PHILIPPINE CHRISTIAN UNIVERSITY

1648 Taft Ave, Malate, Manila, 1004 Metro Manila

Graduate School

Establishment of Hemodialysis Unit at SOCCSKSARGEN General

Hospital

A Project Proposal

Presented to

The Graduate School of Business Management of

Philippine Christian University
Taft Avenue, Manila

Submitted by:
Angelizo Rome Y. Andaya
Renz Jaime P. Espiritu
Charmane B. Peralta
Frencis P. Tiu Rivera
Phoebe Kanelle G. Sisayan

Submitted to:
Dr. Marjori DG. Dela Cruz, PD-SML, PhD, MD, MBA, RN
Faculty
 Graduate School of Business Management
March 2024
TABLE OF CONTENTS

Executive Summary
Organizational Statements (Mission, Vision, Goals etc..)
Company History and Management
Products or Services Offered
The Market
Competitive Advantages
Financial Projections/Summary
Chapter 1: Introduction and the Background of the Project
Definition of the identified gap
Background of the Project
Objectives of the Project Proposal
Chapter 2: Marketing Study
Project Description
Industry Profile
Marketing Plan
Chapter 3: Technical and Production
Process Flow/Operational Process
Risk Identification and Mitigation strategies
GANTT Chart
Chapter 4: Financial Study
Initial Capital Requirements/ Investments/Sources of Funds
Financial Analysis (Budget Allocations / Breakdown of costs, Breakeven Analysis,
Payback Period, Return of Investment)
Chapter 5: Conclusion and Recommendations
References
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Group # Final Project Proposal
 EXECUTIVE SUMMARY

Organizational Statements

Mission

SOCCSKSARGEN General Hospital is committed to provide quality, holistic, people-

centered and sustainable healthcare services.

Vision

SOCCSKSARGEN General Hospital as a premier apex hospital in SOCCSKSARGEN

Region by 2034.

Goals
● To be a GAD advocate healthcare institution by 2024
● To be a Mother Baby Friendly fully accredited institution by 2024
● To be recognized as Center of Safety healthcare facility by 2026
● To become a GREEN Hospital Compliant by 2028
● To become a teaching and training hospital by 2034
● To be a multi-specialty center by 2034
○ Dialysis Center by 2025
○ Cancer Center by 2031
○ Trauma Center by 2034
Quality Policy
We, the management and employees of the SOCCSKSARGEN General Hospital are
committed to ensure the highest standards of quality healthcare services for the satisfaction of
our clients in partnership with all stakeholders.
We practice a culture of transparency and accountability, observe zero tolerance against
corruption, implement an efficient and effective Hospital Information System, and continually
improve our Quality Management System in compliance with regulatory and statutory
requirements.

