ARAVIND EYE

CARE SYSTEM
Operations Management Case
Study
By
Milan Sachdeva 13P085
VIDEO
http://www.youtube.com/watch?v=3cjnNPua7Ag
BITTER REALITY!
About 12 million people blind in India
80% due to cataracts
Cause: Age, solar incidences, eating habits, diabetes, genetic
factors

Loss of sight can be greatest tragedy next to death, yet, hundreds of
thousands of people in the world are suffering from blindness.
- Dr. Govindappa Venkataswamy
ARAVIND TIMELINE
1976
First Aravind Hospital
11 beds
1977-1978
100 beds
1984
400+ beds
3 operating theatres
1985-2003
4 more satellite
hospitals
Free patient capacity
> Paying Ones
Serving around 30
mn rural population
CHALLENGES IN CURRENT EYE CARE
SYSTEM
Lack of optimum utilization of resources

Poor customer satisfaction

Prolonged waiting time

Poor morale of the team
ARAVIND SYSTEM
4 tertiary hospitals
6 secondary hospitals
2 City Centers
3 Community Clinics
40 Vision Centres
52%
13%
12%
8%
15%
Aravind Eye Care System
Paying Hospitals
Vision Centres and
Community Centres
Comprehensive Camps
Other Camps
Free Hospitals
ARAVIND WORKING SYSTEM
A day at Aravind
6000 outpatients
1000-1300 surgeries
5-6 outreach camps
500-600 Telemedicine Consultations

3700 Staff
150 Medical
Officers
2000 paramedics
Over 200 doctors
in training
Over 700 other
staff
NHS*-UK VS ARAVIND


0
200000
400000
600000
No. of Eye
Surgeries
NHS - UK
Aravind
0
20
40
60
80
Ophthalmologists
Graduating Annually
NHS-UK
Aravind
0.00
1.00
2.00
Cost of Delivering
Eye Care (in
billions)
NHS - UK
Aravind
(*National Health Service Main provider of healthcare in UK)
WHY IS THE COST OF NHS 100 TIMES
MORE
Efficiency

Clinical processes

Cost of Supplies

Regulation

Defensive Medicine
Cost at
NHS-
UK
Cost at
Aravind
OPERATIONS CONCEPTS USED
Assembly Line Production
Standardization
Design
In-house Manufacturing
Forecasting
Review
ASSEMBLY LINE PRODUCTION
Two beds exist
side by side
Surgery Starts
on one bed
Other bed is
being prepared
Surgery Ends
Surgeon pass
to the the
microscope on
the other table
High Productivity
No. of Surgeons 1%
No. of Cataract Surgeries
5%

No. of Annual Surgeries
2000
National Average 500


STANDARDIZATION OF PROCEDURES
AND PROTOCOLS
Out-patient Examination Procedures
Admission Procedures
Surgical Procedures
Discharge Procedures
House Keeping
Medical Records Department
Transparent Price Structure
DESIGN
Specialized Units
All services are provided in one unit
Decreased Waiting Time


Clinical Layout
Separate flow for New and Review Patients
Proximity to supporting clinics
Minimizing patient and staff movement

General Units on the ground
floor
Below 40 in Unit 3
Cataract Clinic for post-op care
Contact Lens Clinic/Optical
Shops
Cash Counters
Counseling Units
IN-HOUSE MANUFACTURING
Manufacturing of intraocular lenses and other surgical items
Reduced Cost
Increased Affordability

Ensured Appropriate eye care services for all
FORECASTING
OPD:
Patient Forecast
Tracking availability of doctors

Surgical Services and Ward:
Surgery Schedule SMS
Ward Monitoring Tool
Consumables Planning
REVIEW
OPD:
Clinical Performance Report
IPD:
OT Performance Report
Quality Report
Financials:
Revenue Cycle
Corporate Cases
Outreach:
Camp Consolidated Reports
Individual Camp Report
COMPLEMENTARY STRUCTURES
The Lions Aravind Institute of Community Ophthalmology
Aravind Medical Research Foundation
AuroLab
Eye Camps
Diabetic Programs
CONCLUSION
Efficient Resource Management
Improved Productivity
Deliver high quality services
Low costs

Model can be replicated to other aspects of health care where
customization required is minimum and standardization of
processes is possible



THANK YOU