GIHS_MASTERPLAN

TEMALE TAKORADI ACCRA
BOLGATANGA
SUNYANI
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

BUSINESS PLAN
FOR THE
DEVELOPMENT OF
THE GHANA INTERNATIONAL
INTEGRATED SPECIALISTS
HEALTH SERVICES
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
ASARE – AB COMPANY LTD
14 RED OKAI STRET, NEW ACHIMOTA
E-MAIL ABEIKUASARE@GMAIL.COM
TEL +233243881326/260950255
2

INDEX
THE PROJECT DESCRIPTION
THE GIHS.CLINICS IN GHANA
THE PROJECT ESTIMATED COST
THE CONSULTANT
THE CONSULTANT`S MASTERPLAN
THE CONSTRUCTOR
THE BUILDING TECHNOLOGY
THE MEDICAL EQUIPMENT
4
9
15
17
24
35
42
46
GIHS.
CLINICS
3
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES

THE SITUATION.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Ghana is a tropical country on the west coast it accounting for 48.5 per cent, followed by
of Africa. The country has 10 administrative industry (25.9%) and agriculture (25.6%)
regions and 216 decentralized districts. The (Revised Gross Domestic Product 2011). The
country has a population of 24.87 million informal economy accounts for about 86 – 90
(2010 Population and Household Census) per cent of total employment, while gold and
and growing at 2.5% per annum. The female cocoa remain the leading export earner.
population accounting for 51.2 per cent and
48.8 being males.
Since the adoption of the Millennium
Declaration, Ghana has mainstreamed the
Life expectancy is estimated at about 56 years MDGs into the country’s successive mediumfor
men and 57 years for women, while adult term national development policy framework,
literacy rate (age 15 and above) stands at 65 the Ghana Poverty Reduction Strategy (GPRS
per cent. A democratically elected executive I), 2003–2005, the Growth and Poverty
president administers the country with an Reduction Strategy (GPRS II), 2006–2009 and
elected parliament and an independent the Ghana Shared Growth and Development
judiciary. Agenda (GSGDA), 2010 -2013. Universal
health coverage has been the goal of Ghana’s
Agriculture dominated Ghana’s economy,
until 2006 but the service; industry now leads
development agenda over the years.
4
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GHANA’S STRATEGIC DIRECTIONS AND
PERFORMANCE.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Since 2010, the government developed the
Significant improvements have been made,
Five Year Programme of Work III (2007–11) with infant mortality decreasing to 50/1,000
and the dovetailed it into the Health Sector
Medium Term Development Plan (2010–13).
The purpose of the two plans was to meet the
overarching health sector objective of
improved health and reduced inequality for
and U-5 mortality to 80/1,000 due mostly to
the an increase in vaccination coverage, from
69 percent to 79 percent over the five-year
period 2003–08 (GSS/IFC Macro 2008).
Even with all these efforts, Ghana has much
all. They focus on strengthening health yet to achieve. Malaria and parasitic diseases
system capacity, improving governance and coexist with developing challenges of chronic
sustainable financing, bridging equity gaps in illness, such as diabetes, cancer, and heart
access, and ensuring the reduction of deadly disease. Additionally, there is considerable
diseases through promotion of healthy inequity in access to health care and in health
lifestyle behaviours.
c a r e s t a t u s a c r o s s r e g i o n s a n d
Although Ghana faces similar health
challenges as most other countries in Sub-
Saharan Africa, Ghana has done better than
many of its neighbours. Ghana’s life
expectancy at birth is 60 years (versus 53 for
all of Sub-Saharan Africa),
socioeconomic status group.
5
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

THE PRIVATE HEALTH SECTOR IN GHANA
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Although the private sector provides more than half of the
health care services in Ghana, a number of factor have
militated against the ability of the sector to grow to match the
demand for its services. Key among them include:
Poor investment climate, leading to a lack of access to
finance and expertise for growth and expansion
Until recently, there was unfavourable business
environment with policies and regulations that often
impede further development of the private sector
improve access to and increase coverage of services to meet
national and international goals including the health
Millennium Development Goals.
It states the vision of the Private Health Sector Policy as being
to:
“Facilitate the transformation of the private health sector into a
viable industry by harnessing its unique competencies and
comparative advantage in producing and providing healthcare
products, infrastructure and services that benefit the public at
prices that the public can afford”
Insufficient supply of skilled health care workers
This will require interventions by the state to protect the health
However, there are opportunities for private investors in the of the people by addressing existing shortcomings in the
sector to reap benefits from their investment. There has been quality of care and health products. The Ministry will pursue
a specific Private Health Sector Policy (PHSP) since 2003, and the development of policies and practices that render private
many of the identified issues and proposed strategies are still health sector activity compatible with social and service
relevant. The private health sector presents opportunities to growth sustainability.
6
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

THE PRIVATE HEALTH SECTOR IN GHANA
Within a resource-constrained environment, the principles of development will
include the four core policy objectives that will form be basis for effective policy
interventions are as follow.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
1. Improve the investment climate for private health sector 3. Build the capacity of private healthcare providers
growth:
The Ministry will aim to address the lack of business skill and
The Ministry will address bottlenecks of private health sector fragmentation by integrating the private sector development
growth by reducing the risk of investment by the private health agenda into a holistic health sector framework that support
sector, minimizing the cost of operations, strengthen institutional capacity building and skills development. It will
regulatory bodies for effective regulation and enforcement of support strategic production of the human resource and its
laws within the context of a comprehensive health sector and availability to the private health sector particularly in deprived
facilitating opportunities to access financing for infrastructure professional and geographical areas to enhance productivity
and human resource development
and distribution of services.
2. Support the transformation of the private health sector 4. Increase opportunity for the poor to access private
to meet industry expectations.
health care services.
The emphasis is to transform the private health sector into an The objective is to promote redistribution of health services
innovative and learning sector that can expand. It will using private sector investment that will benefit the poor in
emphasis diversification and adding value to existing portfolio both rural and urban areas. This will be with innovative
including full participation in government and donor funded approaches and incentives to attract private investment to
public health service delivery and research activities
underserved areas.
7
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

THE PROJECT.
The project is to contribute to the achievement of the objectives and targets that the Ghana
.
Health Services as outline in the introduction section of this plan.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
500-Bed Hospital Accra
This hospital comes with various facilities that make a
complete village for all staff. There will be an administration
building with various offices for supporting staffs. There will be
various specialty departments such as Child Health
Outpatient, Gynaecology Ward and Maternity ward, these
comes under the departments of General Medical Treatment
of 150 bed. There is also a Rena department 50 beds,
Geriatrics 50 beds, Eye, Ear, Nose, Throat and Dental 50 beds,
Neurosurgery 50 beds, Cardio / Heart 50 beds, Trauma,
Accident and Emergency 50 beds and Bone Setting 50
department. The facilities will be fully furnished and equipped
with state of the art facilities of international standard. The
facility also comes with accommodation for all the staff that will
be working at the hospital.
250-Bed Hospitals
The three units 250 beds hospitals facilities are similar to those
or the 500-bed one. They come with accommodation for the
full complement of the staff of the hospitals from the manager
down the lowest staff.
300-Bed Bolgatanga
The three units 300 beds hospitals facilities are similar to those
or the 500-bed one. They come with accommodation for the
full complement of the staff of the hospitals from the manager
down the lowest staff.
Medical and Allied Health Professionals Research and
Training Institutes
This comes with a medical school, midwives and nursing
training school, an international medical research centre and
allied health training institutions. They facilities for the
institutions come with various lecture halls, and hostels for all
students. The students will have their practical trainings at the
nearby hospitals that are part of this project. They institutions
have their own skills laboratories and research facilities. All the
staff will have housing units suited to their status and function.
8
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

