Dr. G.

Venkataswamy

In 1976 Dr.V, feeling the urgent need, started an eye clinic with 11 beds, to create an alternate, sustainable eye care system to supplement the governments efforts

Genesis

Began here- as an 11 bedded clinic in 1976

Small team with a big mission Money

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Aravind Eye Hospitals (4000 Beds)

Amethi (UP) - 2005
Kolkatta (WB) - 2001

Pondicherr y (2003) Tami l Nad u

Coimbatore (1997)

Theni (1984)

Tirunelve li (1988)

Madurai (1978)

S y S T E M S &

Core Principles in delivering health care

Reaching the People Efficient Service

S y S T E M S & P R O C E

P R O C E 3/7/13

PATIENT Giving CENTRED Financial Value CARE Sustainabilit y

Vision Centre

(Primary Eye Covers a Care) population of 50,000 Staffed by Ophthalmic technicians Active case finding at community level Linked to Base Hospital

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Low Cost Wi-Fi 802.11b Connectivity (open spectrum)

Unidirectional antenna Line of Sight 4 MBPS Up to 75 KM

Collaboration with Univ. of Berkeley

(PhD students)

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Primary Eye Care IT Enabled Centers 30 in Tamilnadu

Wireless connectivity @ 4mbps Consultation with Ophthalmologist at Aravind Eye Hospital

Examination by Vision Centre Technician

Marratech Software for teleconferencing collaboration

Each patient examined at the Vision Centre is discussed with 3/7/13 the Ophthalmologist through videoconferencing

Impact

Dramatic Reductions in cost Access to good eye care Increased coverage Currently 12 will become 26 by year end Replicated in
Baramati, Tripura

Scalability:

Maharashtra (Intel)

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(Govt. of Tripura & India) will be scaling it up to 60 locations

Patient Statistics 2007 - 08

Paying Free Total

Out Patient visits Surgery

1,321,317 (55%) 122,900 (43%)

1,074,783 (45%) 162,845 (57%)

2,396,100

285,745

Cataract Surgery: 70% is free

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Productivity

Volume Handled Per Day

6000 Outpatients in hospitals 4-5 outreach screening eye camps

Examining

1500 people 300 patients to the hospital for

Transporting

surgery

850 1000 surgeries

eye care services and trainer of ophthalmic personnel in the 3/7/13 world

Classes for 100 Residents/Fellows & 300 Making Aravind the largest provider of technicians and administrators

Ensuring Efficiency & Quality

Practices

Clinical Protocols Standardization of procedures Usage & Balancing of Resources Surgical Techniques & Technology Quality & reliability of resources Medical records Staff Training & Discipline
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Resource Balancing

Quantum & Quality of resources Balance between resources Appropriate use reduces cost Maintaining the resource quality (skill) at the required level Eliminate non-productive activities & waiting time

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Comparison of surgeon productivity

Ba In ng Th Ar do la ai av In ne de la in di sia nd sh d a

Bar 1 Bar 2

500 1000 1500 2000 2500

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State-of-art technologies in surgery

Less energy required for doctor Greater safety Ease of use

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Planning for Expected load & Monitoring

Yearly/Monthly Planning Planning for the next day scheduling patient, staff & equipment Planning for supplies & spares Ensuring that resources match expected workload
Expected Weekly

Patient load

report report
1515

Monthly
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Quality

Quality always current

Early adoption of relevant technologies Skills & Perspectives upgraded through international visits and Exchange of exchanges

Residents with the leading US institutions Continuous improvements based on patient & employee feedback

Giving value

Using emerging technologies to reduce the response time to patient complaints Quality Assurance process
Gathering

evidence
Regular review
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Use of Wi-Fi PDAs by Housekeeping staff

& follow-up on decisions

Teaching & Training

Technicians Ophthalmologists Administrators

Affiliations: MCI, NBE, RCO-UK, JACHPO-USA, MGR Medical & MKU Universities
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Backward Integration

Mission & Objectives

Produce quality products Provide at affordable cost Support avoidable blindness effort Self sustain and grow

In eighties all surgical consumables were imported & expensive

Aurolab was started in 1992 to produce intraocular lenses (IOLs)

Turning apparent disadvantages into realized opportunities

Intraocular Lens Division

Pharmaceuti cal Division

Suture Division Instruments Division

Blades Division

Making Eye Care Affordable down Impact: Price of IOL came

from $ 80 to $ 4 making cataract surgery affordable

ISO 9001/CE Mark/US FDA approval 7% of global market share in IOL 5 million people see the world through Aurolab implants Patents
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Exported to 120 countries

Aravind Medical Research Foundation

Microbiology

Community based

Clinical trials

Epidemiological surveys Genetics

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Aravind Eye Care System

Trainin g Eye Bank Hospit als Aurol ab

Aravind Eye Care System LAIC O

IT Resear ch
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Out Reach

Intelligence & Capabilities are not enough. There must be the joy of doing something beautiful.. Dr.V

3/7/13

Thank You