Acknowledgment

In the name of Allah who is the most magnificent and the merciful, he is the one who grant us with knowledge and courage of doing things that we are not worthy of doing. The compilation of this report was a daunting task which was eventually made easy with the grace of Allah.

I am grateful to my parents for their non-dwindling support as they stood by me in every hour of need while making this report. I am deeply honored to be a student of University of Central Punjab which enabled me to do an internship. I am especially thankful to my in charge Professor Nisar Ahmed who guided me throughout this internship with his suggestions and guidance.

In the end I am thankful to the co-operative staff of human resource department and management of SKMCH, especially the manager Muhammad Ali and the officer Mr. Rameez who enabled me learns from my six week internship. I am thankful for the support which the staff members extended me as they taught me the basics and the working of the departments. Without their support this internship would not have been this much interesting.

Executive Summary

SKMCH &RC, which was formerly known as Shaukat Khanum memorial cancer hospital and research centre is the first mover institution of cancer in Pakistan. SKMCH starts its operation in 1994 as the first largest cancer equipped hospital according to accepted standards in Pakistan

SKMCH &RC is the first largest hospital in terms of cancer treatment and research centre. Except of this hospital, there are many other lab centers and funds collection centre. There is work in progress on two more hospitals in Peshawar and Karachi

SKMCH &RC competes on the basis of its modern equipment, technology, research centre to treat cancer and effective strategies to run the organization. This prompts its management and doctors to serve their suffered needy patients diligently. SKMCH &RC follows the modern technology to maintain data which hospital information system, hired the excellent capable doctors and give them a friendly environment

SKMCH &RC has the 24 developed departments with the five executive management.. Each department has head of department who runs the management of department. In human resource department, they are performing several functions like compensation and benefits, training and development, continuous education programs, recruitment and selection, training and development, performance evaluation In the hospital, employee from the executives to the lower staff and even the patient visitors are bound to follow the rules and regulation executed by the top management. Democratic leadership, open communication, disciplined, responsibility are the common moral values indulge in the culture of organization.

Now after the great success, SKMCH &RC focus on to expand of hospital and improved systems in organization. This hospital proves as a leading organization by their modern patterns, outstanding doctors and management. This can be the benchmark for the other hospitals of Pakistan. They can expand their expertise beyond the treatment of cancer. Motivational leadership leads the motivation and dedication of employees and doctors to serve the needy patients.

INDUSTRY PROFILE

Industry analysis can be done on the basis of two segments. One is the industrial analysis of cancer hospitals and the second analysis considers the industrial performance of hospitals in Pakistan. The global healthcare industry is growing at a fast rate and is one of the areas that have the most urgent need of automation. NetSol Technologies understands this need and has developed a strategic collaboration with Shaukat Khanum Memorial Cancer Hospital as part of a long term commitment for IT development in the global health sector. Shaukat khanum is the first mover in Pakistan as a cancer and research centre. So this is the only place where poor people suffered from cancer are treated and SKMCH internationally ranked as IT development organization and largest cancer trust in Pakistan

Industry Overview of hospitals in pakistanSub Segment OverviewFactorsComments

DemandWith growing number of patients, increase inpopulation, greater health awareness and lack ofmaintained infrastructure in public sector, highpreference is placed on the private sector hospitals

SupplyWith growing number of patients, increase inpopulation, greater health awareness and lack ofmaintained infrastructure in public sector, highpreference is placed on the private sector hospitals

Key PlayersAga Khan Hospital, Ziauddin and Liaqat NationalHospitals are the biggest players in the private sector hospitals in Karachi. Shaukat Khanum Cancer Hospital and National hospital are amongst the leading inLahore

Trade BodyPrivate Hospitals Association

Regulatory BodyPakistan Medical and Dental Council

RecentDevelopmentsGovernment is keen on enhancing the public-private hospital partnership to tackle the overall social requirements for public health

Future prospectsThis sector exhibits a medium term potential subject to rise in population and increase in the income level of the population.

DemandPakistan has two parallel health care systems, public and private. The private sectors share in health care had been rather small in the beginning since great majority began as private practices and transformed into hospitals over time. Increasing population, industrialization, resultant high level of environmental pollution and increased healthcare awareness and lack of focus or a structured public health care system has effectively limited the capacity of the existing public health care system in the country. This has given rise to high demand of private sector health care facilities to complement its public sector counterpart. With growing number of patients and lack of maintained infrastructure in public sector, an increased reference towards private hospitals developed over the years, which seems to have become an icon of a promised quality care and treatment. However due to high quality services provided, private sector hospitals are comparatively highly expensive than the public sector and unaffordable for the large section of the population.