THE GIHS.CLINICS
GIHS.
CLINICS
GHANA
IN GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
ACCRA BOLGATANGA TEMALE TAKORADI SUNYANI
9
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

DISCIPLINE
DEPARTMENTS
IN THIS CLINIC
EYE.EAR.
THROAT.DENTAL
NEUROSURGERY
BONE SETTINGS
RENAL
GIHS.CLINIC.ACCRA
TRAUMA
SPECIAL MEDICAL
GENERAL MEDICAL
GERIATRIC
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Beds 500
Discipline Departments 8
Clinic Area
45.310 sqm.
Students / Staff Housing Area 48.510 sqm.
Solar Power Plant
2MW
Investment US$ 256.000.000
10
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GENERAL MEDICAL
CANCER CARE
GIHS.CLINIC.BOLGATANGA
EYE.EAR.
THROAT.DENTAL
BONE SETTINGS
NEUROSURGERY
GIHS.
CLINICS
RENAL
WOMAN
DISCIPLINE
DEPARTMENTS
IN THIS CLINIC
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Beds
Discipline Departments
Clinic Area
Students / Staff Housing Area
Solar Power Plant
Investment
300
7
37.230 sqm.
46.226 sqm.
2MW
US$ 208.000.000
11
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GIHS.CLINIC.TEMALE
GENERAL MEDICAL
CANCER CARE
RECONSTRUCTIVE
SURGERY
DISCIPLINE
DEPARTMENTS
IN THIS CLINIC
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
BONE SETTINGS
SPECIAL MEDICAL
Beds
Discipline Departments
Clinic Area
Students / Staff Housing Area
Solar Power Plant
Investment
250
5
33.470 sqm.
46.226 sqm.
2MW
US$ 182.000.000
12
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GENERAL MEDICAL
TRAUMA
DISCIPLINE
DEPARTMENTS
IN THIS CLINIC
GIHS.CLINIC.TAKORADI
CHEST
RECONSTRUCTIVE
SURGERY
EYE.EAR.
THROAT.DENTAL
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Beds
Discipline Departments
Clinic Area
Students / Staff Housing Area
Solar Power Plant
Investment
250
5
36.550 sqm.
46.226 sqm.
2MW
US$ 195.000.000
13
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GIHS.CLINIC.SUNYANI
GENERAL MEDICAL
TRAUMA
CHEST
DISCIPLINE
DEPARTMENTS
IN THIS CLINIC
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
BONE SETTINGS
EYE.EAR.
THROAT.DENTAL
Beds
Discipline Departments
Clinic Area
Students / Staff Housing Area
Solar Power Plant
Investment
250
5
33.470 sqm.
46.260 sqm.
2MW
US$ 178.000.000
14
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

THE PROJECT
ESTIMATED COST
.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
In arriving at the project-estimated cost, the technical persons and
other consultants took considered a number of economic and
environmental developments in the country. The estimated cost of
the project based on pre-design briefs is one billion, forty five
million, (US$1,045,000,000).
GIHS.CLINIC.ACCRA 500 Beds US$ 256.000.000
GIHS.CLINIC.BOLGATANGA 300 Beds US$ 208.000.000
GIHS.CLINIC.TEMALE 250 Beds US$ 182.000.000
GIHS.CLINIC.TAKORADI 250 Beds US$ 195.000.000
GIHS.CLINIC.SUNYANI 250 Beds US$ 177.000.000
WORKING CAPITAL US$ 27.000.000
SUMMARY 1550 Beds US$ 1.045.000.000
15
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

Income Statement Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8 Period 9 Period 10
Revenue
114.662.740 126.129.014 145.048.366 166.805.621 191.826.464 211.009.111 232.110.022 255.321.024 280.853.126 308.938.439
less: Cost of Goods Sold
49.304.978 52.263.277 55.399.074 58.723.018 62.246.399 65.981.183 69.940.054 74.136.457 78.584.645 83.299.723
GROSS PROFIT 65.357.762 73.865.737 89.649.293 108.082.603 129.580.065 145.027.928 162.169.968 181.184.567 202.268.482 225.638.716
less: Selling Expenses
458.651 486.170 515.340 546.261 579.036 613.778 650.605 689.641 731.020 774.881
General and Admin. Expenses
42.743.872 45.308.504 48.027.015 50.908.635 53.963.154 57.200.943 60.632.999 64.270.979 68.127.238 72.214.872
Depreciation Expense
35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346
Total Operating Expenses
78.571.869 81.164.020 83.911.701 86.824.242 89.911.536 93.184.067 96.652.951 100.329.967 104.227.604 108.359.100
OPERATING PROFIT -13.214.107 -7.298.283 5.737.592 21.258.361 39.668.529 51.843.860 65.517.017 80.854.600 98.040.878 117.279.616
less: Interest and Other Expenses
39.055.049 36.325.877 33.487.539 30.535.667 27.465.720 24.272.975 20.952.521 17.499.248 13.907.845 10.172.785
plus: Interest and Other Revenues
61.512.000 61.512.000 61.512.000 61.512.000 61.512.000 61.512.000 61.512.000 61.512.000 61.512.000 61.512.000
PRE-TAX INCOME 9.242.844 17.887.840 33.762.053 52.234.694 73.714.809 89.082.885 106.076.496 124.867.351 145.645.033 168.618.831
Income Tax
2.310.711 4.471.960 8.440.513 13.058.674 18.428.702 22.270.721 26.519.124 31.216.838 36.411.258 42.154.708
NET INCOME 6.932.133 13.415.880 25.321.540 39.176.021 55.286.107 66.812.164 79.557.372 93.650.514 109.233.774 126.464.123
Balance Sheet Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8 Period 9 Period 10
ASSETS
Cash and Equivalents
78.952.752 108.169.415 149.325.123 204.638.730 276.397.044 360.542.051 458.001.762 570.247.205 698.940.973 845.971.986
Accounts Receivable
5.733.137 6.306.451 7.252.418 8.340.281 9.591.323 10.550.456 11.605.501 12.766.051 14.042.656 15.446.922
Inventory
613.590 619.726 625.923 632.182 638.504 644.889 651.338 657.852 664.430 671.074
CURRENT ASSETS 85.299.479 115.095.592 157.203.464 213.611.193 286.626.871 371.737.396 470.258.601 583.671.108 713.648.060 862.089.983
Net Fixed Assets
960.030.654 943.861.921 927.369.814 910.547.864 893.389.475 875.887.919 858.036.331 839.827.712 821.254.920 802.310.672
TOTAL ASSETS 1.045.330.133 1.058.957.513 1.084.573.278 1.124.159.057 1.180.016.346 1.247.625.314 1.328.294.932 1.423.498.819 1.534.902.979 1.664.400.655
LIABILITIES AND EQUITY
Accounts Payable
510.000 714.000 999.600 1.399.440 1.959.216 2.742.902 3.840.063 5.376.089 7.526.524 10.537.134
Wages Payable
50.000 57.500 66.125 76.044 87.450 100.568 115.653 133.001 152.951 175.894
CURRENT LIABILITIES 560.000 771.500 1.065.725 1.475.484 2.046.666 2.843.470 3.955.716 5.509.090 7.679.475 10.713.028
Long-Term Debt
1.025.200.000 1.025.200.000 1.025.200.000 1.025.200.000 1.025.200.000 1.025.200.000 1.025.200.000 1.025.200.000 1.025.200.000 1.025.200.000
TOTAL LIABILITIES 1.025.760.000 1.025.971.500 1.026.265.725 1.026.675.484 1.027.246.666 1.028.043.470 1.029.155.716 1.030.709.090 1.032.879.475 1.035.913.028
Owners Equity
12.638.000 19.570.133 32.986.013 58.307.553 97.483.573 152.769.680 219.581.844 299.139.216 392.789.730 502.023.504
Retained Earnings
6.932.133 13.415.880 25.321.540 39.176.021 55.286.107 66.812.164 79.557.372 93.650.514 109.233.774 126.464.123
TOTAL EQUITY 19.570.133 32.986.013 58.307.553 97.483.573 152.769.680 219.581.844 299.139.216 392.789.730 502.023.504 628.487.627
TOTAL LIABILITIES AND EQUITY 1.045.330.133 1.058.957.513 1.084.573.278 1.124.159.057 1.180.016.346 1.247.625.314 1.328.294.932 1.423.498.819 1.534.902.979 1.664.400.655
Cash Flow Statement Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 Period 7 Period 8 Period 9 Period 10
Net Income
6.932.133 13.415.880 25.321.540 39.176.021 55.286.107 66.812.164 79.557.372 93.650.514 109.233.774 126.464.123
Depreciation Expense
35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346 35.369.346
Net Income plus Depreciation Expense
42.301.479 48.785.226 60.690.886 74.545.367 90.655.453 102.181.510 114.926.718 129.019.860 144.603.120 161.833.469
plus: Increase in Accounts Payable
0 204.000 285.600 399.840 559.776 783.686 1.097.161 1.536.025 2.150.435 3.010.610
Increase in Other Payables
0 7.500 8.625 9.919 11.407 13.118 15.085 17.348 19.950 22.943
less: Increases in Accounts Receivable
0 573.314 945.968 1.087.863 1.251.042 959.132 1.055.046 1.160.550 1.276.605 1.404.266
Increase in Inventory
0 6.136 6.197 6.259 6.322 6.385 6.449 6.513 6.579 6.644
OPERATING CASH FLOW 42.301.479 48.417.276 60.032.946 73.861.003 89.969.271 102.012.796 114.977.470 129.406.169 145.490.322 163.456.111
plus: Net Cash from Financing Activities 998.782.951 1.008.444.256 1.024.698.474 1.052.971.886 1.095.217.853 1.153.696.705 1.223.829.323 1.306.839.967 1.404.081.885 1.517.050.719
less: Net Investment Outlays
960.030.654 943.861.921 927.369.814 910.547.864 893.389.475 875.887.919 858.036.331 839.827.712 821.254.920 802.310.672
NET CASH FLOW 81.053.777 112.999.611 157.361.606 216.285.025 291.797.650 379.821.582 480.770.462 596.418.425 728.317.287 878.196.158
plus: Beginning Cash
0 31.581.101 43.267.766 59.730.049 81.855.492 110.558.818 144.216.820 183.200.705 228.098.882 279.576.389
ENDING CASH BALANCE 81.053.777 144.580.712 200.629.373 276.015.074 373.653.141 490.380.400 624.987.282 779.619.130 956.416.169 1.157.772.547
16

