“ restoring vision to millions” Aravind
 
 
 
200 Million  need eye care in India Less than 10%  have access
Aravind Eye Clinic Founded in  1976 Aravind Eye Clinic Founded in  1976
Aravind Eye Care System, 2011 Madurai Theni Tirunelveli Pondicherry Coimbatore 4000 beds in 4 tertiary  eye hospitals  36 ...
40% 60% 300,000 surgeries 2.5 million patient visits
A day at Aravind... <ul><li>850 – 1000 surgeries </li></ul><ul><li>6,000 Outpatients in hospitals  </li></ul><ul><li>5-6 o...
Building Blocks of Aravind Dr. G. Venkataswamy Value System Delivery System Innovation
The Value System
The Delivery System
The need to innovate <ul><li>Market conditions at the ‘bottom of the pyramid’: </li></ul><ul><li>Large underserved  popula...
Breaking the access barriers <ul><li>2010: </li></ul><ul><li>1384 screening eye camps </li></ul><ul><li>316,148 patients e...
Effectiveness of screening camps? <ul><li>We reached only 7% of those in need of eye care 1 </li></ul><ul><li>Those with r...
Primary Eye Care Centres <ul><li>36 centers covering a population of 2 million </li></ul><ul><li>300,000 patients seen so ...
Impact – reaching the unreached <ul><li>Increased awareness </li></ul><ul><li>Influencing health-seeking behaviour </li></...
Efficiency Surgical Productivity Scenario A B Surgeon 1 1 Tables 1 2 Scrub nurse 1 2 Instrument sets 1 6 Surgeries/hour 1 ...
Aravind (Wo)manpower <ul><li>300+ village high school girls selected each year </li></ul>
 
60% of Aravind’s workforce <ul><li>Perform most of the routine clinical tasks </li></ul><ul><li>Thus allowing doctors do w...
PRODUCTIVITY OF AN EYE SURGEON Indonesia Thailand Bangladesh Aravind India 0 500 1000 1500 2000 2500 Surgeries per year
Surgical Quality 2 2  “Fortune at the Bottom of the Pyramid” by C. K. Prahalad Adverse Events During Surgery Aravind, Coim...
Making it affordable <ul><li>For the patient & the community </li></ul><ul><li>For Aravind (to be sustainable) </li></ul><...
What we did <ul><li>Gave away a lot of it free </li></ul><ul><li>Charged market rates for those who can pay </li></ul><ul>...
Financial Results Year: 2008-09 Income:  US$ 22 Million  Expenses & Depreciation:  US$ 13 Million  EBITA:  39%  Through a ...
“ Eliminating needless blindness” requires going beyond Aravind Creating competition Making eye care affordable worldwide
Creating Competition  “to eliminate needless blindness” 270 Eye Hospitals worldwide
Impact of Capacity Building Process Cataract Surgery (40 Hospitals) 52506 Cost  Recovery 60% 91445 Cost  Recovery 90% 7699...
Established in 1992 to address the high cost of ophthalmic supplies which had to be imported
Making Eye Care Affordable <ul><li>Used in 120 countries </li></ul>Price of IOL came down from $ 100 to $ 2 – making catar...
Sustainability <ul><li>Core Services </li></ul><ul><li>Leadership </li></ul><ul><li>Financial Viability Community Support ...
Insights <ul><li>Large population  </li></ul><ul><li>Cost-effective interventions </li></ul><ul><li>Cuts across all econom...
“ Intelligence and capability is not enough There must be the joy of doing something beautiful” - Dr. G. Venkataswamy
Upcoming SlideShare
Loading in …5
×

Preethi John, Aravind Hospital

2,351 views

Published on

0 Comments
4 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
2,351
On SlideShare
0
From Embeds
0
Number of Embeds
44
Actions
Shares
0
Downloads
1
Comments
0
Likes
4
Embeds 0
No embeds