Company History and Management

The Region XII or SOCCSKSARGEN Region is located in South Central Mindanao. Per
Executive Order No. 36 dated September 19, 2001, “Providing for the Reorganization of the
Administrative Regions in Mindanao and for other purposes”, Region XII now is called
“SOCCSKSARGEN” and is composed of four provinces and five cities. These provinces are:
South Cotabato, North Cotabato, Sultan Kudarat, Sarangani Province, including the five cities
which are: Cotabato City, Koronadal City, General Santos City, Kidapawan City and Tacurong
City. Only two cities are considered Chartered cities namely: Cotabato City and General Santos
City. Kidapawan City, Koronadal City and Tacurong City are considered component cities of
North Cotabato, South Cotabato and Sultan Kudarat provinces, respectively. 226 or 18.90% of
the barangays in SOCCSKSARGEN Region are categorized as geographically isolated and
disadvantaged areas (GIDA). These are barangays which are specifically disadvantaged due to
the presence of both physical and socio-economic factors.
In 2017, the region had two retained hospitals, 29 government hospitals and 87 private
hospitals with a combined capacity of 5,467 hospital beds. This made the region’s hospital bed-
to-population ratio at 1:874. Based on the hospital-bed to population ratio, the region is at the tail
end of attaining the desired ratio of 1:800. Other areas such as Sarangani have registered very
low bed-to-population ratios of 1:5,638; South Cotabato, 1:900, and Sultan Kudarat at 1:893.
Given the recent turn-over of Cotabato City to Bangsamoro Autonomous Region in
Muslim Mindanao (BARMM), where the region’s former premier hospital, the Cotabato
Regional Medical Center is geographically situated, the gap in the desired standard bed-to-
population ratio has worsened. Considering this situation, members of the RDC XII Advisory
Committee underscored the importance of fast-tracking the operationalization of
SOCCSKSARGEN General Hospital. This is to lessen the gap and increase access to quality
health care for the general population of Region XII.
SOCCSKSARGEN General Hospital (SGH) as a DOH-Retained Hospital was
established on October 26, 2018 and operates under the authority of the Republic Act 11102,
“An Act Establishing the SOCCSKSARGEN General Hospital in the Municipality of Surallah,
Province of South Cotabato, and Appropriating Hospital Funds Thereof”. The Act was proposed
in the 17th Congress as House Bill No. 5881 by Representative Ferdinand L. Hernandez, Second
District, South Cotabato, and as Senate Bill No. 1586 by Senator Joseph Victor G. Ejercito. It is
further stated in the Republic Act No. 11102 Implementing Rules and Regulations (IRR), the
Hospital shall be established from the existing Upper Valley Community Hospital (UVCH) in
the Municipality of Surallah, Province of South Cotabato.
UVCH is located at the center of five municipalities that comprise the Upper Valley of
South Cotabato – the municipalities of Surallah, Sto. Niño, Banga, Lake Sebu, and T’boli.
Surallah is 30 kilometers away, or less than an hour’s travel via National Highway from
Koronadal City, the designated center of Central Mindanao Region, or SOCCSKSARGEN
(South Cotabato, Cotabato, Sultan Kudarat, Sarangani and General Santos City). In 2012, the
hospital was built through a partnership between the Provincial Government of South Cotabato
and San Miguel Corporation. Then the province sought financial and technical assistance from
the Department of Health for the hospital’s upgrade.
SGH started its operation last July 01, 2021 with 142 personnel hired by DOH-CHD
Region 12, under the leadership of Regional Director Aristides Conception Tan, MD and
Assistant Regional Director Suplicio Henry M. Legaspi, Jr., MD as the OIC-Medical Center
Chief. While on transition, SGH operation is under the co-management between the Provincial
Government of South Cotabato and the Department of Health. SGH maintains an 18-bed
Infirmary accreditation with OPD Services issued on December 23, 2016 until December 2021
by the Regulations, Licensing and Enforcement Division (RLED) to the Provincial Government
of South Cotabato.
When the COVID-19 pandemic started, SGH was utilized by the Provincial Government
of South Cotabato as the COVID-19 Center from March 2020 to December 2021. The personnel
hired by DOH augmented the existing work force of SGH in managing patients with moderate to
severe cases of COVID-19.
RLED issued SGH a certificate to operate as a Community Isolation Unit (CIU) for the
period of January 01 to December 31, 2022, downgrading its status from Infirmary to CIU since
the management of the Provincial Government of South Cotabato failed to comply with the
necessary requirements given by RLED for the renewal and to sustain its Infirmary Accreditation
of License to Operate. SGH has served only as a quarantine facility for COVID-19 cases and was
not able to admit and manage patients as a hospital. However, SGH personnel have been utilized
for the implementation of the COVID-19 Vaccination Program of the DOH at the hospital and in
the different areas of South Cotabato.
On March 01, 2022, Ceril Magbanua-Borromeo, MD, FPPS, MHA was appointed as the
new Medical Center Chief I of the hospital. With the effort of the DOH-SGH Management, on
June 24, 2022, the Hospital’s management and operation were formally turned over by the
Provincial Government of South Cotabato to the management of the Department of Health.
Consequently, SGH started its operation on August 15, 2022, with an infirmary License to
Operate, and having an Authorized Bed Capacity (ABC) of 50 beds. Upon its full
implementation, the people of Region XII will no longer have to go elsewhere to avail quality
healthcare services from a new, modern, and accessible medical center with state-of-the-art
facilities.
SGH currently operates as a Level 1 hospital with an Authorized Bed Capacity of 75 and
has an average inpatient census of 130 (173% Occupancy Rate) and an average of 100 OPD
patients a day. This is from 50 – ABC when it started as an Infirmary Health Facility. With the
increasing number of clients, SGH has to strengthen its services in the different Clinical Areas
(Medical, Surgical, Pediatrics, OB-Gyne), Out-Patient Consultation, Ancillary Services and
Allied Medical Services, Operations and Patient Support Services, and Emergency Services.
That is why, as part of the hospital’s 5-year Development Plan, SGH is geared to upgrade its
service capabilities to Level 2 in 2024 and be the preferred referral hospital in the
SOCCSKSARGEN Region by 2028 with 250 ABC.