17
THE CONSULTANT

THE CONSULTANTS
Heinz Ebner
Johannes Hohenauer
Education and experience
Medical Doctor (University of Vienna)
Certified Hospital Manager (Vienna University of
Economics and Business)
Consultant in health care since 1995
Focus of expertise
Project management
Process and service design
Staffing of medical services
Development of medical services
Optimization of architectural design
Re-engineering of medical services
Education and experience
Doctorate in Business and Administration
(Vienna University of Economics and Business)
Consultant in health care since 1997
Member of the supervisory board of the Vorarlberger
Hospital Organisation since 2010
Focus of expertise
Hospital economics
Health care market analysis
Organizational development
Strategic health care management
Controlling in the health care setting
Cost optimization of health care services
18

Company Introduction
Founded: 1995
Intention:
Making a positive impact on the development of the health care sector.
Centralfocus:
The integration of the medical and the business perspective with the aim of optimal quality in the
delivery of health care services with the following main fields of activity:
– strategic system development and structural planning in health care
– organizational and operational design of health care services
– project development for hospitals and other health care service units
19

20

References
Masterplan
University Clinics Stradins, Riga, Latvia
The project involved an elaboration of an Administrative
Organizational Plan for a partly new construction of Pauls
Stradins University Hospital. It was financed by EU-structural
funds and carried out by Ebner Hohenauer HC Consult and
SOLVE Consulting. EHC services included:
Masterplan
General Hospital Vienna North,
Vienna, Austria
The new General Hospital Vienna North, Austria, features
790 beds, day care centers, hotel and other facilities. The €
850 million project will be completed in 2016. The strategic
targets of Vienna North Hospital include the relocation of
beds to the northeast following Vienna’s recent urban
development and the city’s development master plan.
21

References
Implementation Planning
Hospital of Danderyd, Sweden
The main goal of the Danderyd Hospital project is the
construction and organizational planning of block 52 and
block 22 (new construction). EHC Company created the
plans in cooperation with white/Architect collective. The
project will be completed in 2017.
Masterplan
Prefeasibility Study and Business Plan,
Hospital in Teheran, Iran
For the Barakat Hospital the consultants created a feasibility
study and a business plan by incorporating current,
international knowledge and state of the art design concepts.
For this task, the consultants managed to develop a hospital
concept, which met medical, architectural and strategic
expectations.
22

References
Masterplan
University Clinics Graz, Styria, Austria
The addition and renovation of the surgical clinics of the
general hospital and medical university in Graz, Austria for
558 beds is scheduled for completion in 2020. The project
targets the merger of cost-intensive medical services, such
as surgeries and intensive care, in order to enhance the
efficiency and effectiveness of the operating division.
Masterplan
Hospital Hietzing, Vienna, Austria
Hospital Hietzing currently holds 1000 beds in numerous
historic buildings on a pavilion-like area. The project
addresses this non-efficient health care delivery condition by
restructuring and process optimization measures, which will
result in the development of a centralized new building,
housing as many medical disciplines and support services as
possible. This project will be finished in 2020.
23

OUR MASTERPLAN
FOR THE DEVELOPMENT OF
THE GHANA INTERNATIONAL
INTEGRATED SPECIALISTS
HEALTH SERVICES
24

Planning
Strategies on Health System
Level
Financing Models for Outpatient
and Inpatient Services
Performance Control based on
quantities, cost, quality (managed
competition
Performance and Structural
Planning
Inpatient Services
Outpatient Services
Medical Equipment
Services at the Interfaces
Rehabilitation Services / Home
Care and Elderly Care Services
(Continuing) Development of
New Models of Care
Gate Keeping and Primary Care
Centers
Integrated Care and Disease
Management
Supply Evaluation
Prevention and early detection
25

Project Management
Our tools: Proven and tested in years of practical experience and continuously refined in our work in order to provide a
stable framework for the implementation of each task. Our methodological foundations correspond with the guidelines
established by Project Management Austria.
Targeted and efficient project management :
requires appropriate planning, implementation and control - mechanisms :
– detailed planning of the task execution, the timeframe and deadlines, the estimated costs and the planning of
resource deployment
– careful, but speedy decision-making
– effective and anticipatory project controlling
Integrated project controlling:
creates a level of commitment by all project participants in order to establish the basis
for efficient work without hampering bureaucratic excesses. Project management therefore works not only on a
technical dimension, but also in in the dimensions of process and communication.
26

