arvind eye hospital_final

8/8/2019 Arvind Eye Hospital_final

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ARAVIND

EYE

HOSPITAL

GROUP G

Ankush Kumar G uptaHarish R ammohan GAmrit AgarwalMayur Kumar LakhmaniNeetisha AryaP ritha S harma


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Aravind Eye Hospital

Aravind Eye Hospital is an eye hospital committed to thegoal of elimination of blindnessEstablished by Dr. Govindappa Venkataswamy in 1976 in

MaduraiStarted with 20 beds, only three surgeons &all types of surgeries30-bed annex added in 1977

70-bed free hospital opened in 1978Biggest hospital of its kind with 1224 beds in 1992Branches in Madurai, Theni, Tirunelveli and Coimbatore


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Dr. Venkataswamy & AravindDr. V founded Aravind Eye Hospital to fulfill hischerished dream of establishing a private non-profiteye hospital

Dr. V, his sister Dr.Natchiar and her husband, Dr.Namserved as pioneering doctorsDr. V mortgaged his house to fund the establishmentand then spearheaded its growth

Established facility to manufacture intraocular lensesContinuously encouraged doctors for qualityeducation, training and performance


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Role of Clerical Staff Ophthalmic staff work as follows:

Record vision of patientsNote doctor s preliminary diagnosis of the patientTest patient for ocular tension, tear duct function andrefraction testsAssist doctor in surgery

The staff is a dedicated team enjoying a symbiotic relation withthe hospital. It works devotedly towards the hospital andreceives a small amount of salary. However the hospital hastrained them from the scratch and thus given them a decentlivelihood.


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Blindness Problem

In 1992 30 million blind people in world, 20 million inAsiaBlindness rate in developed countries 0.15% - 0.25%Blindness rate in developing countries 1.5%Cataract is the major problem in developing countries,

accounting for 75% cases in AsiaIndiaIn 1991: 20 million blind people, with addition of 2millionannually

Major problem : Cataract8000 ophthalmologist, 42,000 hospital beds, skewedtowards urban areas$200mn required to establish requisite infrastructure60%patients cannot afford surgery


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Operations at The Main Hospital

Functioned independentlyMajority of all patients at this hospital underwent paidtreatment

Complicated cases from Free Hospitals brought in hereCost of cataract surgery inclusive of post-op care costbetween 500-2500 depending on its typeHospital provided 3 different classes of rooms withvarying privacy levels & facilities


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Operations at The Main Hospital

Process of treatment is as follows: Ophthalmic assistants recorder each person s vision Preliminary examination by doctor

Assistants tested patients for ocular tension and tear ductfunction, & conducted refraction tests Final examination by senior medical officer

On day of surgery, patient was awakened early, given a lightbreakfast and readied for surgery2 patients operated upon simultaneouslyAbout 40 patients at some preparation level at the same timeTime per cataract surgery took around 15-20 minutesSmooth, steady, uninterrupted operations overall


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The Free Hospital

Out patient facilities were less organizedcompared with Main Hospital.

Most of the surgeries at Free Hospital were of the Intracapsular (ICCE) typeExtracapsular (ECCE) was performed onlywhen ICCE was not possibleOperating Theaters appeared more crowdedand cramped


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The Free Hospital

Very quick operation time A team of 5 surgeons and 15 nurses could operate

on about 30 cases an hour

Free hospitals did not have beds but bamboo/coir mat was spread on floor as bedPeople from same or nearby villages wereusually accommodated in same room


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Operations at a typical eye campConducted with the help of the local communityLocal sponsors spread information to neighboring communitiesAll costs (eg. Publicity, food, patient transportation etc. ) paid for by sponsorsCost of surgery borne by The Aravind Eye HospitalPatients visiting the camp were first screened. The process was as follows:

R egistration Vision recording Preliminary examination Testing of tension and tear duct function R efraction Final examination by a senior medical officer Optical shop

Patients selected for surgery underwent further blood n sugar testsThey were finally sent to the nearest Aravind Eye Hospital for surgery andwere dropped back at the camp site after 3-4 daysA follow-up check-up was conducted about 3 months post the surgery


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Changes in number of surgerypatients over the years

0

5000

10000

15000

20000

25000

30000

35000

1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991

Paying

Free

Camp


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Proportion of patients screenedby location in 1991

66.87%

24.99%

8.14%

ad rai

Tir nelveli

Theni

Total n mber of patients screened = 1,13,860


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Total number of patients screenedby location in 1992

72.27%

21.12% 6.61%

P roportion of paying patients

Madurai

Tirunelveli

Theni

65.92%

26.83% 7.25%

P roportion of patients given free treatment

Madurai

Tirunelveli

Theni

Total number of patients = 1,89,992Total number of patients = 1,49,332


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Problems FacedDespite recommendation for surgery people didn t turn upRE ASO N:

Affordability, fear, no one to accompany, familyoppositionHigh cost of lens

SOLUTIO NS :Sponsors to bear costsTransported in groups

Developing support groupsProviding assuranceConstruction of a new factory


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Other Problems

Lack of propagandaExpansion

P roposed S olutions:More awareness should be createdTying up with NGO s

Finding people with similar interestsR aising more funds from corporatesUnique franchisee model


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Future growthP roposed S olutions :

R easonable increase in salariesOrganize workshops to recruit new peoplePassing on the culture to generate positivemotivesPromoting a sense to work for the society

Problems


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Tirunelveli and Theni

Not able to repay capital costsDependent on Madurai for equipment purchases

Occupancy rate of main hospital less than 25%in comparison with other better performingplacesP roposed S olutions :

Increase the frequency and efficiency of camps


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arvind eye hospital_final

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