SupplyThe human resource available for health care have gradually increased over the years and though there is annual output of around 5,000 medical graduates from both private and public medical colleges the current ratio of one doctor per 1,183 persons is below the recommended ratio by World Health Organization(WHO) of one doctor per 1,000 persons. There is however number of doctors, dentists and nurses which are not registered with (Pakistan Medical and Dental Council) PMDC and practicing hospitals/clinics. There are many private practicing clinics but are mostly located in the urban areas of the country where they are affordable and so in higher demand by the public. Their presence in rural areas is negligible due to their expensive treatment being out of reach for the masses. An increasing number of trusts, NGOs and social welfare organizations have invested and support health facilities which are also today serving a very large cross section of the population. Most of such facilities are not for profit and therefore primarily run on donations and grants including Zakat.

Key PlayersAga Khan University is a first rate private hospital located in Karachi and Hyderabad. They are the leaders of this segments market, followed by Liaqat National Hospital and Shaukat Khanum Cancer hospital, located in Karachi and Lahore respectively.

Trade BodyPakistan Medical and Dental Council is the statutory regulating body of all the medical education and practicing institution, public and private. Its prime mission is to establish uniform minimum standard of basic & higher qualifications in Medicine &Dentistry throughout Pakistan. Private Hospital Association is the trade body of all the private hospitals in Pakistan.

Recent DevelopmentsThe need for public-private hospital partnership is being strongly felt by the Government of Pakistan as the health issues are prevailing in the country is unmanageable for the public sector hospital alone. Private sector hospitals are being encouraged for the provision of health facilities especially in villages and small towns.

Future ProspectsLow public expenditure by government, lack of expansion in the public health sector, increasing population with rising income levels indicates a high potential for growth for the private hospitals. According to our primary survey conducted, it has been observed that 94% of the respondents perceive great growth in their business especially in the next five years.

Company Profile of Shaukat Khanum memorial cancer hospital and research centre

Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC) is a state-of-the-art cancer centre located in Lahore, Pakistan. It is a project of the Shaukat Khanum Memorial Trust, which is a charitable organization established under the Societies Registration Act XXI of 1860 of Pakistan. The institution is the brainchild of Pakistani cricket superstar, Imran Khan. The inspiration came after the death of his mother, Mrs. Shaukat Khanum, from cancer.

FAST FACTSInauguratedDecember 29, 1994

FounderImran Khan (Chairman, Board of Governors)

Annual budgetRs. 5.8 billion

Financially supported patients75% (since 1994)

Philanthropic spendingRs. 11.88 billion (US$ 169 million)

Area/Location20 acres in Lahore, Pakistan

Beds176

New registrations9,542 (Year 2012)

Outpatient visits156,766 (Year 2012)

Chemotherapy31,198 (Year 2012)

Radiation treatments51,865(Year 2012)

Admissions8,613 (Year 2012)

Surgical procedures6,990 (Year 2012)

Pathology tests3,740,838 (Year 2012)

Imaging studies160,574 (Year 2012)

Pharmacy Dispensing1,092,480 (Year 2012)

Staff1,808 (90 Consultants, Physicians & Surgeons)

Dawn of SKMCH (Making Of the Hospital)

Designing and execution of the master plan was overseen by Dr. Nausherwan K Burki MB, PhD, FRCP, FCPS, FCCP, of the University of Kentucky Medical Center, Lexington, Kentucky, USA in collaboration with an international team of cancer physicians and research workers. Designing and architectural services were provided by Arrasmith, Judd & Rapp, and Architects in Health Planning of Louiseville, Kentucky, USA. Architectural details were handled by Messrs. Nayyar Ali Dada & Associates of Lahore. Local engineering was performed by Messrs. Progressive Consultants, Lahore. Ground was broken in April 1991 and the hospital opened its doors on December 29, 1994.

MissionTo act as a model institution to alleviate the suffering of patients with cancer through the application of modern methods of curative and palliative therapy irrespective of their ability to pay, the education of health care professionals and the public and to perform research into the causes and treatment of cancer.

VisionLets Bowl Out CancerImran was a fine all-rounder cricketer and inspirational captain whose crowning achievement was leading Pakistan in winning the 1992 World Cup. He uses their emotions about cricket and that why he made a slogan related to cricket and that was Lets Bowl Out Cancer.

Cancer is curable.This sentence was first used to aware the people of Pakistan and also try to change the misperception about the cancer.

SLOGON The two crescents in the slogan are representing S for Shaukat Khanum and the NURSING CAP stands for serrving patients with care, and the stars on the crescents stands for glory ,peace, success and new life.