Management

The Organizational Structure of SGH is headed by the Medical Center Chief and is
supported by the line services headed by Service Chiefs and offices performing and pursuing the
various functions and objectives of the institution:
● Medical Service – provides medical care to all customers.
● Nursing Service – provides nursing care to all customers.
● Hospital Operations and Patient Support Service (HOPSS)
 – renders administrative and financial support to the overall objectives of
the hospital.

The hospital is run by the following Top Management members:

● Medical Center Chief I
● Chief of Medical Center Chief I
● Chief Nurse
● Servising Administrative Officer/Finance and Management Officer

Products or Services Offered

Services Offered by SOCCSKSARGEN General Hospital

● OUT-PATIENT CONSULTATION
○ Minor Surgery
○ Family Planning
○ Breastfeeding and Lactation Management Counselling
○ HIV-AIDS Testing and Counselling
○ TB DOTS Referral
○ Vaccination/Immunization
○ Animal Bite Treatment Center
○ Public Health Information and Promotion
● ANCILLARY SERVICES
○ Clinical Laboratory
○ Blood Station
○ Pharmacy
○ Imaging Services (X-ray, Ultrasound, CT scan)
○ Dietary Services
● CLINICAL SERVICES
○ Internal Medicine
○ Pediatrics
○ Family Medicine
○ Obstetrical and Gynecology
 ■ Normal Spontaneous Vaginal Delivery
■ Cesarean Section
○ Surgery
■ Minor Surgery
■ Major/Trauma Surgery
● EMERGENCY SERVICES
○ 24-hour Emergency Consultation and Admission
○ 24-hour Emergency Major and Minor Trauma Care
○ Emergency Minor and Major Operations
○ Ambulance Services

The Market

The selected target market of the Hemodialysis Unit in SGH is the SOCCSKSARGEN
patients and patients coming from nearby localities requiring Renal Replacement Therapy
(RRT).
According to a report generated by the National Kidney and Transplant Institute (NKTI),
as of 2020, the estimated local number of Filipino patients undergoing hemodialysis was around
30,000 to 40,000.
Based on the SGH census, 1012 of the Out-patient Department (OPD) visits and 354 in-
patient admissions are attributed to Kidney Related Diseases. Although these figures do not
represent the actual number of patients who will eventually undergo Renal Replacement Therapy
(RRT), these give a rough estimate of the incidence of renal disease in the locality.

Competitive Advantages
The locality of Surallah has two privately owned Hemodialysis Units (HDUs) which
usually cater to patients from the surrounding towns. The South Cotabato Provincial Hospital
(SCPH) which is the referral center of SGH also has its own HDU which is always at full
capacity. The HDUs in the province of Sultan Kudarat have been also catering to the growing
number of underserved dialysis patients of South Cotabato.