Consulting Activities
Improvement Projects (structures, processes,
human resource allocation, costs)
Day Surgery
Management of OTs
Management Inpatient Capacities
Management of Outpatient Services
Central (Interdisciplinary) Emergency Care
Comprehensive Business Organization
Process Design
Business Planning
Quality Management
Organizational Design
Performance Planning
Strategic Development
Cost Optimization
Workforce Planning
Cost-reduction Programs
Revenue Optimization Programs
Strategy Consulting
Communication
Market Positioning
Portfolio Management
Vertical and Horizontal Cooperation
Innovative Structures and Processes
27

Analysis Service
Benefit and Structure Plan
(Regional Supply Plans)
Hospital Field
Outpatient Field
Major Medical Technical Equipment
Rehabilitation and Care Services
Services at the conjunction of the
public sector, social insurances,
private health insurers, large health
care companies
(Further - ) Development of
New Service Models
Gate Keeping
Primary Care Centers
Integrated Prevention
Disease Management
Prevention and early Detection
Service Evaluation
Strategies for Health Care
Systems
Financing Models
Power Control System for
Quantity, Costs and Quality
(Managed Competition)
28

29
Services Overview

Strategic development
Input: Project Idea
Activities
Estimation of space requirements
Definition of the performance profile
Projection of the business plan
Rough estimation of the investment cost
Preview timeframe
Market evaluation: assessment of health care needs and of existing medical services
Development of strategic concepts
Preliminary zoning of functional units
Output: Strategic Study
Feasibility Study
Master Plan
30

Masterplanning:
Key elements
The development of a master plan is the process of identifying the organization’s immediate and long-term objectives, and
formulating and monitoring specific strategies to achieve them.
Process
Staffing
Engineering
Strategy
Infrastructure
Organization
Construction
IT
The master plan as a tool of goal setting is one of the most important strategic management requirements, especially for
complex entities, such as hospitals, and gives a blue print for further development.
31

Organizational development
Input: Strategic Study / Feasibility Study / Master Plan
Activities
Directives for the architectural planning
Definition of detailed zoning of functional
units
Basic concepts for out-sourcing and
in-sourcing decisions
Concept for medical technologies
and IT - concept
Development of functional diagrams for
core units
Evaluation and optimization of the investment costs
Detailing staffing projections and development of HR activities
Definition of space requirements, room and functions schedule
Process design of medical services (workflow based modelling)
Process design of supporting and technical services (workflow based modelling)
Operative business plan: Co-ordination of business planning and the project financing
Output: Organizational Concept
Organizational Design
32

Implementation
Input: Organizational Concept / Organizational Design
Activities
Customizing of IT-systems
Development of an organizational handbook
Analysis of certification requirements
Hiring concept and hiring of key staff
members, initiation of HR concept
Discussion with health plans and health insurances
Continuous reassessment of the basic concepts (business plan, processes, staffing, etc.)
Output: Start of Operation
Development of the management concept (organizational charts, service level agreements, controlling concept)
33

Project Management
Activities
Cost management
Time management
Project communication
Management of the project organization
Planning of the project completion
Management of (internal) stake holders to the project
Exception management (deviations, problems, risks and changes)
Continuous controlling of the progress based on the project plan
34

35
THE CONSTRUCTOR

THE CONSTRUCTOR
We provide services of the highest quality
by making full use of our international
network of experts in all fields of facility
development. Thus we can offer individual
solutions that are tailor-made for you.
VA.HEALTH
AUSTRIA
It is our commitment to fully achieve our
goals together with our partners: because
their success is also our success.
Building and operating health care facilities
is one of the most complex and sensitiv
tasks as a project developer.
Therefore we are proud to have one of the
most expierienced partner in that field at our
side: VA.HEALTH
The following pages will demonstrate it.
36

complex public health care facilities
As the leading international company in the field of health service we are committed
to providing holistic health care in all our worldwide projects.
That is the reason why we generate comprehensive services and solutions, from
health tourism, prevention, treatment, care and rehabilitation, to eldery care.
In our core competencies of planning, building, and managing complex public
health care facilities we attach particular importance to our customers and partners.
VA.HEALTH
AUSTRIA
By cooperation with our customers, and through our partners, we establish high
quality standards everywhere in the world. And in doing so, our staff, who live and
experience our principles, is of utmost value to us. They secure the success of
JPhealth by their competence, commitment, and ambition.
We take responsibility for health and well-being. People's health and well-being is
our motivation and this motivation determines our visions and projects in
constructing and managing health care facilities. We strengthen our partners We
aim to increase the value of our company and ensure our independence
More than 700 projects.
A comprehensive portfolio of services, ranging from project development, planning
and construction to facility management and total operational management, is the
reason why VMhealth stands out among its competitors and has secured its leading
position.The following references representing only a small excerpt from our list of
clients.
37

OPERATION
Comprehensive support, assuming full responsibility
VA.HEALTH
AUSTRIA
After a project has been completed, ongoing overall support, management and
maintenance are vital factors for its lasting success. VMhealth offers the following
range of services to you:
• Total operational management of health care, nursing and rehablitation centres
• Facility management
• IT solutions
• Corporate health management
• Quality management
BUSINESS AREAS
Competence through multi-disciplinary know-how
As an internationally operating company VMhealth is active in various sectors, each
confronting us with special demands and requirements. We gladly accept these
challenges and carry out your ideas and visions with specialized knowledge,
competence and professionalism.
• Wellness & Prevention
• Acute Care Hospitals
• Rehabilitation & Post-Treatment
38

ENGINEERING AND CONSTRUCTION
We convert know-how into competence
The manifold projects in the health care sector require a professional team that
develops new solutions by experience and know-how - a team you can rely on.
VA.HEALTH
AUSTRIA
Our experts design your project from the very beginning and take responsibility
for carrying it out - always paying full attention to deadlines, costs, and quality.
From initial planning to the finished project: Our services comprise everything
from planning right up to financing:
General planning
Special planning
Project management
General contracting & turn-key contracting services
Commissioning
Staff training
Handling of financing
As leading planning and construction company in health care,
VA..HEALTH Engineering works with its international network in approximately 60
countries of Africa, Asia, Europe, and Latin America. In close cooperation with
numerous local organizations we care to the needs of our customers.
More than 600 successfully completed projects prove that we take our role as
global players very seriously and are a reliable partner.
39 complex public health care facilities

Services
A member of the VA..HEALTH group with its
holistic approach as partner in the health care
sector, VA.HEALTH Engineering specializes
in the international project business outside of
Central Europe. Our range of services covers
planning, using area and function programs,
architecture, civil engineering, building
engineering, medical and laboratory technology
and project management. All these services can
be applied to modernization/renovation as well
as to turn-key projects for health care facilities.In
addition, we are your partner for planning,
providing, and installing medicial-technical
facilities and components. In close cooperation
with our affiliated firms we also establish hospital
information systems and perform technical
maintenance and management of hospitals.
VA.HEALTH
AUSTRIA
Our internal networks enables us to offer
individual solutions that are tailor-made
for you.Our versatile approach allows for
a wide scope of services and solutions:
• Project development and consulting
• Engineering and construction
• Maintenance
• Total operational management and
management of health care,
nursing and rehablitation centres
• Facility management
• IT solutions
• Corporate health management
• Quality management
40

