
TREATMENT PROTOCOLS
Machines and medical equipment
Creativity involves:
Basic and Applied Research
Office Design
New cures and protocols
Innovation:
Creating items/process of lower value to higher value:
1. industrial to commercial establishment
2. Ordinary room to ICU
3. Surgery to stem cell therapy
4. Surgery to
laparoscopy
5. Radiation to
monoclonal cancer
therapy
Invention:
1. RF Scalpels
2. RF instead of fat
removal by surgery
3. Prosthesis
val by surgery
pment
from eye implants
4. Cheaper cautery equipment
4. Cryosurgery
5. Diagnosis of diabetes from eye
implants
What can be new?
MAIN VALUE PROPOSITION
1. Key Activities
2. Key Resources
3. Key partners (often overlooked: pharma,
suppliers, banks, Philhealth, HMOs)
FINANCIALS
What can be new:
What can be new:
Complaint reduction
(mortality rate in hospital
Examples of new:
Foreign models of ENTREPRENEURSHIP
“Intelligence and capability are not enough. There
must be the joy of doing something beautiful.”
– Dr. G. Venkataswamy
“Making a dent in global blindness”
Devi Prasad Shetty is an Indian philanthropist
and a cardiac surgeon. He has leveraged
economies of scale to provide affordable
healthcare.
Both are from India
Vision – to the be McDo of
cataract surgery in India
Does a $5.00 cataract
hospital
Practices economies of scale,
use of non nursing grads as
nurse, cross subsidy
The Aravind Eye Care System – An Ophthalmic Mark of
Excellence
- a philanthropist cardio thoracic
surgeon
- his hospital does a $1,200 bypass
operation, $10 hemodialysis
- Practices cross subsidy, economies of
scale, and partnering with
foundations to help the poor/indigent
get operated on.
Devi Prasad Shetty
When you are admitted in Dr. Shetty’s
hospital, the concern is the cure of the
patient, not the money issue; money
will come they say….
Connect with foundation
Opening account to solicit funds
What should inspire you?
1. Your mission as an MD
is to help others (oath as
an MD)
2. Your greater purpose in
life – to live in the loving
presence of God. What
will you say to God when
you face Him
Examples of what is new?
Use of ordinary plastic bag
for colostomy bag
Suka plastic bottle for
thoracic drain
Prosthesis designed
by artist
Portable cautery unitUse of ordinary ice cream
container for cataract
surgery
Other examples:
1. No cash out for delivery using Philhealth
2. P5t for cataract surgery (using in batch
enzymes)
3. Clinics and hospitals whose MVP is to
train residents, rather than profit.
4. Obtaining equipment for government
hospital using Sumpaico formula
Others:
1. Software for integrated hospital admin:
admission, billing, accounting, records
2. Apps for lab results
3. Software for lab results
4. Partnering with suppliers for equipment
5. Pharma on every floor
6. Pharma serving the public
7. Fast foods in hospital
The Makati Medical Center Case
MMC story – turn around from losses
1. Use of solar and wind turbines
2. Use of banks to collect fees/admission
3. Use of cooperatives to run Pharma to be vat
free and thus lower med costs, lower losses
from pilferage
4. Mall within the hospital for added revenue
5. Use of technology for admission and record
keeping
Research:
1. Alzheimer Fund – resulted in decline
Alzheimer cases.
2. Michael Milken Prostate Foundation –
resulted in 25% decline in deaths from
prostate cancer.
Efficient, effective – 5 page paper and
90 days turn around
Basic and applied research being
run as a VC, or enterprise - many
outputs, results, less inputs.
What will you love doing to help mend
the broken our outdated health care
system
MDs can and will be entrepreneurs;
must in a medical school MD – MBA
program
Thank you
Presentation by: Jorge U. Saguinsin
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