COMPANY PROFILE 2016 - Healthshare · COMPANY PROFILE 2016. Contents Business of the Year Our...

Contact Numbers: Tel: (+27) (0) 12 661 4181, Fax: (+27) (0) 12 661 4288Email: [email protected] | Website: www.healthshare.co.za

Address: Southdowns Office Park Block B, Units SF01 and SF01A, 2nd floor 21 Karee Road, C/O Karee and John Vorster, Irene

Extension 54 , Centurion Directors: Tony de Coito, Frank Sullivan, Company Reg: 2004/000652/07

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Contents

Business of the Year Our Unique Approach From the Executive Chairman From the Managing Director Vision, Mission & Values Healthshare Strengths Our Services: Overview1. Hospital Management Services2. Consulting & Training3. Dispensing & Pharmacy Management 4. Managed Care5. Clinic Services6. Occupational Health7. Healthy Living8.Medical Practice Management The DirectorsThe Healthshare TeamConsulting Skills and Work Experience Achievements and Accolades FootprintClients and Strategic Partners Contact Us

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Our Unique ApproachAccomplishing challenging goals is a delicate balance of sheer determination and ingenious flexibility. WithHealthshare as your healthcare management partner, you will be empowered to effectively manage your current or new healthcare facility, no matter how often, or how dramatically, the landscape changes.

Doing business with Healthshare enables you to choose whatever strategy will win the day for cost-effective quality healthcare . Each solution is tailor-made, not only for each of our clients, but also taking into consideration the prevailing conditions at the time.

Even our payment options offer a great deal of flexibility, ranging from Gain-Share Models to Capitation to Fee-for-Service rates. In a world where costs are increasing and quality inconsistent, Healthshare is proud to introduce a new order of ideas - lower costs with enhanced service quality.

Healthshare is a very healthy choice to make - for the patient, the community and the company - all the way to the bottom line.

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From the Executive ChairmanThe provision of integrated healthcare requires efficient and flexible operating systems combinedwith superior medico-management expertise. Healthshare has that in spades.

We are 100% committed to the support of superior quality healthcare to organisations across the globe which face many challenges, one of which is the delivery of the best integrated healthcare available within the parameters facing the modern-day enterprise.

Healthshare’s primary goal is to become a leading healthcare solutions company. In meeting this goal, we make healthcare more accessible, and as such we are fortunate to be the frontrunners of bringing private-quality healthcare to more people in Africa.

Kind Regards,

Frank SullivanExecutive Chairman

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From the Managing DirectorOur exceptional executive team has contributed to developing an international healthcare companywhich provides customised, quality, affordable, private healthcare solutions to individuals and business in numerous developing countries.

With models, systems and networks that are not easily duplicated, Healthshare is a leader in the field. Together with our intellectual property, our expertise in both a per diem and capitated market, the Healthshare Team delivers an exceptional service. We provide a number of hospital management and consulting services to private and public hospitals as well as integrated healthcare services to business in a variety of countries. Providing the best care is a dynamic process with consistent exploration and discovery for added value to a healthier planet.

Yours in health.

Dr. Tony de CoitoManaging Director

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Our VisionTo become the recognised leader in quality and efficient healthcare management in Africa, the Middle East and developing countries, famous for our expert knowledge and fanatical attention to detail that allows us to optimise value through the integration of people and systems.

Our MissionTo deliver quality healthcare that represents global best practise at an affordable price.

We ValueQuality, Efficiency, Partnerships, Flexibility and Commitment to Results.

Our Target Market Africa and the Middle East

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Healthshare’s services include :•PRE-OPERATIONAL CONSULTING with respect to new developing hospitals. (Including but not limited to the

following: feasibility studies, market surveying, financial modelling of potential projects, developing of bankable

documents as requested by investors, compiling of budgets, liaising with architects, quantity surveyors, assisting

with capital raising, sourcing of hospital equipment , acting as project leaders for new hospitals, commissioning of

hospitals etc.)

•THE MANAGEMENT OF HOSPITALS AND CLINICS, which includes primary care clinics, occupational health

centres, pharmacies, hospitals and referral services and managing all systems optimally as an efficient integrated

unit. HEALTHSHARE is well connected, and have strategic alliances with various experts (architects, quantity

surveyors, builders, equipping specialists etc.) and Institutions such as the IDC, NEF, and some Governments and

has the ability to ENSURE HASSLE FREE MANAGEMENT OF NEW OR EXISTING HO SPITALS AND MEDICAL

FACILITIES, TO CLIENTS, ORGANISATIONS AND GOVERNMEN TS.

•DELIVER WORLD CLASS CONSULTANCY SERVICES

Our primary target markets are in Africa, the Middle East and developing countries. Healthshare has a history of

many success stories in Africa ranging from South Africa in the South to Libya in the North.

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Our Services

OverviewIf you are involved in the delivery of effective, quality healthcare, we have a wide range of serviceofferings to suit your needs. Although there may be many similarities between organisations delivering healthcare, we appreciate that each situation is unique, hence this wide array of specialised services allows us to offer tailor-made solutions to all our clients.

There are essentially 7 main areas that we specialise in: 1. Hospital Management Services2. Consulting & Training3. Dispensary & Pharmacy4. Managed Care5. Clinic Services6. Occupational Health7. Healthy Living8. Medical Practice Management Billing

We also offer clients a flexible fee structure, which can be customised to fit their specific needs.