References
Description. Medical engineering
Country. Germany
Scope of Services
Operational management and maintenance of
medical devices and equipment, realisation of
regulatory and legal affairs
Beds. 320
Selection of Service Criteria
technical operation
Description. Teaching Hospitals Nigeria
Information. 7.000 beds total
Scope of Services
Project Management Medical engineering and
Equipment supply Training of personnel
Maintenance spareparts, consumables and
disposables.Management since 2007
Selection of Service Criteria.
technical operation, planning & equipment supply
Description. Medical engineering
Country. Germany
Scope of Services
Operational management and maintenance of
medical devices and
equipment, realisation of regulatory and legal
affairs
Beds.350
Germany
Scope of Services
VA CheckUp®: elaborating a process analysis for
the operational engineering, medical engineering,
logistics, central sterilization unit and laundry
divisions.
Beds. 1.450
Selection of Service Criteria
planning, project developement & consulting,
Country. Malaysia.Asia
Completion.2006
Scope of Services
Project Management, Planning, supply and
installation of medical equipment and hospital
IT-system, Training of Hospital personnel,
Maintenance for 2 years
Beds. 200
Description. Medical Package and Management
Country. Armenia.Europe
Completion.1992
Scope of Services
Design and supply of complete medical equipment
including training of personnel. Provision of
management programme, planning and
management assistance during the start-up period.
Beds.1200
China. Completion. 2008
Design, engineering, supply and installation of
medical equipment,Training of
personnel,Maintenance for 1 year
Beds.300
Selection of Service Criteria
planning & equipment supply
Saudi Arabia
Completion. 2003
Client.Al Ahsa Medical Ltd.
Scope of Services
Project Management, Design, engineering, supply and
installation of medical equipment, Training of
personnel,Maintenance for 1 year
Beds. 300
41

THE BUILDING TECHNOLOGY
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
42
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

The Jupiter Energy Advantage
Ideal solution for cooling in low-energy buildings
Free cooling is a term generally used when low external temperatures in large surfaces which further improves the requirement. Optimal architectural design and shading will
temperatures are used for cooling purposes in heat pump COP. help to reduce the cooling need, but simulations and
buildings. The JUPITER free cooling concept is based
on a ground coupled heat exchanger combined with a
radiant heating and cooling system. A ground coupled
heat exchanger can for example be horizontal collectors,
vertical boreholes or energy cages. A radiant system
means that the floors, ceilings or walls have embedded
pipes in which water is circulated for heating and cooling of
the building. Underfloor heating and cooling is the most
well know example of a radiant system.
A radiant system combined with a ground coupled heat
exchanger is highly energy efficient and has several
advantages. In the summer period, the ground coupled
heat exchanger provides cooling temperatures that are
lower compared to the outside air. The radiant system
operates with large surfaces, which means it can utilize the
temperatures from the ground directly for cooling
purposes. The result is that free cooling can be provided
with only cost being the electricity required for running the
circulation pumps in the brine and water systems. No heat
pump is required.
In the heating season the system is operated using a heat
pump. As the ground temperature during winter is higher
compared to the outside air temperature, the result is
improved heat pump efficiency (COP) compared to an air
based heat pump. In addition, the radiant emitter a system
(underfloor heating) operates at moderate water
The need for cooling in buildings
Today, there is a high focus on saving energy and utilising
renewable energy sources in buildings. The energy
demand for space heating is reduced by increased
insulation and tightness of buildings.
However, increased insulation and tightness also
increase the cooling demand. The building becomes
more sensitive to solar radiation through windows and
becomes less able to remove heat in the summer. More
extreme weather conditions further contributes to the
cooling needs and together with an even more increased
consumer awareness of having the right indoor climate, the
need for cooling also in residential buildings will become a
practical experience show that such measures alone will
not eliminate the cooling need. Space cooling is needed,
not only in the summer, but also in prolonged periods
during spring and autumn when the low angel of the sun
gives high solar radiation through windows. In order to
meet the energy frame requirements of the building
regulations, space cooling can be provided by utilising
renewable energy sources such as ground heat
exchangers for cooling purposes in conjunction with a
radiant system with embedded pipes in the floor, wall or
ceiling.
Cooling needs will differ between rooms and are highly
influenced by direct solar radiation. Rooms with larger
window areas and facing the south will generally have
higher cooling requirements. In periods with high cooling
loads, active cooling is normally required during both day
and night time.
GIHS.
CLINICS
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INTERNATIONAL
INTEGRATED
HEALTH
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43
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

The Jupiter Energy Advantage
Ideal solution for cooling in low-energy buildings
Independence
of the energy situation
Ground energy or Geothermy (Greek: geo = earth; thermy Ground energy as energy source in combination with
= heat) is the heat stored in the accessible part of the earth radiant emitter systems is the all-in-one solution with
crust. Geothermy describes both, dealing with thermal respect to the combination of heating and cooling. Such
energy and its utilization from a technical point of view and systems are more efficient and easier to install than two
the scientific investigation of the thermal situation of the separate systems for heating and cooling. In addition, the
earth.
radiant emitter systems benefit from the exergy principle in
the form of reduction of the operating temperatures for
The geothermal gradient, which is the difference in
heating and high operating temperatures for cooling.
temperature between the core of the planet and its surface, Thus the heat pump can work with a higher efficiency
drives a continuous conduction of thermal energy in the (operating factor) which reduces the power consumption
form of heat from the core to the surface.
and hence the operating costs accordingly.
Ground energy, stored up to 400 m depth, cannot only be
used as source of energy for radiant heating and water
heating but also as an energy source for radiant cooling
with very low operating costs. Ground energy can be used
in all types of buildings from single-family houses to large
office and industrial buildings. When a ground system is
operating it hardly requires any running costs and has a
long operating period. Though the investment costs for a
ground energy system are slightly higher than for
conventional boilers and cooling aggregates the
amortization period is shorter due to the low operating
costs.
JUPITER Horizontal collectors for
ground energy
Ideal solution for single family
homes and smaller industrial
buildings
JUPITER Horizontal collectors are ground heat exchangers
which are installed in the upper two meter of the ground
soil. In most cases they are used in one or two family
houses as well as small industrial applications. The
important benefit of the horizontal collectors is the low
investment with a relatively high seasonal performance
factor. The horizontal collector is the variant with the lowest
costs involved compared to all other ground energy
systems.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
44
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

The Jupiter Energy Advantage
Ideal solution for cooling in
low-energy buildings
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
JUPITER Vertical collectors for
ground energy
Solution for all kind of ground soils and
space saving
The JUPITER Vertical collector is the most popular ground
energy system. It can be installed in all kind of ground soils
and is the most space-saving system. The available heat in
the soil combined with a heat pump will be lifted up to a
usable temperature level for heating and domestic hot
water preparation. Vertical collectors can also be used for
passive (free) and active cooling in summer. This is one of
the main benefits compared to other ground energy
systems.
But the vertical collector is the ground energy solution with
the highest investment costs. Nevertheless the benefits
and investment costs have to be balanced. The application
field extends from ordinary single family homes up to
industrial applications and office buildings.
JUPITER Energy cage for ground
energy
Whenever the space for a horizontal collector
is not available
The JUPITER Energy cage is a special design of the
horizontal collectors. Energy cages are used when deep
drillings or deep foundations are not possible for reasons of
water law conditions or for hydrological reasons, or when
the available space is too small. The energy cage is an
economically and energetically very effective alternative for
the usage of ground energy. The JUPITER Energy cage is
the ideal solution for single family homes or multi storey
buildings as well as small business and industrial offices.
Why is ground energy eco-friendly?
Economical
Regionally usable, independent of external suppliers and
changes in currency exchange rates. Ground energy
increases the industrial competitiveness and as a result has
a positive effect on the regional development and
employment
Renewable and environmentally friendly
Ground energy is available endlessly, 24 hours a day for
heating and cooling.Any usage of ground energy reduces
the emissions of greenhouse gas.Safe, controllable and
versatile
Safe, controllable and versatile
Ground energy is technically mature and has been used for
heating and cooling for more than 50 years.
Applicable in combination with other energy sources
45
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

