OASIS DOCTORS GROUPPast , Present And Future

DR. GREGORY GANDA,

MBCHB (MOI) MMED (MAK)

Questions

1. How many Private Individuals’ Clinics, or Hospitals have outlived the Founders’ active clinical practice?

2. How many consultants graduate from medical school and have to start from scratch to build a practice whilst others close down active practices in old age?

Past Models Of Care

• Government Institutions• Faith-based Institutions• Private Institutions• Individual Practice

Individual Private Practitioner• Disconnected & Criminalized• Shunned by Financial Institutions• No development model, facilities or support• Developments depended on non-medical

factors, partnerships and/or patronage• Medical practice ceded to non-medics

• Many technically capable medics

uncoordinated, not sharing resources, thus– high cost –(?poor) practice–No economies of scale–Specialty overlap

Oasis – Origin Of Concept

• Need for private practice in relatively cash-strapped areas–One stop shop–Need for doctors to own the value chain –Need for ready exit strategy

History

• 1 year spent: brainstorming & seeking acceptability, and most feasible options

• In 2010 Oasis Doctors Plaza, Kisii• By 2014, Kisumu, Migori, Homabay and

Nyamira

Our aim

• To reduce costs to the client yet offer quality services in a structured 3 tier healthcare consortium

Tier 1• Oasis Care Centre

• GPs• RCOs

Tier 2• Oasis General Hospital• Doctors’ Plaza

• GPs,• Consultants,

Tier 3• Oasis Specialist

Hospital• Oasis Specialist

Centres (Cardiology, Renal, Spinal, etc)

Tier 1 – Care Center

• Primary care centers • Staffing:–GPs (MOs)–RCOs–Nurses– Support Staff

Level 1: Care Centers

• General out patient• Consultants services• Day case Theatre• Radiology services• Pathology and laboratory:• Physiotherapy and rehabilitative services

Tier 2Doctors plaza

One-stop-shop Services

Level 2 – Doctors Plaza

Level 3: Hospitals

KEY• HOSPITAL

• DOCTORS PLAZA

• CARE CENTER

H

H

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Ownership & Practice

• Wholly owned by Medical Practitioners, Dentists and Pharmacists, through purchase of shares

• Practice depends on relevant qualification,• open to all, non-discriminatory• Owners chart business strategy, development

& management through a board

Our Philosophy• All medical players complement, not compete• Medics to practice & manage Medical Practice

(cf Lawyers, Engineers etc)• Specialized tasks should be performed by

specialists (medical & non-medical)• Quality is supreme at all levels of medical care

Challenges

• Inadequate management skills initially– Trainings: mscs

• Self interests of doctors – walk in , build clientele and try to set up parallel clinic

• Differences in the branches– Formation of a holding company

The Future

• Large networked practice covering majority of counties in the western region

• Specialist centers – oasis laboratories, oasis back and joint clinics…….etc

• Expansion to other counties - In any county we set up, local doctors have to be the key investors

Oasis Doctors Group• Oasis group will offer –expertise from years of experience,– access to immediate credit facilities, – access to our insurances partners–Direct investments in shares in the new

facility

oasisdoctorsgroup@gmail.com

Thank you