Day Care Centers – Small Is Beautiful

NSD RajuRanjini Eye Hospital (India’s first NABH

Accredited SHCO )

• I have no financial interest or relationships to disclose

Day care Ophthalmic surgical Center

Small Health Care Organization ( SHCO)

Ambulatory Ophthalmic Surgical Centre

Ambulatory Ophthalmic Surgical Centre

• Out patient ophthalmic surgery • Most surgical procedures • Cataract surgery forms the bulk

of Ophthalmic surgery• Vitreoretinal surgery• Oculoplastic surgery

Location Area and Ambience

• Preferably open space• Accessibility• Parking facility• Adequate built up area

usually 2000 – 6000 sq.ft

Components of the Ophthalmic Clinic- the Reception

• One of the most important divisions Wide enough to handle inflow• Registration process• Adequate number of receptionists• Reduce waiting time smooth registration

The Waiting Areas

• Primary area large enough to handle inflow • Secondary waiting area - to preliminary

screening and to consultants • Comfortable seating

Preliminary Screening Areas

• Easily accessible from waiting areas • Vision• Autorefraction and refraction• Non contact tonometry

Designing the Consultation Rooms

• Number of consultants • Placement of equipments ophthalmic unit • Comfortable seating arrangements

Designing the Consultation Room

• Enhance the ambience • Diffused lighting• Pleasing soft music

Designing the consultation Room

• Ensure easy access of ophthalmoscope and lenses

• Enough room for nursing staff to assist

Investigation Areas

• Ideally located in separate rooms same nearby locatio• Automated perimetry• Imaging services Fundus Camera OCT• Corneal topography Patient counseling room

The surgical Suite

Design with care and caution Single complex Reception AreaBuffered by pre sterile area separate from OPD

II floor all in one complexPre operative and post operative care Sterilization , digital scrubbing adjacent to O R

Ultra clean Operation Room

Ultraclean O RMost crucial componentHEPA filter SystemHigh Atmospheric PressureHermetically sealed doorSensor controlled

Efficiency Enhancing Measures- Electronic Medical Record (EMR)

• Enhanced efficiency -Patient data , clinical, diagnosis ,treatment outcome etc

• Networking system 5 consultants and departments

• Imaging, Perimetry results direct to EMR• Accessible to all

NABH Accreditation

First Accredited Day Care Ophthalmic Centre Benchmark withWorld class quality CareEnhanced Medical tourism patronageInsurance company recognitionEmpanelment in CGHS and ECHS Complete conversion to EMR

Other Measures

• MOU with Hospital for Patients needing admission/emergency

• Arrangement for ambulance Facility

Conclusion

Success storyClinical efficacy and usefulnessState of the art world class surgical careImportant modality

Thank You