The above range of services takes into account the dynamic nature of modern healthcare, providingadditional products and expertise to optimise any healthcare offering.

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1. Hospital Management Services1. Integrated Hospital Commissioning (Plan, Build, Commission and Management of Hospitals)2. Comprehensive Health Care Service3. Turnaround Management4. Facility Management Services including all services, e.g. kitchen, laundry, catering, cleaning etc5. Financial Management6. Administrative Management7. People Management8. Operational Management9. Clinical Management / Governance 10. Nursing Management 11. Quality Management 12. Equipment Management 13. Maintenance Management 14. General Management15. Strategic Management

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2. Consulting & Training1. Quality Audits2. Financial & Administration Systems and Controls3. Accreditation Compliance4. Policy & Procedure Formulation5. Nursing Education6. Health Education & First Aid Training7. Emergency Services8. Information Technology9. Mentoring of Healthcare Managers10. Feasibility and Market Studies 11. Optimisation and Efficiency Improvement12. Business Turnaround

Ever-changing healthcare regulations create significant challenges for healthcare service providers.We are able to, through consulting and training, provide clients with the resources to be compliantfor international recognition.

The healthcare supply chain, although complex (with nodes of individuals possessing highly specificand specialised knowledge), requires an ongoing measurement and feedback system that ensuresdelivery of optimal value.

We have the ability to assist clients in identifying areas for improvement, but also draw up customised,integrated action plans to institute improvement, and fill the identified gaps.

Healthshare provides consulting services to private hospitals and clinics, mine hospitals and public hospitals

Healthshare Management Care (Pty)Ltd, a subsidiary of Healthshare Integrated Solutions is contracted to deliver the quality audits and training services.

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3. Dispensing & Pharmacy management 1.Procurement2.Stock Management3.Formulary Development4.Price File Management5.Merchandising6.Financial Management7.Supplier Negotiations

Our pharmacy management expertise creates and maintains a high performance pharmacy servicethat provides superior cost control, enhanced patient safety and achievement of best practice standardsin pharmacy and dispensary operations.

Using our expertise, we will systematically examine all the integrated aspects of a client's pharmacyand in a cooperative way introduce solutions and recommendation to fill the gaps. We can furthermoreassist you to implement effective drug utilisation strategies in your pharmacy, hospital and / or clinics.

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4. Managed Care1.Utilisation Review2.Hospital Information Systems3.Account Auditing4.Billing & Re-billing5.Case Management6.Service Provider Management 7.Capitation 8.Tariff Negotiation

Our Managed Care processes reduce unnecessary health care costs through a variety of mechanisms.These include, but may not be limited to: economic incentives for physicians and patients; greaterbeneficiary cost sharing; controls on inpatient admissions and reducing lengths of stay; establishmentof cost-sharing incentives; preferred contracting and the focused management of high-cost healthcare cases.

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5. Clinic Services1. Primary Health Care2. Comprehensive Clinics3. Fixed & Mobile Clinics4. Specialised Clinics eg. Wellness, TB5. Computerised Records6. Chronic Disease Management eg. HIV / Aids7. Referral Systems

The satellite healthcare facility has taken on greater importance, driven both by the demand ofconvenience by a more empowered patient, as well as the introduction of technology that allows forwider and immediate dissemination of information. Some of the clinic activities can also be viewedas independent operations, and it is this balance of independent facility versus extended service thatrequires a balance in emphasis and experienced management to succeed.

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6. Occupational Health1. Medical Surveillance2. Legal Compliance3. Productivity Management4. Risk Assessments

Healthshare's integrated occupational and hygiene services ensure that compliance with relevantlegislation is achieved. We provide a system that will support the employer as well as the employee.

The objectives of Occupational Health include the following:

•Eliminate, control and minimise health risks and hazards•Eliminate, control and treat occupational diseases at an early stage•Establish a baseline against which subsequent changes in health status of employees can beevaluated over time

•Identify medical conditions that may render employees temporarily or permanently unable toperform their occupations and to ensure appropriate treatment of medical conditions identified

•Educate employees and employers in the early detection and prevention of occupational diseaseand the risks associated with his / her occupation

•Establish a baseline against which subsequent changes in health status can be evaluated throughongoing medical surveillance programs

•Assist employers to meet legislative requirements pertaining to occupational health surveillance

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7. Healthy Living1. Nutritional Products to counter malnutrition2. HIV / AIDS Disease Management3. TB Disease Management4. Other Healthy Living and Disease Management Programmes5. Health Promotion Campaigns6. Exceptional Quality Products at reasonable prices7. Mid Shift feeding in Mines

With the needs of patients and communities being in a constant change of flux, Healthshare willconsolidate certain initiatives to enhance the added value provided by our clients to their patients.Healthshare will customise a healthy living project to fit the needs of the clients and communities.Visit www.phakamisara.co.za for more information.

Phakamisa Healthy Living (Pty) Ltd a subsidiary of Healthshare Health Solutions is appointed to deliver the services.

