Annual Report 2019 - Memon Medical Institute Hospital

Annual Report 2019

03

Memon Medical Institute Hospital

Annual Report 2019


Annual Report 2019 04

VISION

MISSION

To be a role model for caring,curing, education, training,research and employment.

To provide accessible and a�ordable quality healthcare and health education to all with empathy, dignity and respect, IRRESPECTIVE OF THEIR CASTE, CREED, COLOR, RELIGION OR

ABILITY TO PAY

AIMTo lead Pakistan towards international quality of healthcare standards while providing quality education and training to medical and nursing

personnel.

VALUESo Caring o Transparency

o Teamwork o Respect

o Ethical o Integrity

o Empathy o Honesty

o Fairness o Dignity

HEALTHCARESERVICES

QualityAFFORDABLE

CONTENTSChairman’s MessageMessages of OB Members & CEO Memon Health & Education Foundation

Memon College of NursingAugmented Services

Committees and MeetingsIT GovernanceRole of Chairman and CEORisks and Opportunities AnalysisSocial & Environmental ResponsibilityOur People Our AssetsMilestones & Future ProjectsWalfare Department’s ReportShariah CertificateLab Collection Units MapMMI Hospital’s Spectacular Services

03


Annual Report 2019

• Organizational Structure• Trustees of Memon Health & Education Foundation• O�ce Bearers Committee • Board of Governors, Welfare & Audit Committee• Corporate Friends & Well-Wishers of MMI Hospital• Bankers’ Detail• Executive Management Team

• OPD, Emergency, Outpatient Services

• Radiology, Laboratory Services

• Pharmecy, Vaccination, Neurophisiology, Lithotripsy Services

• Cardiac Catheterization, Bi-plane Angiography, Physiotherapy & Rehabilitation Services

• Paediatric Ward (PICU), Pulmonary Function Test Unit, Neonatal Intensive Care Unit

• Dialysis, LAB Collection Points

• Obs / Gynae, ICU, Operation Theater, Coronary Care Unit

• Privet, Semi Privet & General Wards, Special Care Unit

• Neuro Spinal Surgery, Cardio Thoracic Surgery , Endoscopy

• Patients Rights

• Health and Information Management Services

2226282931333536383940

05061 1

5051

12131516171819

41

42

43

44

45

46

47

48

49

51

52

CONTENTSNews Update



53

Success StoryEvents

• Lamp Lighting Ceremony at Memon College of Nursing• Inauguration of Echocardiography Service• Gift Distribution Ceremony• Open Forum & Eid Milan Party• Independence Day Celebration

• World Heart Day Walk World Breast Cancer Awareness CME Health Asia 2018

• Seminar on Cardiac Diseases at Karachi Club Celebration of Breast Cancer Month

• SYMPOSIUM on Anti - Microbial Stewardship Seminar on World Hepatitis Day Seminar on Cardiac Diseases in Pakistan

• Seminar on Diabetes Day• Seminar on World Kidney Day

• Financial Graphs / Analysis Reports

• Auditor’s Report

• Financial Statements for the year ended June 2019

• Cochlear Implant Surgery Camp• Knee Replacement, Lithotripsy, Neurosurgery Camps• Diabetic Day, Paediatric, Pulmonology Camps• ENT, Orthopedic, Gynaecology Camps• General Surgery, Hepatitis, Dermatology• Nephrology, Physiotherapy, Dental Surgery

5455565758

69

77

78

79

80

82

94

97

Patients’ TestimonialForeign Visiting ConsultantsCorporate Social Responibility

606367

7576

81

93

123

Board of Governor’s Report

Financial Statement 2019

How you can Help? Tax exemption Certificate

7071727374

• Free Medical Camps

05


Annual Report 2019

It gives me immense pleasure to present to you, once again, a detailed account of our Performance and Achievements made during the last Fiscal Year which ended on 30th June 2019.

The Annual Report of Memon Health & Education Foundation provides you an overview of the achievements made as well as a brief about the initiation of many mega projects during the Past Year and detail of our Future Expansion Plans. During the just-concluded Fiscal Year, the Foundation achieved several Milestones which is an indicator of the E�ective Strategies & Policies which were implemented.

We aim to further improve the Quality of our Services year after year by bringing together Professional Expertise and Experience in Multiple Areas, ensuring that our Standards meet that are maintained Internationally, with due attention to Patient Safety.Organizational Success is based on our Objective to provide Excellence in A�ordable Healthcare to all those who seek Medical Assistance and patronize our Services. Combining Dedication and Responsibility towards our Patients, we work towards delivering E�cient Care and Long Term Value to all.

Our robust business model delivered sterling growth and improved revenues from July 2018 to June 2019. MMI Hospital registered consolidated annual revenues of Rs. 1,146.06 Million, reflecting 15% growth. We recorded tremendous growth in all our departments but some of the prominent areas of growth are Emergency, Outpatient Department, Inpatients, Laboratory and others. These departments received a significant growth in terms of volume of Patients and Revenue, which indicates the trust and confidence of patients in our diversified services.

We also started holding Medical Camps regularly in which complete treatment including the surgeries is o�ered free of cost to the deserving patients.

We are also delighted on achieving yet another milestone in the form of launching the College of Nursing which is the Second Project of Memon Health & Education Foundation. Tremendous needs exist for Trained and Technically Sound Nursing Sta� in the Healthcare field which indeed poses a serious constraint. Our College of Nursing has already started delivering Quality Education to the Students. We are o�ering both Degrees as well as Diploma programs in various fields. We are in process of Expansion of the Hospital’s Departments including the Construction of the Dialysis,

Obstetrics & Gynecology Ward, a New Outpatient Department, Construction of the Administration Building and the College of Physiotherapy. All these are essential to serving the Patients better and with the best possible facilities. We are also keen to promote the Post Graduate Training Programs as per the guidelines of the College of Physicians and Surgeons of Pakistan. This will provide a Great Opportunity for Healthcare Professionals to receive Training in an internationally recognized Healthcare Institution.

The Laboratory Department of MMI Hospital is one of the most important features of our growth whereby the Lab Samples are processed in an internationally recommended environment. Our Lab is not only the Backbone of our Hospital but also serving the needs of numerous Hospitals and Laboratories across the city. The growth and success lie in the dedication and e�orts of our sta� at every level and their perseverance in striving to be better and do better in their roles. I would like to extend my Sincere Gratitude and Appreciation to the O�ce Bearers of the Foundation as well as all the Dedicated Employees of MMIH for their Commitment, Dedication and Hard Work for the Continued Growth of MMIH.

CHAIRMAN’S MESSAGE

Mr. M. Ajaz Saya Hon. Chairman

Mr. Muhammad Ajaz SayaHonorary Chairman



We have completed another year with several notable achievements in the growth of the hospital. Among all other significant achievements, the tremendous growth in all the departments of the hospital is the top accomplishment which is due to the e�orts and commitment of the employees. We are in process of continuously introducing new techniques to improve the service standards.

We realize that choosing the right hospital for medical needs has always been a di�cult decision for the patients. We are a dynamic organization providing services of international standards and gained a reputation of delivering quality healthcare solutions to all without any discrimination. The combination of most modern equipments and experienced consultants, we have grown significantly and delivering beyond the expectations of our valued patients.

In the year ended 2019, we have planned several expansion projects including the addition of the wards and the Out-patient Departments to serve more patients and hopefully, these planned projects will be a valua-ble addition in the hospital.As Honorary General Secretary Board of MHEF, I am very thankful to the Trustees of MHEF, Board of Governors, Hospital Management Board, doctors, employees and others for their support and commitment. I look forward to their continued support for further expansion and our progressive journey will continue of serving the humanity.

Being the Deputy Chair-man of Memon Health & Education Foundation, I am indeed happy and satisfied to witness the Past Fiscal Year as anoth-er Great Successful Year for the Foundation. The Patient Care & the Patient’s Satisfaction remained as Top Priority for the Foundation, which is a regular pattern of our Quality Healthcare Stand-ards.

We are in the process of expanding the Hospital thereby increasing the Number of Beds with special emphasis on Obstetrics & Gynecology and Dialysis departments. The number of Patients indeed increased manifold due to the activation of Lab Collection Points as well as through Inno-vative Marketing Techniques. We also started the Diabetic Clinic at Dhoraji Lab Collection Unit to facilitate the Diabet-ics Patients.

We continue to value our Dedicated Team as the Most Important and Vital Asset of our Organization as they indeed translate Corporate Vision of the Foundation into reality by delivering High Level of Care to all the Patients.

We are constantly addressing the needs of our Team and are taking necessary steps to motivate Employee Engage-ment through a Performance-Driven culture. In doing so, every Team Member is made to understand his or her role in contributing to the organization’s performance, thereby enhancing their commitment to uphold and maintain the Best Standards of Service Delivery.

We took steps to transform its organizational culture and create a cohesive team environment. Continuous e�orts were taken to improve communication between Manage-ment, Sta�, Team Leaders and Units to disseminate infor-mation across the organization.

We are therefore Confident to witness Continued Progress, Stability, and Expansion in our Dedicated Services make the MMIH a Leading Name in Providing Quality Healthcare in all fields and to Everyone, in the Years to come.In’Sha’Allah.

DEPUTY CHAIRMAN’S MESSAGE

Dr. M. Ashraf Ebrahim

GENERAL SECRETARY’SMESSAGE

Mr. Mohammad LakhaniHon. General Secretary

Hon. Deputy Chairman

07


Annual Report 2019

I am managing the Treasury of Memon Heath & Education Foundation and prioritize the e�ective utilization of the precious resources in the right direction where the patients received the maximum benefits.

We are committed to create an employee friendly environment where the patients received an international standard services. The quality standard is directly linked to the satisfaction of the employees. We have designed a high-performance culture through intensive employee engagement and training programs. We lead the way in the design, measurement and evaluation of proactive workplace policies and practices that help attract and retain talent with skills and competencies necessary for growth and sustainability. These training programs are very useful for both the clinical as well as non-clinical sta�.

It is my honor to be part of O�ce Bearers Committee as Deputy General Secretary and served in the betterment of the hospital. As a community hospital, we feel a deep sense of pride and commitment to all those who place their trust in our care. Our primary focus is to deliver exceptional care that exceeds international standards in quality, safety and patient satisfaction. It is a privilege to be a part of an exceptional team of people who are passionate about providing the very best care for our patients and their families.

TREASURER’S MESSAGE

DEPUTY GENERAL SECRETARY’SMESSAGE

Mr. Muhammad Iqbal BilwaniHon. Treasurer

Mr. Kashif HabibHon. Deputy General Secretary

Hon. Chief Executive O�cer



CEO’S MESSAGE

MHEF o�ce bearers and the hospital management is continuously striving to go beyond the expectations of the stakeholders and to utilize the generously donated funds in the most appropriate and optimal manner with due diligence and utmost transparency. We highly regard the spirit and passion behind any donated amount for the well-being of masses who otherwise stay deprived from quality health care due to poor financial condition and paucity of resources. Therefore, unmatched mechanism of audit and accountability is emplaced with care to boost the confidence of our respectable donors.

The hospital is well equipped and excellent tertiary care services are being provided 24/7 to all as per our mission statement. Multiple free medical camps, free Lithotripsy, free Total Knee Replacements and free Cochlear Implant Surgeries are being carried out in this iconic hospital for non-a�ording patients. Besides this, the hospital runs Outreach Centers at various locations where specialists and family physicians render their services apart from laboratory samples collection.

MHEF is geared up to further expand the hospital facilities and new wards are being added. OPD Clinics have been increased and facilities are being enhanced. A state of the art and well equipped Uro-Nephrology and additional Gynae/Obstetrics units are undergoing the planning phase.

College of Nursing is successfully undertaking various courses including BSN, Critical Care and Community Nursing. It is a matter of pride to mention that quality nursing training is being imparted. The enviable scores by its students under the umbrella of Dow University of Health Sciences is an evidence to the sustained hard work by its faculty. Memon College of Physiotherapy and Rehabilitative Medicine is also in the planning phase with an aim to provide exemplary education to make a mark in health education.

The MMI Hospital team comprises of dedicated, spirited and motivated associates who are determined and consistent to convert the dream of its founders and trustees into reality with hard work, passion, professional excellence, dignity and respect for humanity. I am humbled to have been blessed with the support of trustees, donors, corporate organizations and my team members!

Memon Medical Institute Hospital Zindabad!Pakistan Paindabad!

BrigadierDr. Malik Waqar Ahmad Awan, TI(M)

(Retd)

The accessibility of a�ordable and quality healthcare is a fundamental right of every human being. It is the legal obligation of every state to ensure access to timely, acceptable and a�ordable healthcare of appropriate quality as well as the provision of the underlying determinants of health. With the ever-increasing disease burden of communicable and non-communicable diseases and with the rapid advancement in new techniques of diagnosis and treatment, it is becoming more challenging for every state particularly the developing and under developed.

Health care sector in Pakistan has succeeded to receive only marginal budget allocation out of the national exchequer over the years vis-a-vis the growing population. Therefore, despite the best possible e�orts, the common man remains devoid of basic health facilities. Due to low socioeconomic and weak financial condition of the masses, a�ordability has been a persistent challenge for common people. Even the middle stratum of the society feels the constraint to achieve quality health facilities from the existing healthcare industry in Pakistan.

Memon Health and Education Foundation (MHEF), a not for profit organization comprising God fearing and generous trustees came to the forefront and decided to contribute to alleviate misery of the masses. Memon Medical Institute Hospital (MMI Hospital), a flagship project of MHEF has been established and proudly serving the community with a vision to be a role model for caring, curing, education, research and employment. The mission assigned to this state-of-the-art hospital is to provide accessible and a�ordable quality health care and education to all with empathy, dignity and respect; irrespective of their caste, creed, color, religion or the ability to pay.

Brigadier Dr. Malik Waqar Ahmad Awan, TI(M) (Retd)

OBJECTIVES

• State of the art tertiary care hospital as per Pakistan Medical Commission. • Establishment of Medical and Dental College and Research Center as part of our

commitment for quality education.

• Continue to develop the hospital infrastructure to meet the growing demand. • Upgrade information and communication technology systems on a regular basis.

• Build on our reputation as a patient centered care with high quality safe services.

• To become the top preference hospital.

• Increase brand awareness as one of the trusted and leading healthcare organization.

• Expanding the healthcare services to various segments of the society.

• Build the community confidence to attract patients’ footfall through enhancing quality services and marketing activities, as per the international standards.

• College of Physiotherapy will be established with the recommended academic standards

and the infrastructural facilities for the students.

• To remain MMI Hospital as one of the trusted name in quality healthcare.

• Maximizing the use of hospital capacity (sta�, equipments and infrastructure).

• Increasing patients’ satisfaction.

• Empower employees to make appropriate decisions and recognize their contribution. • Addition of further courses in College of Nursing.

LONG-TERM OBJECTIVES

MEDIUM TERMS OBJECTIVES

SHORT TERM OBJECTIVES

09


Annual Report 2019



PE

ST

AN

ALY

SIS

Po

litic

alE

cono

mic

alSo

cial

Tech

nolo

gic

al

Gro

win

g po

litic

al fo

cus

and

pres

sure

s on

hea

th c

ares

e.g

. D

RA

P lic

ense

Gov

ernm

ent

regu

latio

ns e

.g.

incr

ease

d fo

cus

of G

OP

on

NPO

and

the

ir so

urce

of

fund

ing

Gov

ernm

ent

spen

ding

po

licie

s on

hea

lth s

ecto

r

Tax

rate

s

Cha

nges

in d

emog

raph

ics

Impr

ovin

g ed

ucat

iona

l lev

el

and

awar

enes

s ab

out

pers

onal

hea

lth

Fear

s, b

elie

fs, c

ultu

ral n

orm

s

Med

ical

eth

ics

Cha

nges

in t

reat

men

ts

beca

use

of t

echn

olog

ical

ad

vanc

emen

ts.

Usi

ng a

pps

to c

onne

ct

doct

ors

with

pat

ient

s rig

ht

in t

heir

hom

es

Soci

al M

edia

New

dig

ital o

ppor

tuni

ties

crea

ting

new

“e

– m

odel

s”

Less

er p

rope

nsity

to

pay

of

patie

nts

Une

mpl

oym

ent

Inte

rest

rat

es

Dev

alua

tion

of P

ak r

upee

Rel

ucta

nce

of c

onsu

mer

s to

sp

end

on h

ealth

car

e

Th

e h

ealt

hca

re

ind

ust

ry

dep

end

s o

n

leg

isla

tio

n,

chan

ges

in

ec

on

om

ic

rate

s,

and

te

chn

olo

gic

al

adva

nce

men

ts.

