Institutional and Program Development

paste13Institutional and Program Development

Clinical needs assessment, build community consensus and source funding and resources required for new or expanding institutions.

Whether you desire to implement academically accredited training programs, expand an existing facility or create a new one, Qualitas can help to project the required needs to be fulfilled, apply for government support, oversee the architects, build community consensus and source funding partners or donors to develop the institution.


Case Study # 4:

Institutional Development: Creating a New Children’s Hospital


The University of Kentucky is the flagship of educational institutions in the Commonwealth of Kentucky. It is located in Lexington, Kentucky, a city in the central Bluegrass Region surrounded by horse farms and affluence due to the horse breeding industry as well as automobile manufacturing by Toyota, education and healthcare. The College of Medicine at University of Kentucky was established in 1965 to provide clinical services not only to Lexington but also to other regions of central and eastern Kentucky. The Appalachian region of Kentucky had been economically depressed because of downturns in tobacco and mining industries.

When Doctor Vipul Mankad was appointed as Chairman of Pediatrics in 1992, this region did not have a Children’s Hospital. Pediatric care was delivered in a dilapidated hospital ward unsuitable for delivering care using modern concepts. For example, rooms did not accommodate parents staying with children. There was no playroom and the playroom tools were stored in a closet. Intensive care units did not have sufficient space for the required equipment needed to take care of children. Without facilities and equipment, the department was not able to recruit appropriate specialties. The pediatric residency education program was not competitive due to deficiencies in faculty, clinical programs and facilities. Most importantly, the lack of infrastructure and resources prevented the physicians from providing state-of-the-art care to children and their families.


Doctor Mankad articulated a vision of building a modern, world-class Children’s Hospital. He co-chaired a planning committee, which reviewed demographic information about children in the region and their clinical needs. He performed a SWOT analysis and determined the gaps between what was possible and what was being delivered, assessed the bed requirements and conducted financial planning.

This bold vision, thought to be unrealistic by many at that time, was presented to large a number of constituencies including physicians in other departments, university and hospital administration, physicians in the community, potential donors, and state government. While this vision was being presented, Doctor Mankad had also built credibility by accomplishing other goals for his department. Thus, his vision was now considered credible and exciting. With the Chancellor’s support, objections from some individuals in the administration were overcome.

The planning was completed in 1993 and approved by the President of the University. Doctor Mankad worked with architectural consultants to develop a plan to build a 129 bed Children’s Hospital integrated with the Chandler Medical Center. To make the best use of resources, many aspects of hospital administration (such as the medical record room, credentialing and privileging, cafeteria and other back door services) were not duplicated. Beginning with the entrance to the hospital and throughout the areas where children were cared for, a modern, bright, cheerful, home like environment was created.


The Children’s Hospital is not simply a facility composed of brick and mortar. It is an institution with a philosophy of care that attracts the best available expertise. The pediatric department doubled in size and expanded many clinical services previously unavailable at the University of Kentucky. For example, pediatric critical care division and Extracorporeal Membrane Oxygenation, previously unavailable at University of Kentucky, were now state-of-the-art programs.