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8. Medical Practice Management Billing - SAH Billing

We ensure that collections from patients and medical schemes are maximised in the interest of your practice

Outsourcing is a common practice when it comes to medical billing. Most doctors will at some point find themselves outsourcing their medical billing to a professional medical billing - or a practice management company. Here are some of the reasons why:

It provides added IT security. It's a well-known fact that data loss can ruin a business. SAH Billing makes use of “cloud” technology so the data is always safe! With the adequate software and security measures taken, a client may log in from anywhere in the world to have a look at his/her finances or the doctor may even make use of the integrated dairy. This is also the reason why SAH Billing has clients nationwide.

You'll get your money faster. Most practices with limited resources can't designate multiple employees to concentrate on billing. This means it takes longer to submit claims, follow-up calls can be inconsistent, and your money comes in later than it should. With SAH Billing, your claims will be submitted more quickly and follow-up calls will be more persistent, all adding up to more and quicker revenue for your practice.

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8. Medical Practice Management Billing - SAH BillingIt reduces rejected claim s. Seldom, staff members are appointed as debit controllers, but have many other tasks to attend to. Most of the time they do not have a good understanding of billing and debit control or the skills to be successful in debit control. Some practices are unaware of sound billing and statutory requirements. A great deal of rejected claims come back simply because of errors in coding or late admission of accounts.

It improves your business. Many doctors say that you don't just need an M.D. to be in a private practice anymore, you also need an MBA. An experienced medical billing company doesn't just send out claims, it's also a valuable business partner. SAH Billing will provide your reports on a monthly basis, detailing the financial health of your practice, and can recommend ways to boost profitability at the same time.

It saves time. Medical billing is an immense task. Outsourcing to a medical billing firm can take much of that burden off your shoulders. It will save you the time you need to concentrate on healing your patients.

It saves resources. Billing and debit control is time consuming and when a staff member has a lot of other duties to attend to, the billing and debit control sometimes do not get the correct attention where it is needed. Your staff may not be able to focus exclusively on billing-or have the necessary expertise. Practices that don't outsource often can't afford to have one employee focus on billing without giving attention to other clerical duties. A medical billing firm will have the knowledge and experience to take care of all the medical billing issues that arise with your practice and free your staff to concentrate on adding value to other aspects in running your practice.

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The Directors

Mr Frank SullivanExecutive Chairman

Frank has 37 years experience in Human Resource and hospital management. He has strong management and negotiation skills and has been instrumental in many creative ventures and change management programmes within the industry. Frank is a director of Healthshare. He is a registered industrial psychologist and his academic qualifications are: Bpl. Hons, M. Comm, Mpd and Edp.

Roles & Responsibilities:• Strategic positioning of the company• Corporate Governance• Identifying of new business ventures & opportunities• Industrial Relations• Turnaround Strategies

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The Directors

Dr Tony de CoitoManaging Director

Tony is a medical doctor who is passionate about business. He has an MBBCh medical degree, as wellas a B.Comm and an MBA, with distinction, from the Witwatersrand Business School. He has 29 yearsexperience in the healthcare environment, of which 19 years have been at senior management level.He has overseen many healthcare transitions and has strong communication and change managementskills. Apart from being on the Healthshare Board of Directors, his main contribution is in operations,but Tony also contributes at a strategic level.

Roles & Responsibilities:• Strategic alignment•Integration of all initiatives and projects•Increased business profitability•Discovery and execution of growth opportunities•New business opportunities•Contracts negotiation

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The Healthshare Team

Overview

The management team of Healthshare has the combined experience of more than 150 years of generalmanagement in the healthcare industry. We understand the importance of quality, efficient healthcareservice delivery and facility management.

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Mrs Annelie MeiringNursing Executive

Annelie obtained her nursing degree in 1979. Her tertiary nursing qualifications include: B. Cur Hons and M.CurNursing Management) through the University of Pretoria, Diploma Advanced Nursing Science at UNISA [Nursing Education, Community Health Nursing, Diploma in Nursing Administration] Certificate Geriatric Nursing Department of Health. Her professional qualifications include: Registered Nurse, Midwife, Psychiatric Nurse,Community Health Nurse, Nursing Education, Nursing Administration, Registered Assessor, Moderator and Verifier. Annelie has extensive experience in Nursing Management and Nursing Education. She obtained shareholding in Managed Care and serves on the board of Directors for Managed Care.

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Mrs Dalina GreylingFinance and Administration Executive

Dalina started her career in the financial department at the Harmony Gold Mining Company inSeptember 1985. Here she gained experience in all the aspects of the financial department: strategicplanning, debtors, creditors, reconciliation and balance sheets - to name a few. In 1996 she wastransferred to the Hospital as Financial Manager, specifically to implement a private wing. Later in hercareer, she was appointed as Group Central Services Accountant, where she was responsible for themanagement of all the overheads, as well as the Corporate Financials. Dalina joined Healthshare asthe Group Finance & Administration Executive and was appointed as one of the Directors of theHealthshare Pharmacy companies in 2005. She obtained shareholding in Phakamisa and Board of Directors for Phakamisa Healthy Living (Pty) Ltd.