Wh

enev

er

we

see

shif

ts

in

the

go

vern

men

t,

peo

ple

b

eco

me

wo

rrie

d.

Th

ey

wo

rry

that

wh

at w

ill h

app

en t

o h

ealt

hca

re b

ills?

Will

it

be

inac

cess

ible

sh

ort

ly?

Hea

lth

will

alw

ays

be

a co

nce

rn,

no

mat

ter

of

age.

P

eop

le

wo

rry

abo

ut

excl

usi

vity

, n

ew

dis

ease

s,

less

tr

eatm

ent,

an

d h

ow

mu

ch a

cces

s th

ey c

an h

ave.

Th

is

PE

ST

an

alys

is

of

the

Mem

on

M

edic

al

Inst

itu

te

pro

vid

es a

glim

pse

in

to h

ow

th

e sy

stem

wo

rks,

an

d

ho

w it

co

uld

ch

ang

e in

th

e fu

ture

.

MEMON

FOUNDATION

MEM

ON

HEA

LTH

AN

D E

DU

CA

TIO

N F

OU

ND

ATI

ON

OR

GA

NIZ

ATI

ON

AL

STR

UC

TUR

EB

OA

RD

OF

GO

VE

RN

OR

S

OF

FIC

EB

EA

RE

RS

Chi

ef E

xecu

tive

O�

cer

GM

Eng

inee

ring

& U

tiliti

es

Hea

d o

fSu

rger

y

Hea

d o

f P

GM

EP

rog

ram

me

Hea

d o

fO

BS

/Gyn

ae

Hea

d o

fC

ard

iolo

gy

Hea

d o

fO

per

atio

nTh

eate

r

Hea

d of

Inte

rnal

Med

ical

Hea

d o

fP

ead

s

Hea

d o

fD

ialy

sis

Hea

d o

f O

PD

/Filt

er C

linic

Hea

d o

fLa

bor

ator

y

Hea

d o

fE

ndos

copy

Hea

d o

fP

harm

acy

Hea

d o

fE

mer

gen

cy

Hea

d o

fP

hysi

othe

rapy

Hea

d o

fR

adio

log

y

Hea

d o

fN

ursi

ng

Hea

d o

fIC

U

GM

Sup

ply

Cha

inM

anag

emen

t

GM

Qua

lity

Ass

uran

ceM

anag

erP

roje

cts

GM

Pro

cure

men

t(C

AP

EX

) &

Bio

Med

ical

Eng

inee

ring

Man

ager

HIM

S

GM

Info

rmat

ion

Tech

nolo

gy

Pre

Aud

itD

epar

tmen

t

Pri

ncip

alM

emon

Col

leg

eof

Nur

sing

Chi

ef F

inan

cial

O�

cer

Med

ical

Dire

ctor

Dire

ctor

Op

erat

ions

GM

Hum

anR

esou

rces

Med

ical

Ad

min

istr

atorGM

Mar

keti

ng

Seni

orM

anag

er G

SS

Wel

fare

Dep

artm

ent

Foun

dat

ion

Secr

etar

y



13


Annual Report 2019

32 Mr. Muhammad Amin Chapal

33 Mr. Ismail Abdul Karim Gadit

34 Mr. Zakaria Ahmed Bawany

35 Mr. Shabbir Haroon Bilwani

36 Mrs. Yasmin Asif Khan

37 Mr. Aziz Ahmed Kath

38 Mr. Iqbal Shakoor Bilwani

39 Mr. Usman Habib Bilwani

40 Mr. Abdul Majid Alimahomed

41 Mr. Saleem Dalal

42 Mr. M. Salim H. A. Sattar Bilwani

43 Mr. Mohammad Ilyas Pariyani

44 Mr. Muhammad Asif Zakaria

45 Mr. Muhammad Ashraf Dawood

46 Mr. Arif Lakhani

47 Mr. Ahmed Shaikhani

48 Mr. Ahmed Abdul Karim Gadit

49 Mr. Siraj Kassam Teli

50 Mr. Mohammed Hanif Tawakkal

51 Mr. Shahid Soorty

52 Mr. Fuad Cochinwala

53 Mr. Muhammad M. Ismail

54 Mr. Mr. Habib H. Khanani

55 Mr. Amir Amin Kothawala

56 Mr. Jan Mohammad Gandhi

57 Mr. Nowsad. A Gani

58 Mr. Arif Sharif Bilwani

59 Mr. Munaf Ibrahim Wadalawala

60 M. Umer Chapra

61 Mr. Mohammed Ali Tabba

62 Mr. Muhammad Jamil Qassim

1 Mr. Peer Mohammad Diwan

2 Mr. Muhammad Ajaz Saya

3 Mr. Pir Muhammad A. Kaliya

4 Mr. Muhammad Zubair Amin Motiwala

5 Mr. Muhammad Yousuf Adil

6 Mr. Muhammad Yasin Saya

7 Mr. Khalid Tabba

8 Mr. Ebrahim Qassim

9 Mr. Abdul Jabbar Amin Motiwala

10 Mr. Muhammad Hanif Godil

11 Mr. Muhammad Iqbal Mandvia

12 Mr. Muhammad Ashraf Bhesania

13 Mr. Muhammad Reyaz Ahmed

14 Mr. Zakaria Sattar Bilwani

15 Mr. Ahmed Ebrahim

16 Mr. Ahmed Tabba

17 Mr. Abdul Razak Diwan

18 Mr. Muhammad Shabbir Kassim

19 Mr. Arif Habib

20 Mr. Haroon Tayub Bilwani

21 Mr. Rizwan Diwan

22 Mr. Muhammad Shoaib Ismail Mangroria

23 Mr. Shabbir Diwan

24 Mr. Muhammad Haroon Qassim

25 Mr. Abdul Wahab Lakhani

26 Mr. Aqeel Karim Dhedhi

27 Mr. Arif Baig Muhammad

28 Mr. Yousuf A. Razzak Mukaty

29 Mr. Salim N. Mukaty

30 Mr. Haroon Aziz

31 Mr. Rafiq Habib Godil

TRUSTEESMEMON HEALTH & EDUCATION FOUNDATION



TRUSTEESMEMON HEALTH & EDUCATION FOUNDATION

CORPORATE MEMBERS

94 Mr. Saad Salim Bilwani

95 Mr. Daanish Diwan

96 Mr. Muhammad Asif Usman Bilwani

97 Mr. Muhammad Taufiq Bilwani

98 Mr. Muhammad Altaf Bilwani

99 Mr. Abdul Samad Bilwani

100 Mr. Muhammad Amin Abdul Ghani Mandavia

101 Mr. Muzammil Shoaib Mangroria

102 Mr. Salman Sohail Yasin

103 Dr. Naseem Azeez Shekhani

104 M/S Arif Habib Corporation Ltd.

105 M/S Z M V Rangoonwala Trust

106 M/S Dawood Foundation

107 M/S Summit Bank Limited

108 M/S Descon Engineering Limited

63 Mr. Mohammad Lakhani

64 Mrs. Sharmin Shahid

65 Mr. H A Ghani Haji Osman Adhi

66 Mr. M Amin Diwan

67 Mr. Fawad Yusuf

68 Mr. Amin Issa Tai

69 Mr. Azneem Bilwani

70 Mr. M. Iqbal Haji Usman

71 Mr. A Kadir Adam

72 Mr. Muhammad Bashir Jan Mohammad

73 Mr. M. Rafiq Tumbi

74 Mr. A Sattar Dada

75 Mr. M. Taufique Amdani

76 Mr. Abdul Qadir Bashir

77 Mr. Abdus Samad Arif Habib

78 Mr. M Yasin Bilwani

79 Mr. Asif Haji Sharif Bilwani

80 Mr. Hanif A Shakoor Bilwani

81 Mr. Fahim Zakaria Bilwani

82 Mr. Saqib Haroon Bilwani

83 Mr. A Qadir Memon

84 Mr. Mohammad Irfan Motan

85 Mr. Asif Ismail Mangroria

86 Mr. Ashraf Machiyara

87 Mr. Amanullah Kassim

88 Mr. Ali Akhani

89 Dr. Muhammad Ashraf Ebrahim

90 Mr. Murtaza Ajaz Saya

91 Mr. Shoaib Khalid Tabba

92 Mr. Asif Majeed

93 Mr. Arsal Shabbir Kassim

1. Mr. Peer Mohammad Diwan

2. Mr. Muhammad Ajaz Saya

3. Mr. Pir Mohammad A. Kaliya

4. Mr. Muhammad Zubair Amin Motiwala

5. Mr. Muhammad Yousuf Adil

6. Mr. Muhammad Yasin Saya

7. Mr. Khalid Tabba

8. Mr. Ebrahim Qassim

9. Mr. Abdul Jabbar Amin Motiwala

10. Mr. Muhammad Hanif Godil

11. Mr. Muhammad Iqbal Mandavia

12. Mr. Muhammad Ashraf Bhesania

13. Mr. Muhammad Reyaz Ahmed

OFFICE BEARER’S COMMITTEE1. Mr. Muhammad Ajaz Saya - Honorary Chairman

2. Dr. Muhammad Ashraf Ebrahim - Honorary Deputy Chairman

3. Mr. Mohammad Lakhani - Honorary General Secretary

4. Mr. Kashif Habib - Honorary Deputy General Secretary

5. Mr. Muhammad Iqbal Bilwani - Honorary Treasurer

14. Mr. Zakaria Sattar Bilwani

15. Mr. Ahmed Ebrahim

16. Mr. Muhammad Iqbal Bilwani

17. Mr. Shabbir Diwan

18. Mr. Abdul Razak Diwan

19. Mr. Muhammad Shabbir Kassim

20. Mr. A. Qadir Bashir

21. Mr. Arif Habib

22. Dr. Muhammad Ashraf Ebrahim

23. Mr. Mohammad Lakhani

24. Mr. Kashif Habib

25. Mr. Haroon Qassim

BO

AR

D O

F G

OV

ER

NO

RS

15


Annual Report 2019

• Arif Habib Corporation Ltd.

• Zuleikhabai V.M. Gany Rangoonwala Trust

• Dawood Foundation

• Summit Bank Ltd.

• A. Razak Dawood-Descon Engineering Limited

CORPORATE MEMBERSHIP

• Mr. Abdul Qadir Memon

• Mr. M. Salim Bilwani

• Mr. Rizwan Diwan

AUDITCOMMITTEE

• Mr. Muhammad Reyaz Ahmed

• Mr. Muhammad Ajaz Saya

• Mr. Shabbir Kassim

• Mr. Muhammad Ashraf Bhesania

• Mr. Hanif Janoo

• Mr. Irfan Abdul Wahab Lakhani

WELFARECOMMITTEE



CORPORATE FRIENDS& WELL WISHERS

17


Annual Report 2019

DONATION ACCOUNT

Bank Al Habib Ltd.

Account TitleMemon Health and Education FoundationMemon Medical Institute Branch

Swift CodeBAHLPKKA

Account No1130-0981-000001-01-4

Phone(021) 3469 1094-97

ZAKAT ACCOUNT

Bank Al Habib Ltd.

Account TitleMemon Health and Education Foundation

Memon Medical Institute Branch

Swift CodeBAHLPKKA

Account No1130-0981-000001-02-5

Phone(021) 3469 1094-97

MEMON MEDICAL INSTITUTE HOSPITAL

BANKER’S DETAILS

AUDITOR’S DETAILAUDITOR’S DETAIL

Deloitte Yousaf AdilChartered Accountants

Cavish Court, A-35,Block 7 & 8 KCHSU

Shahreh-e-Faisal, Karachi-75350Telephone +92 (21) 34546494-7

Internal AuditKPMG Taseer Hadi & Co.Chartered Accountants

Sheikh Sultan Trust Buildings,Beaumont Road, Karachi-75530Telephone +92 (21) 35685847

External Audit



Mr. Shahzad Farooq has more than 16 years of experience in areas of accounting, financial management, risk management, policy reforms, regulatory compliance and business turnarounds. He joined MMI in 2018. Before becoming MMI's Chief Financial O�cer, he has served in senior roles in the Finance and Corporate A�airs functions in companies of Pakistan, Kingdom of Saudi Arabia and Sultanate of Oman. He is an Associate member of the Institute of Chartered Accountants of Pakistan (ICAP) and Fellow member of Association of Chartered Certified Accountant (UK).

Muhammad Shahzad FarooqChief Financial O�cer

Prof. Dr. Qamaruddin Baloch is a leading general surgeon with experience of serving di�erent healthcare institutions. Before joining MMI Hospital as Medical Director, he served as a Professor of Surgery & Dean Faculty of Surgical & Allied Health Sciences at Dow University of Health Sciences, Dow Medical College & Civil Hospital Karachi. He also worked as Assistant Professor of Surgery at CMCH Larkana, Service R.M.O. at Civil Hospital – Karachi, M.O. at Taluka Hospital Sujawal District, Thatta and House Surgeon / House Physician at KMCH Jamshoro / Hyderabad.

He is a FCPS from College of Physicians & Surgeons Pakistan and holds a MBBS degree from Liaquat Medical College, Jamshoro / Hyderabad.

Prof. Qamaruddin BalochMedical Director

Dr. Muhamad Hanif Baig has twenty five years of proven professional experience in Hospital Management, Planning and Development. He is associated with MMIH since 2008 as General Manager Material Management. He has been involved in infrastructure development of MMIH and also developed Dialysis Unit of MMIH. Before Joining MMIH, he served as Medical Director of Aziz Tabba Dialysis Centre (Tabba Kidney Institute). In addition to that he was deputed to Tabba Heart Institute to assist project team in planning, construction, and commissioning of hospital departments, selection of vendor for medical equipment and installation of bio-medical equipment. He is a graduate from University of Karachi and holds degree of M.B.B.S.

Dr. Muhammad Hanif BaigGeneral Manager

Brigadier Dr. Malik Waqar Ahmad Awan (TI) M (Retd.) carries an illustrious professional track record of medical administration. He is a graduate of Army Medical College Rawalpindi, Command and Sta� College Quetta & Balochistan University, Quetta.

He holds two master degrees in Medical Administration & Business Administration in Marketing Management. He is a Chartered Fellow of Institute of Logistics & Transport, United Kingdom and a Chartered Member of Institute of Public Relations, United Kingdom. In recognition of his meritorious services, he has been awarded Tamgha-e-Imtiaz (Military) by Govt. of Pakistan.

Brigadier Dr. Malik Waqar Ahmad Awan (TI) M (Retd.)Chief Executive O�cer

He also holds Master’s degree in Finance from University of Karachi & attended various executive management programsat prestigious institutions.

EXECUTIVE MANAGEMENT TEAM

He has served in Pakistan, State of Kuwait and Royal Saudi Forces. He held various command, sta� and instructional appointments including Deputy Director Health Services, Govt. of AJ&K, Pakistan Rangers, Directorate General Procurement (Army), Corps Chief Instructor Army Medical Corps School & Centre, Abbottabad, Deputy Commandant Combined Military Hospital, Peshawar and Director Medical Services of a Corps actively engaged in war against Terror. He commanded various medical outfits including the Command of a Pakistan Navy tertiary care hospital PNS Shifa at Karachi. He retired as Brigadier and joined Memon Medical Institute Hospital in September 2018.

19


Annual Report 2019



Mr. Masoom Warsi is a well-trained and technically sound IT professional who enjoys an illustrious track record spanning over 28 years. He possesses dynamic experience in the fields of project and service management, cyber policy, security and compliance. An executive with cool head and strong nerves displayed vividly particularly in di�cult multicultural heterogeneous environment. He is a vibrant team member and has been associated with Memon Medical Institute Hospital for the last seven years.

Holds a Master degree in Management Information System, Membership of American Chamber of Commerce IT Group & a Platinum Membership of InformationSystem Audit and Control Association (ISACA) USA. He has been awarded ‘Certificate of Appreciation’ by American Chamber of Commerce IT Group in recognition of his meritorious services.

Mr. Masoom Warsi General Manager Information Technology

A Professional Engineer with Bachelor of Electrical Engineering (BE, Electrical) from NED University of Engineering & Technology, Member of Electrical Engineers of Pakistan . A dynamic, enthusiastic and energetic person equipped with strong interpersonal skills & an overall experience of around 28 years of installation, operations and maintenance of Engineering utilities with leading national concerns. Have held the portfolios of Manager Electrical, Manager Utilities and General Manager Maintenance during my professional voyage.

He was associated with the leading manufacturing concerns in Karachi and successfully spearheaded Electrical & Utility functions. He is associated with MMI Hospital since last ten years and involved in Engineering / Planning and the Execution of Operation Theaters ,MRI CT Scan and Isolation Rooms.