THE MEDICAL EQUIPMENT
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CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
46
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

THE MEDICAL EQUIPMENT
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
It is our primary goal to equip our hospitals We are committed to providing the safest and
with the most modern, up-to-date highest quality care to patients. We will measure
technology. We want to become the our performance against our own rigorous
technology leader in the whole African standards as well as compare the outcomes of
market.
our care with top medical centers worldwide in
our effort to continually improve the care we
Whichever treatment, surgery, test or scan the
provide.
patients are referred to GIHS Clinics, they can
rest assured that they are in the best possible We believe that sharing our results with the
hands.
public and with other medical facilities is an
obligation and a critical factor in our mission of
Our specialist department staff will work together
continuous improvement.
with highly skilled Consultants and leading
medical equipment Manufacturers to ensure This technology and know-how leadership will
that GIHS Clinics will always stay on top.
ensure to win patients from all parts of Africa.
47
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

Medicine and Technology
In today’s world, technology plays an important all around the world. From “small” innovations
role in every industry as well as in our personal like adhesive bandages and ankle braces, to
lives. Out of all of the industries that technology larger, more complex technologies like MRI
plays a crucial role in, healthcare is definitely machines, artificial organs, and robotic
one of the most important. This merger is prosthetic limbs, technology has undoubtedly
responsible for improving and saving countless made an incredible impact on medicine.
lives all around the world.
In the healthcare industry, the dependence on
Medical technology is a broad field where medical technology cannot be overstated, and
innovation plays a crucial role in sustaining as a result of the development of these brilliant
h e a l t h . A r e a s l i k e b i o t e c h n o l o g y, innovations, GIHS Clinics can continue to find
pharmaceuticals, information technology, the ways to improve our practice – from better
development of medical devices and diagnosis, surgical procedures, and improved
equipment, and more have all made significant patient care.
contributions to improving the health of people
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Hybrid PICA with
advanced HTS Coil
Technology.
The Hybrid PICA is the company’s flagship product. It’s Open
architecture, advanced hardware platform and leading-edge
clinical applications make it ideally suited for patient comfort,
fast acquisition times and excellent image quality. With the
added benefit of HTS Coil Technology, the Hybrid PICA is widely
recognized as the most cost-effective, high performance MRI
solution in the market.
The PICA’s 20-minute MRI exam of the Brain is an example of
TIME MEDICAL System’s commitment to delivering value,
performance and innovation.
48
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

MRI system
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Esaote's new G-scan brio is an MRI system that allows to study all
joints as well as the spine, either in a clinostatic (supine) or in a
orthostatic (weight-bearing) position because magnet and patient
can rotate from 0 to 90 degrees.The system provides great patient
comfort and features the latest sequences and imaging
performances developed by Esaote. G-scan Brio boasts
advanced features and capabilities such as:
Low maintenance and optimized permanent magnet: no cryogens
and no complicated cooling systems are required. This leads to
an easier maintenance, lower power consumption and, therefore,
a considerable cost reduction."One room" installation: very
compact, it only requires a 23m2 (245 Ft2) installation space.Add
weight to your diagnosis: since the force of gravity generates biomechanical
changes in the human anatomy, MR imaging in a
natural stand-up position allows you to attain important additional
information compared to traditional MRI.
Smooth and simple positioning: excellent ergonomics and unique
features ensure optimal patient comfort and benefits for the
operator
49
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GIHS.
CLINICS
Information Technology and Medicine
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Information technology has made
significant contributions to our world,
namely in the medical industry. With the
increased use of electronic medical
records (EMR), telehealth services, and
mobile technologies like tablets and smart
phones, physicians and patients are both
seeing the benefits that these new medical
technologies are bringing.
Medical technology has evolved from
introducing doctors to new equipment to
use inside private practices and hospitals
to connecting patients and doctors
thousands of miles away through
telecommunications. It is not uncommon in
today’s world for patients to hold video
conferences with physicians to save time
and money normally spent on traveling to
another geographic location or send health
information instantaneously to any
specialist or doctor in the world.
GIHS Clinics wanna utilize these
technologies to work with the leading
medical university hospitals in close
cooperation. This should ensure that the
latest medical knowledge will be
continuously transferred to ghana.
MELODY is a modular robotised tele-echography system.
It is currently AdEchoTech’s lead product. This solution was devised by drawing on
the skills (in medical expertise, electronic and robotic expertise, business expertise,
and so on) required to create an ergonomic tool to help both patients and the
medical profession.
There are various versions of MELODY adapted to each situation so as to optimise
use and efficiency. AdEchoTech sells a complete robotised tele-echography
solution, comprising:
The MELODY Patient site system
The MELODY Expert site system
The videoconference system
The ultrasound imaging station fully adapted to the echography (comprising
remote adjustment).
The MELODY solution can of course be sold separately of the videoconference
system and the ultrasound imaging station depending upon the needs of the client
and the equipment they already have.
50
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

Its faster, its lower dose, and its got one serious size advantage.
The Digirad Cardius® xact provides higher clinical quality, faster imaging,
lower dose, reduced operational costs and a solid pathway to the future.
xact Advantage:
Solid-State: Three flat panel detectors used for acquisition of both gamma
ray and x-ray
Effective: CT attenuation correction improves diagnostic confidence
Protective: Triple-head detector geometry reduces patient dose by 3X
Compact: Can be used in rooms as small as 8 x 9
Patient-centric: Enhanced comfort for obese or claustrophobic patients
MobilXDR mobile radiography unit
comes with a variety of ratings including: 15 / 20 / 32 / 40 / 50 KW.
The unit comes with a large 17" touch screen display, is battery
operated and motor powered for noise free portability.
The unit also comes with a separate power pack for X-ray
generator, motor drive and console PC.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
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51
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
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SERVICES
Proton therapy synchrocyclotron with integrated CT scanner
with robotized positioning table
Compact proton therapy solution
Making proton therapy affordable
Leveraging proton accuracy
Components:
with integrated CT scanner, with robotized positioning table
For many institutions, a barrier to proton therapy is the complexity
of the project.
To counter these barriers, IBA experts have developed
ProteusONE, the compact single-room solution that is smaller,
more affordable, easier to install, easier to operate and ultimately
easier to finance.
ProteusONE makes proton therapy easily accessible to more
patients worldwide.
52
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
HEALTH
SERVICES
Digital breast tomosynthesis mammography unit
Hologic 3D Mammography: Changing the paradigm in breast
cancer screening
Hologic has always been at the forefront of breast cancer
screening, so it`s not surprising that we were the first to offer
true 3D mammography. The revolutionary Selenia
Dimensions system, which promises to set the new standard
in mammography screening, offers:
Exceptionally sharp images. Groundbreaking breast 3D
mammography technology.Seamless transition between
imaging modes.Advanced user tools to simplify
operation.Ergonomic design for patient comfort and ease of
operation.
In addition, the Selenia Dimensions system provides these
diagnostic advantages:
Earlier detection of breast cancers.
Clearer lesion images.
Reduction in the number of unnecessary biopsies,
minimizing patient anxiety and unnecessary costs.
53
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