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Dr Ben -Matthys DuminyProject Manager

Ben-Matthys completed his MBChB degree in 1994 at the University of Pretoria. He started his medical career in the rural areas of South Africa, but returned to Pretoria as a Clinical Assistant in internal medicine in 1997. In 1999 he became the Director of the newly built Trauma Unit of Akasia Hospital and chose healthcare management as a career. From there on he served in managerial positions in private practice and the Curamed and Medi-Clinic hospital groups obtaining experience in strategic healthcare project planning. In 2008 he started with consultancy work for Healthshare in health service assessment, to be appointed as Project Manager in 2009. He believes that optimal patient care can be achieved through planning, organising and management of health systems through strategic alignment.

15Mr. Stéphan MöllerExecutive: Pharmacy

Stéphan completed his Pharmacy degree in 1997 and obtained a Masters degree in Pharmacy Practice in 1999. He completed his MBA (cum laude), specialising in negotiations skills in 2003. Stéphan started his career by heading up the hospital pharmacies of AngloGold and AngloCoal in the late nineties, where after he headed a purchasing company responsible for all the purchases of these hospitals as well as pharmacies owned by the S Buys Group. Stéphan converted this division into a full-line pharmaceutical wholesaler in 2002 and moved on to head up new business development in 2007. As part of the Group Executive, he also assisted with corporate governance, legal issues and marketing of group services. Experience in successful pharmacy related public-private partnerships, extensive experience in pharmaceutical logistics and supply chain management and also being closely involved in SAAHIP, gives Stéphan the experience and network to assist Healthshare with all pharmacy matters in South Africa and the rest of Africa.

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Mrs Madelein NelManager: Financial Services

Madelein completed her B. Compt (Accounting & Auditing) degree in 2003 at the University ofPotchefstroom in South Africa. She furthermore completed her Honors degree in 2005. Madeleinstarted her career working in a Financial Auditors firm as an auditor for 5 years. During this period she had to attend to 2000 businesses. She was appointed at Healthshare Health Solutions as the Financial Manager in 2005. She also acts in the position of Executive: Finance and Administration when required.

Madelein has experience in all aspects of a complete financial system, including, debtors, creditors,reconciliation, procurement, administration, financial reporting and more. During her career she hasbeen responsible for the financial reports, costing and budgets for 3 hospitals and 33 clinics. Madelein s responsible for projects within Healthshare pertaining to Finance and Administration, and Information Technology and Systems.

Me Suseth Goosen Manager: Nursing Services

Suseth Goosen started her nursing career in Bloemfontein where she did a B.Soc.Sc. Nursing degree with general nursing, midwifery, psychiatry and community health. She moved back after her studies to Gauteng where she worked in a surgical unit, and eventually ended up in a neonatal Nursing unit. During this time she was part of a team that commissioned a neonatal unit for a large hospital group. In 1999 she did her masters degree at RAU in Child health with special interest in Neonatology. Since then she has worked as a staff nurse in London in a research neonatal nursing unit, lectured at Pretoria university, was part of a team to develop a early intervention course for health care workers. For the last 10 years she worked for a private hospital group first as a quality manager and later as assessor, lecturer and finally as a clinical training specialist. She is also a member of the Forum for Professional Nurse Leaders and is for the last 4 years part of the executive committee.

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Mrs Marionette HildebrandManager: Billing Auditing

Marionette started her career as a pharmacy assistant in 1998 where she also gained knowledge in stock control.She became a billing clerk in 1999 and in 2000 became the billing auditor for both private and “mine” patients. Together with the billing auditing, she was also the stock controller for the hospital, until 2003.In 2007 she was appointed as Billing auditing Manager at Healthshare.She believes that hospital revenue can increase by at least 5% with correct billing & proper stock control.

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Mr Lucas Sikundla Manager: Case Management

Lucas qualified as a professional Nurse in 2003 with a diploma in General,Nursing Sciences, Psychiatric Nursing, Community Health Nursing and Midwifery. Lucas started his professional career in Trauma Nursing and is currently the Case Manager at Healthshare. He is amongst others a BLS instructor and offers accredited courses to our client base. Lucas has a wide range of Case Management experience with vast experience in Medical Aid Rules and Administrators as well as in Trauma Nursing. He obtained shareholding in Healthshare Management Care in 2008 and also serves on the Board of Directors for Management Care (Pty) Ltd. And Phakamisa Healthy Living (Pty) Ltd.

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Healthshare Health Solutions Consulting Skills and Work Experience

SA Mine Hospitals

ERNEST OPPENHEIMER HOSPITAL (Full Management of this 700 bed hospital in Welkom, Free State, South Africa). The hospital was transformed from a traditional mine hospital to a private hospital. This transformation process included outsourcing of certain medical services, process re-engineering to cater for private patients, upgrading of facilities and equipment, and improved marketing and branding. The highly successful outcomes included a 240% increase in revenue, a high number of private patients (46% private and 54% mine patients), much higher customer service ratings (quality improvement) with patient satisfaction increasing from 65% to 93%) and at the same time affecting cost savings of more than R6 million per month.

SIR ALBERT MEDICAL CENTRE (176 bed hospital, Randfontein, Gauteng, South Africa). This was a very similar change management challenge to the Ernest Oppenheimer Hospital which included process re-engineering, upgrading and equipping , branding, improvement of customer service ratings (73% - 93%), cost savings of (R2 million per month) as well as COHSASA accreditation and incorporating Evander Hospital as a referring hospital and optimising the referral process. Under the management of Healthshare this hospital won various National accolades, such as Best Business of the Year and Community Leader of the Year.