Mr. Fareed AhmedGeneral Manager Maintenance

Mr. Muhammad Yaseen is a Marketing and Business Development professional with extensive experience in healthcare, logistics, hospitality sectors within Pakistan and abroad. He holds a degree of MBA with specialization in Business Management and Finance and possesses a professional work chronicle over 20 years.He is privileged to serve the world’s topmost organizations in Australia, South Africa and Pakistan such as Myer Australia Limited, DHL Worldwide Express and Karachi Marriott Hotel which cleaves to a diversified experience. He is working as General Manager Marketing and

Mohammad YaseenGeneral Manager Marketing

involved in the Brand Management, Marketing Communication, Brand Activation, Competitive Analysis, Patient Satisfaction and Business Development.

Mr. Imran Murtaza Butt is a Certified People Management Professional, having diversified experience of leading HR and Change Management portfolios at National Level in organizations pertaining to Manufacturing, Service and Humanitarian Sectors for more than two decades. He holds an MBA in Management Sciences and International Certification in HR and Training. He has recently joined MMI Hospital in 2019 with an aim to serve aligning humanity.

Imran Murtaza ButtGeneral Manager Human Resource


21


Annual Report 2019


Dr. Abdul Rehman QureshiM.B.B.S, F.C.P.SHead of Nephrology Dept.

Dr. Anila HaroonMBBS, DCH, F.C.P.S. FellowshipHead of Paediatrics Dept.

Dr. Muza�ar UddinM.B.B.S, F.C.P.S Head of Surgery Dept.

Dr. Muhammad Shoaib SiddiquiF.C.P.S., MACG (USA) (Gastro)

Head of Gastroenterology Dept.

Dr. Abdul RabbMBBS, MCPS, FCPS, MRCP

Head of Internal Medicine Dept.

Dr. Nasreen MajidM.B.B.S, M.C.P.S, FRCOGHead of Obs / Gynae Dept.

COMMITTEES&

MEETINGS

23


Annual Report 2019

Memon Health & Education Foundation (MHEF) Board of Governors (BOG) consists of twenty-five Members. Board is headed by the Chairman of the Foundation, O�ce bearers elected by BOG. O�ce Bearer (OB) consists of five members who meet regularly every month to provide guidance and support to the Management Team. Twelve meetings of the O�ce Bearer were held during the financial year ended on 30 June, 2019. The attendance of the meeting of OB is presented in the Board of Governance’s report included in the Annual Report.

COMMITTEES & MEETINGS

Audit Committee

Patient Welfare Committee

Members of the Committee are:

• to determine and monitor compliance with statutory requirements and with the best practices of corporate governance;

• to oversee the process for selecting the internal/external auditors, their appointment, reappointment and removal; to approve the audit fee or any fees in respect of non-audit services provided by the internal/external auditors ensuring that the provision of non-audit services does not impair the internal/external auditors’ independence or objectivity;

• to ensure coordination between the internal and external auditors of the Foundation;

• to review the external auditors’ audit report;

• to review the findings of the audit with the external auditors including, but not limited to: a discussion of any major issues which arose during the audit; materiality levels; key accounting & audit judgments; levels of errors identified during the audit; and the e�ectiveness of the audit process;

• to ensure that the internal audit function has adequate resources and is appropriately placed;

• to determine that the internal control systems including financial and operational controls, accounting systems and reporting structures are adequate and e�ective;

• to consider major findings of internal investigations of activities characterized by fraud, corruption and abuse of power and management's response thereto; to consider any other issue or matter as may be assigned by the O�ce Bearer.

Three meetings of the committee were held in the financial year ended 30 June, 2019.

The Patient Welfare Department of MMIH is responsible for providing the financial assistance to the deserving patients. The patients who are unable to a�ord the cost of the treatment and are in desperate need of support are treated through the Welfare fund.

MMIH provides treatment to the deserving patients who do not have access to life-improving care as they can’t a�ord to bear the continuous escalating cost of the medical treatment.

The Patient Welfare Department operate through the support of the donors of the hospital through the Zakat and other donations. We have established two separate accounts in our banks whereby the Zakat are deposited by the donors in the Zakat accounts and the other account is the donation account.

These funds have been provided by the donors to fulfill the needs of providing treatment facilities to the disadvantaged patients and this act will heal the wounds of the ailing humanity.We use the Zakat e�ciently through the smooth process of the Welfare Department. Based on 100% merit policy, only the needy patients receive the financial assistance through the welfare funds.Operating daily nonstop from 9:00 am to 9:00 pm, the Patient Welfare Department ensures that the applicant get the financial assistance without and discrimination. As a result, we help to transform the lives of more than 40,000 patients annually.We are committed to continue our e�orts to provide every possible benefits to the people as it is the fundamental right of every human being to get the medical treatment.Two meetings of the committee were held in the financial year ended 30 June, 2019.

Mr. Abdul Qadir Memon (Chairman)Mr. M. Saleem Bilwani Mr. Rizwan Diwan

The Audit Committee is established to review the principles, policies and practices adopted in the preparation of the financial statements of the Foundation. It aims at ensuring that the Annual Report of the Foundation and any other announcement relating to financial performance comply with all statutory requirements. The terms of reference include:



Executive Committee

Purchase Committee

• Providing Organizational Direction and Acting on Behalf of the Board

• Providing Organizational Oversight review strategic and day to day matters with relation to e�ective and e�cient

• Managing High-Level Workplace Issues of a Serious Nature

• The executive committee also enhances communication between the board, committees and sta� and Members of the executive committee are often the glue that facilitates cohesiveness by keeping everyone in the loop with alignment and decision-making

Six meetings of the committee were held in the financial year ended 30 June, 2019

• Approve cases processed by GM MMD above the certain limit (i.e. Rs. 125,000/-).

• Review and ensure that general term and condition agreed with the suppliers are optimal in all respect.

• Review the quantities being purchased are according to the requirement and ensure that competitive bids/quotations have been obtained.

• Appraisal of supplier and their performance is to be done by MMD.

• Explore the possibilities of bulk purchase by combining contracts/purchases of sister concerns, where possible;

• Recommend cases of capital items for appropriate approval and arrangement of funds may be referred to concern o�cials.

• Approve all emergency medicines/med-surgical items purchases from market on immediate basis – post facto



Brigadier Dr. Malik Waqar Ahmad Awan (TI) M (Retd.)Prof. Dr. Qamaruddin BalochMr. Muhammad Shahzad FarooqDr. Muhammad Hanif BaigMr. Imran Murtaza Butt

The Purchase Committee is established to review the purchase made by Material Management Department (MMD) over a certain value to ensure the best deal has been made in the interest of the institution. The silent feature of terms of reference include:

The Executive Committee will review strategic and day to day matters with relation to e�ective and e�cient hospital functioning and deliberate / decide on critical administration and clinical issues maintaining confidentiality of information presented and shared. Members of the Committee are:

Brigadier Dr. Malik Waqar Ahmad Awan (TI) M (Retd.)

Prof. Dr. Qamaruddin Baloch

Mr. Muhammad Shahzad Farooq

Dr. Muhammad Hanif Baig

Continuous QualityImprovement Committee(CQIC)

• To ensure the Continuous Quality Improvement System is implemented in all the departments of MHEF

• review quality standards of all the departments identify and define the indicators to standardize the process of recording and reporting

• CQIC provide assistance, make decisions for acceptance and rejections, and can also interfere to provide recommendations with reference to the prevailing quality standards (local and international).

The aim of the CQIC is to monitor and evaluate the clinical and non-clinical quality improvement activities and suggest mitigation measure for the arising issues and recommendation for continuous improvement

Mr. Muhammad Reyaz AhmedMr. Muhammad Ajaz SayaMr. Shabbir KassimMr. Muhammad Ashraf BhesaniaMr. Hanif Janoo Mr. Irfan Abdul Wahab Lakhani

25


Annual Report 2019

Members of the Committee are:Brigadier Dr. Malik Waqar Ahmad Awan (TI) M (Retd.)


Major (Retd.) Faiz Bari

Mr. Imran Murtaza Butt

Dr. Waheed Saleh Jumani


• To ensure an adequate reporting of untoward events and data collection for all adverse occurrences, then data analysis and corrective actions for improvement. The untoward/ adverse occurrences can be organized as: Rate Based, Sentinel Events and Near Miss: Root because analysis is to be conducted for only sentinel events, near miss. Pattern and Trend is identified for Rate Based Occurrences. Remedial solution is to be found for identified problems and implemented for improvement through proper channel.

• There is a safety of patients, visitors and sta� educational and orientation program. All the members are to participate and give lectures on general and/or specific safety subjects to educate the sta� about the safety aspects and measures. The safe patients care is to be the core of the program.

• To find the cause(s) of the identified adverse Occurrence / Variance / Accidents (OVAs), recommend remedial solutions, implement it and follow up for e�ectiveness.

• To identify the areas/aspects with the potential of risk to life and health of the personnel (Patients, Sta� and Visitors) and/or hospitals property take proactive measures to control and avoid it.

• The Committee assist in decision making process in the face of ethical dilemmas, to benefit patients, families and healthcare professionals

• The Committee review ethical implications of institutional policies that have impact on patient care processes.

• The Committee review and approve research proposals pertaining to clinical research involving hospital patients.

The Hospital Ethics Committee will have the overall responsibility to facilitate the establishment of a community of health care professionals at MHEF who are sensitive to issues of ethics in health care.

Mr. Fareed AhmedDr. Haroon DiwanMr. Melvyn Francis Dominic SouzaMajor (Retd.) Faiz Bari Dr. Waheed Salah Jumani Mr. Amir BukshMs. Faiza Shoaib Mr. Hayat Rajput

Health Safety and RiskManagement Committee

The aim of the policy is to implement “Safety Goals” to minimize patients, sta�, visitors and organizational risk of adverse occurrence through integrated safety program in the hospital.

• The Committee provides three specific services: Ethical Consultative Service, Ethics Reviews and Education

Pharmacy and TherapeuticCommittee



Brigadier Dr. Malik Waqar Ahmad Awan (TI) M (Retd.)


Mr. Muhammad Shahzad Farooq

Mr. Hayat Rajput

Major (Retd.) Faiz Bari

Mr. Imran Murtaza Butt

Dr. Waheed Saleh Jumani

The Pharmacy and Therapeutic Committee (PTC) is a committee of clinical and pharmacy experts and serves as a liaison between the Health Care sta�, Pharmacy and Procurement on all matters pertaining to the use of drugs in the hospital. Its prime objective is to achieve optimal patient care and safety through rational drug therapy.

Five meetings of the committee were held in the financial year ended 30 June, 2019

Prof. Dr. Qamaruddin BalochDr. Muhammad Hanif BaigMs. Nida GulDr. Abdul Rehman QureshiAll Clinical Consultants

Hospital Ethics Committee



The company IT Master plan has been developed to e�ectively response to a revolution of digital technology to oversee IT architecture to be transparent, flexible and responsive to the business strategic direction. MMIH has developed information technology system to provide an e�ective and secure services in order to support the business sustainable growth. The company set up Digital Center of Excellence Department to cope with digital transformation and adapt the technology to the fullest capabilities in developing business and employee’s digital capabilities and encouraging the anticipation in a fast-pace technology transformation throughout the organization in creating new work culture within the company

The Information Technology Steering Committee (hereafter referred as ITSC) is responsible for establishing a shared vision of how information technology can add value to MMIH and assess the measure of the business value being delivered by IT. The responsibilities of the ITSC are as follows:

• Drive IT and MMIH business strategy alignment so that IT goals are aligned with MMIH’s goals.

• Facilitate the involvement and commitment of executive management through clearly defined roles and accountabilities for IT decisions in five critical areas: investments, projects, risk, services and data.

• Ensure technology projects are selected based on their potential impact and risk to the MMIH, as well as their strategic value.

• Ensure close linkage of IT with MMIH’s risk management activities.

• Identification and management of IT risks & identification of potential opportunities to improve IT practices.

• Review and approve Information Security Policies related to the security of IT assets & privacy of critical business and customer data.

• Ensure that IT is adequately and appropriately structured and resourced to meet its goals and business expectations as to current operations and future goals.

• Prioritize project assignment to IT by focusing on important IT processes that increase business value and core business competencies that IT must support.

• Act as a final escalation point for major IT/business issues and their resolutions.

• Review and ensure the adaptability and flexibility of IT services to changing needs of MMIH in accordance with changing business and IT environment.

• Have clear external sourcing strategies

Strategic Risk Management

Structure and Operations

• Establish metrics and goals against which to measure the performance of IT.

• Perform ongoing evaluation of IT value and performance of IT services and ensure that IT delivers the required services at the acceptable performance levels. Approve remediation plans when there is non-achievement.

Performance Measurement

IT GOVERNANCE

27


Annual Report 2019

Business continuity planning and Disaster recovery planning are the most crucial elements of a business but are often ignored. Businesses must make a well-structured plan and document for disaster recovery and business continuation, even before a catastrophe occurs. Disasters can be short or may last for a long time, but when an organization is ready for any adversity, it thrives hard and survives.

Information systems are critical for the operations which depend on them to:

• Deliver services • E�ciently and e�ectively manage operations

• Fulfil their statutory obligations.

An information technology disaster recovery plan (IT DRP) has been developed in conjunction with the business continuity plan.

• Oracle automatic archiving technology is used to backup data from live environment to a backup server machine placed on a di�erent floor. In case of any destruction or loss of data in Live Server machine, Backup server can be brought into operational. Periodical testing of backup database is scheduled and tested.

• In addition to having archived backup on backup server machine, data is also backup on external USB Hard drive & and on cloud at Cyber net on daily basis. This data can also be restored and used if such situation arises. Log file generated for successful completion of backup procedure are checked regularly.

• Application and Report Server can be switched to backup server with 5 to 10 minutes.

• Database Server will take 15-20 minutes to switch over.

• All the departments have Business Continuity Plan prepared and placed with them.

• As soon as Disaster is announced and switch over to business continuity place, sta� can start operation on define manual process.

Disaster Recovery Plan



The Chairman of the Board of Directors ensures that the Memon Medical Institute Hospital’s strategy and overall focus is aligned towards achieving the MMI Hospital Vision. The Chairman’s role is of a visionary leader, who provides direction and guidance to its members in executing their role in an optimum manner in compliance with statuary regulations.

a. To ensure that all members remain committed towards the overall goals of the Board of Governors and enhance their participation, providing them opportunity to express their opinion based on their experience / credentials;

b. To ensure that the Board of Governors are properly informed and that su�cient information is provided to enable the Board of Governors to form appropriate judgements.

c. To ensure that dissent of the Board of Governors, if any, is properly recorded in the minutes of meetings.

d. To facilitate the Board of Governors in fulfilling its role e�ectively and swiftly in line with regulatory / statutory requirements.

e. To ensure that the CEO and sub committees, perform their designated functions with due diligence in a timely manner to enhance the e�ectiveness and e�ciency of the Board.

a. To ensure execution of the MMI Hospital strategy in line with the Board of Governors and O�ce Bearers Directives,

b. To ensure that the Memon Medical Institute Hospital maintains and enhances its financial position as per the overall Hospital Strategy,

c. To e�ciently allocate and manage Memon Medical Institute Hospital’s resources, funds and budgets, ensuring attainment of its long-term strategic goals.

d. To establish and enhance internal controls to support the fast-paced growth of the Memon Medical Institute Hospital;

e. To develop good liaison with the Board of Governors, O�ce Bearers and to ensure alignment of managerial e�orts for achievement of desired goals in a timely manner;

The role of the CEO remains vital in ensuring e�ec-tiveness in implementation of the Board Directives and alignment of the Hospital’s Executive Committee in achieving its Mission of provision of a�ordable and accessible quality health care for all:

Role of the Chairman Role of the CEO

ROLE OF CHAIRMAN & CEO

As

a n

on

-pro

fit

bu

sin

ess,

we

face

man

y ri

sks

and

rel

ated

op

po

rtu

nit

ies.

Ho

w w

e m

anag

e th

ese

risk

s an

d c

apit

aliz

e o

n o

pp

ort

un

itie

s, e

nsu

res

the

sust

ain

abili

ty o

f o

ur

op

erat

ion

s. T

he

anal

ysis

bel

ow

hig

hlig

hts

th

e ke

y ri

sks

and

rel

ated

op

po

rtu

nit

ies

we

face

as

a h

osp

ital

. Th

ese

risk

s ar

e re

view

ed

thro

ug

h in

tern

al o

per

atio

nal

mec

han

ism

s.