Perceived Advantages of SGH over its competitors:

1. More discount subsidies given to patients
2. More affordable hospitalization cost
3. Proximity to nearby communities
Financial Projections/Summary
Variables

Number of Hemodialysis Chairs 24

Number of Shift 2

Projected Number of Sessions (Full Functional) 26,280

Expenses
Infrastructure

Hemodialysis Station 6 144.00

Water Treatment 12 12.00

Circulating 30% of HD Station + 46.80

Water Treatment

Admin and Warehouse Utilizes central storage of hospital

Construction Cost per sqm 60,000.00 202.80

Total 12,168,000.00

Equipment

Details Cost per Unit Quantity Total Amount

HD Machine- Conventional 500,000.00 24 12,000,000.00

HD Chairs 35,000.00 24 840,000.00

Reprocessing Machine 400,000.00 2 800,000.00

Reverse Osmosis Machine 1,000,000.00 2 2,000,000.00

Other ancillary equipment 180,000.00 2 360,000.00

Total 16,000,000.00

Total Expenses (Infrastructure + Equipment) : 28,168,000.00

Annual Expenses
1. Staffing Expenses

Details Cost per Annum Quantity Annual Cost

Nephrologist or Medical Specialist III (SG 24) 1,081,176.00 1 1,081,176.00

Physician-on-Duty (SG21) 767,964.00 2 1,535,928.00

Hemo Dialysis Nurse Supervisor (Nurse III) 516,360.00 1 516,360.00

(SG17)

Hemo Dialysis Nurse (Nurse I) (SG15) 439,428.00 22 9,667,416.00

Medical Laboratory Technician I 210,636.00 6 1,263,816.00

(Dialysis Technician) (SG6)

Admin. Assistant I (Encoder) (SG 7) 223,440.00 1 223,440.00

Admin. Assistant I (Billing Officer) (SG 7) 223,440.00 1 223,440.00

Annual Payroll 14,511,576.00

Monthy Payroll 1,209,298.00

2. Expenses Per Session

Supplies Cost Quantity Cost per Session Cost per Year

Dialyzer: 7 re-use, low flux 600.00 0.125 75.00 1,971,000.00

HD solutions 100.00 1 100.00 2,628,000.00

Heparin 150.00 1 150.00 3,942,000.00

Bloodlines 150.00 1 150.00 3,942,000.00

Fistula Kit 600.00 1 600.00 15,768,000.00

Others 400.00 1 400.00 10,512,000.00

Subtotal 38,763,000.00

Utilities: Light, water, 35.00 1 35.00 919,800.00

telephone

Others: Repairs & 25.00 1 25.00 657,000.00

Maintenance, Insurance, pest
control, security & janitorial
Chapter I: Introduction and Background of the Project

SOCCSKSARGEN General Hospital (SGH) serves patients seeking both wellness and
symptom relief. Because of its advantageous location, it serves the people living in surrounding
provinces as well as the communities of Banga, Surallah, Sto. Niño, T'boli, and Lake Sebu in the
South Cotabato Upper Valley. According to the SGH census of patients, one of the main reasons
patients seek consultation at SGH is due to kidney related diseases and lead by chronic kidney
disease.

There are two privately owned hemodialysis units (HDU) in the Surallah area for patients
who are already candidates of renal replacement therapy and hemodialysis; these patients are
often from the nearby towns. There is a fully operational HDU in the South Cotabato Provincial
Hospital (SCPH), which serves as SGH's referral center. The increasing number of South
Cotabato's underprivileged dialysis patients has been taken care of by the HDUs in the province
of Sultan Kudarat.

Background of the Project

The establishment of a Hemodialysis Unit at SOCCSKSARGEN General Hospital is a
critical initiative aimed at addressing the growing need for renal care services in the region.
Chronic kidney disease (CKD) has become a significant health concern in SOCCSKSARGEN,
with a rising number of patients requiring regular hemodialysis treatment to manage their
condition. Currently, many patients in the area face challenges accessing quality dialysis
services, often having to travel long distances to neighboring cities or provinces for treatment.
According to Rachell, et al.(2022), that traveling to and from dialysis facilities remains a source
of stress and anxiety for many patients and their families. Patients described several factors
contributing to these feelings including: the challenges of physically getting to the treatment
center, particularly in adverse weather conditions; being a burden on family and friends;
difficulties accessing the treatment facility; issues with public transport; and financial worries
related to high costs.
 Recognizing the pressing need to improve access to renal care services and alleviate the
burden on patients and their families, SOCCSKSARGEN General Hospital has embarked on this
project to establish a dedicated Hemodialysis Unit within its facilities. Stated by Saba et al.
(2019), that family caregivers who experienced more caring burden had a low quality of life.
The researchers suggest that supportive and educational programs should be designed and
implemented for this group of patients and their caregivers. The unit will be equipped with state-
of-the-art hemodialysis machines, trained medical staff, and comprehensive support services to
provide high-quality, affordable, and accessible treatment to patients suffering from CKD.

