This document contains charts and graphs showing the total number of cataract surgeries performed each year from 2007-2008 to 2013-2014, with numbers rising from around 5.4 million to over 6.1 million. It discusses the importance of safe, high-quality and affordable cataract surgery and lists equipment and technologies needed to properly perform surgeries. It also discusses metrics like intervention ratio, pre-and post-operation vision to measure quality of care, and suggests separating free/subsidized care from paid services to better serve different populations. Quality is defined as discipline, preparedness, affordability and doing things right even when unobserved.

3. 6400000
6200000
6000000
5800000
5600000
5400000
5200000
5000000
4800000
2007-08
2008-09
2009-10
Cat. Sx
2010-11
2011-12
2012-13
2013-14
2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14
Cat. Sx 5404406 5810336 5810684 6032724 6349205 6302894 6103062

4. < 6/60 = Visual rehabilitation
6/36 to 6/18 = Visual improvement
6/12 to 6/9 = Vision enhancement
Good SICS Vs. average Phaco

6. Safe Predictable High Quality Cataract Surgery
with Invitingly affordable pricing and
comprehensive ophthalmic care
is the way forwards
• Good Microscope
• Good Phaco machines
• Biometery
• Recording system
• Betadine drops
• ETO sterilisation
• Intra cameral injection
• Good fluids
• And Disposables.
• OCT
• HVA
• DFA
• Specular
• DFP Optos

11. • It gives a 10 micron
imaging of the retina and
the optic nerve and can
be performed by a
technician
• Its gives us valuable
information regarding
angle and cornea and
assessing glaucoma
l A non-contact tonometer l Humphrey Visual Filed Analyzer
l DFA l DFP Optos l Specular Microscope

12. A product is not quality because it is hard to make
and costs a lot of money.
This is incompetence.
Customers pay only for what is of use to them and gives
them value.
Nothing else constitutes quality.
— Peter Drucker
Quality is no Rocket Science
Purist makes it exclusive and elusive
Practically quality has to be affordable

14. It Speaks of a disciplined hospital
Preparedness
of the system to serve
Completeness
of Doctors, Paramedics, Instruments, Infrastructure to serve
Belonging and motivation to serve
Affordable Transparency
to sustainable growth

15. Beginners
work free
Low
expectations
Poor
quality

17. Simple MIS: l C1: Appointments, Registration and Billing
l C2: Medical Data entry l C3: Medicine Spectacle shop
l C4: Ward, OT, Stocks, Administration
• Intervention Ratio
• Number Vs. Quality care
• Compliance and follow-up
• Vision at intervention
• Vision after intervention

19. Many organisation follow a
companionate approach
where earning from the
privileged serve the
underprivileged with the
onus on the organisation
It could be better to tier them into two separate hospitals in the
same infrastructure where the free subsidized hospitals works in
the non-prime time morning with the beginners and the lesser
known doctors.
Where as senior and branded consultants from outside (on fee
for service basis) can offer quality services in afternoon
surgeries and evening practices.

20. Quality means doing it right when
nobody is watching
— Henry Ford