Ris

ks a

nd O

pp

ort

unit

ies

Ana

lysi

s

RIS

KS

Reg

ulat

ory

com

plia

nce

DE

SC

RIP

TIO

N O

F T

HE

RIS

KA

ND

ITS

CO

NT

EX

TH

OW

WE

AD

DR

ESS

TH

IS R

ISK

PO

TE

NT

IAL

OP

PO

RT

UN

ITY

STA

KE

HO

LDE

RS

IMPA

CT

ED

Th

e h

ealt

hca

re in

du

stry

wo

rld

wid

e is

su

bje

ct

to a

n in

crea

sin

g n

um

ber

of

reg

ula

tio

ns.

Th

e M

MIH

is r

equ

ired

to

co

mp

ly w

ith

ap

plic

able

la

ws

and

reg

ula

tio

ns

in P

akis

tan

.

Th

rou

gh

tra

nsp

aren

t en

gag

emen

ts, w

e h

ave

the

op

po

rtu

nit

y to

en

han

ce o

ur

rela

tio

nsh

ip w

ith

va

riet

y o

f st

akeh

old

ers,

in

clu

din

g r

egu

lato

ry

bo

die

s.

• P

atie

nts

• D

oct

ors

•

Gov

ernm

ent

• E

mp

loye

es•

Sup

plie

rs•

Ind

ustr

y re

gul

ato

ry

B

od

ies

• D

ono

rs/T

rust

ees

• P

atie

nts

• D

oct

ors

an

d s

pec

ialis

ts

• G

ove

rnm

ent

• E

mp

loye

es•

Su

pp

liers

• E

nsur

e co

mp

lianc

e th

roug

h o

ur q

ualit

yst

and

ard

s•

Est

ablis

hed

a m

ulti

-dis

cip

linar

y te

am t

oen

gag

e ex

tens

ivel

y w

ith

the

reg

ulat

ory

b

od

ies

and

e�

ecti

vely

co

mm

unic

ate

our

p

osi

tio

n o

n th

e va

rio

us is

sues

.

Pro

acti

vely

mo

nito

r an

d, w

here

po

ssib

le,

pro

vid

e in

put

fo

r an

y ne

w p

rop

ose

d

leg

isla

tio

n:

Man

agem

ent

succ

essi

onp

lann

ing

IT infr

astr

uctu

re,

dis

aste

rre

cove

ryan

d p

roje

ctim

ple

men

tati

on

Du

e to

th

e h

igh

ly s

pec

ializ

ed n

atu

re o

f th

e h

ealt

hca

re

ind

ust

ry,

cert

ain

m

anag

emen

t em

plo

yees

an

d e

xecu

tive

s h

ave

a si

gn

ifica

nt

imp

act

on

th

e h

osp

ital

’s p

erfo

rman

ce a

s a

resu

lt o

f th

eir

year

s o

f ex

per

ien

ce w

ith

in t

he

org

aniz

atio

n.

Lo

sin

g t

hes

e ke

y em

plo

yees

o

ver

a sh

ort

ti

me

fram

e co

uld

h

amp

er

per

form

ance

.

We

rely

on

ou

r IT

sys

tem

s to

del

iver

qu

alit

y se

rvic

e to

ou

r p

atie

nts

. T

her

e is

a r

isk

of

failu

re

to

mai

nta

in

relia

ble

in

form

atio

n

syst

ems

for

bu

sin

ess

op

erat

ion

s as

wel

l as

in

th

e ev

ent

of

an I

T d

isas

ter.

Fu

rth

erm

ore

, th

ere

is a

n i

mp

lem

enta

tio

n r

isk

reg

ard

ing

in

form

atio

n

man

agem

ent

pro

ject

s w

hic

h

are

un

der

way

to

im

pro

ve

the

exis

tin

g

infr

astr

uct

ure

an

d e

nsu

re b

ette

r an

d w

ide

inte

gra

tio

n.

Th

rou

gh

tar

get

edsu

cces

sio

n p

lan

nin

g,

we

ensu

re b

usi

nes

sco

nti

nu

ity

and

are

able

to

att

ract

tale

nte

d le

ader

s.

By

inve

stin

g in

ou

r IT

infr

astr

uct

ure

, we

are

able

to

o�

er b

ette

ran

d m

ore

e�

cien

tse

rvic

e to

ou

rp

atie

nts

, lo

wer

ing

th

eco

st o

f ca

re w

hile

mai

nta

inin

g q

ual

ity.

• E

mp

loye

es•

Pat

ien

ts•

Su

cces

sors

iden

tifi

ed a

nd

mo

nit

ore

d•

Str

on

g f

ocu

s o

n b

ols

teri

ng

th

e

lead

ersh

ip t

eam

• C

on

tin

uo

us

trai

nin

g p

rog

ram

s fo

r

p

rofe

ssio

nal

dev

elo

pm

ent.

• R

egu

lar

risk

ass

essm

ents

per

form

ed,

w

ith

dis

aste

r re

cove

ry t

ests

per

form

ed

re

gu

larl

y. F

ull

dis

aste

r re

cove

ry

cap

abili

ty m

ain

tain

ed a

nd

alig

ned

wit

h

b

usi

nes

s ag

reed

to

lera

nce

s.

• R

igo

rou

s p

roje

ct m

anag

emen

t

met

ho

do

log

y is

fo

llow

ed w

ith

str

on

g

b

usi

nes

s sp

on

sor

lead

ersh

ip a

nd

o

vers

igh

t.

Exe

cuti

ve s

ucc

essi

on

pla

nn

ing

in p

lace

:

Ris

ks a

nd O

pp

ort

unit

ies

Ana

lysi

sR

ISK

S

Cha

lleng

es o

fC

linic

alH

uman

Res

ourc

es

DE

SC

RIP

TIO

N O

F T

HE

RIS

KA

ND

ITS

CO

NT

EX

TH

OW

WE

AD

DR

ESS

TH

IS R

ISK

PO

TE

NT

IAL

OP

PO

RT

UN

ITY

STA

KE

HO

LDE

RS

IMPA

CT

ED

Th

ere

is

a g

ener

al

sho

rtag

e o

f C

linic

al

Hu

man

R

eso

urc

es

in

the

hea

lth

care

m

arke

ts,

wh

ich

m

ay

imp

act

the

org

aniz

atio

n's

gro

wth

pro

spec

ts.

Th

rou

gh

ou

rin

terv

enti

on

s, w

e ca

nas

sist

in a

llevi

atin

gcr

itic

al s

kills

sho

rtag

es, w

hile

als

op

osi

tio

nin

g M

MIH

as

ab

usi

nes

s th

atsu

pp

ort

s th

e d

oct

ors

, w

e ar

e as

soci

ated

.

• D

oct

ors

an

d s

pec

ialis

ts•

Pat

ien

ts

• E

mp

loye

es

• P

atie

nts

• D

oct

ors

an

d s

pec

ialis

ts•

Go

vern

men

t•

Em

plo

yees

• D

on

ors

/Tru

stee

s

• F

acili

tati

on

of

con

tin

uo

us

pro

fess

ion

al

d

evel

op

men

t tr

ain

ing

to

sp

ecia

lists

• O

ng

oin

g e

ng

agem

ent

• D

oct

or

par

tner

ship

mo

del

an

d s

up

po

rt

p

olic

y•

Imp

rove

d in

fras

tru

ctu

re a

nd

eq

uip

men

t

at

fac

iliti

es

Cle

ar r

ecru

itmen

t an

d re

tent

ion

stra

tegy

inpl

ace,

incl

udin

g:

Qua

lity

Man

agem

ent

Syst

em (

QM

S) is

inpl

ace

in M

MIH

to

ensu

re q

ualit

y he

alth

care

ispr

ovid

ed. A

ppro

pria

te c

ompl

ianc

e pr

oces

ses

are

in p

lace

in t

he o

pera

tions

:

Med

ical

Pra

ctic

eC

halle

nges

,Le

gal

Dis

put

esan

d o

ther

Rep

utat

iona

lR

isks

Ad

vers

e ev

ents

in

th

e C

linic

al P

ract

ice

and

Hea

lth

pro

visi

on

by

hea

lth

pro

vid

ers

co

uld

a�

ect

pat

ien

ts.

Th

ese

even

ts

or

leg

al

dis

pu

tes

aris

ing

o

ut

of

med

ical

m

alp

ract

ice

clai

ms

cou

ld

a�ec

t th

e o

rgan

izat

ion

’s

rep

uta

tio

n

and

re

lati

on

ship

s w

ith

ke

y st

akeh

old

ers.

F

urt

her

mo

re,

even

ts

ou

tsid

e o

f o

ur

con

tro

l can

ad

vers

ely

imp

act

ou

r b

ran

d.

Th

rou

gh

an

on

go

ing

focu

s o

n q

ual

ity

and

acl

ear

com

mu

nic

atio

nst

rate

gy,

we

can

enh

ance

an

d p

rote

cto

ur

rep

uta

tio

n•

Insu

ran

ce h

as b

een

pla

nn

ed f

or

m

edic

al m

alp

ract

ice

clai

ms,

an

d

do

cto

rs a

re r

equ

ired

to

ob

tain

do

cto

r

m

edic

al m

alp

ract

ice

insu

ran

ce

• A

nal

ysis

of

tren

ds

in c

linic

al r

isks

an

d

cl

inic

al in

terv

enti

on

s ar

e d

evel

op

ed t

o

m

itig

ate

the

clin

ical

ris

k g

oin

g f

orw

ard

• Q

ual

ity

revi

ew m

eeti

ng

s ar

e h

eld

wh

ere

new

init

iati

ves

and

th

e p

rog

ress

of

exis

tin

g in

itia

tive

s ar

e d

iscu

ssed

• A

med

ia s

trat

egy

is in

pla

ce f

or

dea

ling

wit

h c

om

pla

ints

rai

sed

th

rou

gh

th

e

m

edia

, as

wel

l as

oth

er m

edia

-rel

ated

issu

es

31


Annual Report 2019

SOCIAL & ENVIRONMENTALRESPONSIBILITY

Waste Management The most important factor for the hospital is the management of healthcare services and the disposal of the hospital wastage. We have developed and strongly implementing a mechanism for waste management under the international guidelines of waste management as well in accordance with Sindh Environmental Protection Agency. As such, a process is also in place to address hazardous waste and our sta� members are educated on the management thereof to ensure no harm comes to anyone present in the premises. All hazardous material is labelled and documented and disposed of safely in order to prevent any adverse e�ects and thereby guarantee the people’s safety.

We have developed the standard protocols for waste segregation from point source through waste categorization via color coding. The color coding helps the relevant sta� to handle and dispose as per the guidelines and reducing the errors of handling the hospital waste which may cause serious consequences, if thrown carelessly. Our waste management e�orts were also appreciated by Sindh Healthcare Commission during their recent survey of our hospital.

Maintenance of Equipment We conduct maintenance activities according to a maintenance cycle, guided by the Biomedical Engineers. The hospital also performs random checks throughout the day to ensure consistent patient safety and care is upheld. Emergency maintenance requirements are forwarded to a centralized location, recorded and assigned to the relevant department to address issues speedily and e�ciently. All our equipments are routinely and timely calibrated.

Infection Control Infection control is the core component of our hospital environmental services which has an impact on the physical environment for all, including the patients, their attendants and the hospital sta�. Our IPC (infection prevention and control) infrastructure such as isolation precaution (negative pressure) have been designed up to the international standards. Infection control standard protocol applied in all stages of the operations with the integration of our state of the art Central Sterilization Department and General Support Services Department. The Patient Cross Infection Protection measures are implemented at all the stages of the patient care to ensure that the patient receive completely safe treatment. The hand sanitizers are placed at every important spots of the hospital and the wash-basins and to persuade the visitors for hand cleaning. Handwashing & use of hand sanitizers is encouraged by pasting the posters throughout the hospital.

Memon Medical Institute Hospital as a tertiary healthcare hospital aims to provide continuum of care. The day to day operations of the hospital is to treat patients with the best-possible

care with the compliance of social and environmental responsibility.

MMI Hospital operates under the framework of social and environmental impact.



The management have initiated the special arrange-ment for the Intra-Hospital Movement of the patient in which the specially trained and dedicated sta� move the patients from one area to another. In order to make the smooth process, we have recruited porters who are always on the Stand-By mode to respond to any call from the patient’s care areas.

We have also started the fire safety training sessions for the all employees which provides the basic training about the fire protection, safety techniques and controlling fire techniques.

Intra-Hospital Movement

Fire Safety Training forall Employees

We are a great supporter of Green Pakistan movement and contributing actively in the betterment of the environment. It is an integral part of providing a patient-friendly atmosphere. The movement comprises of tree plantation at various spots of the hospital and built a garden with well-maintained grass surrounded by the colorful flowers.

Green PakistanAt MMI Hospital, we strongly believe to contribute for a healthy society. We have organized more than 45 medical camps in a year time and arranged numerous awareness sessions at schools and colleges. We have also created public awareness brochures on Diet, Infection Control, Anti-Smoking, Dengue, Heat Waves and other diseases to educate public on these important issues

Public Awareness Activities& Medical Camps

We have developed a functionally e�cient and hygienic environment to create a pleasant, stress reducing and climate compatible atmosphere. We strongly believe that the patient’s treatment along with the psychological and emotional needs of the patients are directly e�ecting one another. MMI Hospital well maintained gardens are also measurably reducing patient stress and improve health outcomes. The open lobbies, patient friendly environment and control temperatures are giving extra comfort to the patients.

Patient Friendly Environment

Policy of Diversity & Inclusionat MMI Hospital

OUR PEOPLE OUR ASSETS

The overall management team is geared up to enhance and sustain a culture of diverse professionals, promoting our work environment (Clinical and Non Clinical), built on a strong sense of trust, respect and caring, inculcating our values in our daily work routine and MMIH decision-making. More than 1O% of our employees belong to di�erent faiths but are synergized in a manner to contribute towards making MMIH a place of Excellence.

Our leaders are role models for our clinical and other teams as they exhibit a high level of responsibility, assume accountability for ensuring continuous progress growth. MMIH ensures that every employee can exercise their abilities to their maximum potential, continually contribute to the MMIH Vision and experience personal growth, and feel motivated and proud to be part of the MMIH Experience.

Through our continued commitment, we at MMIH have achieved a new milestone of having 55% of our total senior and operational team comprising of female sta� members engaged in di�erent clinical areas, working in evening and nights shifts in a environment of peace and security. At MMIH we promote the culture of wishing all religious / national festivals, wherein employees feel valued and included, able to nurture their talent as individuals and as part of MMIH Family.

People Development& Employee Engagement

MMIH is committed towards creating a high-performance culture through intensive employee engagement and training programs. We lead the way in the design, measurement and evaluation of proactive workplace policies and practices that help attract and retain clinical talent with skills and competencies necessary for growth and sustainability.

By aiming to have the best people with the best skill set by focusing on improving behavior aspects and mindset of people in order to develop their capacity in facing new challenges and to coach the ability to rise up to deliver desired patient care., HR have conducted various in-house / external trainings related to Clinical/Soft/Technical Skill Development and Management Development Programs. Approximately 35% of our overall workforce (clinical and non clinical) has been trained on life saving skills (BLS, Fire Fighting, Infection Control), moreover, we have regular sessions to enhance empathy, medical ethics and patient satisfaction.

33


Annual Report 2019

Performance Alignment Succession Planning andIdentification of High Performers

To foster a culture of engagement, MMIH regularly conducts get together activities to celebrate and pray for Hospital prosperity. Furthermore, One-to-One Departmental meetings with CEO, Senior Executives and HR has become a common practice, which contributes in aligning the team, e�ectively. Recently, four of our clinical employees have also cleared their FCPS and presently we have more than 25 Residents in di�erent specialties as part of our PGME program.

The MMIH People Management function plays a critical role in the overall Hospital advancement, linking our MMIH family with our Vision. Being a Business Partner, the HR function focuses on acquiring top talent and developing clinical and non clinical sta� / consultants / mid tier professional to steer the MMIH towards it goal of serving ailing humanity in an a�ordable and accessible manner ensuring excellent patient care, right people at right place and at the right time. As a continuous development measure, HR remain aligned and focused towards enhancing human resource capital to support the Hospital’s growth and development initiatives.

Serving Employees through HR AnalyticsIn accordance with MMIH goals to promote a culture of innovation and change, HR is evolving with digital tools and data analytics enabling the Employees / Clinical Heads and HR Operations to enhance its e�ectiveness and e�ciency through ATI dashboard reporting.