Corporate Values

Welfare

Our foremost value is welfare of the patients who are suffering from cancer. We want to work for the betterment of humanity.Integrity

We are committed to integrity in all we do, always, everywhere.Respect

We respect every individual. We draw strength from equal opportunity and diversity, at the same time supporting personal growth and development. We value each other and we all benefit from the entrepreneurial spirit of each individual.Teamwork

Teamwork is the essence of our ability to succeed as a universal and international network bank. Our overriding loyalty is to the whole organization, requiring us all to learn from each other and to share our skills and resources worldwide for our customers' benefit.

Accountability

We put special attention on accountability because our organization depends on the funds and donations from the people we have a proper system of check and balances because without that we cannot gain the trust of people. SKMCH& RC accounts are audited by Messrs A. F.Ferguson a well known international auditing company1 - Patient Services

They have had around 9500,000 patient visits as of June 30, 2006. Over 80% of these patients have been provided free treatment. The amount of money spent to provide free treatment to indigent patient in this is well over $28 million.

2 Services to Pakistan

The Hospital uses it resources for the benefit of the population as a whole. We hold seminars and conferences in Oncology and other areas as diverse as Housingkeeping, Biomedical Engineering and Cancer Awareness. For public awareness, Article on common cancer is regularly published in the press both in Urdu and English.

3 Education and Training

It is the integral part of the hospitals vision to educate and train Healthcare professional who can help improve the standard of medical care in Pakistan. Other educational activity include courses and training programmes under the guidance of local and international professionals in the field of cancers, treatment and awareness as follows

Intramural and Collaborative e.g.University of Bradford, UKCollege of Physicians and Surgeons of PakistanDoctors - post-graduate training programsNuclear Medicine & RadiologyMedical Oncology & Radiation OncologyPathology & Medicine Nursing purpose built educational facilityOncology nursingMedical technology lab and radiologyAllied health specialties respiratory therapy

4 Research

The hospital is currently involved in the several research projects mainly involving cancer drug research, patient treatment outcomes, epidemiology studies, appetites, ethical and Lahore tumor registry

5 AffiliationsShaukat Khanum is affiliated with some of the worlds most prestigious cancer hospitals, which assist in training personnel and providing collaboration on the lastest innovations in cancer treatment and research. These affiliations includeChristie Hospital, Manchester, UK.The University of Kentucky College of medicine, Lexington, KY,USA.DKFZ (Detaches Krebsforschungszentrum), Heidelberg.

UNIQUE ASPECT OF ORGANIZATION WORTH NOTE

PET CT scanThere is no pet ct scan in Pakistan and patients has to go abroad for this essential test as a part of its ongoing program of clinical excellence in cancer care,SKMCH and RC is investing in cyclotron and CT PET for the benefits of Pakistani patients .this will require a massive investment of almost 5 million us dollar. Work has started on the project and the facility should be available by late 2007.SKMCH AND RC will also be able to provide the isotope 18 FDG to other centers as far away as Karachi.

Bone marrow transplantationSKMCH AND RC conducted its first bone marrow transplantation procedure on a patient name MUHAMMAD SALMAN on April 26 2006 making it the fourth facility in Pakistan, by the first in Lahore, to have acquired the facility. The transplantation which cost RS 1400000 was conducted absolutely free .the project was financed by a generous donor who wishes to remain anonymous.

BOARD OF GOVERNORS

The Board of Governors of the Shaukat Khanum Memorial Trust comprises of bankers, researchers, businessmen and physicians.Mr. Imran Khan (Chairman)Mrs. Aleema KhanumDr. Uzma AhadMr. Ashiq Hussain QureshiDr. Nausherwan Khan BurkiMr. Rashid Ali KhanMr. Ahsan RashidMr. Sarfaraz Ahmed RehmanMr. Zain ul Hassan ShabbirMr. Farrukh Irfan KhanMr. Mujahid HamidMr. Imtiaz Hussain HydariMr. Mansoor A. JavedDr. Tauseef Ahmed.Professor Jeffery Lucas

MANAGEMENTDr. Faisal Sultan,Chief Executive OfficerDr. M. Aasim Yusuf,Medical DirectorMrs. Virginia A. Gumley,Director NursingMr. Tariq Azam,Director Marketingand Resource DevelopmentMs. Tasnim Beg,Chief Financial OfficePROJECTS OF SKMT

Being the only cancer centre in the entire region with all the specialized cancer diagnostic and therapeutic facilities the Shaukat Khanum Trust realizes its colossal responsibilities in its fight against cancer. It has established a number of centers all over Pakistan that help in the awareness and early diagnosis and treatment of Pakistan.