The establishment of the Hemodialysis Unit aligns with the hospital's mission to enhance
healthcare delivery and improve health outcomes for the communities it serves. Discussed by
Monir, et al.(2016), that access to human resources and their abilities were among the factors
facilitating care. However, lack of qualified medical staff at each level of care delivery was one
of the barriers to hemodialysis care. Hence, it is of great importance for policy makers,
managers, and program designers to recruit human resources who have the characteristics and
competencies required for providing hemodialysis care. By offering hemodialysis services
onsite, the hospital aims to reduce treatment delays, minimize patient inconvenience, and
ultimately improve the quality of life for individuals living with kidney disease in the region.

Furthermore, this project is envisioned as part of a broader effort to strengthen the

healthcare infrastructure in SOCCSKSARGEN and enhance the region's capacity to address the
growing healthcare needs of its population. Through collaboration with government agencies,
healthcare professionals, and community stakeholders, the establishment of the Hemodialysis
Unit represents a significant step forward in advancing renal care services and promoting health
equity in the region.

The establishment of the Hemodialysis Unit at SOCCSKSARGEN General Hospital

underscores a commitment to providing accessible and comprehensive healthcare services to all
residents, particularly those with chronic and life-threatening conditions like CKD. It represents
a crucial investment in the health and well-being of the community and reflects the hospital's
dedication to meeting the evolving healthcare needs of its patients.
Definition of the identified gap
The identified gap for the establishment of a Hemodialysis Unit at SOCCSKSARGEN
General Hospital refers to the absence or inadequacy of hemodialysis services within the
hospital's healthcare facilities. This gap signifies a deficiency in the hospital's capacity to provide
crucial renal care services to patients suffering from end-stage renal disease (ESRD) or other
conditions requiring dialysis treatment.

This gap may manifest in several ways:

Lack of Access to Hemodialysis Services: Patients in the region may have limited access to
hemodialysis treatment due to the absence of a dedicated unit within the hospital. As a result,
they may need to travel long distances to access dialysis services elsewhere, leading to
inconvenience, increased healthcare costs, and potential delays in receiving critical treatment.

Increased Healthcare Burden: The absence of a hemodialysis unit at SOCCSKSARGEN

General Hospital could contribute to an increased burden on the existing healthcare
infrastructure. Patients requiring dialysis may overwhelm other hospital departments or require
transfer to facilities outside the region, placing strain on resources and personnel.

Compromised Patient Care: Without access to timely and appropriate hemodialysis treatment,
patients with ESRD may experience deteriorating health outcomes, including complications such
as fluid overload, electrolyte imbalances, and uremic symptoms. Delayed or inadequate
treatment can significantly impact patient quality of life and overall health outcomes.

Limited Specialty Care Integration: The lack of a hemodialysis unit may indicate a broader
gap in the integration of specialized services within the hospital setting. Establishing a dedicated
unit would not only address the specific needs of patients with renal failure but also enhance the
hospital's capacity to deliver comprehensive and multidisciplinary care.
Addressing this identified gap by establishing a Hemodialysis Unit at SOCCSKSARGEN
General Hospital would significantly improve access to essential renal care services, alleviate the
burden on patients and their families, enhance the hospital's capacity to manage chronic kidney
disease, and ultimately contribute to better patient outcomes and healthcare delivery in the
region.