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Mine Hospitals

SIBANYE GOLD

Healthshare has been contracted by SIBANYE GOLD mining company to manage their 2 hospitals, 8 primary healthcare clinics and 3 occupational health centres on a MANAGEMENT CONTRACT starting 2 May 2013. Major goals include a HEALTHIER WORKFORCE and an 18% decrease in medical costs which equates to about R70 million per annum. This contract has ended and all major goals, including cost savings, reduced admissions, lower sick shifts and eventually the sale of the two hospitals has been achieved.

DEBSWANA

Healthshare completed efficiency and feasibility studies for Orapa hospital and Jwaneng hospital in Botswana. Healthshare assisted Debswana to optimise the 2 hospitals. The intervention utilised 2 healthcare operational managers, 1 per hospital as well as a team of experts. The project resulted in making improvements and 19% cost savings.

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Healthshare Health Solutions Consulting Skills and Work Experience SA Mine Healthcare

DRD GOLD LIMITED - Blyvooruitzicht Gold Mining Company Limited (Blyvoor) – Healthshare provided comprehensive quality, health services to the Blyvooruitzicht mine at 50% to 65% of the rates applicable to the South African Gold Mining environment. The services included two 24 hours medical centres and a very up market occupational health centre and also included all referrals to private hospitals and specialists along managed care principles.

GOLD ONE MINING COMPANY: COOKE OPERATIONS (now Siba nye Gold)

1) Paramedic emergency service: Healthshare was initially contracted to provide a 24 hour paramedic support service on-site for the three mine shafts at Randfontein and Westonaria. The service includes the staffing and the management of the emergency staff at the mines.

2) Health screening: Healthshare was contracted to perform health screening of 4500 mine employees for the development of a Baseline Chronic Disease register. The screening included the measurement of blood pressure, pulse, temperature, waist circumference, body mass index (BMI), height, weight and urine testing. The results of the screening were analysed and the report submitted 21 August 2012. This enabled the early detection of a number of medical conditions.

3) Healthshare now provides comprehensive services consisting of Primary Health care, Secondary Health care and Occupational health. In-patient numbers have substantially reduced, due to early disease detection and treatment. Sick shifts are low and the workforce is more productive.

Healthshare has been contracted to provide comprehensive health care to GOLD ONE employees at their Cooke operations in the Westrand of South Africa. This will include four 24/7 primary health care centres , an occupational health centre as well as secondary and tertiary care. The 3 year contract started on 1 November 2012 and is still operational. The service is very efficient and of high quality. Sick shifts remain low, hospital admissions very low and the workforce is healthier and more productive. Many more employees are on chronic medication due to earlier disease detection and optimal disease management.

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SA Mine Healthcare

CLINIC SERVICES: Our proven primary healthcare model has delivered accessible quality care to thousands of workers on various capitation model contracts Healthshare has held over years. Quarterly quality audits have enabled continuous improvement of these services. This had been augmented by frequent customer surveys and formal meetings with both employer and employee representatives. These clinics serve mainly the mining industry. Healthshare is confident that their prices in this area will remain very competitive.

OCCUPATIONAL HEALTH: Large on-site Occupational Health centers have been commissioned for mining clients. These centers contain new “state of the art” digital technology X-ray units and modern diagnostic equipment. Other clients are served with a customised center that caters for their specific occupational healthcare needs. Suitably qualified practitioners carry the appointments in terms of the relevant legislation to ensure the employer meets all the requirements of the law. Healthshare has the ability to deliver occupational health services of exceptional quality at a reduced price.

COMPREHENSIVE CAPITATION PRODUCTS : Healthshare provides comprehensive, quality, healthcare services on a capitation basis to employees of gold mines. The typical model includes primary healthcare clinics and occupational healthcare clinics on site and the managing of specialised services (private hospitals, specialists and other private service providers) along managed care principles. These principles include the management of preferred provider networks, tariff negotiation, case management and billing auditing. Healthshare can deliver these services at a very competitive rate to any prospective client.

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Pharmacies

PHARMACY COMPANIES . Two pharmacy companies H Taute (Pty) Ltd. and MP Britz (Pty) Ltd. were acquired by Healthshare in 2006. These companies owned and managed 4 retail and 3 hospital pharmacies. A very successful business turnaround (from significant losses to substantial profits of up to R2 million per month) in 6 months was achieved by review and negotiation of contracts, optimisation of supply chain management, rationalisation and integration of pharmacy systems with hospital and clinic systems and restructuring and re-organisation.

Ethekwini Hospital and Heart Centre, Pharmacy. Healthshare recently completed a Turn Around Strategy in the pharmacy at Ethekwini Hospital and Heart Centre. The gross margin was substantially improved from a negative 10% to a positive 20%.

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SA Private Hospitals

HILLCREST HOSPITAL: Healthshare has been contracted to commission and manage a 200 bed “state of the art” private hospital in Hillcrest, KwaZulu Natal, South Africa, from 1 October 2010. The hospital opened on 1 July 2011 and is now just over 5 years old. Hillcrest Private Hospital received a bronze PMR business award . The ward criteria included management expertise, enhancing economic growth, corporate governance, innovation and brand awareness.

ETHEKWINI HOSPITAL – Healthshare improved the functioning, efficiency and systems of the hospital pharmacy of this newly developed hospital. This was a 8 month project.