Hospitals:Shaukat Khanum Memorial Cancer Hospital & Research Centre ( Lahore , Pakistan )Shaukat Khanum Memorial Cancer Hospital & Research Centre ( Karachi & Peshawar, Pakistan Land Purchased, Planning in process)OutreachCancer Screening Clinics:Shaukat Khanum Karachi Clinic ( Karachi , Pakistan )Shaukat Khanum Peshawar Clinic ( Peshawar , Pakistan )Community screening service ( Lahore , Pakistan )Diagnostic Centers:Shaukat Khanum Diagnostic Centre( Lahore , Pakistan )Shaukat Khanum Diagnostic Centre ( Karachi , Pakistan )Pathology Collection Centers:54 Shaukat Khanum PathologyCollection Centers(all over Pakistan )

DEPARTMENTS

Shaukat Khanum Diagnostic CentreSKDC was established on 17th December, 2003. It is one of the leading diagnostic facilities (Radiology and Pathology) available in the market. It is providing excellent diagnostic services to a wide range of customers. It is equipped with state of the art radiology machines to ensure patient's & physician's satisfaction.Comprehensive Health Care Clinic (CHCC)Shaukat Khanum Memorial Cancer Hospital offers a comprehensive medical examination facility that provides you an opportunity to evaluate your health status and discuss ways with high qualified health care professionals to remain healthy. The program is offered in the form of a package that allows two visits, giving you a unique opportunity to get a detailed picture of your health.Financial AssistanceIt is estimated that about 150,000 new cancer cases are diagnosed in Pakistan each year. Shaukat Khanum Memorial Cancer Hospital & Research Center was built with the mission of providing state-of-the-art diagnostic and therapeutic facilities for cancer patients irrespective of their ability to pay.Outpatient & Ambulatory ServicesSKMCH&RC provides emergency service to all its registered cancer and non-cancer patients 24 hours a day 365 days a year. SERVICESAnesthesiologyclinical RadiologyMedical OncologyInternal MedicineNursing divisionNuclear MedicinePathologyPediatric OncologyPharmacyRadiation OncologySurgical OncologyFood and dietary servicesHuman resource departmentMarketing departmentMaterial management departmentFinance departmentQuality assurance departmentLegal affairs and risk managementHousekeepingTransport poolCommissioning of the HospitalSource of Money:Donations 67%Credit and loans33%Cost$ 22 m

Building$ 7.7 mMedical equipment$ 10.5 mAncillary equipment$ 4.4 mFundraisingThe various activities related to each section are given below.Fundraising ActivitiesThe two major sources of fundraising are: -ZakatDonationsZakat According to Shariah (Islamic Rule), an individual has to give 2.5% of his wealth held during the year, in charity, This is called as Zakat. Zakat can be given at any time of the year. However, traditionally most of the people pay Zakat, during the month of Ramadan (Islamic Calendar month in which Muslims fast). To collect maximum amount under the head of Zakat, which is totally spent on the treatment of poor cancer patients. A comprehensive campaign is launched in Pakistan and overseas. All offices of SKMCH&RC participate in this activity and are supervised and coordinated by the head office at Lahore.

DONATIONFollowing products/campaigns collectively contribute towards achieving the revenue targets of Donations: -

Fundraising from High Net-Worth IndividualsSponsor a Cancer Patient Concerts / Fundraising DinnersSchool Fundraising CampaignEquipment / Material & In-kind Donations Hide Collection Campaign Fundraising from Corporate SectorIn-Patient Room NominationSponsorship of New ProjectsSMS CampaignPTCL Hope LineBlood Donation

Volunteer

At Shaukat Khanum Memorial Cancer Hospital & Research Centre, volunteers register to assist or undertake activities at the Hospital of their own free will and without remuneration. Volunteers who have served a minimum period of two weeks are awarded an appreciation certificate in recognition of their services.

Support GroupsSKM Tiger ClubSKMCH&RC was made possible by an outpouring of support from the whole country including school children. The original "Imran's Tigers" was re-launched as the SKM Tigers Club in November 2008. On its launch, the children joined in enthusiastically and balloons filled the air as they sang songs to express their commitment and support. Cause to engage the children in various healthy activities and allow them to participate in volunteering activities at the Hospital

SKM AmbassadorSKM Ambassadors have been selected all over Pakistan to help raise awareness about cancer and the Hospitals fundraising campaigns.