Objectives of the Project Proposal

The construction of a Hemodialysis Unit at SGH is the main goal of this proposal. The
proposal acknowledges the increasing need to provide SOCCSKSARGEN residents with access
to inexpensive and high-quality medical and health services.

Chapter II: Marketing Study

Project Description

With the increasing incidence rate of Chronic Kidney Disease requiring hemodialysis.
This project proposes a construction of a Hemodialysis Unit in SOCCSKSARGEN General
Hospital.

Industry Profile

_________________________

Marketing Plan
 ● Creating Educational Content – Making educational videos, health awareness
posts through social media and giving tips on how to prevent chronic kidney
disease may provide valuable information for potential patients.
● Conducting medical missions for the less privileged patients to know their current
state of health
● Free blood pressure and blood sugar monitoring
● Providing meal plans for patients requiring hemodialysis treatment

Chapter III – Technical and Production

Process Flow/Operational Process

Risk Identification and Mitigation strategies
GANTT Chart

Chapter IV - Financial Study

Initial Capital Requirements/ Investments/Sources of Funds

Table 1. Cost Breakdown for Establishment of Hemodialysis Unit at SOCCSKSARGEN

General Hospital.

Description Variables Cost

Infrastructure
HD Station 6 Units ₱144.00M
Water Treatment 12 Units ₱12.00M
Circulating 30% of HD + WT ₱46.80M
Admin and Warehouse Utilizes central storage of
hospital
Construction Cost per sqm ₱60,000 ₱202.80M
Subtotal ₱12,168.00M
Equipment
HD Machine - Conventional 24 Units at ₱12.00M
₱500,000
HD Chairs 24 Units at ₱840,000
₱35,000
Reprocessing Machine 2 Units at ₱800,000
₱400,000
Reverse Osmosis machine 2 Units at ₱2.00M
₱1,000,000
Other ancillary equipment 2 Units at ₱360,000
₱180,000
Subtotal ₱16.00M
 TOTAL ₱28.17M
Annual Expenses
Personnel
Nephrologist or Medical Specialist III (SG 24) 1 ₱1.08M
Physician-on-Duty (SG21) 2 ₱1.54M
Hemo Dialysis Nurse Supervisor (Nurse III) 1 ₱516,360
Hemo Dialysis Nurse (Nurse I) 22 ₱9.67M
Medical Laboratory Technician I (Dialysis Technician) 6 ₱1.26M
(SG6)
Admin. Assistant I (Encoder) (SG 7) 1 ₱223,440
Admin. Assistant I (Billing Officer) (SG 7) 1 ₱223,440
Annual Payroll ₱14.51M
Total per month ₱1.21M
Expenses per Session
Supplies
Dialyzer: 7 re-use, low flux 0.125 ₱75
HD solutions 1 ₱100
Heparin 1 ₱150
Bloodlines 1 ₱150
Fistula Kit 1 ₱600
Others 1 ₱400
Subtotal ₱38.76M
Utilities
Light, water, telephone 1 ₱35
Others: Repairs & Maintenance, Insurance, Pest 1 ₱25
Control, Security & Janitorial
Total Expenses per Session ₱919,800
Grand Total ₱38.68M

The table provides a comprehensive breakdown of the costs associated with establishing
a Hemodialysis Unit at SOCCSKSARGEN General Hospital. It is divided into several sections,
each detailing different aspects of the project's expenses. The "Infrastructure" section outlines the
costs related to setting up the physical infrastructure required for the Hemodialysis Unit,
including HD stations, water treatment facilities, and administrative spaces. The construction
cost per square meter is also specified, providing an estimate for the total infrastructure expenses.

Moving on to the "Equipment" section, the table lists the costs of various essential
equipment needed for the Hemodialysis Unit, such as HD machines, chairs, reprocessing
machines, and reverse osmosis machines. The subtotal provides the total cost of acquiring these
equipment items. The "Annual Expenses" section breaks down the costs associated with
personnel required to operate the Hemodialysis Unit, including nephrologists, physicians, nurses,
medical laboratory technicians, and administrative staff. The annual payroll and total monthly
expenses are provided to give an overview of the personnel-related costs.
 In the "Expenses per Session" section, the table details the costs of supplies required for
each dialysis session, such as dialyzers, HD solutions, heparin, bloodlines, and fistula kits.
Additionally, utilities costs for each session and other miscellaneous expenses are included in the
subtotal. Finally, the "Grand Total" summarizes the overall expenses associated with establishing
and operating the Hemodialysis Unit, providing a comprehensive figure for the total project cost.