St Marys - On 2 April 2014 Healthshare and some of our strategic partners, Coalesce, has been contracted to manage 200 the Bed St Mary’s Hospital in KwaZulu Natal, South Africa. We achieved an operational and financial turnaround in 3 months and the hospital was then moved out of provisional liquidation and now operates as a going concern.

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SA Private Hospitals

Healthshare has arrangements with a number of hospital developers and investors to provide pre-operational consulting and later operational management of new hospitals across the country. Previously disadvantaged, high growth areas are a priority.

Healthshare has signed agreements to develop and manage several hospitals in the various regions of South Africa.

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SA Factories Healthcare

TSB SUGAR : TSB Sugar has contracted Healthshare to do a rapid, accurate assessment of their Occupational Health, Primary Health Care and Pharmacy services and systems in and around the town of Malelane in Mpumalanga. The scope of the assessment included legal compliance, effectiveness and efficiency, system risks, legal risks and areas where management can be improved.

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Botswana Mine hospitals

THE DEBSWANA PROJECT. Healthshare was contracted by the De Beers Diamond Company to do a Healthcare Efficiency Improvement Project (done from 1 October 2006 to 31 December 2006) on its 2 mines in Botswana (Orapa and Jwaneng - the “Worlds Richest Diamond Mines”). This project focussed on additional / potential value that could be realised by Orapa and Jwaneng hospitals and associated medical facilities. The project consisted of information gathering, intensive site and process assessments, international benchmarking, reporting and presentations. Benefits included the improvement of the quality of care to patients, significant higher revenue (30%) through better billing auditing and case management, lost shift reductions, major cost savings, improved staff utilisation and customer service, and improved financial management, reporting and control. Comprehensive reports in the form of manuals were provided to Debswana. Healthshare (together with our strategic partner Innolead in Botswana) is currently busy with a feasibility study for Debswana regarding the possible outsourcing of Orapa and Jwaneng hospitals to an Independent operator.

Healthshare (together with our strategic partner Innolead in Botswana) completed a feasibility study for Debswana regarding the possible outsourcing of Orapa and Jwaneng hospitals to an Independent operator. Although outsourcing would provide cost benefits, Debswana decided to embark on an optimisation and rightsizing strategy with Healthshare’s assistance.

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Botswana Mine hospitals

DEBSWANA , the richest diamond mine in the world, owns two hospitals of about 90 beds each. Debswana has engaged Innolead Consulting (a Botswana company) in association with Healthshare to OPTIMISE Orapa and Jwaneng hospitals and its associated clinics. The intervention cuts across structures, processes, people and technology and the underlying organisational culture. The contract started in May 2011 and was of 2 years duration. This project ended on 30 April 2013 and achieved 19% cost savings.

Healthshare has also been contracted by Debswana Diamond mining Company to manage the consultative phase of the Jwaneng Mine Hospital upgrade project. This was com pleted in May 2013. Deliverables included architectural plans, a physical 3D model, stakeholder buy-in and full costing. Healthshare has now been appointed for the second and third phases of this project.

BCL MINE HOSPITAL (BOTSWANA): Healthshare has completed a professional assessment of the health services efficiencies and business viability of the BCL Mine hospital in Selebi-Phikwe, Botswana. This project was completed ahead of the time frame set by the client.

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Libya

ELKHADRA HOSPITAL (600 bed hospital in Tripoli, Libya). A 3 year management contract commenced 1 January 2008. A 27 member hospital management team was recruited and seconded to Healthshare International UK. The main aim is to implement international best practice, transform the hospital from a public to a private hospital and ensure international accreditation. Another aim was to convert this public hospital into a multidisciplinary private hospital and the hospital opened its doors to private patients in September 2008 (this aim was achieved 18 months ahead of schedule). This is a first for Libya and a model for Libyan healthcare policy.

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Botswana Public hospitals

BOTSWANA GOVERNMENT HOSPITALS: Healthshare was contracted to perform a comprehensive baseline audit and gap analysis of 2 referral hospitals (Gaborone and Francistown) and 4 district hospitals (Mahalapye, Molepolole, Serowe and Maun). The audit analysed both clinical and non-clinical services including nursing, medical, finance and administration and pharmacy services. The findings and reports enable the Ministry of Health to correctly structure and transform the service delivery for all the people in the country. This comprehensive audit achieved all the goals and objectives successfully well within the set timeframe. The results of this audit formed the basis of a strategic planning system of the Ministry of Health of Botswana and the results should lead to improved quality of care at reduced cost, to the citizens of Botswana. Furthermore, Healthshare and its strategic partner ROE consulting has also recently completed a *comprehensive asset register and *maintenance plan for all the public hospitals in Botswana and has implemented a Computerised Maintenance Management System (CMMS). This will lead to major improvements in equipment maintenance and availability as well as significant cost savings to the Botswana government.

Healthshare has developed *Standard Operating Procedures (SOP’s) for all 29 Government hospitals in Botswana.

