Quality, Revenue, and Cost Containment are HCCA's three major thrusts of hospital management.

Each of these is driven by certain realities:  quality by reasonableness; revenue by fairness; and cost containment by humanity.  Other responsibilities of management, such as teaching, mentoring and practicing community and public relations can be neatly fitted under the three main pursuits.  The combination and interplay of these three thrusts produces the art and practice of hospital management.

"Quality" is a mandate for HCCA to ensure the operation captures and retains its market edge. It is important to understand what is meant by the term quality.  It is initially a matter of perception.  However, it is more truly a matter of performance.  Quality can be defined and measured by the following five points:

• Is the service available?
• Is it timely?
• Is the outcome accurate?
• Is it user friendly?
• Is it delivered in caring manner?

Each of these points requires perpetual review and improvement in order for performance, the true indicator of a quality service, to continue to meet customer expectation.

Management Team

The HCCA Management Agreement is predicated on the assumption that HCCA's Management Team consists of one or more of the following members.  The size of the Management Team is dependent on the size and the objectives of the facility.

• A Chief Executive Officer (CEO) who has the authority and responsibility for the efficient, economical and effective day-to-day operation of the hospital.  The CEO retains responsibility for coordination with the Medical Staff, the hospital Board of Directors, strategic and marketing plans, community support and other external relationships as may be appropriate.
  
  The CEO is assisted in the operation of the hospital by an Executive Management Team.  The Team is initially composed of a Chief Financial Officer (CFO), Medical Director (MD), Associate Administrator (AA), a Chief Clinical Officer (CCO), Director of Training, and Support Service Coordinator.  The composition of this Executive Management Team is reviewed and revised as future expansion of the hospital and its services develop.
• The Chief Financial Officer (CFO) who installs and oversees internal financial controls, both automated and manual as appropriate, to assure the proper utilization of financial resources and the accuracy of financial records.  Responsibilities will include the establishment of a General Accounting Department, Payroll Accounting Section, Business Office, Accounts Payable Section, and the placement and monitoring of Purchasing, Budgets, Property and Inventory Costs to insure the financial integrity of the project.
• A Medical Director (MD) who organizes and manages the Medical Staff, the Medical Staff By-Laws, Rule and Regulations and Medical Staff Committees; and establishment of Quality Assurance and Infection Control and Medical Education Programs;
• Associate Administrator(s) (AA) who assumes responsibility for the day-to-day operations of the clinical and support services of the hospital. 
• The Chief Clinical Officer (CCO) who directs the non-physician Clinical Service Departments and coordinates with the Medical Staff and other departments/ services to provide for and contribute to patient care.  Staffing guidelines commensurate with the qualifications of nursing personnel and designed to meet the needs of the prescribed medical regimen, standards of nursing practice, quality assurance, education and training are established to insure uniform quality of patient care.
• The Director of Training who focuses on the development of nursing and ancillary services training programs and support Medical Staff Education. 
• A Support Service Coordinator who provides support from North America and Europe to the on-site Management Team to include coordination of all support services required by the client and management team.

Execution of Responsibilities

The HCCA management team develops an environment conducive to the practice of quality medicine by the medical and support staff.

Management Services

Through the Management Team, HCCA:

• assumes overall responsibility for the management, operation, and maintenance of hospital operations;
• develops, implements and refines the strategic, marketing, and operating long range plans to implement the goals and objectives of the hospital and set forth the methods and resources required to achieve them;
  
• ensures hospital services are provided at the appropriate level of international professional standards to support the physician in the diagnosis, care, and  medical treatment of patients assigned or referred to the hospital;
• develops, implements, maintains and revises departmental policies, procedures, administrative systems, forms, organizational structures and administrative mechanisms required for the efficient and effective management of the hospital project;
• establishes and administers accounting procedures and controls for all project assets/liabilities, revenues and expenses in accordance with generally accepted accounting principles;
• organizes, assists and supports the organization of the Medical Staff, Medical Staff Committees, the Medical Staff By-Laws, and hospital-wide Quality Assurance program;
• as appropriate, establishes a counterpart program for qualified nationals to develop and qualify them for administrative positions within the hospital; and
• recommends consultant resources through the corporate support office for specialist services to meet specific requirements on an "as needed" basis.

A hospital is a business and must be operated as such.  This concept requires management to negotiate the fine line between the wants and needs of the patients, medical staff, and the community it serves with the mandates for financial returns established by the client to insure the continued growth and viability of the hospital.

This is achieved through QUALITY.  HCCA achieves this goal by making quality the number one goal of all members of its management team and staff.

Summary of Qualifications

HCCA is one of the oldest and most respected international healthcare management companies in the world.  From its first project in Saudi Arabia, the Company has had over 35 years of continued growth, change and development.  As the only international health care management company which has operated over 40 facilities with approximately 7,500 beds, on five continents of the world, HCCA International's commitment to quality of services is unequaled.

HCCA provides efficiency in both quality and cost.  The company's corporate infrastructure provides extensive capabilities to support client services ranging from strategic planning, feasibility studies, project development and consulting, to staffing, training and development.  HCCA International's collective resources in all areas of hospital management allows proven programs to be customized for each client project.

Health Care Corporation of America is committed to establishing and always maintaining the most appropriate and efficient level of quality healthcare delivery in all its facilities.

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