Overall, this table serves as a valuable tool for budgeting and financial planning, allowing
stakeholders to understand the various cost components involved in setting up and running a
Hemodialysis Unit at SOCCSKSARGEN General Hospital.

Financial Analysis (Budget Allocations / Breakdown of costs, Breakeven Analysis, Payback

Period, Return of Investment)

Table 2. Description and variables

Description Variables
Number of Hemodialysis Chairs 24
Number of shifts 2
Projected number of Sessions (fully functional) 26,280

Table 3. Overall Expenses Breakdown for Hemodialysis Unit Establishment

OVERALL EXPENSES Unit

Infrastructure
HD Station 6
Water Treatment 12
Circulating 30% of HD+ WT
Admin and warehouse Utilizes central storage of hospital
Construction Cost per sqm ₱60,000
SUBTOTAL Php 1000,0000.00

Table 4. Equipment Cost Breakdown

Equipment Cost per Unit Quantity

HD Machine - Conventional ₱500,000 24
HD Chairs ₱35,000 24
Reprocessing Machine ₱400,000 2
Reverse Osmosis machine ₱1,000,000 2
Other ancillary equipment ₱180,000 2
SUBTOTAL Php 2,115,000 54
Table 5. Annual Personnel Expenses Breakdown

ANNUAL EXPENSES Cost per Qt Annual

annum y Subtotal
Nephrologist or Medical Specialist III (SG 24) ₱1,081,176.00 1 ₱1,081,176.00
Physician-on-Duty (SG21) ₱767,964.00 2 ₱1,535,928.00
Hemo Dialysis Nurse Supervisor (Nurse III) (SG17) ₱516,360.00 1 ₱516,360.00
Hemo Dialysis Nurse (Nurse I) (SG15) ₱439,428.00 22 ₱9,667,416.00
Medical Laboratory Technician I (Dialysis Technician) ₱210,636.00 6 ₱1,263,816.00
(SG6)
Admin. Assistant I (Encoder) (SG 7) ₱223,440.00 1 ₱223,440.00
Admin. Assistant I (Billing Officer) (SG 7) ₱223,440.00 1 ₱223,440.00
Annual Payroll ₱14,511,576.00 ₱14,511,576.00
Total per month ₱1,209,298.00 ₱1,209,298.00
Table 6. Expenses Per Session Breakdown

EXPENSES PER SESSION Cost Qty Cost per Approximate cost

session per year
Supplies
Dialyzer: 7 re-use, low flux ₱600.00 0.125 ₱75.00 ₱1,971,000.00
HD solutions ₱100.00 1 ₱100.00 ₱2,628,000.00
Heparin ₱150.00 1 ₱150.00 ₱3,942,000.00
Bloodlines ₱150.00 1 ₱150.00 ₱3,942,000.00
Fistula Kit ₱600.00 1 ₱600.00 ₱15,768,000.00
Others ₱400.00 1 ₱400.00 ₱10,512,000.00
Subtotal ₱38,763,000.00
Utilities: Light, water, telephone ₱35.00 1 ₱35.00 ₱919,800.00
Others: Repairs & Maintenance, Insurance, ₱25.00 1 ₱25.00 ₱657,000.00
pest control, security & janitorial

Chapter V: Conclusion and Recommendations

Conclusion

In conclusion, the establishment of a Hemodialysis Unit at SOCCSKSARGEN General

Hospital represents a significant step forward in addressing the growing need for renal care
services in the region. With chronic kidney disease becoming a prevalent health concern and the
increasing demand for hemodialysis treatment, the project aims to provide accessible, high-
quality care to patients suffering from end-stage renal disease (ESRD) and related conditions.

