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Aravind Eye Care System Management Concepts in Eye care Dr.R.D.Ravindran M.D.,  Joint Director  Aravind Eye Care System,  Madurai, India
Named after  Sri Aurobindo Ghosh,  his teachings form the basis for Aravind’s work
The problem……Magnitude of Blindness ,[object Object],[object Object],[object Object],[object Object]
Most of it is unnecessary … Simple Cataract Surgery Refraction & a pair of spectacles  Will restore vision to 75 Lakhs Will restore vision to 24  Lakhs India: Population 110 Crores  1.2 Crore are blind & 20 Crore need eye  care   –  Glasses or otherwise –
[object Object],Genesis
Dr. G. Venkataswamy ,[object Object]
… developed skills to perform 100 surgeries per day
Dr.Venkatasamy’s Vision “ To eliminate needless blindness by providing appropriate, compassionate and high quality eye care to all”
Genesis Began here- as an 11 bedded clinic in 1976 Small team with a big mission Money
His Guiding Philosophy ,[object Object]
Pondicherry (2003) Tirunelveli (1988) Aravind Eye Hospitals (4000 Beds) ,[object Object],[object Object],Tamil Nadu Coimbatore (1997) Theni (1984) Madurai (1978)
Managed Hospitals-Today –  4 in Northern Part of India ,[object Object],Indira Gandhi Eye Hospital & Research Centre - Amethi,U.P Sudharshan Nethralaya - Amreli, Gujarat Indira Gandhi Eye Hospital & Research Centre – Lucknow,U.P
Hospital Based Facilities
Core Principles in delivering health care Giving Value Financial  Sustainability Efficient  Service Reaching the  People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
Demand Generation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outreach for Speciality Services
Outreach for Speciality Services
Outreach for Speciality Services
Outreach in 2008 No.of Screening Camps 1,442 Patients examined 412,683 Surgeries 98,326
Utilization – Study at AECS Only 7% of people with eye problems in  village accessed care from eye camps
Innovation – exploring newer approaches to deepen the reach into the market
Vision Centre (Primary Eye Care) ,[object Object],[object Object],[object Object],[object Object]
Low Cost Wi-Fi 802.11b Connectivity   (open spectrum) ,[object Object],[object Object],[object Object],Collaboration with Univ. of Berkeley   ( PhD students)
Primary Eye Care IT Enabled Centers – 30 in Tamilnadu Wireless connectivity  @ 4mbps Marratech Software for tele-conferencing collaboration Examination by Vision Centre Technician  Each patient examined at the Vision Centre is discussed with the Ophthalmologist through videoconferencing Consultation with Ophthalmologist at Aravind Eye Hospital
Impact ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aravind - Operational Model Financial  Sustainability Giving Value Efficient  Service Reaching the  People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
Patient Statistics 2007 - 08 Cataract Surgery: 70% is free 285,745 162,845 (57%) 122,900 (43%) Surgery 2,396,100 1,074,783 (45%) 1,321,317 (55%) Out Patient visits Total Free Paying
Volume Handled Per Day ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Making Aravind the largest provider of eye care services  and trainer of ophthalmic personnel in the world Productivity
Management Systems
Ensuring Efficiency & Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Resource Balancing  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Comparison of surgeon productivity
State-of-art technologies in surgery  ,[object Object],[object Object],[object Object]
Planning for Expected load & Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aravind - Operational Model Financial  Sustainability Giving Value Efficient  Service Reaching the  People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
Aravind Patient Fee Structure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Covering the  entire spectrum 53% 22% 25%
Financial Viability achieved through   - Trust -  Attracts paying patients ,[object Object],[object Object],[object Object],[object Object]
Financial Viability achieved through ,[object Object],[object Object],[object Object]
Aravind - Operational Model Financial  Sustainability Giving Value Efficient  Service Reaching the  People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
Quality – always current ,[object Object],[object Object],Quality ,[object Object],[object Object]
Giving value ,[object Object],[object Object],[object Object],[object Object],Use of Wi-Fi PDA’s by Housekeeping staff
Teaching & Training Ophthalmologists Technicians Administrators Affiliations:   MCI, NBE, RCO-UK, JACHPO-USA,  MGR Medical & MKU Universities
[object Object],[object Object],[object Object],[object Object],[object Object],Turning apparent disadvantages into realized opportunities ,[object Object],[object Object],Backward Integration
Intraocular Lens Division Pharmaceutical Division Suture Division Blades Division Instruments Division
Making Eye Care Affordable Exported to 120 countries Impact: Price of IOL came down from $ 80 to $ 4 making cataract surgery affordable ,[object Object],[object Object],[object Object],[object Object]
Sharing makes you stronger Lions Aravind Institute of community Ophthalmology   To contribute to the prevention and control of global blindness through Teaching, Training, Consultancy, Research, Publications & Advocacy
Aravind Medical Research Foundation  Community based Genetics Microbiology Epidemiological surveys Clinical trials
New Research Facility ,[object Object]
Aravind Eye Care System  Eye Bank Hospitals Aurolab Out Reach Research “ Aravind Eye Care System” LAICO IT Training
Commitment of leadership ,[object Object],[object Object],[object Object],[object Object]
Recognitions ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Where change touches many lives … only superficially  Courtesy: Dr Allen Foster
Pursuing Our Mission Eliminating needless blindness much has been done and  much remains to be done . . .
