Case : Aravind Eye Care System (AECS

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By: Shubha Brota Raha

Aravind started providing services to rich and poor alike. This vision led to Aravind accounting for 5% of total ophthalmic surgeries in India with less than 1% of India’s ophthalmic manpower. Thus Dr. Govindappa Venkatawamy (Dr. V coined the idea of mass marketing cataract surgeries. compassionate and quality eye care for all. V) in 1976 with the initial goal of providing quality eye care at reasonable cost. The new mission statement was to eradicate needless blindness by providing appropriate.AECS . .Case Facts Aravind Eye Care Systems (AECS) recognized as world’s most productive eye hospital. by Dr. something like what Mc Donald’s or Pizza Hut does. was founded in Madurai. India has more than 20million blind people and 75% blindness is caused due to cataract.

organizing rural camps to attract volumes of patients and in-house manufacturing of intraocular lenses have made quality care and productivity at affordable prices. efficient surgeons. Optimum use of its surgeons’ time. effective recruitment and training techniques for its nurses. ECCE is better but intraocular lens needed to be imported and thus used to cost Rs. Aravind started manufacturing intraocular lenses and with 50% defect rate its cost worked out to be Rs. .AECS . maintaining of high quality standards. ICCE – Glasses are provided after removal and natural lens and 2. With constant reduction in defect rate the cost is also going down. the hall mark of AECS. 200. ECCE – Intraocular lenses are inserted after removal of natural lenses.Case Facts There are 2 types of surgeries – 1. 800.

preliminary inspection.Q. Designing effective recruitment and training process for nurses – Ensures compassionate and quality eye care for patients. compassionate and quality eye care for all Role of Operations: Effective system to save time of its surgeons – Leads to increased efficiency and productivity (10min per surgery while industry standard is 30min) to ensure service to maximum patients (word ‘all’ in the vision). quality eye care service Manufacturing of intraocular lenses and other surgical items – Reduced cost. . Low infection rates – Leads to quality eye care service Division of labor and surgical process standardization (registration. increased affordability thus ensuring appropriate eye care service for all. final inspection and surgery) – Leads to increased efficiency and provides maximum patients (all).1. What is the vision of AECS? What is the role of operations in meeting it? Vision of AECS: Eradicate needless blindness by providing appropriate.

is not possible 2. child vaccinations. patients are treated on case to case basis and hence so much standardization. Advantage: The key advantage will be similar to AECS wherein economies of scale would not only make medical access to poor people more affordable but also make the healthcare organization profitable through adoption of Standard Operating Processes and through division of labour. Problems: 1. Willingness of doctors to work so many hours at lesser compensation packages is another concern 4. In case of most other aspects of healthcare.2 Can this system be replicated to other aspects of health care? What will be the problems and advantages? Replication: AECS model can be replicated to all those aspects of healthcare where customization required is minimum and standardization of processes is possible and also the volume of operations is high e. Wherever else standardization is possible. Caesarean births. etc. as in case of cataract surgeries. volume of operation is not very high 3.g.Q. Non-availability of low cost medical equipments/medicines/etc .

3. How do different elements at AECS work together to deliver the vision of Dr V? Operations • • • • Doctors perform surgeries at a very high efficiency rate and work for more hours than industry avg. . While a surgeon is working on one table. the surgical team keeps the other table ready Low infection rates ensured by medical team Medical teams follow standards operating procedures HR • Training rural girls without much educational background to become efficient nurses • Training of doctors • Recruit employees who have motivation towards social service Marketing • Organizing camps to attract more and more patients to ensure high volume of operations R&D • Constantly working to produce equipments in the AECS factory to bring cost further down.Q.

4. So there is a lot of scope in terms of automation and operations refinement. To fetch volumes. Even the doctors who joins under these constraints due to some need. All these activities have costs attached to them and AECS doesn’t have very high revenues to meet these costs constantly. Operations related problems – Constantly maintaining high quality service along with high efficiency and productivity is solely dependent on human skill at AECS. Cost of maintaining volumes – AECS model can succeed only when there is volume in operations.Q. leave after sometime commanding higher compensation. . they not only organize camps in rural areas on a regular basis but also bear some amount of cost required to transport patient to nearest Aravind. than industrial avg. Problems at AECS? Are they inherent or can be rectified? Availability and retention of skilled manpower – AECS model requires highly trained and efficient doctors and nurses who are willing to work for more hrs. at low compensation packages.