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Healthshare also provides Managed Care Services (this includes case management and billing auditing) for all Botswana referrals to South Africa (as from 1 October 2010). These Managed Care services have proven to be extremely successful in terms of improving the quality of care to patients, as well as very significant cost savings to the Botswana Government. The cost per patient referred to the Ministry of Health has decreased by over 75% in US Dollars. The initial contract was for 2 years, it was been extended for a further 2 years and expanded to also include referrals to private hospitals and specialists in Botswana as well. Recently Healthshare has been appointed for a further 3 years.

Healthshare has developed clinical audit tools for Princess Marina Hospital. The Botswana Ministry of Health utilises these trials to access senior nursing staff and improve efficiencies in their largest referral hospital. In addition a training program for nursing unit managers has been completed by Healthshare.

Healthshare’s contracts with both the Ministries of Health of Botswana and Swaziland to manage specialised referrals to South Africa have both been extended. Referral costs have reduced by approximately 75% per patient referred . The enables many more patients to receive specialised care in South Africa. With respect to Botswana, four times as many patients receive specialised medical care at the same cost. Also with respect to Swaziland, the cost per patient has reduced to a quarter of what it was prior to the Healthshare contract.

BOTSWANA MVA FUND

Healthshare has been appointed by the Botswana Motor Vehicle Accident Fund to act as a technical partner to implement a new SAP IT System. The Botswana MVA Fund also utilises Healthshare to assist with negotiations with service providers.

INTERNATIONAL CONSULTING

Healthshare together with several different partners plans to provide pre-operational consulting servicesfollowed by management services to a number of new hospitals in Southern, East and West Africa .

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Tanzania Public hospitals

TANZANIA: Healthshare was involved in a consulting project for the tertiary Muhumbili National Hospital (250 bed) in Dar-es-Salaam. Training focussed mainly on policies and procedures to prepare the hospital for COHSASA accreditation.

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International Private hospitals development

ZAMBIA: Healthshare’s commissioning expertise, combined with funding from the IDC of South Africa is assisting the country of Zambia to develop its first 150 bed multi-disciplinary private hospital. The Lusaka Premier Health Clinic will comprise of medical, surgical, pediatric, maternity and neonatal services. The operating room complex will have normal and laminar flow ventilation to enable all types of surgery. The facility will accommodate a cardiology unit that is capable of invasive cardiology.This project is currently “in limbo” as the Zambian partner is experiencing cash flow challenges. Healthshare remains optimistic that this project will be completed. This initiative has the support of the Ministry of Health.

MONTENEGRO: Healthshare is contracted to design, manage and consult on a new 250 bed hospital in Herceg-Novi, Montenegro. This hospital-hotel development is a landmark development. The services are comprehensive including surgery, orthopedics, internal medicine, pediatrics, maternity, and gynecology and so on. Due to the world`s “sub-prime” financial crisis the project is awaiting a recommitment of capital expenditure from the Atlas Group of companies.

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Managed Care Services

BOTSWANA MINISTRY OF HEALTH: Healthshare also provides Managed Care Services (this includes case management and billing auditing) for all Botswana referrals to South Africa (as from 1 October 2010). These Managed Care services have proven to be extremely successful in terms of improving the quality of care to patients, as well as very significant cost savings to the Botswana Government. The cost per patient referred to the Ministry of Health have decreased by over 75% in US Dollars. The initial contract was for 2 years, it was been extended for a further 2 years and expanded to also include referrals to private hospitals and specialists in Botswana as well. Recently Healthshare has been appointed for a further 3 years. . SWAZILAND MINISTRY OF HEALTH has contracted Healthshare to provide managed health care for all Swaziland Ministry of Health referrals, under the Phalala Fund as well as the Civil Servants Medical Scheme , to South African private hospitals and specialists. Savings are approximately 75% in US Dollars terms.

ANGOLA REFERRALS: Healthshare has concluded an agreement with MEDLINE AFRICA to Case Manage referrals from ANGOLA to South Africa for specialised medical care.

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Results of Healthshare’s case management contract with the Government of Botswana

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Time period

12 months prior to

Healthshare contract

(BASELINE): April 2009 -March 2010

First Financial Year of the

Healthshare contract: April 2011 - March

2012

Second Financial Year

of the Healthshare

Contract: April 2012 - March

2013

Third Financial

Year of the Healthshare

Contract: April 2013 -March 2014 (12 months)

Fourth Financial Year of the Healthshare Contract: April

2014 - March 2015 (12 months)

Number of cases referred

643 843 1092 1708 2506289% increase compared to

baseline

Costs USD 21 087 495 USD 11 900 195 USD 11 583 688 USD 11 457 319 USD 18 216 05314% decrease compared to

baseline

Average cost per patient

USD 32 795 USD 14 116 USD 10 608 USD 6 708 USD 7 269

78% cost reduction

per patient compared to

baseline

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Results of Healthshare’s case management contract with the Government of Swaziland (Civil Servants Medical Scheme)

case

stu

dy

Time period2009 / 2010 (prior to

Healthshare contract)

Financial Year 2013/2014

Financial Year 2014/2015

Number of cases referred

250 348 592

Costs USD 3 941 555 USD 1 912 855 USD 2 205 71644% decrease

compared to baseline

Average cost per patient referred

USD 15 766 USD 5 497 USD 3 72676% decrease

compared to baseline

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Results of Healthshare’s case management contract with the Government of Swaziland (MOH Phalala Fund)

case

stu

dy

Time period2009/2010 (prior to Healthshare

contract)Financial Year

2013/2014Financial Year

2014/2015

Number of cases referred No baseline available 1277 1845

Costs USD 9 085 577 USD 7 810 248 USD 6 830 634

Average cost per patient referred

No baseline available USD 6 116 USD 3 702

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Feasibility Studies, Financial Models, Business Pla ns, Information Memoranda

Healthshare has completed a number of feasibility studies in South Africa, Nigeria, Ghana, Zambia, Botswana and Namibia. Hospital size varied from 60 beds to 250 beds.