SKM OFFICES IN PAKISTANKarachi Office Shaukat Khanum Memorial Trust Suite# 10, Mezzanine Floor, Hamilton Courts, G-II, Near Teen Talwar, Main Clifton Road, Clifton, Karachi, Pakistan Ph: +92 21 35872573,+ 92 21111-155-555 Fax: +92 21 35872574 Email:skmt@khi.comsats.net.pk

Islamabad Office Shaukat Khanum Memorial Trust 2 Royal Centre 106-West, Fazl-e-Haq Road, Blue Area, Islamabad, Pakistan Ph: +92 51 32273400, +92 21111-155-555 Fax: +92 51 32274049 Email:skmt@isb.comsats.net.pk

Collection Centers in PakistanAbbottabad Bahawalpur Chakwal Dera Ismail Khan Dera Ghazi KhanFaisalabad Gujranwala Gujrat Islamabad JhelumKarachi Lahore Mardan Mirpur MultanPeshawar Quetta Rahim Yar Khan Rawalpindi SahiwalSargodha Sialkot Swat TemergaraSKM OFFICES OVERSEASUK Office Imran Khan Cancer Appeal PO Box 786, 66 Little Horton Lane Bradford, BD5 0YE, UK Ph: +44 1274 424 444 Free Phone (UK): 0500 786 101 Fax: +44 1274 424 999 Email:ikca@skmt.freeserve.co.ukUAE Office Shaukat Khanum Memorial Trust PO Box 215253, Dubai, UAE Email:skmtgulf@gmail.comUSA Office Imran Khan Cancer Appeal Inc, Suite # 201, 195 Farmington Avenue Farmington, CT 06032, USA Ph: +1 (860) 674 8865 Fax: +1 (860) 674 9007 Email:shkm2@sbcglobal.ne

PATIENT STATISTICSYearPatientsRegisteredOutpatientVisitsAdmissionsChemotherapyTreatmentsSurgicalOperationsRadiationTherapyImagingStudiesPathologyTestsPharmacyDispensing

*1994 - 199925,862125,0099,09257,4006,77879,37392,9161,408,358640,962

20003,01440,3252,5999,6001,53117,03326,703392,120311,245

20013,65649,5113,1029,3221,84722,17031,462565,717383,018

20023,09349,2703,30911,6901,82825,05936,138664,763413,782

20033,48654,1903,66812,8392,26826,14945,025878,330457,398

20044,21969,0234,17715,3772,75032,31862,6571,148,224525,404

20056,57076,7364,91015,8683,79536,32680,4551,411,930586,891

20067,69687,5345,13418,2064,08039,54595,6461,762,116622,528

20079,125112,7146,02323,7194,39841,463117,9242,176,649735,472

20089,529119,0376,07923,7094,51443,143128,6362,368,844740,288

20097,981124,3726,54526,4484,48743,307132,5782,494,616792,795

20109,120130,1656,78527,5886,10942,888134,1772,852,347851,126

20119,480141,8067,61831,3676,56044,540153,1253,251,680931,848

20129,542156,7668,61331,1986,99051,865160,5743,740,8381,092,480

Total112,3731,336,45877,652314,33157,935545,1791,228,55525,116,5329,085,237

*Dec.1994-Dec1999

Note: 75% of the patients receive financial support.

FINANCIAL STATISTICSRevenue (Rs. In Millions)1994- 2012

YearHospitalServicesZakatDonationsOtherIncomeTotalRevenue

Dec 2012*2,2021,6691,1731655,209

Dec 20111,9761,343908634,290

Dec 20101,546813614373,010

Dec 20091,281865620472,813

Dec 20081,125646460372,268

Dec 2007954535486332,008

Dec 2006750438273341,495

Dec 2005573265320291,186

Dec 2004424397368331,222

2003-200437428723814913

2002-200326124417815698

2001-200223415217417577

2000-200121113119015547

1999-200013911715217425

1998-199911310012911353

1997-1998909910311303

1996-1997621171057291

1995-1996351098718249

1994-1995546855141

Operating Expenses (Rs. In Millions) *For The Year 2012

CategoryAmountPercentage

Salaries and benefits - medical staff1,14327%

Salaries and benefits -admin staff42510%

Medicines63815%

Pathology, Nursing & Other Supplies1,00424%

Utilities2145%

Fundraising expenses1213%

Finance costs231%

Repairs and maintenance1784%

Other Operating Expenses42610%

Operating expense4,172100%

* Operating Expenses for the year ended December 31, 2012.* These are draft figures and subject to audit

SKMCH BUSINESS PROCESS AND MANAGEMENTPlanningSKMCH & RC stated goals are their real goals. They dont have any discrimination between them and they work in the same way as they project in their companys statement.