“ Intelligence & Capabilities are not enough. There must be the joy of doing something beautiful..” Dr.V Thank You

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ARvind Eye Hospital

  • 1. Aravind Eye Care System Management Concepts in Eye care Dr.R.D.Ravindran M.D., Joint Director Aravind Eye Care System, Madurai, India
  • 2. Named after Sri Aurobindo Ghosh, his teachings form the basis for Aravind’s work
  • 3.
  • 4. Most of it is unnecessary … Simple Cataract Surgery Refraction & a pair of spectacles Will restore vision to 75 Lakhs Will restore vision to 24 Lakhs India: Population 110 Crores 1.2 Crore are blind & 20 Crore need eye care – Glasses or otherwise –
  • 5.
  • 6.
  • 7. … developed skills to perform 100 surgeries per day
  • 8. Dr.Venkatasamy’s Vision “ To eliminate needless blindness by providing appropriate, compassionate and high quality eye care to all”
  • 9. Genesis Began here- as an 11 bedded clinic in 1976 Small team with a big mission Money
  • 10.
  • 11.
  • 12.
  • 14. Core Principles in delivering health care Giving Value Financial Sustainability Efficient Service Reaching the People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
  • 15.
  • 19. Outreach in 2008 No.of Screening Camps 1,442 Patients examined 412,683 Surgeries 98,326
  • 20. Utilization – Study at AECS Only 7% of people with eye problems in village accessed care from eye camps
  • 21. Innovation – exploring newer approaches to deepen the reach into the market
  • 22.
  • 23.
  • 24. Primary Eye Care IT Enabled Centers – 30 in Tamilnadu Wireless connectivity @ 4mbps Marratech Software for tele-conferencing collaboration Examination by Vision Centre Technician Each patient examined at the Vision Centre is discussed with the Ophthalmologist through videoconferencing Consultation with Ophthalmologist at Aravind Eye Hospital
  • 25.
  • 26. Aravind - Operational Model Financial Sustainability Giving Value Efficient Service Reaching the People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
  • 27. Patient Statistics 2007 - 08 Cataract Surgery: 70% is free 285,745 162,845 (57%) 122,900 (43%) Surgery 2,396,100 1,074,783 (45%) 1,321,317 (55%) Out Patient visits Total Free Paying
  • 28.
  • 30.
  • 31.  
  • 32.
  • 33. Comparison of surgeon productivity
  • 34.
  • 35.
  • 36. Aravind - Operational Model Financial Sustainability Giving Value Efficient Service Reaching the People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
  • 37.
  • 38.
  • 39.
  • 40. Aravind - Operational Model Financial Sustainability Giving Value Efficient Service Reaching the People S y S T E M S & P R O C E S S PATIENT CENTRED CARE S y S T E M S & P R O C E S S
  • 41.
  • 42.
  • 43. Teaching & Training Ophthalmologists Technicians Administrators Affiliations: MCI, NBE, RCO-UK, JACHPO-USA, MGR Medical & MKU Universities
  • 44.
  • 45. Intraocular Lens Division Pharmaceutical Division Suture Division Blades Division Instruments Division
  • 46.
  • 47. Sharing makes you stronger Lions Aravind Institute of community Ophthalmology To contribute to the prevention and control of global blindness through Teaching, Training, Consultancy, Research, Publications & Advocacy
  • 48. Aravind Medical Research Foundation Community based Genetics Microbiology Epidemiological surveys Clinical trials
  • 49.
  • 50. Aravind Eye Care System Eye Bank Hospitals Aurolab Out Reach Research “ Aravind Eye Care System” LAICO IT Training
  • 51.
  • 52.
  • 53.  
  • 54. Where change touches many lives … only superficially Courtesy: Dr Allen Foster
  • 55. Pursuing Our Mission Eliminating needless blindness much has been done and much remains to be done . . .
  • 56. “ Intelligence & Capabilities are not enough. There must be the joy of doing something beautiful..” Dr.V Thank You