Baby Concept SI – 600 incubator
is the right option for standard and intermediate
care, as it maintains the standards of the higher
class intensive care incubators.
Microprocessor controlled modes like air and body
temperature, measurement of relative humidity and
oxygen concentration guard the safety and well
being of the child patient.
It’s design solution providing rotati¬on of the bed up
to 45°, manual Trendelenburg and anti
Trendelenburg positioning up to 12°, a practical
sliding x ray cassette and the possibi¬lity of cover
dismantling for perfect cleaning and disinfection ,
meets today's necessities of medical staff.
Height-adjustable infant radiant warmer
54
With the design of the new AtmosCare Exspecta
radiant warmer we have introduced a series of
improvements to offer greater uniformity in the
distribution of the radiant and conductive heat
provided by the new thermal gel mattress. The large
LCD display allows the user to view, control and
monitor several variables, such as the core and
peripheral temperature of the infant, the
temperature of the gel mattress, oxygen
concentration, as well as a series of attributes that
facilitate use by medical and nursing staff to
achieve optimal care, development and growth of
the newborn. The warmer includes LED
examination light and phototherapy lamps,
bassinet with electric tilt system, collapsible
handrails along all sides, tray for x-ray cartridges,
additional electrical outlets, electric height
adjustment system, and more.
General Care Radiant Warmer: This equipment is
typically used in birthing rooms and can control the
power of the heater and the core temperature of the
patient through the servo-control system. It has an
APGAR timer and includes visual and audible
prioritized alarms to allow the user to differentiate
between levels and types of alarms, a temporary
silencer, on-screen alarm messages, multi-use
lamp with ceramic heater, white LED examination
light, and storage space inside the central column.
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
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complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

Hybrid Operating
Rooms on the
advance
GIHS.
CLINICS
GHANA
INTERNATIONAL
INTEGRATED
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SERVICES
Dating back to the Latin language, the word “Hybrida” means as much as
bundling, mixing or crossing. Derived from this ancient word, the modern term
"Hybrid" today is to be found in science and technology, whenever at least two
different methods or techniques are combined.
Accordingly a Hybrid-OR shows a combination of a customary operating theatre
with imaging, device-supported diagnostic technology, such as X-ray or MRI.
The huge number of advantages, arising from this combination, causes the fact
that more and more advanced Hybrid-OR are furnished and used for the benefit of
an increasing number of patients. But also the cost units sustainable profit by the
corresponding investments.
Even in the 80’s it could happen in a hospital that patients were examined using
classical X-ray machine first, then underwent surgery and afterwards were X-rayed
again to examine the result of the operation. In cases, when during a surgery
further diagnostic information was needed, often risky transports were necessary,
which devoured valuable time just in critical situations and, moreover, increased
the risk of an infection. An immediate control of the surgical result – beyond
conventional ultrasound examinations – was not available. Therefore, it appears
like a real quantum leap when today in Hybrid-OR for surgeons visualized
information about the treatment area is made available by most modern diagnostic
(X-ray/CT, MRI) and visualisation techniques, - online and at any time.
Two aspects are convening here: On the one hand most modern diagnostic
equipment is accommodated directly in the OR, usually at the so-called C-arm,
and can be moved – nowadays also robot-based – within seconds into any desired
position and thus rendering any transportation of the patient unnecessary.
Secondly, the imaging technique opens a 3-D view.
on the treatment area and enables accurate navigation here. Furthermore, an
appropriate configuration provided, it allows that even the smallest sectors, such
as fine vessel segments, can be zoomed, which leads to more accurate
assessments.
55
complex public health care hospitals.
... BECAUSE OUR HEALTH IS ONE OF THE MOST VALUABLE ASSETS