Employee Grievance Management SystemIn order to inculcate in employees, a sense of responsibility and authenticity, with respect to our code of conduct, we have formulated a transparent and e�ective whistle blowing policy to highlight the weak controls, breach of applicable regulations, or any other violations of the code of professional ethics / conduct. To support this initiative, all Clinical and Management Departmental Heads, have started a 24/7 cover of Hospital Operations, through Executive Management Night Rounds addressing critical patient care issues and raising standards of compliance and corporate governance. Our Employee Grievance Management System, covers the areas with regards to Compliance, Hospital Decorum, Code of Conduct, Anti Harassment and Moral Turpitude, wherein, MMIH practices a zero tolerance policy in case of non compliance to ensure a congenial and patient friendly environment in accordance with MMIH Values



35


Annual Report 2019

FUTURE PROJECTS

DURING THE YEAR 2018/19

• Establishment of Memon College of Physical and Rehabilitative Medicine.

• Commencement of the OPD services at our outreach centres.

• Establishment of Gastroenterology Ward.

• Construction of Urology & Nephrology Ward.

• Addition of training courses in Memon College of Nursing.

• Upgradation of Operation Theaters and MRI Suite.

• Expansion of Obstetrics/ Gynaecology Ward.

• Addition of beds in General Wards.

• Construction of Administration Building.

• Expansion of OPD Area.

• Extension of Post Graduate training program. Currently, we have the approved training program in OBS / Gynea, Medical, Surgical and Paeds.

• Construction of College of Nursing.

• Addition of training Courses in College of Nursing.

• Organized Free Medical Camps for the deserving patients.

• Started the Employee Training Programs.

• Employee Motivation plans.

• Started Free Knee Replacement and Cochlear Implant Surgeries.

• Increase the Corporate Patients by signing agreements with leading corporate companies.

• Public awareness activities on di�erent diseases.

• 24 Hours Cardiac Services including surgeries and Cath Lab.



Memon Medical Institute Hospital is a project of Memon Health & Education Foundation. We have deviced a mechanism in which the Welfare Department directly operates under the management of Memon Health & Education Foundation.

The Welfare Department is responsible for providing the financial assistance to the deserving patients. The patients who are unable to a�ord the cost of the treatment and are in desperate need of support are treated through the welfare fund. The department processes all the requests as per the Shariah compliance and gets regularly audited and adheres to a meticulous process of identifying the most deserving patients who are eligible for Zakat according to the rules of Shariah. We use the Zakat e�ciently through the smooth process of the welfare department and based on 100% merit policy, only the needy patients receive the financial assistance through the welfare funds.

The welfare department operates through the support of the donors of the hospital through the Zakat and other donations. All Zakat donations are used for the sole treatment of the patients, with no amount allocated to administrative or other expenses. Disbursement of Zakat funds is through a transparent process to ensures that disbursements of Zakat funds are done in a manner that allows the donors to fulfil their religious responsibilities in the rightous manner.

MMIH Welfare department provides free medical treatment to poor patients through welfare clinic which remains open daily from 9:00 am-1:00 pm. Family physician examines the patients and carries out necessary tests and investigations, if necessary and provide them medicines. During a year approximately Eighteen Thousand (18,000) patients receive treatments from this clinic.

We have extended the working hours of the welfare department to increase the patient flow and it is now operating from 09:00 am to 09:00 pm. The welfare department ensures that the applicant get the financial assistance without any discrimination. As a result, we help to transform the lives of more than Fifty Thousand (50,000) patients annually.

We are committed to continue our e�orts to provide every possible benefits to the people as it is the fundamental right of every human being to get the medical treatment.

WELFARE FUNDS UTILIZED

Rs. 109.45 M

Rs. 44.93 M Rs. 41.32 M

IPDOPD

Rs. 80.24 M

OPD IPD

Total: Rs. 121.56 MTotal: Rs. 154.38 M

Mr. Muhammad Reyaz AhmedChairman Welfare Committee

MMI HOSPITALWELFARE DEPARTMENT

37


Annual Report 2019

FREE MEDICAL CAMPS

VOLUMEOFTHE

CAMPS’PATIENTS

TOTAL 48 CAMPS PATIENTS VISITED 8,190

The Medical Camps at MMI Hospital organized on every Sunday of the week for the benefitof Society at large. During the management of the Medical Camps;

• We have patients from di�erent areas of the city and interior Sind as well. • The patients visited as per their required specialties which is one of the factor that the message is clear and concise.

Breast Surgery Camp

Cardiac Camp

Chest Pain Clinic

Cochlear Implant Surgeries

Dental Checkup

Dermatology

Diabetics

ENT Camp

Gastro

General Surgery

Gynecology

Haematology Camp

Hepatitis B & C

1

2

3

4

5

6

7

8

9

10

11

12

13

CAMP SPECIALTYS.NO.

HIP Replacement

Infertility Camp

Knee Replacement Camp

Lap-chole (Surgery) Camp

Lithotripsy

Nephrology Camp

Neuro Surgery camp

Neurology Camp

Orthopaedic

Paediatric

Paeds Surgery Camp

Physiotherapy

Pulmonology

14

15

16

17

18

19

20

21

22

23

24

25

26

CAMP SPECIALTYS.NO.

708

18KNEEREPLACEMENTSURGERY

COCHLEARIMPLANTSURGERY

REVISION OFHIP IMPLANT SURGERY

39


Annual Report 2019

DELIVERING HEALTHCAREACROSS THE CITY

MMI HOSPITAL DHA LAB BURNS ROAD LAB

BAHADURABAD DHORAJI LAB

SPECTACULARSERVICES

EMERGENCY

41


Annual Report 2019

The Outpatient Department provides a service which covers a diverse range of medical and surgical specialties, throughout the week. The department operates seven days a week and the timings of the clinics has been expanded in order to provide better services to the patients.

We understand the importance of quality services to the patients and remain focused on the patients and their respective requirements. By delivering patient-centered services, resources are employed e�ectively for better patient care and experience.

The department has been designed as per the international standards and comprises of Registration Counters, Consultants’ Counters, Waiting Areas, Consultants’ Rooms, Dental Clinics and Separate Gynae OPD in Gynae Ward.

• Anesthesiology

• Breast Surgery

• Cardiology

• Cardiac Surgery

• Diabetology

• Dermatology

• Dental Surgery

• Maxillo-Facial Surgery

• Endocrinology

• ENT (Ear, Nose & Throat)

• Ophthalmology (Eye)

• Family Medicine

• Internal Medicine

• General Surgery

• Gastroenterology

• Haematology

• Laparoscopic Surgery

• Nephrology

• Neurology

• Neurosurgery

• Nutrition

• Obstetrics and Gynecology

• Orthopedic Surgery

• Oncology

• Paediatrics

• Paediatric Surgery

• Pulmonology

• Psychiatry

• Thoracic Surgery

• Urology

OUTPATIENT SERVICES

24/7 EMERGENCY SERVICES

MMI Hospital 24-Hour Emergency and Trauma Service delivers emergency care for those with life-threatening conditions or urgent care needs. The department is fully equipped and sta�ed to cater to all age groups from neonates to adults and handles Acute Surgical / Medical Conditions, Trauma, Urgent Dialysis & Ventilator Services.

OPD



• Haematology

• Biochemistry

• Microbiology

• PCR

• Histopathology

• Blood Bank

MAJOR DEPARTMENTS OFLABORATORY

The Department of Radiology of MMI Hospital is one of the key departments for clinical diagnoses, treatment and research providing these services 24/7;

• Vascular Interventional Radiology

• Magnetic Resonance Imaging (MRI)

• Fluoroscopy

• X-Rays

• Lithotripsy

• Ultrasound

• CT Scan

• Mammography

• Cardiac Catheterization Lab (Angiography & Angioplasty)

• Echocardiography (ETT)

• Neurophysiology (EEG, EMG)

24/7 LABORATORYSERVICES

MMI Hospital – Department of Laboratory is capable of performing more than 650 di�erent tests. For the convenience and facilitation of patients and healthcare providers, round the clock services are provided with ensured high standards for both inpatients & outpatients. The laboratory is not only catering to our inpatients, outpatients and outside referral patients but also a reliable resource for other hospitals in performing a variety of tests for them.

24/7 RADIOLOGYSERVICES

RADIOLOGY

LABORATORY

43


Annual Report 2019

24 HOURS PHARMACYSERVICESMMI Hospital - Pharmacy provides 24 hours’ services to both inpatients & outpatients. The pharmacy also prepares in-house formulae and compound medications under the supervision of qualified pharmacists. There are 23 in-house products that include Chemo Therapy Preparations, Total Parental Nutritional preparations and a Pharmacy Compounding Service. The pharmacy stocks all sorts of pharmaceutical & surgical items required for patient management.

VACCINATIONSERVICE

Immunizing children is the best way to protect them against most preventable diseases that may have serious implications. The disease prevention is our vital function and the vaccines are the most e�ective way to prevent the children from the diseases.

NEUROPHYSIOLOGYLABThe Neurophysiology Lab of MMI Hospital is one of the integral department of this tertiary care hospital. We perform a broad way of diagnostic procedures. Our experienced Neurologists use state-of-the-art equipment to test the electrical functions of the brain, spinal cord and the nerves in the arms, legs and the muscles.

These tests help diagnose a wide range of conditions, such as seizures, herniated discs, nerve injuries, carpal tunnel syndrome, peripheral neuropathy and muscle disorders. We are o�ering Electroencephalography (EEGS), Nerve Conduction Studies (NCS) and Electromagnetic Studies (EMGS) at this department.

LITHOTRIPSY SERVICESExtracorporeal ShockwaveLithotripterLithotripsy is a technique in which ultrasound shockwaves are created outside the body and focused on the stone in the urinary tract. The shockwaves break the stone into small particles that can be passed out by the body through urine.Lithotripsy is the advanced treatment for kidney stones and we are o�ering this procedure at MMI Hospital. Lithotripsy eliminates kidney stones without surgery, with far less discomfort.

PHARMACY

NEUROPHYSIOLOGY

VACCINATION



SALIENT FEATURES OF OUREQUIPMENT• No Thermal Injury to Tissues.

• Ultra-High Speed Microprocessor.

• Extra Power for Superfast Disintegration of

Stones.

We o�er Lithotripsy Services for:

1. Kidney Stones

2. Ureteral Stones

3. Bladder Stones

• Latest & First Bi-plane Angiography Equipment in Karachi• A�ordable Packages• Less Time, Lesser Contrast Utilization, Greater Patient Safety & Better Angiographic Results

CARDIAC CATHETERIZATIONLABORATORY

• Contrast Dose Reduction: increased safety because of less drug usage.

• Time of procedure is reduced, more important for pediatric / congenital procedures as fluoroscopy time (radiation time) is reduced by 50% in bi-plane versus single plane angiography machines.

• Radiation Dose is same in both Bi-plane and single plane.

• Neuro Coiling of vessels in the brain is best done using a Bi-plane Angiography Machine.

• Interventional Radiology Procedures are facilitating.

ADVANTAGES OFBI-PLANE ANGIOGRAPHY

NO Cut, Stitch, Hole, Pain or Hospital admissionis required

Physiotherapy and Rehabilitation Services at MMI Hospital provide quality multidisciplinary outpatient and inpatient physiotherapy and rehabilitation by a skilled rehabilitation team using the latest equipments through a wide range of therapeutic exercises and a multitude of modalities to help patients return to an active and healthy lifestyle.

PHYSIOTHERAPY &REHABILITATIONSERVICES

LITHOTRIPSY

CATH LAB

PHYSICAL & REHABILITATIVEMEDICINE DEPARTMENT

45


Annual Report 2019

PAEDIATRIC WARD

The Paediatric ward has 15 beds with special nursing team & doctors who are skilled in taking care of sick children.

PAEDIATRICINTENSIVE CARE UNITThe Paediatric Intensive Care Unit is a three bedded specialized unit with one isolation bed providing intensive care services to children. It is equipped with the latest monitoring and ventilator care equipment and sta� with special expertise to care for children.

PULMONARY FUNCTIONTEST UNITPulmonary Function Test Unit (PFT) MMIH o�ers a range of tests to evaluate patients with respiratory symptoms and lung diseases and our pulmonary function laboratory does them with care.

NEONATAL INTENSIVECARE UNIT (NICU)Neonatal Intensive Care Unit (NICU) at MMI Hospital is for critically ill newborns with complex needs. MMI Hospital - NICU is not just for premature babies or those carried through high-risk pregnancies but full-term babies sometimes unexpectedly need a little extra support.

The NICU combines advanced technology and trained healthcare professionals to provide specialized care for the patients.

Areas of particular expertise include;

• Orthopedic and Musculo - Skeletal Conditions

• Management of Strokes and Adult Neurology /

Neurosurgery

• Obstetrics and Urogynaecological Problems

• Pain Management

• Medicine for the Elderly

• Vascular / Prosthetic Limb Rehabilitation

• Acute and Chronic Respiratory Disorders

• Major Trauma

• Critical Care

• Home Based Physiotherapy Services

PICU

PFT

NICU



LAB COLLECTIONPOINTS

MMI HOSPITALLAB COLLECTION POINTS

We are o�ering discounts to the patients which will provide them the dual opportunities of saving time by availing the lab services in their own locality as well as saving money.

We have also started Diabetics Clinic at our Dhoraji Lab Collection point as we have state of the art clinics with all the required facilities. A renowned Physician and Diabetologist, Dr. M. A. Ebrahim (MBBS, MRCP, FRCP) is conducting his clinic at Dhoraji - Lab Collection Point. The Diabetics Clinic has been started to facilitate the patients of the locality. It is a great opportunity for the patients to meet an experienced Diabetologist in a highly professional environment without any hassle of long waiting.

MMI Hospital Lab Collection Points are a fully equipped medical center with a patient-friendly environment, spacious sitting arrangements and managed by a team of committed and experienced professionals.

We have developed Lab collection points at Dhoraji - C. P. Berar Society, Alamgir Road - Bahadurabad, DHA and Burns Road - Karachi. These Lab Collection Points are for the convenience of individuals who wish to avail laboratory services at discounted rates within their vicinity.

The lab collection points are built on the world-class standards in which the convenience, environment and the facilities are as per the patient’s requirements.

Lab Collection Point (Dhoraji)Shop # 5 & 6, Kathiawar Square

Opp Kibriya Masjid, Karachi.Tel: +92-21-34947474

Lab Collection Point (DHA)Shop 2-6 Plot No. 1 - C / I,

Ittehad Lane 5, Phase VI, DHA Karachi.Tel: +92-21-35848417

Lab Collection Point (Burns Road)Robson Road, Near Jama Cloth Market,

O� M. A. Jinnah Road, Karachi.Tel: +9221-32630111

Lab Collection Point (Alamgir Road)National College Chowrangi,

Alamgir Road, Bahaduarabad, Karachi.Tel: +92-21-34893737

Dialysis is an artificial procedure for the di�usion and ultrafiltration of blood for eliminating the waste material. It is performed on a patient when the latter’s kidney is not functioning properly due to a congenital renal abnormality diabetes, kidney failure, etc.

Memon Medical Institute Hospital department of dialysis provides round the clock dialysis services to the patients. The dialysis department operates in various shifts in order to provide services to the patients as per their convenience. We understand that the dialysis procedure is very time consuming and require excellent coordinated services as well as patient friendly environment and we are maintaining these as benchmark standards.

This service is essential and often required in emergency and Intensive Care Unit through the mobile unit. The department comprises of state of the art dialysis machines and we regularly update and maintain the equipments through our team of experienced biomedical engineers.

LABORATORYDIALYSIS

DIALYSIS

47


Annual Report 2019

OBSTETRICS &GYNAECOLOGYDEPARTMENT

We have a team of experienced and reknown consultants’ obstetricians who lead the care of women with normal to high risk pregnancies.

We have also initiated separate OPD for the Gynae patients which have a separate waiting area, Consultant’s clinics and other services. The maternity unit has close links with the paediatric service for the provision of neonatal care. The hospital also provides the ultrasound services.

The ICU at MMIH is for critically ill patients and has the ability to provide intensive nursing & medical care. The 10 bed ICU is separated into individual compartments with two negative pressure rooms for infected patients. The ICU is equipped with the latest monitoring and ventilator care equipment. Patients can also be dialyzed, if needed.

INTENSIVE CARE UNIT

Obstetrics and Gynaecology department is a providing 24 hours’ services to the patients. keeping in view the importance of the department, we have made a separate ward at the extreme corner of the ground floor building where the patients are receiving the complete services under strict compliance and privacy.

The Operation Theaters provide high-quality, personalized patient care. Our surgeons, faculty and sta� pursue excellence and leadership in patient care and service. This means that you - our patients and their families - come first, and that our team is guided by our core principles: accountability for outcomes, respect for individuals, commitment to never-ending improvement and responsibility for cost-e�ectiveness.

