The Aravind Eye Hospital

7/27/2019 The Aravind Eye Hospital

1/14

The Aravind Eye Hospital

In service for sight

By

Shradha Devidan(11PGDM111)


2/14


3/14

Aravind Eye hospital Facts

12 million blind people in India. 75-80% due to cataract (About 9 million

people)

1.2 million cataract operations only done over a year. Medial infrastructure

to clear this backlog is inadequate.

Aravind Eye Hospital is committed to the goal of elimination of blindness

Established by Dr. Govindappa Venkataswamy in 1976 in Madurai

Started with 20 beds, only three surgeons & all types of surgeries

30-bed annex added in 1977

70-bed free hospital opened in 1978

Branches in Madurai, Theni and Tirunelveli by 1991


4/14

Services @ free and Paying Hospital

Main Hospital Free Hospital

Key Outcomes Servicing high volume ofsurgeries daily

Servicing high volume ofsurgeries daily

Specialised surgeons Specialised surgeons

Trained and motivatedadministrations and

support staff

Trained and motivatedadministrations and

support staff

Complicated surguries

from free hospitalhandled as well

Basic & routine surguries

State of art high end

equipment

Basic & essential

equipment


5/14

Main Hospital Free Hospital

Capacity Improvements Total 1471929 candidates screened

with 115290 surguries performed in16 years

Total 2184043 candidates screened

with 220409 surguries performed in16 years

Compounded Average growth in the

number of screening visits is 21.74%

& in number of surgeries is 33.77%

Compounded Average growth in the

number of screening visits is 42.22%

& in number of surgeries is 30.10%

Average surgery Time 15 minutes Average surgery Time 15 minutes

Fresh patients penetration = 47.46%

(1992)

Fresh patients penetration

= 64.23% (1992)

Delivery of Key processes Both ICCE & ECCE surgeries

conducted

Primarily ICCE surgeries conducted

Patients screened on basis of

treatment required

Patients screened on basis of

treatment required

Managing resources Three types of accomodation Class

A,B,C

Primary accomadation

Total Bed capacity is 564 Total Bed capacity is 1224

Bed occupancy (6 months -1992) is

57.80%

Bed occupancy (6 months -1992) is

73.77%


6/14

Role of clinic and support staff

Registration Vision RecordingPreliminary

examination

Testing of tension andtear duct function

RefractionFinal examination by

a senior medicalofficer

Camps: Optical shops ( as required) / sent to base hospital

Hospitals: Specialty cases/Optometry room/In-patientadmission for cataract surgery


7/14

Contd

Ophthalmic staff work as follows:

Record vision of patients

Note doctors preliminary diagnosis of the

patientTest patient for ocular tension, tear duct

function and refraction tests

Assist doctor in surgery

Ophthalmologist s pay: Rs 80,000


8/14

Contd

Nurses - Recruited and trained from scratch,not from the typical nursing school

The staff is a dedicated team enjoying asymbiotic relation with the hospital

Commitment and dedication to the mission ofAravind eye hospital drives them

Every saturday and sunday, teams of doctors

and support staff with diagnostic equipmentreached out to rural population through eyecamps


9/14

Dr Vs Role Founded this private, non-profit eye hospital to provide quality eye

care at reasonable cost.

Mortgaged his house to raise the capital required to start Highly motivated to serve the society in a big way - Reached out to

poor villagers

Dedication and devotion to the practice

Encouraged doctors to attend conferences, publish papers andadvance their professional standing in the field

Resolution to provide 100% IOL surgeries to all paying and freepatients

Goal is to spread Aravind model across India, Asia and Africa


10/14

Weakness in Aravinds model Performance In Eye Camps

293 campsorganized

Around 16people turn up

in hospital

Around 13surgeries a dayin Free hospital

331 campsorganized


in hospital


83 campsorganized


in hospital


Tirunelveli area Theni areaMadurai area


11/14

Problems:

Occupancy rate of hospital is unevenMon, Tues, Wendesday overflowing withpatients; Thurs and Friday slack

Inspite of improvements in facilities and

capacity, the Tirunelveli hospital was notfinancially self-sufficient; unable to repaythe cost of capital

Employees pay not on par as in the sector

Eye camps: How to organize, createpropaganda and plan logistics


12/14

Bed Occupancy data IssuesMain (Paying ) Hospitals Tirunelveli hospital Theni hospital

Bed capacity 200 40

Beds occupied per day on

average

51 10

Occupancy 25.5% 25%

Free Hospitals Tirunelveli hospital Theni hospital

Bed capacity 200 60

Beds occupied per day on

average

154 28

Occupancy 77% 46.6%

Madurai had high occupancy rate of 82% Maybe the paying class perceivedthese 2 satellite hospitals to be of lower quality.

Demand exists but not able to reach out to target community due to lack of

effective channels


13/14

Problems faced (Contd)Despite recommendation for surgery,

people didnt turn up in hospitalReasons:Affordability, fear, noone to accompany,

cost of lens, family opposition

Solution:1. Sponsors to bear costs2. Transported in groups3. Developing support groups

4. Providing assurance5. Construction of a new facility to reduce

costs of lens further


14/14

THANK YOU

Documents

The Aravind Eye Hospital