Case : Aravind Eye Care System(AECS)

Prepared by: Dipesh Patel - 3903865 Hemant Patel 3903863 Kashyap Patel 3903856

Hospital Profile:
 Goal: Quality Care at Reasonable cost.  AECS founded in 1976 with 11-bed Facility by Dr. Govinda Venkataswamy (Dr. V) in Madurai.  AECS performed all type of Eye surgeries.  In 1978, a 70 bed free hospital was opened for poor to provide high quality of service.  In 2004 AECS comprised Eye care facility at Madurai, Theni, Tirunelveli, Coimbatore and Pondicherry.

Aravind Eye Care System(AECS)

Hospital Profile (Continue.)

 Statistics-year 2004. Outpatients Visits : 16,35,599. Surgeries : 2,28,894. Free eye camps : 1,271.  Each day statistics. Outpatients Visits : 4481. Surgeries : 627. Free eye camps : about 3.
Aravind Eye Care System(AECS)

Facts:
 More than 20 millions Blind peoples in India and only 4 million surgeries are performed every year.  Over 75% blindness is due to cataract.\  Two types of cataract surgery: 1) ICCE (Intra Capsular surgery), 2) ECCE(Extra capsular surgery).  Infection rate- 4 per 10,000 where 6 per 10,000 in UK.  20% 0f population need glasses.  1% has cataract.
Aravind Eye Care System(AECS)

Operation:
 AECS has two section: 1) Main Hospital is for Paid Patients, 2) Other is Free Hospital for Nonpaying Patients.  Series of Steps: Registration Recording vision Preliminary Examination Testing of Tension & tear duct function
Aravind Eye Care System(AECS)

Operation Excellence:
 Two section were same in few aspects and also different in few aspect.  Operation Theatre - Arrange two table side by side (reduces surgery time from 30 minutes, industry standard, to 10 minutes).  Organizes camp to attracts rural patients (Patients go additional process of B.P. and urine sugar test).  Recruit nurses from near by villages (hunger to do something, not trained as nurse, not able to get job elsewhere).
Aravind Eye Care System(AECS)

Less Time Cycle:

 Arrange two table side by side in Operation Theater.  Aravinds Doctors performs 400 surgeries per month per Doctor as opposed the average of 25 surgeries per month.  Aravind Doctors works 60 hours per week as opposed to 30 hours per week in other premises.  This shows higher productivity of Doctors.

Aravind Eye Care System(AECS)

Improved Cost structure:

 In 1991, By taking decision of producing their own IOLs(inocular lens), they reduced their price of IOLs form Rs.800 to Rs.200 in .  Also planning to reduce the price 100 per IOLs as factory improved its working.

Aravind Eye Care System(AECS)

Improved Asset Utilization:

 Case clearly mentions that when a doctor is operating one patient , the surgical team next operation table ready by side.  Thus cycle time is reduced here and they make maximum utilization of available resources.  Also , the valuable time of surgeon is used properly.

Aravind Eye Care System(AECS)

Role of Operation in meeting vision

 Cost cutting (Factory startup, mass surgery).  Reduced time per patients (infrastructure, management).  Mass surgery (Help in achieving higher surgery everyday).  Camp organized in rural areas (attract patients to come forward with their problem).  They are using Availability and Affordability Strategy.
Aravind Eye Care System(AECS)

Advantages:
 Reduced cost.  Increase output.  Save time.  Affordable to every one.

Aravind Eye Care System(AECS)

Disadvantages:
 Capital Requirement.  Organizational management (Organizing camps).  Skilled manpower.  Cooperation between employees at different hierarchy level.  Mass awareness  To retain its doctor

Aravind Eye Care System(AECS)

Replication of systems:

Women s health and children s health, cancer.

System can also replicate for retail management, telecommunication and manufacturing

Aravind Eye Care System(AECS)

Delivering the vision of hospital:

 60 hours a week instead of 30 hours, industry standard, started doing 400 operation per month by one doctor instead of 25.  Proper Infrastructure: allows doctors to do more operation in less time.  Cost cutting Set up their own factory to manufacture lenses that brings price down from Rs.800 to Rs.200.

Aravind Eye Care System(AECS)

Aravind Eye Care System(AECS)

Aravind Eye Care System(AECS)