OPERATION THEATERS

CORONARY CARE UNIT

CCU

The five beded coronary care unit is fully functional to provide all necessary support to the cardiac patients after surgeries, cath labs procedures & others.

GYNAECOLOGY

ICU

OPERATION THEATERS



PRIVATE/SEMI PRIVATEAND GENERAL WARD

The dedicated Private Rooms are specially built to serve those patients who are willing to stay in privacy. The rooms consist of patient’s bed, attendant’s sofa set, LED television screens with the availability of the local and international channels, telephone line, nurse calling system along with the compassionate care of our medical sta� and the support sta�. These dedicated private rooms consist of attached bathrooms with the internationally recommended setup for wheelchair access, best quality bathroom fixtures.

The General wards are air-conditioned and each caters to six patients. They are divided into the following sub-sections;

• Seprated Male & Female Surgical wards

• Seprated Male & Female Medical wards

• Isolation Ward

The five beded special care unit is the step down unit for the patients who are shifted from ICU. The special care unit also caters to patients that require specialized monitoring and care.

PRIVATE ROOM

The semi-private rooms are serving the two patients and o�ering the similar environment as of private rooms. It consists of patient’s bed, attendant’s sofa set, nurse calling system to two patients but ensure that the privacy of each patient is well maintained. The room have a huge window with a marvelous view.

SEMI PRIVATE ROOM

SPECIAL CARE UNIT (SCU)

SPECIAL CARE UNIT (SCU)

GENERAL WARD

49


Annual Report 2019

• Procedures available at the MMIH Endoscopy unit are• Bronchoscope and Interventional Pulmonology• Colonoscopy• Endoscopic Retrograde Cholangiopancreatography (ERCP)• Esophagogastroduodenoscopy (EGD) or gastroscopy

ENDOSCOPY

CARDIO THORACICSURGERY

MMIH endoscopy services provide patients with the best possible care in a safe, comfortable environment.

Dr. Salman Ahmed(Cardiothoracic Surgeon) MBBS, FCPS

Services O�ered• Cardiac Surgery – CABG, MVR, AVR, ASD + VSD closure• Thoracic surgery Thoracotomy, VATS, pericardial window, Lung repair, decortication, chest drain.

• Availability of heart pump machine for 24 hours.

• Intra aortic balloon pump available for 24 hours.

Our TeamDr. Muhammad Muza�ar Uddin(Head of Neurosurgery) MBBS, FCPS

Dr. Syed Muneeb Younus(Senior Registrar) MBBS, FCPS

Dr. Saad Akhtar(Visiting Neurosurgeon)

Dr. Badar uddin Ujjan(Visiting Neurosurgeon)

Services O�ered• All kind of neuro spinal trauma management.

• Brain and spinal Tumor Meningioma Surgery including pituitary tumor, CP angle tumor, spinal tumor.

• pediatric neurosurgery services including hydrophilic & meningomyelocele repair.

• Spinal fixation open and minimal invasive.

NEURO SPINAL SURGERY

NEURO SPINAL SURGERY

ENDOSCOPY

CARDIO THORACIC SURGERY

The College of Nursing is another milestone achievement of Memon Medical Institute Hospital.

MMI Hospital - College of Nursing comprises of highly qualified and experienced faculty, purpose-built infrastructure, modern facilities, regulated and well-monitored training and educational methodologies are the key characteristics of this educational institution.

This college is of great significance because the Nursing education is one of the integral component of the mission and vision of Memon Health & Education Foundation. We have built a state of art college building at the third floor of the hospital’s building which comprises of class rooms, faculty rooms, administration o�ce, computer lab, skill lab, library and others.

Since the commencement, we have envisioned to establish a hospital, a College of Nursing and a Medical University with research facilities as a comprehensive healthcare facility. Today, we have achieved second revolutionary project of Memon Medical Institute Hospital’s College of Nursing.

Being a nurse means to hold all your own tears and start spreading smiles on people’s faces. It is our first priority to provide a learner-centered curriculum that integrates science and nursing art which leads students to outstanding performance in theory and clinical.

MEMON COLLEGE OF NURSING

• Generic BSN OR BSc. Nursing

• Critical Care Technician OR CCT

• Community Midwifery or CME

Our Current Programs

Future Programs

• Post. RN BSN OR BSc. Nursing

• I.C.U. Technician

• N.I.C.U. Technician

• Phlebotomy Technician

• Operation Theatre Technician

• Laboratory Technician

• Physiotherapy Technician

• Respiratory Technician

• Dental Technician

We have the facilities and the infrastructure to enrich the intellect of the students but also groom them to become a productive and valuable asset not only for our nation but entire world. At MMIH-College of Nursing, we are training students at international standards to prepare them to face most di�cult healthcare challenges. MMIH - College of Nursing has been producing highest GPA in Annual Nursing Examination and we are committed to improve the results through latest learning techniques and technology.

51


Annual Report 2019

AUGMENTED SERVICESPATIENTS’ RIGHTS

Memon Medical Institute Hospital, a project of Memon Health & Education Foundation, is a non-profit institution and established with the mission to provide accessible and a�ordable quality healthcare and health education to all with empathy, dignity and respect, irrespective of their caste, creed, color, religion and ability to pay.

We firmly believe that it is the fundamental right of every patient to receive the quality treatment. We always ensure that every patient admitted in our hospital must be provided with the best care as per the given resources and the facilities. The management and sta� are committed to perform their duties and responsibilities according to the approved policies and procedures.

Following are the rights of the patients which are important for making a closer professional relationship among the patients, their respective attendants and the hospital sta�.

OUR GUIDING PRINCIPLES1. Emergency Cases: As a responsible hospital, we strongly believe and practice every day that the patients

must receive prompt emergency services at the time of reaching our emergency department including First-Aid and stabilization emergency services. If you have severe pain or an injury, you have the right to receive stabilization emergency services whenever needed, without prior authorization.

2. Accessibility to the Medical Care: To a choice of health care providers that is su�cient to provide you with access to appropriate high-quality health care.

3. Care in a Dignified Manner: You have the right to receive required healthcare services including accommodation at all times as per the given resources and the mission of the hospital which is to provide accessible and a�ordable quality healthcare services to all with empathy, dignity and respect, irrespective of their caste, creed, color or religion.

4. Briefing about the Treatment: You have the right to be informed about your health condition and to receive accurate and easily understood information about your health plan, health care professionals, and health care facilities.

5. Information about the Treatment Options: You have the right to accept or refuse treatment including examinations, tests and diagnostic procedures. You must be given enough information to make an informed choice about whether to accept or refuse treatment.

6. Access to Care: You have a right to receive the quality and best available healthcare facilities in the hospital. The facilities and the relevant sta� are available to provide best possible care and services according to your health condition.

7. Management of the Pain: You have the right to be informed that relief of pain is an important part of care and to receive information about options to reduce, control or relieve pain. To have pain e�ectively managed, you are agreeing with the doctor advise and prescription which is always provided to the best of the knowledge.

8. Decision about your Care: The patient have the complete rights to know all the treatment options and to participate in decisions about the care. Parents, guardians, family members or other individuals that the patient designate can be the representative, if patient cannot make decision.



HEALTH AND INFORMATIONMANAGEMENT SERVICES

Health Information Management Services is one of the most important department and responsible for the management of the patients record in a systematic manner.

We maintain the complete medical history of patient with privacy. The department provides medical record with complete details such as lab tests, reports and treatment plans for the healthcare professionals to provide quality healthcare.

A patient, or his/her legal representative, may obtain a copy of their medical records after the completion of the formalities. We require a complete and signed Authorization for the release of any documents to anyone, including the patient.

The department is also engaged in managing the files, dispatching to the OPD during that specific patient appointment or in wards in case of admission, shelving of the file in a proper sequence, issuances of the birth certificates. It is our top priority to maintain and keep the record of every patient under highest level of confidentiality and such data can not be shared with any indivisual.

HIMS is also involved in the provision and facilitation of the following services:

• Duplicate Birth Certificate • Duplicate Death Certificate

• Amendments in Death & Birth Certificates • Insurance claim verifications

• Issuance of Clinical summaries • Verification of clinical documents

• Admission Certificates • Leave Certificates

9. Care without Discrimination: You have the right for the non-discriminatory care from your doctors and to be treated equally.

10. Patient-Friendly Environment: To receive care which promotes your dignity, privacy, safety and comfort.

11. Privacy and Confidentiality: You have the right to talk in confidence with health care providers and to have your information protected. You also have the right to review your own medical record during any time of the treatment.

12. Complaint Management: It is your right to complain about any specific issue or problem against your health plan, doctors, hospital or other health care personnel. This include complains about waiting times, operating hours, the conduct of health care personnel, and the adequacy of health care facilities.

13. Visitors: The visitor’s timings and right to access are as per the hospital policy. (There are medical or administrative reasons to restrict such access)

14. Information about your Financial Expense: To request and receive information regarding financial charges for any treatment and to receive an explanation of your bill upon request.

15. Right to refuse: You have the right to refuse care provided by the hospital and take a discharge against medical advice, however you must correctly inform the hospital’s sta� about the reason for our record.

NEWSUPDATE

INAUGURATIONINDUCTION OF FIRST BATCH 2018 OF MEMON COLLEGE OF NURSING

LAMP LIGHTING CEREMONYMMI Hospital College of Nursing organized Lamp Lighting Ceremony on July 14 ,2018. The Chief Guest of the occasion was Ms. Khair-un-Nisa - Controller Sindh Nursing Examination Board and Mr. Habibullah Soomro - Director Nursing Sindh.

The event was also attended by Ms. Jaqueline Dias Associate Professor, Principal - College of Nursing – MMI Hospital, Mr. Mohabbat Ali Registrar of College and the students and faculty members.

During her address, Controller of Sindh Nursing Examination Board appreciated the contribution of MMIH College of Nursing and said that the quality education is the key to success.



INAUGURATED BY MS. SIMA KAMIL

MMI Hospital has acquired the latest Echocardiography equipment which is going to cater the cardiac patients at a very a�ordable prices. We are grateful to Ms. Sima Kamil, the President and Chief Executive O�cer of UBL for donating major proportion of amount for the equipment which also motivated other donors to come forward and support it.

The grand inauguration ceremony of Echocardiography service was held at Memon Medical Institute Hospital on March 19, 2019. The service was inaugurated by the Chief Guest Ms. Sima Kamil, President & Chief Executive O�cer of United Bank Limited and the service was formally started after the ribbon cutting ceremony. Ms. Sima Kamil visited the di�erent departments of the hospital including the Laboratory, Emergency, Radiology, Pediatrics Departments, Neonatal Intensive Care Unit and other patient care areas.

CEO of MMI Hospital Brigadier Dr. Malik Waqar Ahmed Awan TI (M) Retd. briefed the honorable chief guest about the hospital history & the progress during the recent years. He explained that the hospital emphasizes on patient care & deliver quality healthcare services with empathy & compassion.

Mr. Abdul Razak Diwan, Former Chairman and member of Board of Governors of Memon Health & Education Foundation thanked Ms. Kamil, the Chief Guest of the ceremony, for her visit and support and said that,

During her visit, she said that

The hospital is very impressive and it’s great to have such type of mega hospital with all the specialties in this part of the city. We will continue to cooperate and support the hospital

The hospital is serving the patients belonging to the vulnerable segments of the society. We are constantly putting all our e�orts and resources to o�er all the services at a�ordable prices. And this purpose is possible due to the cooperation of the donors like United Bank Limited and are expecting the similar support from them

The ceremony was also attended by Dr. Ashraf Ebrahim, Deputy Chairman of MHEF, Mr. Iqbal Bilwani, Treasurer of MHEF, Dr. Qamaruddin Baloch, Dr Med Wolfgang Titius, Mr. M Yaseen and others

55


Annual Report 2019

ECHOCARDIOGRAPHYS E R V I C E

PRESIDENT & CHIEF EXECUTIVE OFFICER UNITED BANK LIMITED

They also donated toys and indoor games for the playing area of Pediatric Ward and met the admitted patients and prayed for their early recovery. They also distributed Gift Hampers among the patients. We have also witnessed the patients’ tremendous excitement in response to the good gesture. Such things truly create a larger impact on the behavior of the patients.The management of Memon Medical Institute Hospital greatly admires such contribution and generosity towards the patients as the Holy month of Ramadan also teaches us to remember the people su�ering from pain.

EID GIFTS FOR THE PATIENTSBY CHIEF EXECUTIVE OFFICERBRIGADIER DR. MALIK WAQAR AHMAD AWAN TI (M) RETD.

On the occasion of Eid, it is our collective responsibility to remember patients. It is, in fact, our honor to greet them on Eid as it is not only corporate philosophy but our religious tradition.

He took a round of di�erent wards and enquired patients about their health. He prayed for their early recovery and wished them “EID Mubarak”. He also appreciated the duty doctors, nurses & paramedical sta� who set an example by remaining on duty.

Major Faiz Bari, Manager of General Support Services, Ms. Anjum Khamisani, General Manager Quality Assurance Department also participated in the gift distribution ceremony.

Gifts were distributed among the patients of Memon Medical Institute Hospital on Eid ul Fitr day by Chief Executive O�cer, MMI Hospital, Brigadier Dr. Malik Waqar Ahmad Awan TI (M) Retd.

Brigadier Dr. Malik Waqar Ahmad Awan TI (M) Retd. said:

Our Honorable Trustee of Memon Health & Education Foundation, Mrs. Sharmeen, Mr. Shahid and Mr. Daniyal Shahid has distributed gifts among the admitted patients of Pediatric Wards including Paeds General Ward, Pediatrics Intensive Care Unit & Neonatal Intensive Care Unit.



GIFTS DISTRIBUTION CEREMONY BYMR. & MRS. SHAHID HABIB & FAMILY

OPEN FORUM & EID MILAN PARTYA GRAND RECEPTION

IN THE HONOR OF OUR COMMITTED WORKFORCEAll the employees love to be recognized and appreciated for the work they do for their employer. MMI Hospital initiated an employee’s recognition and award program through the Open Forum.

It is the top priority of the management to improve the patient care which can only be achieved through the positive role of the employees and our people have proved. We are recognizing their e�orts and holding this exclusive ceremony in the honor of our dedicated employees and expect a similar trend to follow in the future.

A Grand Reception was held on June 12th, 2019 to recognize the valuable contribution of employees who achieved a service milestone during the calendar year 2018. Open Forum provides an opportunity to be recognized and thank sta� for their contribution, dedication, and commitment to MMI Hospital. On the other side, this innovative approach also enables the employees to directly discuss with the CEO.

While addressing the occasion, Brigadier Dr. Malik Waqar Ahmad Awan TI (M) Retd. - CEO highlighted the vision of the organization, the commitment to the patients, the fundamentals of the patient’s care, the importance of behavior in the hospital scenario & the incentives plans for the employees. He also said that

This concept of Open Forum also provided an opportunity for the employees of all levels to directly discuss all their issues with Chief Executive O�cer. The employees raised the questions which were addressed by CEO separately.During the event, “Best Performer” award was distributed among the employees by Brigadier Dr. Malik Waqar Ahmad Awan TI (M) Retd. - Chief Executive O�cer of MMI Hospital.

It is the top priority of the management to improve the patient care which can only be achieved through the positive role of the employees and our people have proved. We are recognizing their e�orts and holding this exclusive ceremony in the honor of our dedicated employees and expect a similar trend to follow in the future

57


Annual Report 2019

14 AUGUST INDEPENDENCE DAYFLAG HOISTING CEREMONY

Memon Medical Institute Hospital Celebrated Independence Day on “August 14 ,2018” with full enthusiasm. On this occasion, a flag hoisting ceremony was held at the main arena of the hospital building. The flag was hoisted by Hon. Chairman Mr. Ajaz Saya. The event was attended by the Trustees of Memon Health & Education Foundation, members of the O�ce Bearer Committee and Executive Committee of the hospital.



INTER DEPARTMENTDECORATION COMPETITION ON INDEPENDENCE DAY

To celebrate the Independence Day with the participation of all the departments and the sta�, the management of the hospital has announced the Inter Department Decoration Competition.

All the departments participated and decorated their areas with great level of commitments and enthusiasm. The flags of Pakistan, green color balloons, posters, the history of the country through pictures, national heroes displayed in all the areas of the Hospital.

A committee comprised of senior personals of the hospital visited all the decorated departments and selected Emergency Department as a winner while the HR Department was a runner-up. All the departments received the special gift.

MMI HOSPITAL’SCELEBRATEDNATIONALINDEPENDENCE DAYWITH THE PATIENTS

Memon Medical Institute Hospital Celebrated Independence Day on August 14 ,2018 and organized a mega event in which the large number of general public, students and the patients were participated. The objective of the event was to celebrate the Independence Day with the Hepatitis C Patients who were completely treated and cured in Hepatitis C camp at the hospital.

