Keerti Bhusan PradhanHealthcare Management Advisor

Current Eye Care Scenario in North India

No major private institutes in eye care Over last decade eye care chains have

definitely come up However they are hospital chainsNo institute has come up in last 25 years

which offers capacity building initiatives for eye care human resource development

All this points to the need for good eye care institutes in North India

Myriad Activities of an Institute

Group Practice-Coming togetherAn effective strategy for meeting the evolving

demands of an increasingly complex health care market.

Strategic Advantages of Group Practice

Group Practice Allows Sharing of Resources

Group Practice Findings• Practices with a strong information culture favor

electronic data systems and formal programs that provide comparative or evidence-based data to enhance their clinical practices

• Those with a quality-centered culture appear to prefer patient satisfaction surveys to assess the quality of their care

• Practices that are more business-oriented rely on bureaucratic strategies such as benchmarking and physician profiling

• Practices with a highly collegial culture appear to rely on informal peer review mechanisms to assure quality rather than any of the structural programs

Necessary Character Traits For Solos • An entrepreneurial mindset• Willingness to have the buck stop with you – both

financially and with treatment decisions. • Independent spirit and willingness to be

innovative• Willingness to work whenever, wherever,

however• Willingness to be the only doctor on your block

getting to the hospital in the middle of a heavy rain

• Willingness to market your practice

Solo PracticeAdvantages DisadvantagesIndependence: Freedom to

operate every facet of the business as you see appropriate.

Hours: Statistics show that solos work less during the workweek than physicians in group practice do. But solos tend to work more on the weekends than do group practice physicians.

Money. Whatever you make is yours.

Doing everything: You may have to do things you have never done before, as well as tasks you may not be good at doing and also tasks that the office staff ordinarily does at a larger practice.

Time: Long weekend and evening hours translate into less time for your spouse and children, as well as less vacation time, at least initially.

Lack of coverage for emergencies and during illness

Initial cost of set-up. Reimbursement rates for solos

are not always as high as they are for members of a group.

Centre of ExcellenceA center of excellence refers to a team, a

shared facility or an entity that provides leadership, evangelization, best practices, research, support and/or training for a focus area

It may also be known as a competency center or a capability center

Such a center may bring together faculty members from different disciplines and provide shared facilities

Path Forward

To ponder on How can I better leave a legacy? What is your succession plan?What is your thought of making a beginning

on this?Can we have a vision of Eye Care Institutes

and CoEs in Northern India ?