Long Term GoalsResearch basic and clinical.Community and outreach services.Enhancement of automation.Capacity enhancement.Support services building2006-07Fourth clinical building2006-08Regional cancer centersKarachiPeshawar New Directions in Fundraising.4 Storey Block (if permitted by Government, 9 storey block).Phase 1: Basement + 3 Floors.Phase 2: 5 Floors.At the moment, Phase 1 & shell of Phase 2 under construction.

ControllingEFFECTIVE CONYROL SYSTEM OF SKMCH &RC

AccuracyTime linesEconomyFlexibilityUnderstandabilityReasonable criteriaStrategic placement

Types of controlSKMCH& RC is applying different types of control at different levels (head of departments) in order to measure the performance closet to the standards(rules and polices defined by HR) and to evaluate the efficiency of the organization.FORWARD CONTROLFEEBACK CONTROLQUALITY CONTROLSKMCH& RC is applying Feed FOWARD CONTROL at INPUT LEVEL and evaluate the resources of the hospital .it is using FEEDBACK CONTROL at OUTPUT LEVEL and they get this feedback from the patients. They keep channel open with the patients and consider them as their partner and keep open communication. They also use QUALITY CONTROL as modern controlling concept.

HOSPITAL CONTROL SYSTEMHospitals control system is comprises of following steps.They have rules and procedures made by HR manager to measure the performance of the hospital.Then they evaluate their performance against their target and standard.After evaluating their performance if they find any deviation in the performance from the rules and procedures they take appropriate action. OrganizingAssign task and responsibilityCoordinate diverse organizational taskEstablishes relationship among individual, groups and departmentsEstablishes formal line of authorityAllocate organizational resourcesPurpose of organizingDivide work to be done specific jobsOrganizations Structure

Organizations Culture

Shaukat Khanum has a very strong and corporate culture.They have people oriented culture where they take decisions and account the effects of them on the people of an organization.They have innovative culture in which they encourage their employees to be innovative and risk takers to some extents.There is no formal dress code but the jeans are not allowed for ladies.Eatables are not allowed in any department except marketing department because that department has its own kitchen.Employees must reach and leave the office in time.

Employees are learning cultureThe employees are learning culture through rituals.Location & MarketIn Pakistan the SKMCH is situated in Johar Town Lahore and covers all over Pakistan.Organizational StructureShaukat Khanam is organic and highly structured organization. As they have very uncertain environment because they have to face new challenges concerning treatment and research of cancer

Work SpecializationThey have divided their work in different departments and every individual does his own job, like Marketing Department, Finance Department and HR Department.

DepartmentalizationSKMCH has highly functional departmentalization. The Marketing Department is mainly the Profit Center of SKMCH .They collect the profit for SKMCH and use that profit in the treatment of needy patients.

DecentralizationThey are following the concept of decentralization .They having divided the ORGANIZATION into different zones and the head of the department take ideas from their subordinates while taking decision.

FormalizationSKMCH have standard rules and procedures to guide the behavior of the employee.

Span of ControlSKMCH have a flat structure and have a wider span of control

TechnologySKMCH and RC is equipped with highly advanced and modern machinery and the organization off and on spent a large amount of money on making their machinery and equipment updated Communication SystemThey have a very strong and cooperative communicational system. They use intranet communicational system and share their ideas with each other very frequently.MANAGEMENT PRACTICESHRM Policies of SKMCHGender Justice PolicySexual Harassment PolicyDiscrimination Policy

MotivationBy motivation we mean encouraging our employees to give in all three effort fot the company to meet its objectives.Or in other words it means the willingness to exert high level of efforts to meet the organizational objective. For motivating a person you have you understand what the needs and wants of the employees. By motivation we mean encouraging our employees to give in all their efforts for the company to meet its objectives. Many theories were put forward by many scientists in order to better understand the needs of patients. Some famous theories are Maslows Hierarchy TheoryGoal Set Theory

Maslows Hierarchy TheoryThe management of SKMCH understand knows that their employees have crossed the stages of psychological and safety needs and our round about social, esteem or self actualization needs as the result of this the management of SKMCH has profiled into different categories and to some extend is compensating them.

Employees are also given respect and every manager is strictly advised not to use any loose language while talking to subordinates and specially you feel proud in working at SKMCH one of the best cancer hospital in Asia. Employees are also offered different programs to improve their skills so that they can serve the company in a better way.

Goal Set TheoryThe management of SKMCH monitors the efficiency of their employees regularly and is very firstly allocates different tasks to the employees and then evaluates which employee enjoys working and how efficient he is. Based upon that different cross functional teams are formed in which each member is assigned a specific job which he carries out best. In this way they motivate their employee.