During the event, the students of Institute of nursing of MMI hospital performed a culture show while a primary level school students performed tableau.

During the ceremony, the history of the country, the problems faced in early days, the contribution of the Memon community and the leadership of the Quad-e-Azam was also specially discussed by the speakers.

59


Annual Report 2019

TESTIMONIALS

IN THEIROWNWORDS



TESTIMONIALSMy grandson, Moin, was diagnosed at the age of six months. We were completely shattered. Dr. Shaukat Malik from MMI then advised regarding the Cochlear Implant. God has truly blessed us through the hands of these doctors and I will forever pray for them. Today, my child's device has been switched on by the Grace of God. It makes me extremely happy that he would be able to hear and speak.

My daughter, Mohaddesa, is 20 months old and was diagnosed at 13 months. The doctors at MMI suggested the Cochlear Implant to us. Today, three months after the surgery, the device has been attached to her ear. She is responding to it and would hear and speak by the Grace of God. I am immensely happy.

COCHLEAR IMPLANT

KNEE REPLACEMENTMy knees have been a constant worry for me since 10-12 years. I, then heard about MMI Hospital who have been extremely cooperative. Dr. Gulzar operated on me the first time 3 months back. I can walk now and have come again for my second knee.

-Ameena Begum

61


Annual Report 2019

KNEE REPLACEMENTI have been going through this pain since 2 1/2 years. Things worsened a year back which left me unable to walk. I am extremely thankful to God and MMI Hospital for choosing me for this surgery and taking care throughout.

-Abdul Wahid Rizvi

I have had this problem since 13 years. I got my hip operated 8 years back but the surgery didn't work out. Somebody told me about MMI Hospital's free surgical camps and I have come all the way from Chiniot. I thank MMI Hospital wholeheartedly for giving me a new life.

HIP REPLACEMENT

I, Amanullah, was involved in an accident 4-5 years back. My hip was operated 2 times and nothing seemed to work. We were then introduced to Dr. Amjad Gulzar. The Rs. 9 Lac Revision Hip Surgery was performed on me absolutely free. I am able to walk now and can't thank MMI Hospital enough.

Amanullah



CONSULTANTS

FOREIGNVISITING

DR. HAROON KHANENT Surgeon, ManchesterFounder and Chairman of IMRA - Doctors (UK)

Dr. Haroon Khan, a well-known ENT surgeon, started his career after graduated from Dow Medical College in 1975 and initial training at Civil Hospital Karachi in ENT. After gaining DLO & MCPS, he moved to U.K. and after FRCS worked as a Consultant from 1995 with Specialist Register Entry in 2001 leading to FRCS (Orl-HNS). He Has extensive experience in all areas of ENT with special interest in Otology and Endoscopic Sinus Surgery.

He setup a Medical Charity called IMRA in U.K. in 2001 with o�ces in Pakistan and U.S.A. This Charity is Pioneer of Free Cochlear Implant Surgery for the poor in Pakistan. He has supported many cochlear Implant surgeries in Pakistan. He also started Free Cochlear Implants at Memon Medical Institute Hospital Karachi in January 2019 and within a year time, January 2019 to December 2019, has done successfully 18 cases of Cochlear Implant Surgery.

COCHLEAR CONSULTANT

D.L.O.(KHI), M.C.P.S., D.L.O.(LON) F.R.C.S.(GlAS)F.R.C.S.(ORL-HNS)

Super-specialist ENT and Cochlear Implant Surgeon (UK)Director of Humanitarian Cochlear Implant Programme (IMRA)

Dr Noweed Ahmad has developed the world’s largest humanitarian cochlear implant programme from scratch with integrated audiology and specialist speech rehab therapy (with the IMRA charity). So far, 95 cochlear implants have been performed over 7 years (with not a single major complication or failure). He operates at Memon Medical Institute (MMI) with the IMRA team in Karachi.He is one of the top ear surgeons in the UK. He has performed hundreds of cochlear implants during his career and is one of the only surgeons who has experience and can perform cochlear implants by all the 4 manufacturer companies. Dr Noweed Ahmad is one of the only ear surgeons in the world who also is a qualified audiologist with a Masters in Audiology (Gold Medal Distinction) from University College London. This qualification and experience has allowed him to implement the cochlear implant programme and initiate a Newborn Hearing Screening Programme at MMI - which will be revolutionary in the early diagnosis and treatment of hearing loss.

COCHLEAR CONSULTANT

FRCS(UK), MBChB (Manchester)MSc (Audiology London)

Dr Noweed Ahmad

DO-HNS (Royal College of Surgeons, London)BSc (Hons, UK)

Dr. Waheed AkbarManaging Director

Dr. Waheed Akbar is an orthopedic surgeon in USA and is a�liated with multiple hospitals. He graduated from King Edward Medical College, Pakistan and specializes in orthopedic surgery. He has done his Fellowship (FACS) from American College of Surgeons. He has been in practice for more than 38 years.

Dr. Waheed has been performing Orthopedic surgeries including bones and joints, sports injuries, etc. He is an expert in joint repair and replacement surgeries. He is very active in philanthropic works and also associated with Memon Medical Institute Hospital where he is performing surgeries for Knee & Hip replacement.

DR. SHAHZAD SADIQ Consultant Orthopaedic & Trauma SurgeonMBBS, MSC LONDONFRCS UK, FRCS T & O UK, CCT UK

HIP BONE CONSULTANTS

Dr. Shahzad Sadiq completed his specialist Orthopaedic training in Manchester and London. He has extensive experience in treatment of complex trauma patients, in particular non-union of long bones. He did AO Trauma Fellowship in Canada.Dr. Sadiq also had extensive training in lower limb joint arthroplasty and revision surgery in Wrightington and at Hammersmith Hospital, London. He has specialist training in both cemented and un-cemented hip arthroplasty and use of un-cemented long stems in revision arthroplasty surgery. He has keen interest in the management of bone infection and infected arthroplasty of hip and knee. In November 2019, at MMI Hospital, Dr. Sadiq provided his service voluntarily and conducted 6 revision of HIP Replacement surgeries.

ORTHOPAEDIC CONSULTANTS

DR. AMJAD GULZAR SHAIKHConsultant Orthopaedic Surgeon

ORTHOPAEDIC CONSULTANTS

Dr. Amjad Gulzar, a well-known Orthopaedic surgeon, is graduated from Sindh Medical College, Karachi, Pakistan and done his FRCS and M Sc. Orthopedics from UK. He has been performing Trauma & Orthopaedic Surgery, specializing in hip and knee joint replacements and has an extensive experience working in UK (NHS) and Pakistan. Dr. Amjad Gular is a Chairman of Patient Welfare Society at Sindh Medical & Dental College for last 26 years and doing hip and knee joint replacements surgeries on chartable basis for nearly three decades.

In 2005, Dr. Gulzar co-founded Rehabilitation Response, a registered UK charity that provides humanitarian aid to the less developed world and assisted with implants and other surgical items.

He has a track of supported heavily to people of Pakistan with his philanthropy activities specially in terms of Knee, HIP and Limps Implants. His Mission is to “root out Disability from Pakistan”.

Dr. Amjad Gulzar is also associated with MMI Hospital and being a philanthropist he has provided his service to the hospital free of charge by Knee and HIP replacement surgery. In 2019, Dr. Gulzar has done more than 70 Knee Replacement Surgery free of charge.

GERMAN CONSULTANT VISITBRIGADIER GENERAL DOCTOR MEDICALWOLFGANG WILHELM ARTHUR TITITUS(RETIRED)

German Pakistan Chamber of Commerce & Industry has been very generous to arrange collaboration between Memon Medical Institute Hospital and Senior Expert Service of Federal Republic of Germany.

In March 2019, Brigadier General Doctor Medical Wolfgang Wilhelm Arthur Tititus (retired) was assigned to this hospital by Senior Expert Service to render his expertise towards improvement in quality healthcare system.Dr. Wolfgang is an experienced healthcare management professional with a vast exposure in the hospital operations and patient care. He keenly observed our systems to the ground root level, interacted with all doctors and sta� intimately and rendered valuable suggestions and recommendations formally and informally. He was deeply impressed with the facilities and the infrastructure of the hospital and stated that this organization is the symbol of hope for the vulnerable segment of the society who do not have the access to the quality healthcare services. He also endorsed about the importance of team work, patient-friendly behavior and quality management.

CORPORATESOCIALRESPONSIBILITY

FACEBOOK POSTS



COCHLEAR IMPLANT SURGERY

FREE MEDICAL CAMPSMemon Medical Institute Hospital is organizing free medical camps on various specialties with the primary objective of providing free consultation to the patients and special discounts on all the laboratory and radiology services. The camps are arranged in the Outpatient department and managed by the Marketing department with the support of other departments. During the camps, the patients receives consultant’s free advice which helps them to evaluate their health status and to take immediate measures for the management of the diseases as early diagnosis is the fundamental factor for the cure of any disease.

We are receiving a tremendous response and large number of patients are attending in every camp and appreciates the hospitals’ management for arranging these useful free camps.

69


Annual Report 2019

FREE LITHOTRIPSY CAMPS

KNEE REPLACEMENT SURGERIESFREE SURGERIES FOR DESERVING PATIENTS

FREE NEUROSURGERY CAMP



FREE DIABETICS DAY CAMPS

FREE PEDIATRIC CAMP

FREE PULMONOLOGY CAMP

71


Annual Report 2019



FREE ORTHOPEDIC CAMP

FREE EAR, NOSE, THROAT CAMP

FREE GYNECOLOGY CAMP

73


Annual Report 2019

FREE GENERAL SURGERY CAMP

FREE DERMATOLOGY CAMP

FREE HEPATITIS CAMP



FREE PHYSIOTHERAPY CAMP

FREE NEPHROLOGY CAMP

FREE DENTAL SURGERY CAMP

TRANSFORMING LIFESUCCESS STORY

This is about a successful story of a Neurosurgery Department, a case of a 35 years old female who had a history of the right side paralysis and loss of speech along with unconsciousness condition for one month. She was from a middle-class family and couldn’t a�ord the high cost of the neurosurgery.

The entire family was su�ering and going through a trauma. She was brought to MMI Hospital in a completely unconscious state and unable to speak.

Dr. Muhammad Muza�ar Uddin, Neurosurgeon and Head of Department of Surgery, MMI Hospital, admitted her under his supervision and did her brain surgery and professionally manage the complete case. After the successful surgery, a huge brain tumor was removed which is clinically known as Meningioma.

After the operation, she successfully regained her power on the right side and fortunately, her speaking power has also been completely recovered and she returned to her family and to start spending a normal happy life. Her family, especially kids are very happy and blessed to see her alive amongst them.

Her successful operation was done with the help of the welfare department as the family was unable to bear the complete cost of the treatment. It is also pertinent to mention here that we are o�ering the neurosurgery services at the lowest rates in the city and providing high-quality healthcare services.

NEUROSURGERY DEPARTMENT

75


Annual Report 2019

EVENTS

MMI Hospital participated in Health Asia 2018 Exhibition at Expo Centre, Karachi which was held from September 11 till 13 2018. We had participated in this mega healthcare exhibition with the objectives to create awareness about the hospital services as well as established closer relationship with all the stakeholders. The stall received tremendous attraction from the visitors and they appreciated the services of the hospital. During the exhibition, MMI Hospital - Institute of Nursing was also promoted along with other services of the hospital.

Memon Medical Institute Hospital organized an awareness walk on World Heart Day on September 26 ,2018 at the hospital.Mr. Ajaz Saya – Honorary Chairman of Memon Health & Education Foundation was the chief guest.The event was also attended by MMI Hospital’s Deputy Chairman, CEO, Medical Director, Director Cardiovascular Services, the hospital management, students of leading schools and colleges, senior health professionals and the large number of general public from all walks of life.Mr. Ajaz Saya said that the objective of the walk is to create awareness about cardiac issues and the only prevention is a healthy lifestyle through balanced diet and fitness. Brigadier Dr. Malik Waqar Ahmad Awan TI (M) Retd. - CEO of MMI Hospital welcomed the public and especially the students. The event was also addressed by Director Cardiovascular Services and the Medical Director.

WORLD HEART DAY WALK

HEALTH ASIA 2018

On 23rd October, 2018, Memon Medical Institute Hospital organized a free seminar at Government Gulshan College Karachi on breast cancer and its prevention. During the seminar, Dr. Asghar H Asghar, Oncologist – MMI Hospital delivered a detailed presentation on the disease, prevention and self-assessment for timely diagnosis. After the seminar, the students asked questions to the consultant during the questions and answer session.

The session was attended by large number of the faculty members, sta� and the students of the college belonging to the age bracket of 16 years to 18 years.

WORLD BREAST CANCER AWARENESS CME

AT GULSHAN COLLEGE

77


Annual Report 2019

MMI Hospital organized a seminar at Karachi Club on 26th October, 2018. The objective of the event was to provide an opportunity for the members of Karachi Club to learn the causes of cardiac diseases and the prevention techniques. The seminar was attended by large number of club members with their families and fully involved in the presentation of our senior cardiologist. Brigadier Dr. Malik Waqar Ahmad Awan TI (M) Retd. thanked the management of Karachi Club and appreciated the members for their huge participation and active discussion. Seminar on Cardiac Diseases at Dow University of Health Sciences on the occasion of World Heart Day. During the seminar, the speakers delivered useful presentation on various cardiac topics. Our senior Cardiologist delivered a useful presentation and actively responded in the panel discussion. The seminar was attended by large number of consultants as well the students of the university. The seminar was supported by the leading hospitals of the country and received prominent coverage on all the leading media.

On the celebration of the global breast cancer awareness month, Memon Medical Institute Hospital setup a stall at the Saima Shopping Mall, Gulistan-e-Jauhar, Karachi on October 27, 2018. We had distributed breast cancer awareness material among the visitors which we had prepared in the local language along with the supportive images, so the general public can understand easily. The visitors facilitated with free Body Mass Index test and Sugar test. The stall received tremendous attention from the visitors throughout the day.

MEDICAL CAMP AT SAIMA MALL

CELEBRATION OF BREAST CANCER MONTH

SEMINAR ON CARDIAC DISEASES AT KARACHI CLUB



Memon Medical Institute Hospital organized Symposium on Anti - Microbial Stewardship on May 18th, 2019. The guest’s speakers were Dr. Sana Anwar, Clinical Microbiologist at Liaquat National Hospital Karachi, Dr. Usama Rehman, Consultant Infectious Disease at Ziauddin Medical University Karachi and Dr. Haroon Diwan, Manager Laboratory of MMI Hospital.

MMI Hospital organized this symposium because we are continuously striving to reduce the hospital acquired infections which is one of the key performance indicator for any healthcare institution. However, we understand that this is an ongoing process. Therefore, we regularly arrange such types of events and activities whereby our caregivers learn new techniques in the field and provide better patients care and maintain better infection free environment. It is our top preference to create an infection free environment for the patients.

Like many developed countries, Pakistan is also facing various types of infections and other diseases. One such case is the recently HIV virus which is badly e�ecting many parts of the province of Sindh. Therefore, Anti - Microbial Stewardship is of paramount importance to review and learn many innovative techniques.

Memon Medical Institute Hospital - MMI Hospital has initiated several programs in the issue of Hepatitis C to persuade common people to take proactive approach to Hepatitis.

In continuation of this commitment, MMI Hospital organized a “World Hepatitis Day” seminar on 28th July 2018 to raise awareness and influence for real change. Dr. M. Shoaib Siddique, a renowned Gastroenterologist of MMI Hospital delivered a very useful presentation on the causes of Hepatitis C, the prevention and the best available treatment for the patients.

He explained about the causes and shared his experiences with the patients e�ected by this disease. He also shared that this disease is a big threat to the nation and we must take immediate measures in order to address this national challenge.

This session was attended by Dr. Mansoor ul Haque, a senior and renowned Gastroenterologist. A shield was presented to Dr. M. Shoaib Siddique for his useful presentation.

SEMINAR ON CARDIAC DISEASES IN PAKISTAN

MMI Hospital participated in a seminar on Cardiac Diseases at Dow University of Health Sciences on the occasion of World Heart Day. During the seminar, the speakers delivered useful presentation on various cardiac topics. Our senior Cardiologist delivered a useful presentation and actively responded in the panel discussion. The seminar was attended by large number of consultants as well the students of the university. The seminar was supported by the leading hospitals of the country and received prominent coverage on all the leading media.