High-definition surgical robot / spinal surgery
/ cranial surgery / neurosurgery
Da Vinci Si was launced in April 2009 with several
flexible and enabling features. Dual-console is
capable of supporting training and collaboration
during minimally invasive surgery. The enganced
3D vision ensures superior clinical capability and
the updated user interface provides a streamlined
setup and OR turnover. The set provides an
extensibility for integration with digital OR. The
various appealing features and innovative functions
eases the workflow of the medical procedures in
hospitals, clinics and other healthcare facilities.
3D visualisation surgical robot / minimally invasive surgery
The da Vinci Xi® is the next frontier for minimally
invasive surgery. With this addition, Intuitive Surgical®
can now offer a full range of da Vinci Systems
optimized for highly complex, multi-quadrant surgery
and simpler, single-quadrant surgery.
Serious complications may occur in any surgery,
including da Vinci® Surgery, up to and including death.
Examples of serious or life-threatening complications,
which may require prolonged and/or unexpected
hospitalization and/or reoperation, include but are not
limited to, one or more of the following: injury to
tissues/organs, bleeding, infection and internal
scarring that can cause long-lasting dysfunction/pain.
Risks of surgery also include the potential for
equipment failure and/or human error. Individual
surgical results may vary.
Risks specific to minimally invasive surgery, including
da Vinci Surgery, include but are not limited to, one or
more of the following: temporary pain/nerve injury
a s s o c i a t e d w i t h p o s i t i o n i n g ; t e m p o r a r y
pain/discomfort from the use of air or gas in the
procedure; a longer operation and time under
anesthesia and conversion to another surgical
technique. If your doctor needs to convert the surgery
to another surgical technique, this could result in a
longer operative time, additional time under
anesthesia, additional or larger incisions and/or
increased complications.
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Universal operating table / electro-hydraulic
Operating table ALVO SERENADA 4-04 has been
designed to support the patient during all surgical
procedures and operations: general surgery, vascular
surgery, endoscopy, neurosurgery, gynecology, urology
and orthopaedy.
The electro-hydraulic operating table is made of
stainless, acid proof steel. The table can be equipped
with a wide range of table tops and bases. Functional
movements of table column and chosen elements of
table top are provided by reliable electro-hydraulic
system. Functional movements of other sections of the
table top are supported mechanically.
Modular or multi-sectional table top has exchangeable
sections.
Optical surgical navigation system / spine surgery /
neurosurgery
Aimnav is Micromar's new Neuronavigation system,
developed to meet the ever-increasing medical needs in
the neurosurgery field.
It contains various tools that help the surgeon in
frameless procedures guided through navigation,
ranging from a simple biopsy to extraction of tumors in
regions of difficult access, neuroendoscopic surgeries,
etc.
Aimnav is fast, accurate and reliable. It has a camera
with retractile and mobile arm, providing full freedom of
positioning in the surgical field, thus making the system
practical and ergonomic.
Anesthesia workstation with tube flow meter / pediatric /
6-tube
Applicable for infant, child and adult, simplified patient type
selection and parameter setting, Tidal volume 20~1500ml
12.1 high resolution TFT touch screen, user friendly design,
multiple patient monitoring configuration meet all kinds of
clinical requirement. Configure with startup pre-use test,
patient circuit leakage and compliance test. Electrical
control gas mixer, backup fresh gas delivery system for
safety Configurable fresh gas flow and O2 concentration.
Driving gas switching system for O2 and Air. Interlock two
vaporizer mounting system
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Intensive care bed / electrical / height-adjustable / 4-section
The electric bed has four sections - three are jointed and one fixed
centrally. It comes with a leg rest section that is electricallycontrolled.
It has four antistatic wheels and a central brake and a
directional one.
The matress platform is made from ABS and has a mattress
stopper. Its back section is plastic laminated and has rails for the
x-ray cassette. It has a wielded base frame made from epoxycoated
steel. Wheels are provided with ABS thermoformed cover.
Its frame has proper housings to fit patient perfectly. It has a lifting
poles and IV poles in all four corners. The head part is mounted in
the base frame to protect the wall when trendelenburg or reversetrendelenburg
positions are done.
It has adjustable height using electric pedals and could lift a
maximum load of 260 kg. Its four sections are safe with integrated
controls on both inner and outer sides. It has a control panel using
push-buttons and a dedicated software to be used exclusively by
specialized personnel.
Medical pendant / ceiling-mounted / with column / with
shelves
The Surgibox unit has been designed to combine maximum
distribution capabilities with optimal compactness. The Ø38 mm
stainless steel tubes provide an ideal support for biomedical
accessories. Its design allows easy access to each power socket,
even when the unit is used at maximum capacity.
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Orthopedic operating table / electro-hydraulic / on casters
STERIS® OT 1000 Series Orthopedic Surgical Table has a experience fluid
motion designed with leading controls. It has unrestricted approach to the
operative site. STERIS® OT 1000 Series Orthopedic surgical table maximizes
operational efficiency while maintaining patient and staff safety.
Key Aspects.
Enhance Patient Positioning: Unsurpassed Range of Motion for approach at
Every Point easy positioning with repeatable skill for a wide range of patients
from pediatric patients to person up to seven feet tall.
Decisive Control Technicians: Decisive control for technicians through
inventive SWAN technology within the ortho surgical table. Improved Patient
Breath: Improved patient breath passage approach for anesthesia provider
through articulating headrest.
Easy Approach Patient: Easy approach to patient with unobstructed foot
clearance and powered table articulations for clinicians.
Increase Productivity: Swift, factual Maneuverability for Continuous Control
Intuitive design and SWAN control that any staff member can use with minimal
training needed.
Single User: Ease of use permit for single user functionality which eliminates
the need to schedule a dedicated staff
Accurate: Continuous factual performance improves case turnover times
inventive drive.
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Dental treatment unit with delivery system / with light / with monitor
U 6000 is a treatment chair which is compact, classic and mesmerizing for its integrated
features. U 6000 has been created in such a fashion so that it can meet expectation of
every individual having specific requirements. The dentist s element is affixed with a
stable arm that can be easily moved and repositioned. The large radius of the pivoting
arm allows unobstructed access to the patient chair for not having any instrument hoses
in the way. The dentist s element has a new, 7” color display touch screen. Its innovative
vision U multimedia system can be functioned through the large 21.5” multi touch
monitor. The revolutionary intra oral camera with autofocus has integrated with standard
equipment in the U 6000.
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Powerful Treatment Tools. More Clinical Control. Fastest
Workflow.
i-CAT® puts the power of precision in your hands, simply and
conveniently. Dental clinicians now have direct access to
advanced 3D treatment tools for implants and restorations, oral
and maxillofacial surgery, TMJ and sinuses, and orthodontics.
i-CAT produces high definition 3D diagnostic images for ultimate
treatment efficiency. Its push-button ease delivers maximum
control to accurately capture each patient’s unique anatomy and
treatment progress.
From diagnosis, through planning and treatment, to successful
case completion, i-CAT’s flexibility allows you to select specifically
desired scans to manage radiation dose control for the greatest
benefit to your plan and to your patient.
61
Panoramic X-ray system / cephalometric X-ray
system / dental CBCT scanner / digital
The Planmeca ProMax 3D Classic unit is an intelligent
yet user friendly multipurpose X-ray unit. The unit is
designed to cover the whole dentition area and
procure complete information.
The Planmeca ProMax 3D Classic unit helps capture
digital panoramic, cephalometric and 3D imaging,
along with 3D photos and model scans.
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Dental X-ray generator / digital / wall-mounted
The product is an intra-oral X-ray unit which increases
the operating efficiency. The instrument helps the user
to concentrate on treatment and diagnosis and not in
the radio-graphic image procedure. Advanced selfdiagnostics
is incorporated by Endos AC and ACP
which signal and prevents all operation anomalies.
The unwanted exposures risk is eliminated by the
safety device and the X-ray push button is inhibited
when the product is not used.
complex public health care hospitals.
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Whole body water massage bathtub / with
exercise bike / with chromotherapy lamps
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HIFU ultrasonic generator / for lipolysis / trolley-mounted
A perfectly targeted massage, thanks to the
height-adjustable pedals that mean that
there is no need to move the saddle and you
are always perfectly positioned relative to the
water jets
- Electronic pedal resistance settings on the
handlebars and on the touch screen
- Une forte autonomie grâce à son accès
sans porte permettant un remplissage
complet de la machine avant séance
- Available in left and right version
2nd Generation of HIFU, DOUBLO has an extensibility not just in
mechanical innovation but in more accesses to human being.
A. Transducers,
- Decrease damage on the surrounding tissues
- Generate more accurate coagulation
- Lower consumables cost thanks to more durable transducer
B.128 CH. High Resolution Image Probe,
The 128 CH. image probe, not conventional 16 CH. provides
- Precise and real-time image before and during the treatment
- Diverse applications and analysis with a high performance
software
- Quality treatment with a high resolution imaging system
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Leg curl weight training station / rehabilitation
Using a safe, guided and controlled flexion movement, Leg Curl MED
works specifically on hamstring muscles that allow you to bend your
knee. Exercising is conducted in a safe, comfortable seated position.
High quality sport & medical fitness equipment
Leg Curl MED is part of the Selection MED range, which is the largest
range of certified medical equipment. This is a professional product
suitable for gyms and medical facilities, such as hospitals or
rehabilitation centres. It has earned the 93/42 EEC and TÜV
Certifications that guarantee the highest standards of quality and
reliability.
Back extension weight training station
rehabilitation
Isolated torso extension training
Sophisticated patient fixation and biomechanics to
ensure segmental motion
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Knee continuous passive motion device / ankle / adult
BTL-CPMOTION K ELITE
Ultimate all-in-one solution
single unit for all 3 leg joints
Remote control with touch screen
Advanced settings
• Ankle module
• Precise real-time patient´s threshold angle setting
• 13 automatic pre-set protocols
• Up to 50 user-defined protocols
• Faster movements for improved therapy outcomes
• Unique click system – no manual tightening needed
• Remote control with touch screen
Elliptical E875
SportsArt ellipticals are the perfect option for exercisers looking for a total-body, low-impact
workout. The contact heart rate is standard and a wireless Polar® HR receiver is built in,
multiple language options are included (English, Spanish and French) and a 3-speed fan
keeps users cool.
Industry-leading 17”-29” electronically adjustable stride; conforms to the user for superior
comfort and versatility Shift-on-the-fly fingertip controls offer 40 levels of resistance and the
widest stride range in the industry Myflex pedal cushioning system provides a
comfortable workout platform
64
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PROJECT OWNER:
ASARE – AB COMPANY LTD
14 RED OKAI STRET, NEW ACHIMOTA
E-MAIL ABEIKUASARE@GMAIL.COM
TEL +233 243 881 326 / 260 950 255
PROJECT DEVELOPER:
JUPITER PRESTIGE LTD.
PO BOX 176 RW.
KUMASI. GHANA
OFFICE@JUPITERPRESTIGE.COM
WWW.JUPITERPRESTIGE.COM
complex public health care hospitals.
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