Narayana

Question 1

Quality and costs of narayana open heart surgeries us vs india

Answer 1

comparable, comparable

Question 2

What are the set of activities which create a virtuous cycle and competitive advantage?

Answer 2

1) Standardization; Routine Procedures
2) Learning curve; high utilization
3) economies of scale from volume
4) high quality
5) heart surgery; specialization

Question 3

Who is Dr. Shetty

Answer 3

was the personal cardiac surgeon to mother theresa, v good at job

Question 4

Case for why Narayana is a business

Answer 4

• Increased number of operations which increased utilization, reduced unit cost and was the “wal-martization of care
• higher purchasing power
• reputation as a specialized heart hospital

Question 5

Case for why narayana is a philanthropy

Answer 5

• Allowed financially constrained patients to pay below breakeven cost
• Patients who cannot afford low cost of treatment get help from NH trust to arrange for the funds

Question 6

What are the 5 parts of economies of scale in healthcare

Answer 6

Financial- Creating financial scale and stability
Operational- optimizing operational functions
Talent- recruiting and integrating talent
Clinical- Improving care by reducing variation
Population- developing an integrated system of care