SYMPOSIUM ON ANTI - MICROBIAL STEWARDSHIP

SEMINAR ON WORLD HEPATITIS DAY

79


Annual Report 2019

SEMINAR ON DIABETES DAYMemon Medical Institute Hospital organized a seminar on World Diabetes Day. Diabetes is a growing disease in the country and is e�ecting all age and income groups. The expert claims as one of the big threat to the country. Keeping in view the growing threat to the large population, the seminar was organized in which the senior consultants create awareness about the disease and its prevention through the latest techniques and the recommended lifestyles. Also, a free medical camp was arranged in the hospital whereby the general public received free tests which helped them in evaluating their health status.

SEMINAR ON WORLD KIDNEY DAY

Memon Medical Institute Hospital - MMI Hospital organized a seminar on World Kidney Day to create awareness about the common kidney diseases and the prevention.

The speakers delivered useful presentation about the causes and the symptoms of the Kidney diseases and explained the latest prevention techniques.



BOARD OF GOVERNOR’S REPORT

The Board of Governors of Memon Health & Education Foundation is proudly presenting the hospital’s performance report during the period of July 2018 to June 2019.

The growing volumes of the patients in all the departments is the indication of the patients trust on the hospital’s services. We are also in process to develop closer relationship with the corporate patients in order to provide accessibility to the workforce which is the most important segment of the country.

We are developing a strategic partnership with several other hospitals, laboratories, welfare organizations and community organizations whereby we are o�ering our best medical services to their patients, both inpatients as well as outpatients.

Some of the activities we’ve engaged in last year are:

• Medical camps are arranging for the deserving patients. The patients received consultants’ free advice which helps them to evaluate their health status and to take immediate measures for the management of their diseases. We are receiving a tremendous response and large number of patients are attending in every camp and appreciating the hospital’s management for arranging these useful free camps.

• We are producing and distributing brochures on various diseases.

• We are increasing the number of Corporate clients in the panel list which is important for the promotion of the hospital and to increase the revenues. We are introducing new techniques and giving the priority to the corporate clients through better services, the function has been performed by the Marketing department.

• Producing quarterly newsletters which include information about the events, services, employee of the month, employee engagements, health articles on diseases and other useful information. We have started the Urdu language section in the newsletter in which the articles, events and the services are communicating in our national language.

• Continually updating the website and the social media by posting events, resources, links, news, health awareness articles, brochures etc about the services and the documentaries. The site has proven to be a great information and communication tool for the hospital. We are always open to feedback on what we post and encourage you to let us know about other kinds of information that might be useful for the masses.

• We are actively involved in the planning and organizing of events and workshops and we are grateful to the many guests and delegates who set aside time to attend these events. The shared learning and networking are an important part of our events. By participating in these professional development opportunities, one can increase knowledge and understanding about the clinical and non-clinical subjects.

81


Annual Report 2019

FUTURE OUTLOOK

• Expansion of Dialysis

• Expansion of OBS / Gynecology

• New Administration Building

• Memon College of Physical and Rehabilitative Medicine.

THANK YOU I would like to thank the Board of Governors and the management team for their ongoing commitment to MMI Hospital, but most of all to the sta� and Doctors who work very hard to ensure that we continue delivering better health outcomes — each passing day at MMIH.

I wish you and your families the very best of health and thank each and every person for their continued support, belief and trust and request each one of you to live healthy and encourage healthy living amongst your loved ones.

We look to the future with great confidence in continued support for the very best in health care services here in our community.

Muhammad Ajaz Saya Honorary Chairman

FINANCIALS

During the year under review foundation was able to raise Rs. 224.78 Million from its trustees and well-wishers which includes donations of Rs. 59.55 Million and Zakat of Rs. 165.23 Million. During the year needy patients were provided medical services worth Rs. 154.38 Million out of Zakat funds collected by the Foundation.

During the term under review net revenues from medical services reached Rs. 1,124.28 Million as against previous year’s amount of Rs. 974.68 Million. Hospital Operations incurred a loss of Rs. 112.61 Million (including depreciation and amortization of Rs. 100.75 Million and financial expenses of Rs. 0.18 Million). After consolidation of Donations, Deficit for the year before taxation amounted to Rs. 53.06 Million.



HOSPITAL PERFORMANCE DATA2013-2019

61895

7143584063

95193

119320130259

0

20000

40000

60000

80000

100000

120000

140000

2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019

OPD CONSULTATION

17149 1835620650

24271

32570

35626

0

5000

10000

15000

20000

25000

30000

35000

40000

2013 -2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019

ER VOLUME

207340184016

224807243483

256674

291155

0

50000

100000

150000

200000

250000

300000

350000

2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019

LABORATORY

7511

88179685 9909

11160

12670

0

2000

4000

6000

8000

10000

12000

14000

2013 -2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019

IPD ADMISSION

83


Annual Report 2019

29454

34178

39170

44885

6050864033

0

10000

20000

30000

40000

50000

60000

70000

2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019

RADIOLOGY

635814

1035

1346

1793

2270

0

500

1000

1500

2000

2500

2013-2014 2014-2015 2015- 2016 2016 - 2017 2017- 2018 2018- 2019

DELIVERIES

66456925 6934

7818

6358 6584

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

2013- 2014 2014- 2015 2015 - 2016 2016 - 2017 2017- 2018 2018 - 2019

DIALYSIS




2930

3664

4142

5552

6660

0

1000

2000

3000

4000

5000

6000

7000

2014-2015 2015-2016 2016-2017 2017-2018 2018 -2019

ENT

8326

10669

12723

15500 15759

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

2014- 2015 2015- 2016 2016- 2017 2017 - 2018 2018- 2019

GASTROENTOLOGY

7822

973510539 10838

12216

0

2000

4000

6000

8000

10000

12000

14000

2014-2015 2015-2016 2016-2017 2017-2018 2018-2019

1092

1648

2011

2867

5908

0

1000

2000

3000

4000

5000

6000

7000

2014-2015 2015-2016 2016-2017 2017 -2018 2018-2019

NEPHROLOGY ORTHOPADICS

85


Annual Report 2019


994311587

12333

15643

25412

0

5000

10000

15000

20000

25000

30000

2014- 2015 2015-2016 2016- 2017 2017-2018 2018- 2019

PAEDIATIRCS

10832

13643

17734

22697

28176

0

5000

10000

15000

20000

25000

30000

2014-2015 2015-2016 2016-2017 2017- 2018 2018 -2019

OBSTERITICS AND GYNAECOLOGY

1625

2092

2656

4045

4976

0

1000

2000

3000

4000

5000

6000

2014-2015 2015-2016 2016-2017 2017-2018 2018-2019

DERMATOLOGY




REVENUECONTRIBUTION2018 - 2019



11%16%

13%

21%

17%

12%

10%

2016 - 2017

Pharmacy 158.91Laboratory 130.44OT 88.63IPD 124.07Radiology 100.88OPD 76.11Others 91.37

770.42

9%15%

14%

21%

18%

14%

9%

2017 - 2018

Pharmacy 202.45

Laboratory 172.69OT 93.79IPD 145.67Radiology 134.31OPD 89.03Others 136.74

974.68

2018 - 2019

Pharmacy 224.05

Laboratory 200.67OT 106.25IPD 284.21Radiology 152.94OPD 112.74Others 43.43

1,124.289%

20%

18%

10%

4%

25%

14%

87


Annual Report 2019



HORIZONTAL ANALYSIS

STATEMENT OF FINANCIAL POSITION

2013-14 2014-15 2015-16 2016-17 2017-18 2018-19ASSETS

Non-current assets 100% 101% 95% 97% 100% 96%Current assets 100% 151% 186% 201% 330% 312%

Total assets 100% 107% 105% 108% 126% 120%

General fund 100% 100% 100% 100% 100% 100%Accumulated (deficit) / surplus & General Reserve 100% 100% 100% 100% 100% 192%Endowment fund - - 100% 121% 162% 162%Non-current liabilities 100% 66% 38% 106% 237% 226%Current liabilities 100% 114% 131% 138% 194% 190%

Total Equity and Lialility 100% 107% 105% 108% 126% 120%

INCOMEIncome from medical services - net 100% 120% 130% 137% 174% 201%Other income 100% 72% 75% 63% 103% 116%Total Revenue 100% 119% 129% 135% 172% 198%

EXPENDITUREOperating expenses 100% 101% 118% 123% 162% 182%Administrative expenses 100% 111% 131% 141% 157% 183%Marketing expenses 100% 94% 204% 209% 357% 354%Finance cost 100% 0% 0% 1% 1% 1%Total Expenditure 100% 100% 117% 123% 159% 179%

Deficit for the year before donation and taxation 100 % 10 % 62 % 64 % 100 % 92 %Donation income 100 % 71 % 29 % 28 % 67 % 43 %Deficit for the year 100 % 516 % (216)% (237)% (176)% (318)%

Vertical analysis

2013-14 2014-15 2015-16 2016-17 2017-18 2018-19ASSETS

Non-current assets 89% 84% 80% 79% 71% 71%Current assets 11% 16% 20% 21% 29% 29%

Total assets 100% 100% 100% 100% 100% 100%

General fund 39% 36% 37% 36% 31% 32%Accumulated (deficit) / surplus & General Reserve 37% 41% 39% 35% 28% 26%Endowment fund 0% 0% 1% 1% 1% 1%Non-current liabilities 8% 5% 3% 8% 15% 15%Current liabilities 16% 17% 20% 20% 25% 25%

Total Equity and Liability 100% 100% 100% 100% 100% 100%

INCOMEIncome from medical services - net 97% 98% 98% 98% 98% 98%Other income 3% 2% 2% 2% 2% 2%

100% 100% 100% 100% 100% 100%EXPENDITUREOperating expenses 109% 92% 99% 99% 102% 100%Administrative expenses 10% 9% 10% 10% 9% 9%Marketing expenses 0% 0% 1% 1% 1% 1%Finance cost 2% 0% 0% 0% 0% 0%

121% 102% 110% 110% 112% 110%

Deficit for the year before donation and taxation (21)% (2)% (10)% (10)% (12)% (10)%Donation income 24 % 14 % 5 % 5 % 9 % 5 %Deficit for the year 3 % 13 % (5)% (5)% (3)% (5)%

VERTICAL ANALYSIS

89


Annual Report 2019

KEY FINANCIAL INDICATORS

Description 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19

Profitability Ratios

Cost / Income ra�o 125 % 104 % 112 % 112 % 115 % 112 %Return on Funds (13)% (1)% (8)% (8)% (13)% (13)%Net (deficit) / Surplus to Sales (22)% (2)% (10)% (10)% (13)% (10)%EBITDA Margin to Sales (4)% 12 % 3 % 1 % (2)% (1)%Total Assets Turnover Ra�o 47 % 52 % 57 % 58 % 64 % 77 %Fixed Assets Turnover Ra�o 53 % 62 % 72 % 74 % 91 % 109 %

All profitability ratios are calculated excluding donation income.

Liquidity Ratios

Current ra�o 0.70 0.93 1.00 1.07 1.30 1.24Quick / Acid test ra�o 0.29 0.50 0.68 0.67 1.00 0.96Cash to Current Liabili�es 0.13 0.25 0.44 0.43 0.49 0.50Cash flow from Opera�ons to Sales 0.24 0.25 0.15 0.05 (0.04) 0.03

Current liabilities are excluded current portion of deferred income

Activity Ratio

No. of Days in Inventory 88 107 109 115 92 79 No. of Days in Receivables 44 52 41 39 40 38 No. of Days in Payables 241 214 173 167 141 130 Net Opera�ng Cycle (108) (54) (23) (13) (9) (13)

Capital Structure Ratio

In percentage

In Times

In Days

In percentage

Earning assets to total assets ra�o 79% 81% 84% 89% 82% 88%

2013-14 2014-15 2015-16 2016-17 2017-18 2018-19

Income growth 28% 20% 8% 5% 27% 1155%%● ● ● ● ● ● ●

Income from medical services 560M 675M 730M 770M 975M 11,,112244MM● ● ● ● ● ● ●

Medical revenue pattern



Fund And Reserves 2019 Fund And Reserves 2018

6%

31%

1%41%

7%

7%

5%0% 1% 1% 0%

Rs.1.829Billion

Non Current Assets 2019 Non Current Assets 2018

6%

32%

1%40%

7%

8%

5%0% 1% 0% 0%

Rs.1.793Billion

General Fund General Reserve Accumulated (deficit) / Surplus

52%

0%

48%

Rs.0.920Billion

49%

45%

-4%

Rs.0.867Billion

Freehold landBuilding on Lease-hold landBuilding - Mosque

Air Conditioning equipment & MachineryPower & Other InstallationFurniture and FixtureOffice Equipment

Data Processing EquipmentMotor VehicleLibrary Books

Bio Medical Equipment

91


Annual Report 2019

20%

17%

9%25%

13%

10%

4%

2%

Rs.1.146Billion

Income 2019 Income 2018

91%

8% 1%0%

Rs.1.258Billion

91%

8%

1%0%

Rs.1.116Billion

20%

17%

9%15%

14%

9%

14%2%

Rs.0.993Billion

PharmacyLaboratory

OTIPD

RadiologyOPD

OthersOther income

Expenses 2019 Expenses 2018

Opera�ng Expenses Administra�ve Expenses Marke�ng Expenses Financial Cost



FINANCIALSTATEMENTS

2019

95


Annual Report 2019

Memon Health and Education FoundationStatement of Finanicial PositionAs at 30 June 2019

97


Annual Report 2019

Memon Health and Education FoundationIncome and Expenditure AccountFor the year ended 30th June 2019



Memon Health and Education FoundationStatement of Comprihensive IncomeFor the year ended 30th June 2019

99


Annual Report 2019

Memon Health and Education FoundationStatement of Changes in Funds and ReservesFor the year ended 30th June 2019



Memon Health and Education FoundationStatement of Cash FlowsFor the year ended 30th June 2019

101


Annual Report 2019

Memon Health and Education FoundationNotes to the Financial StatementsFor the year ended 30th June 2019

yet



103


Annual Report 2019

105


Annual Report 2019

107


Annual Report 2019

109


Annual Report 2019

111


Annual Report 2019

113


Annual Report 2019

115


Annual Report 2019

117


Annual Report 2019

119


Annual Report 2019

Amortisedcost

121


Annual Report 2019

11th Jan 2020



HOW YOU CAN HELP • Dedication• Logo Display (Corporate Friend & Well-Wisher) • Donation (General)• Donation (Zakat)• Volunteer your time as visiting faculty• Sponsor a Child (Child Screening Program)• Sponsor a Breast Surgery • Sponsor Dialysis Patients• Sponsor a Surgery o General Surgery o Cardiac Surgery o Orthopedic Surgery o Neuro Surgery o Urology o ENT Surgery o Plastic Surgery

124


Annual Report 2019

Name:

Address: CAVISH COURT A-35 BLOCK 7 & 8 KECHSUSHAHRAH E FAISAL

MEMON HEALTH & EDUCATION FOUNDATION Registration No :

Medium :

01-Jul-2018 - 30-Jun-2019

19-Sep-2018

Document Date :

Period :

2019

Online

19-Sep-2018

Due Date :

Tax Year :

1414406

2(36)(c) (Order to grant / refuse / maintain / withdraw approval to Non-Profit Organization)

Contact No: 00923018287812

In exercise of the powers vested in me under Clause (c) of Sub Section 36 of Section 2 of the Income TaxOrdinance, 2001 read with Rule 214 and 220 of the Income Tax Rule,2002, renewal is hereby granted toM/s. Memon Health & Education Foundation, Cawish Court, A-35, Block-7 & 8 , K.C.H.S.U, Sharah-e-Faisal,Karachi, NTN: 1414406-9 as Non Profit Organization. However, any income generated from any businessactivity in this regard is not exempt by virtue of this renewal. It is further certified that the donor is entitledto tax credit in his assessment as per rate prescribed in section 61 of the Income Tax Ordinance,2001, onthe amount donated through crossed payee cheques.

23.11.2017 or the date mentioned above unless revoked / cancelled earlier.

Faisal Rauf MemonCommissionerInland Revenue, Zone-ILTU-II KARACHI, TAX HOUSE SHARAH E KAMAL ATA TURK KARACHI

LTU-II KARACHI, TAX HOUSE SHARAH E KAMAL ATA TURK KARACHI

Sat, 13 Oct 2018 11:36:01Printed on Date:Page 1 of 1

marksman


Hyder Buksh Gabol Road, Safoora Chowrangi, KarachiTel: +92-21-34691147-54, +92-21-34691159-64,

Fax: +92-21-34691193

mmi.edu.pk [email protected] /MMIHospital

Annual Report 2019 - Memon Medical Institute Hospital

Documents

Transcript of Annual Report 2019 - Memon Medical Institute Hospital