1. Dr Col (rtd) Mak’Anyengo, K, MBS Director of Clinical Services, OSH

2. “WINNER TAKES ALL” MENTALITY & THE REALITY

3. Education System & Medics – Cleverest – Can do anything - ALONE – Biz & Admin are for dumb people “Best” vs “Rate-limiting steps” “A” vs “E” & Real Power Heirachy Are there real winners CURSE OF BRILLIANCE: “WINNER TAKES ALL” – THE REALITY

4. Incapacitated:Organizational/Financial Medi-business ceded to others Foreign Driving Agenda: – Politico-bureaucratic: – Business: – Faith-based: Healthcare:Holistic Medic: Foreigner in Own Home

5. Patients “hunting” for Specialists – Exposed to Quacks Under-utilized Specialists – Practicing Outside Fields of Specialization Ultimately: Damaged Medics’ Reputation Paradox of Client & Provider Tribulations

6. Isolated Solo Co-located Solo Independent Group Integrated Group Integrated Networked Private Practice

7. Multi-tasking No Exit Strategy & Post-exit sustenance Limited Investment Capacity Skeptical Financial Institutions Limited Training Opportunities Lack of Referral/Network System Challenges of Solo Private Practice (Clinic/Hospital)

8. Shared Experience/Knowledge Base Shared Human Support Resources Efficient Finance Utilization Shared & Efficient Material Resource Utilization Institutional Memory Group Practice: Maximizing Opportunities

9. Absence of a Practitioner not significantly felt Professional Mishaps mitigated Financial Risks Lowered (hence institutions more likely to “play game”) Minimized wastage/More Efficient & Cheaper Procurement Group Practice: Minimizing Threats/Risks

10. PRACTITIONER-OWNED GROUP PRACTICE :- Integrated, Multi-level, Networked Referral One-Stop Shop Large Pool of Practitioners & Clientele – Economy of scale – Efficient service & commodity utilization – Widens Business Opportunities Oasis Model - Advantages

11. Management Clarity – Better Strategy/Operations Clear Practice Definition: – Better, Faster, More Efficient, Less Error User-owned & Directed Practice – Provider satisfaction & motivation Oasis Model - Advantages

12. Teamwork in Strategy Analytical Realism: – Solo Practice is NOT evil – Group Practice Not Panacea – Growth is gradual – Human Factor Critical Innovations Elimination of undesirables Oasis Drivers of Change:

13. Tier 2 Oasis Care Centre (GP, Specialist RCO, MO) Cottage Hospital Tier 3 Doctors’ Plazas:, Kisii, Migori, Kisumu, Nyamira, Homa Bay, General Hospitals (Kisumu, Homa Bay) Tier 4 Specialist Hospitals Kisii, (Kisumu, *Nairobi) Specialist Centres Oasis Healthcare - Integration

14. Care Centre Cottage Hospital Doctors Plaza General Hospital Specialist Hospital Specialized Centre OASIS HEALTHCARE NETWORK

15. Beyond Healthcare: Bracing for the Future Other services: – Medical Management Consultancy – Research – Training – Logistics On-going:Re-organization, Expansion

17. 1.Patient -Centered Care 2.Excellence and quality 3.Creativity and Innovation 4.Professionalism and moral integrity 5.Team work 6.Responsiveness 7.Leadership 8.Responsible Corporate Citizenship Core Values That Define the Oasis Culture