Other Motivational ToolsThe company has a prize and shield award in place on yearly bases to acknowledgement their employees hardwork and performance and motivates them to go on doing even more. These include:

Job RotationWithin the department the employees are motivated by job rotation

Employee of the yearThe performance of all the employees in all departments is consistently monitored during the year on the basis of their performance at the end of the year one employee for each department with highest points is given performance appraisal in the form of prize of 3000 and a shield with a certificate.Annual Feast SKMCH arranges annual dinner at the end of each year, where awards are given musical evening is organized for the entertainment of employees as a token of acknowledgement of their hardwork and to encourages and motivate them to put in more efforts in the next year.

Cricket FestivalSKMCH organizes a cricket festival every year normally in the month of June in which the every department who want to play must contribute Rs.2000/- and the total budget is Rs.100000/-. The winner prize is Rs.25000/- and runner-up prizes Rs.10000. Two trophies are given one to the winner and one to the runner-up.

FLEXIBLE WORKING HOURSThe employees are also allowed to avail flexible working hour. If they work late till evening they are allowed to come late on the other day morning. They also have the option to change their shift time from morning to evening or from evening to morning.

\OPEN BOOK MANAGEMANTThe company also shares annual reports with the employees giving them a clear picture of the hospital performance and also a sense that employees are the roots for of the company.

Leadership Styles

Leadership StylesSKMCH is practicing a democratic style. Managers of the organization tend to involve their employees in decision making .They also delegate authorities to their subordinates. They encourage participation in deciding work methods and goals at some extent and use feedbacks as an oppournities for coaching employees.

SKMCH & RC DEPARTMENTAL FUNCTIONSMr. Tariq Azam,Director Marketingand Resource Development knows that to remain competitive in todays dynamic world he must understand the psyche of his employees so that their needs can be fulfill and a motivated work force can be created for them which will be a source of competitive advantage over the competitors. The policies and practices one need to carry out the people or human resource aspect of the management position including the recruiting, screening, training, rewarding.I complete my internship in the compensation and benefits of HRD. So I can only highlight the process and working of human resource departmentHuman resource department; Hierarchy

Mr. Tariq Azam,Director Marketingand Resource Development knows that to remain competitive in todays dynamic world he must understand the psyche of his employees so that their needs can be fulfill and a motivated work force can be created for them which will be a source of competitive advantage over the competitors. The policies and practices one need to carry out the people or human resource aspect of the management position including the recruiting, screening, training, rewarding.1. Training and development department:In this department there are two employees who conduct the trainings of new and current employees and arrange the trainers for the training .they gives the orientation to the trainers and trainees. After and before training they conduct the performance evaluation of trainees and conducted performance appraisal results filed in the personal records of employees. After training employees are awarded with the certificate. TrainingShaukat Khanum gives two types of job training.On job training.Off job training. Training budget varies according to traning type.

COMPENSATION AND BENEFITS DEPARTMENT:I worked in this functional department and assist Mr. Rameez for six weeks. There are three more employees. Tasks performed by them are:Compensation of Overtime adjustment:They and their internees update the overtime adjustments of employees in the portal of HIS .employees submitted the overtime adjustment form in which they mention the start timing and end timing of their duty which is approved by their respective .so employees are given by the monetary compensation with their salary. Organization considers and gives value to their employees who are devoted for their organization.

Employee old age benefits:SKMCH give many benefits to their employees from which one is the old age benefits. This benefit is for the every employee, whoever applies for this benefit can enjoys the employee old age benefit after the 55 years of age. During my internship the EOBI cards are distributed among the employees by delivering them to their respective departments. Now they made the software for the EOBI because employees apply for this more than one time and centre of EOBI issues the card more than one time and cards are being waste of those employees who left the organization. For the purpose of retaining effective data of EOBI, they launch the software on the portal

IncrementsAnnual increment takes place in the salary of the employees every year. A fixed bonus is also given every year..increment record saved in the personal records of employees, by the head of department and by the financial department.

Contracts of employeesThere two type of contracts for the doctors. One for the permanent faculty and second one are for the visitors .contract for the visitors is called locum in which doctors can also serve the other hospitals. For permanent doctors, they are bound in a contract to serve and their practices are only for shaukat khanum. Salary and benefit packages are different for both contracts.

Educational benefitsDoctors and other employees can upgrade their education easily. skmch provides the education leave to the employees.

