THE ARAVIND EYE

HOSPITAL, MADURAI, INDIA
: IN SERVICE FOR SIGHT

1 MILLION BY 2010  31.7 MILLION BLIND PEOPLE  9.6 MILLION BY 2020 .7 MILLION ARE RELATED TO CATARACT  2010-2020  24.BLINDNESS PROBLEM IN INDIA  1992  30 MILLION PEOPLE ALL OVER THE WORLD  12 MILLION PEOPLE IN INDIA  95% DUE TO CATARACT RELATED  2000  18.

G. 30 OTHERS .VENKATASWAMY IN 1976  20 BED HOSPITALS AND 3 DOCTORS  70 BEDS IN 1978  250 BEDS IN 1981  1992  240 HOSPITAL STAFFS. 30 DOCTORS.ARVIND EYE HOSPITAL  FOUNDED BY DR. 120 NURSES. 60 ADMIN PERSONNEL.

Service Sequence at Arvind Eye Hospital Registration Vision Recording Preliminary Examinatio n Refraction Test Tear Duct function Testing of Tension Final Examination .

600 Beds Madurai 400 Beds T-veni 100 Beds Thoni 400 Beds Coimbatore  TILL 1992. 3.K) AND SEVA (USA)  INTRAOCULAR LENS  $30 PER PIECE WHILE IMPORTING  NOW `200 WHICH WILL REDUCE TO ` 100 LATER  AURO LAB: 60000 LENS/YEAR  PROBLEM o MORE THAN FULL CAPACITY ON MONDAY. TUESDAY AND WEDNESDAY o SLACK ON THURSDAY AND FRIDAY .65 MILLION PATIENTS AND 335000 CATARACT OPERATIONS ARE DONE  90% OF FUNDS ARE SELF GENERATED AND REST COMES FROM RCSB(U.

stay.Main Hospital  Independent functioning  ICCE surgery cost – Rs 500 to Rs 1000  ECCE surgery cost – Rs 1500 to Rs 2500  Expenses include surgery. medicines etc  Patients guided at each step by several support staf  Dr. diagnosis and surgery . Venkataswamy also involved in guiding and support  Experienced doctors and support staf  Hassle free check ups.

monitored carefully  People from same communities placed together . if any. provided aphakic glasses  Complications. post-surgery.Free Hospital  Completely free  Mostly ICCE surgeries  ECCE if medically recommended  Dealt with more patients  Doctors and staf experienced and compassionate  Patients.

surgery and medicines  Support staf included hospital employees. college students and other volunteers . food and transportation of patients  Hospital pays for tests.Eye Camp  Multiple camps organized in several areas in Tamil Nadu  Conducted with help of local community along with a local sponsor  Sponsor pays for publicity.

Constraints in Turning up for examination Causes for Not Turning Up Percentage Remedies being used Still have vision. however diminished 26 Camps at peoples reach Cannot aford food and transportation 25 Camp sponsored Cannot leave family 13 Patients transported in Groups supported by volunteers Fear of surgery 11 No one to accompany 10 Family opposition 5 .

Manage the slack  Only critical tasks should be done by senior surgeons.How to scale up the Model  Use operations management techniques to spread out traffic to the whole day rather than through the morning only  Manage the 3 most busy days. routine tasks can be done by junior residents. use token/prior-appointment system. . Bring down the time per surgery from 10 minutes to 5-8 minutes per surgery.

Deeper Analysis into the Aravind Model  Economies of scale bring cost advantages  Model can be replicated wherever minimum customization is required and standardization of processes is possible  Recruit some nurses out of nursing colleges to save on training costs and get ready-to-go nurses  Use avenues other than eye camps to generate revenue streams  Doctors work 60 hours a week instead of 30 .

KEY SUCCESS DETERMINANTS  OPTIMUM USE OF SURGEONS TIME  EFFICIENT SURGEONS  EFFICIENT RECRUITMENT AND TRAINING OF NURSING STAFF  MAINTAINING HIGH QUALITY STANDARDS  ORGANIZING RURAL CAMPS TO ATTRACT VOLUMES OF PATIENTS  IN HOUSE MANUFACTURE OF IOL .

Recommendations  Scale up AuroLab and manufacture IOLs and sell them to competing eye hospitals like LV Prasad in Hyderabad. use NGO networks as well  Increase the fee on paid services to cover a larger base of the free service hospital  Generate an eye Bank on full scale  Use donations like LVP and make it a central part of your cash flows .  Increase community out reach.

Ideals must match too. .  New hospitals must be mentored by senior ophthalmologists to ensure quality in services provided.Franchise Aravind Hospitals  The revenue model must first ensure that the cost of capital at least must be recovered  Franchisee rights may be provided through competitive bidding to interested parties in neighbouring states  Franchisee’s financial ability must be assessed to gauge his ability to support a free hospital.