Analyzing the organizational structure of SGH, it is evident that the hospital is well-
equipped with top management personnel and specialized services to support the successful
implementation of the Hemodialysis Unit. The Medical Center Chief, supported by service chiefs
and administrative offices, oversees the hospital's operations and ensures the delivery of
comprehensive medical care to all customers.

The services offered by SGH, ranging from outpatient consultation to emergency

services, highlight the hospital's commitment to providing holistic healthcare solutions to the
community. The addition of a Hemodialysis Unit will further enhance the hospital's service
portfolio, catering to the specific needs of patients requiring renal replacement therapy (RRT).

In terms of market analysis, SGH has identified its target market for the Hemodialysis
Unit as local patients from SOCCSKSARGEN and nearby areas in need of RRT. The
competitive advantages offered by SGH, such as discount subsidies, affordability, and proximity
to communities, position the hospital as a preferred choice for renal care services over its
competitors.

Financial projections indicate the initial capital requirements, annual expenses, and
expenses per session associated with establishing and operating the Hemodialysis Unit. Despite
the substantial investment involved, the potential to serve a large patient population and the
social impact of providing essential healthcare services justify the financial commitment.

The establishment of a Hemodialysis Unit at SOCCSKSARGEN General Hospital aligns

with the hospital's mission to improve healthcare access and outcomes in the region. By
addressing the identified gap in renal care services and leveraging its organizational strengths
and competitive advantages, SGH is poised to make a significant difference in the lives of
patients suffering from kidney-related diseases.
Recommendation

Based on the comprehensive analysis conducted, it is strongly recommended that

SOCCSKSARGEN General Hospital proceed with the establishment of the Hemodialysis Unit.
The growing prevalence of chronic kidney disease and the increasing demand for hemodialysis
treatment underscore the urgent need for accessible and high-quality renal care services in the
region. By investing in this project, SGH can effectively address the identified gap in renal care
services and significantly improve healthcare outcomes for patients suffering from end-stage
renal disease (ESRD) and related conditions.

The existing organizational structure of SGH provides a solid foundation for the
successful implementation of the Hemodialysis Unit. With a dedicated team of top management
personnel and specialized services, the hospital is well-equipped to oversee the operations and
ensure the delivery of comprehensive medical care to its customers. The addition of the
Hemodialysis Unit will further enhance SGH's service portfolio, demonstrating its commitment
to providing holistic healthcare solutions to the community.

Furthermore, the identified target market for the Hemodialysis Unit aligns with the local
patient population in need of renal replacement therapy (RRT). SGH's competitive advantages,
including discount subsidies, affordability, and proximity to communities, position the hospital
as a preferred choice for renal care services over its competitors. Financial projections indicate
the feasibility of the project, with the potential to serve a large patient population and make a
positive social impact on healthcare accessibility in the region.

The establishment of the Hemodialysis Unit at SOCCSKSARGEN General Hospital is

not only aligned with the hospital's mission to improve healthcare access and outcomes but also
represents a strategic investment in meeting the healthcare needs of the community. By
leveraging its organizational strengths and competitive advantages, SGH can make a significant
difference in the lives of patients suffering from kidney-related diseases and contribute to the
overall enhancement of healthcare delivery in the region.
References

Monir, N.(2016). Barriers to and facilitators of care for hemodialysis patients; a qualitative
study. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4827385/

Rachell, S.(2022). Transportation Burden Associated With Hemodialysis in Canada: A

Qualitative Study of Stakeholders.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9851886/

Saba, C., et al.(2019). Caring Burden and Quality of Life of Family Caregivers in Patients
Undergoing Hemodialysis: A Descriptive-Analytic Study.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456764/

SOCCSKSARGEN General Hospital. (n.d.). https://sgh.doh.gov.ph.

https://sgh.doh.gov.ph/about-us/#:~:text=The%20SOCCSKSARGEN%20GENERAL
%20HOSPITAL%20(SGH,and%20Appropriating%20Hospital%20Funds%20Thereof”.