Leaves benefitsEmployees have leave quota which they can utilize and if they dont utilize, then for the sake of motivation to the employees for coming regularly, organization reward them by giving monetary benefit. There are eight sick leaves, six casual +12 days off

Issuance of entry cards and certificates to the volunteers/internsInternees are hired for the quality assurance, marketing, legal affairs and HR department and for the other department volunteers are hired, volunteers and interns both are hired for marketing department. Volunteers are two types, electives and non-elective volunteers. Voluntary work and internship are non-paid programs where students enhance the practical knowledge of their studies. Some time ago they are paid programs for the needy students but now they are non-paid programs. Volunteer work is for two weeks and internship programs are for six weeks. Compensation department issue the entrance card to the volunteers and to the interns and after the completion they issue the certificate. They retain the record of them by keeping the copy of certificate.

Issuance of I.D cards and employee certificate to the employeesThe department issues the I.D cards of hospital to the employees and giving to them the access to the doors of the hospital separately according to the need of employee. For the appraisal of employee performance they are awarded by the employee certificate to the doctors.

Medical payment ,house rent and convenience allowanceThese are the benefits which every employee earns according to their designation and seniority.

Benefits also include bonus salary, transportation (only for nursing)

Medical and education administration department: In this department, hr responsible to give the platform for the nurses and juniors doctors for the continuous education in terms of short courses. They are responsible for offering course to the selected medical staff. They also maintain the record

OrientationOrientation is the procedure of providing information of the organization and the job. Orientation of SKMCH is of formal type and is conducted on every Tuesday ContentsOrientation normally covers the following contents.Welcome note from management director.Mission, Vision and Values.Brief introduction of hospitalCompanies profileorganizationThe working hours companys profile.It also includes the fire training.Recruitment and selection: Internal RecruitmentIn SKMCH, vacant posts are also filled internally to provide an opportunity for the workers already working in the organizations.External RecruitmentIn SKMCH, experience candidates are preferred and hired.Selection CriteriaThe selection is entirely based on merit which confirms to selection criteria without any bias towards gender, religion, race, colour, nationality, age and according to the procedure laid down in the HRD policies.Selection ProcedureFilling out application formsApplication screening (short listing)Test (Written and practical)InterviewFinal selectionOrientationTrainingHiring ProcessWhenever the organization needs employees for internal job advertisement is made only inside the hospital and for external job for the top level management and medical staff advertisement is given in leading newspaper like DAWN and THE NEWS. Written test and interviews are conducted only for the nursing staff and low level employees and for top level management only interviews are conducted.

Annual turnover rate

Turnover rate in SKMCH &RC is high but the turnover percentage is confidentialSWOT ANALYSIS OF THE SKMCHStrengthsSpecialized cancer hospitalEasy access to allLaboratory collection centreHospitals Highly qualified employeesExcellent environmentEquality among patientsHospital information system portal (HIS)International linkagesAll facities under one rooffree of cost quality treatment of cancer for needy people research centershighly equipped machineryproper check and balancesfirst preference to quality

Threats and ChallengesFundraising challengesHealthcare costsCapacity limitationDearth of trained manpower

Competitive advantage

Although SKMCH &RC is not having any such competitor in Asia but if we thing about anyone its AGHA KHAN Hospital but only in cancer research. SKMCH & RC has the competitive advantage on AGHA KHAN Hospital in quality treatment and revenue generating field.

MIS Department

SKMCH & RC has management information system department (MIS). Whole hospital system is being regulated by it. MIS department has developed software of hospital information system (HIS). This software is a core competency of hospital as none of the Asian hospital is having such hospital. It can be only be compete with any USA organization.

Quality First

We, at SKMCH & RC are guided by core principles of Quality, Equity, Transparency and Merit. We are dedicated to:Providing High Quality Service to our Patients irrespective of their socio-economic status, in the timeliest manner.Acting as a Model Institute in providing cancer education to healthcare professionals and perform research into causes and treatment of cancer.Developing and Nurturing a Culture, which motivates each employee to strive for continual improvement in their work.

BibliographyReport on state bank of Pakistan on private hospital report fh10.https://www.google.com.pk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&ved=0CC4QFjAB&url=http%3A%2F%2Fbusinessexecutives.blog.com%2Ffiles%2F2011%2F04%2Ffinal-skmh-report.doc&ei=iEcqUoOmBI-jhgfuy4CoBQ&usg=AFQjCNG60eND_pgawBAqTCLfJRh1Y5lVJgwww.shaukatkhanum.org.pkhttp://en.wikipedia.org/wiki/Shaukat_Khanum_Memorial_Cancer_Hospital_%26_Research_Centre

Appendices 1

Certificate of internship

Appendices 2

Employer evaluation form

28University of central Punjab