Healthshare has been contracted to provide a Technical Review of the new 250 bed KATSINA STATE ORTHOPAEDIC AND SPECIALIST HOSPITAL in NIGERIA.

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International public engagement

KENYA: Healthshare was invited by the Kenyan Ministry of Medical Services to participate in the “Kenya private and public Health Sector Stakeholders’ workshop in Naivasha from 19th to 22nd April 2009. The main aim was to obtain consensus on priority issues for policy dialogue and action. Following the workshop, Healthshare visited the Kisumu region in order to advise on improved utilisation (in terms of efficiency, effectiveness and quality of service) of three state and one private hospital. A limiting factor remains funding and Healthshare has been advised that when International Funding becomes available the relationship with Kenya will be progressed further.

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Achievements and Accolades

Healthshare Achievements and Accolades

Healthshare will be 12 years old on 28 April 2016Healthshare Health Solutions (Pty) Ltd is the 2014 Business of the Year Silver Winner in the Larg e Business Category . In 2013 Healthshare was the Gold winner . The award is an annual award presented by the Roodeport Chamber of Commerce and Industry. It is unusual for a company to win awards twice in a row.Healthshare has benefited its customers through eff iciency and quality improvement. Below are a few examples:

Ministry of Health: Botswana

Reduced the costs of specialised referrals to South Africa by over 75% in US Dollars on a cost per referral basis . This means that more Botswana Citizens can be referred for medical treatment and specialised medical treatment and it costs the government a lot less.

Gold One Mines, South Africa

Healthshare helped engineer a healthier workforce by: Detecting and treating disease earlier and have more than doubled the employee numbers on chronic treatment This led to far less hospital admissions and case management controlled the number of days and level of care. Hospital in-patient days reduced by over 80%Medical sick days halved to below 1.5% of the workforceHealthcare cost savings of over 20% were also achieved

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Debswana, Diamond mining

A 2 year optimisation project involving Orapa hospital and Jwaneng hospital resulted in a 19% cost improvement and many quality improvements

Elkhadra Hospital, Libya

Quality improvements resulting in a reduction of neonatal deaths by 97% (from 40 per month to 1 per month). Successful privatisation of a government hospital. Hillcrest Private Hospital, South AfricaHealthshare managed the pre-operational phase, commissioning, operational management and later consulting on this contract. This superior 200 bed facility was successfully launched and has received awards for business achievements.

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Sir Albert Medical Centre, South Africa

Healthshare achieved cost savings of R2 million per month and Sir Albert Medical Centre whilst under Healthshare management won the ROCCI Community Support Organisation award in 2005. Customer satisfaction increased from 23% to 93%.

Ernest Oppenheimer Hospital, South Africa

This hospital was transformed from a traditional mine hospital to a private hospital with cost savings of R6 million per month, and a revenue increase of 240%. Patient satisfaction increased from 65% to 93%.

Pharmacy companies, South Africa

Healthshare successfully turned around two pharmacy companies (owning 7 pharmacies) from substantial losses to very significant profits .

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South AfricaSouthdowns Office Park, Block B, Second Floor, 22 Karee Road, Irene Centurion, 0046, South Africa

Tel: (+27) (0) 12 661 4181Fax: (+27) (0) 12 665 0639Company Registration Number: 2004/000652/[email protected]

AfricaSouthdowns Office Park, Block B, Second Floor, 22 Karee Road, Irene Centurion, 0046, South Africa Company Registration Number: 2007/028209/[email protected]

South AfricaSouthdowns Office Park, Block B, Second Floor, 22 Karee Road, Irene Centurion, 0046, South Africa Company Registration Number: 2007/029290/[email protected]

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Nigeria

Healthshare Procurement Ltd.5th Floor Wing B, Nos:1Adeola Odeku StreetSAPETRO Towers.Victoria IslandLagos. NigeriaATTN-Damola OsundelePhone Nos-08039761598

PhakamisaUnit S1, The Dozen, 36 Venturi Cresent, Hennopspark, 0157

Tel: (+27) (0) 12 653 7254 Fax: (+27) (0) 12 653 7359Company Registration Number: 2007/025572/[email protected]

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Kingdom of Swaziland

Nigeria

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strategic partners A

XI H

EA

LTH

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strategic partners

57stra

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Zenith Surgical

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clie

nts Elkhadra Hospital

Angola

Kenya

Our Contact DetailsSouthdowns Office ParkBlock B, Second Floor 22 Karee Road Irene Centurion0046

Tel: (+27) (0) 12 661 4181Fax: (+27) (0) 12 665 0639Email: [email protected]: www.healthshare.co.za

Company Registration Number: 2004/000652/07

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COMPANY PROFILE 2016 - Healthshare · COMPANY PROFILE 2016. Contents Business of the Year Our...

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