No notes for slide

Preethi John, Aravind Hospital

  1. 2. “ restoring vision to millions” Aravind
  2. 6. 200 Million need eye care in India Less than 10% have access
  3. 7. Aravind Eye Clinic Founded in 1976 Aravind Eye Clinic Founded in 1976
  4. 8. Aravind Eye Care System, 2011 Madurai Theni Tirunelveli Pondicherry Coimbatore 4000 beds in 4 tertiary eye hospitals 36 primary eye care centers 2 managed eye hospitals 3 secondary eye hospitals Tamil Nadu
  5. 9. 40% 60% 300,000 surgeries 2.5 million patient visits
  6. 10. A day at Aravind... <ul><li>850 – 1000 surgeries </li></ul><ul><li>6,000 Outpatients in hospitals </li></ul><ul><li>5-6 outreach camps </li></ul><ul><ul><li>1500 examined </li></ul></ul><ul><ul><li>300 transported to base for surgery </li></ul></ul><ul><li>500 – 600 Telemedicine Consultations </li></ul><ul><li>Classes for 100 Residents/Fellows & 300 technicians and administrators </li></ul>Making Aravind the largest providers of eye care services and trainer of eye care personnel in the world
  7. 11. Building Blocks of Aravind Dr. G. Venkataswamy Value System Delivery System Innovation
  8. 12. The Value System
  9. 13. The Delivery System
  10. 14. The need to innovate <ul><li>Market conditions at the ‘bottom of the pyramid’: </li></ul><ul><li>Large underserved population </li></ul><ul><li>Resource scarcity (Capital and HR) </li></ul><ul><li>Dispersed population </li></ul><ul><li>Low affordability </li></ul><ul><li>Poor logistics </li></ul>(Based on analysis by Prof. C K Prahalad)
  11. 15. Breaking the access barriers <ul><li>2010: </li></ul><ul><li>1384 screening eye camps </li></ul><ul><li>316,148 patients examined </li></ul><ul><li>58,665 spectacles dispensed </li></ul><ul><li>74,700 surgeries performed </li></ul>
  12. 16. Effectiveness of screening camps? <ul><li>We reached only 7% of those in need of eye care 1 </li></ul><ul><li>Those with rarer eye conditions were not addressed </li></ul>1 “Low uptake of eye services in rural India”; Astrid E. Fletcher et al; Archives of Ophthalmology Vol 117, Oct 1999
  13. 17. Primary Eye Care Centres <ul><li>36 centers covering a population of 2 million </li></ul><ul><li>300,000 patients seen so far </li></ul><ul><li>40% penetration within the first year </li></ul><ul><li>Everyone receives telemedicine consultation </li></ul><ul><li>Online health records </li></ul><ul><li>91% of them received full care at the center </li></ul>
  14. 18. Impact – reaching the unreached <ul><li>Increased awareness </li></ul><ul><li>Influencing health-seeking behaviour </li></ul><ul><li>Creating access </li></ul><ul><li>Community participation </li></ul><ul><li>Growing the market (reaching the unreached) </li></ul>ARAVIND EYE CARE SYSTEM
  15. 19. Efficiency Surgical Productivity Scenario A B Surgeon 1 1 Tables 1 2 Scrub nurse 1 2 Instrument sets 1 6 Surgeries/hour 1 6 - 8
  16. 20. Aravind (Wo)manpower <ul><li>300+ village high school girls selected each year </li></ul>
  17. 22. 60% of Aravind’s workforce <ul><li>Perform most of the routine clinical tasks </li></ul><ul><li>Thus allowing doctors do what they are best at - diagnosis & surgery </li></ul><ul><li>Results in higher quality, productivity and lowers cost </li></ul><ul><li>The lives of these young women are vastly improved </li></ul>
  18. 23. PRODUCTIVITY OF AN EYE SURGEON Indonesia Thailand Bangladesh Aravind India 0 500 1000 1500 2000 2500 Surgeries per year
  19. 24. Surgical Quality 2 2 “Fortune at the Bottom of the Pyramid” by C. K. Prahalad Adverse Events During Surgery Aravind, Coimbatore N=22,912 UK National Survey N=18,472 Capsule rupture and vitreous loss 2.0% 4.4% Incomplete Cortical Clean up 0.75% 1.00% Iris Trauma 0.3% 0.7% Persistent Iris Prolapse 0.01% 0.07% Anterior Chamber Collapse 0.3% 0.5% Loss of nuclear fragment into vitreous 0.2% 0.3% Choroidal Haemorrhage ------ 0.07% Loss of intra Ocular lens into vitreous 0.01% 0.16% Aravind’s complications are less than half of those in UK
  20. 25. Making it affordable <ul><li>For the patient & the community </li></ul><ul><li>For Aravind (to be sustainable) </li></ul><ul><li>When most can’t pay </li></ul>ARAVIND EYE CARE SYSTEM
  21. 26. What we did <ul><li>Gave away a lot of it free </li></ul><ul><li>Charged market rates for those who can pay </li></ul><ul><li>Were helped by market inefficiency </li></ul><ul><li>Had the MINDSET </li></ul>
  22. 27. Financial Results Year: 2008-09 Income: US$ 22 Million Expenses & Depreciation: US$ 13 Million EBITA: 39% Through a unique fee system & effective management, Aravind provides free eye care to 60% of its patients Free (Camp) 33% Paying 45% Free (Direct) 22% Surgery mix in 2008 -09
  23. 28. “ Eliminating needless blindness” requires going beyond Aravind Creating competition Making eye care affordable worldwide
  24. 29. Creating Competition “to eliminate needless blindness” 270 Eye Hospitals worldwide
  25. 30. Impact of Capacity Building Process Cataract Surgery (40 Hospitals) 52506 Cost Recovery 60% 91445 Cost Recovery 90% 76995 Capacity Building
  26. 31. Established in 1992 to address the high cost of ophthalmic supplies which had to be imported
  27. 32. Making Eye Care Affordable <ul><li>Used in 120 countries </li></ul>Price of IOL came down from $ 100 to $ 2 – making cataract surgery affordable 10 million people see the world through Aurolab’s lenses 7% of global market
  28. 33. Sustainability <ul><li>Core Services </li></ul><ul><li>Leadership </li></ul><ul><li>Financial Viability Community Support </li></ul>
  29. 34. Insights <ul><li>Large population </li></ul><ul><li>Cost-effective interventions </li></ul><ul><li>Cuts across all economic strata </li></ul><ul><li>Equity issues </li></ul><ul><li>Cost control </li></ul><ul><li>Efficiency </li></ul><ul><li>Focus on quality </li></ul><ul><li>Patient centred care </li></ul><ul><li>Productivity </li></ul><ul><li>Achieving scale </li></ul>Compassion Owning the Problem Conditions Solutions
  30. 35. “ Intelligence and capability is not enough There must be the joy of doing something beautiful” - Dr. G. Venkataswamy

×