Transforming Eye Care - The Aravind Eye Hospital Story

The Aravind Eye Care System


The Aravind Eye Care System was established by Dr. Govindappa in 1976. The organisation is today one of the largest eye hospitals in the world. The hospital was built mainly to treat cataracts that contribute to loss of sight; today it continues to serve the same purpose and influence many other eye hospitals globally. Dr. Govindappa was motivated to start this hospital because India had no clinics to care for those many with eye problems (Karmali 2013).

Expansion of Organisational Procedures


The first hospital was established in Madurai with only twenty beds, six of which were for the patients who could not afford to pay hospital bills. Aravind designed a model which is currently used by many eye hospitals as efforts to eradicate the blindness issue. He also put in place the principle of McDonaldization – a process that was meant to deliver services universally (Mahajan 2015). Expansion of organisational procedures that are concurrent with the operation of the institution and financial support contributed to the success of Dr. Govindappa in creating quality output and services to patients.

The Fusion Scheme and First Planned Move


Initially, Dr. Govindappa was unable to raise funds to cater to indigent patients. With the assistance of the management team, his dream was realised, and in the initial years, the team provided services for those who could afford. The fusion scheme of putting together specialty health centres and cataract cure began taking effect. His first planned move for accomplishment was based on the establishment's motivation for dealing with impaired vision caused by cataract. The decision was based on the fact that cataract was the primary cause of sightlessness in India. Aravind reached out to the vast rural populations. He started as a Refraction Camp facility program that offered recommended spectacles to patients. The camp also incorporated the treatment of diabetic retinopathy, an eye problem caused by diabetes (Naldoo 2015).

The Hybrid Business Model


The second strategy was a hybrid business model. The model was meant to attain a measure of processes that corresponded to the standard of the test. Money was required to cater to the poor majority. Through the hybrid model, which involved the business of remunerating clients who wanted specified services, the team of doctors realized that there were many profits, comprising highly produced income. Collection of revenues was contrary to the option of providing a particular service to the needy patients. Eye screening camps were erected for the resolve of getting through to the poor rural inhabitants, while those who required surgery were transported to the infirmary. The fields, raised by facility groups, remedial crews, and public frontrunners, examined several people on a day-to-day basis (Rangan and Thulasiraj 2007, p.43).

Vertical Incorporation of Significant Industrious Efforts


Medical equipment and the staff were from Aravind, whereas food and mobilisation of those meant for surgery were done by communal cohorts, indigenous humanitarians, and benevolent establishments. Patients in need of operation were taken to the sanatorium by bus the next day so that they could be operated quickly. Paying patients contributed around forty percent and were given different services both in and out-patient. The unusual reaction was enhanced due to the abundant returns of paying patients, and this motivated the enthusiasm to carry on with the self-restraint essential to uphold excellent standards. The reaction also contributed much to the success of handling disadvantaged patients who could not manage to pay for treatment (Dr. Chaudhary, Dr. Modiand, and Dr. Reddy 2012, p.11).

Designing a Standard Assembly Line Operating System


A challenge arose regarding structuring the capability to provide for the significant sum of cataract surgeries required, with few ophthalmologists available. Aravind thus developed a third plan of designing a standard assembly line operating system that would not concede on the care value. This structure was intended to produce reasonable, highly significant yields if the modules going in were also valuable and inexpensive. Patients were prepared for surgery in groups, and anesthesia was placed by assistants before a surgical procedure. Every cubicle for the process had up to three working tables, excluding those used for complex surgeries. This was meant to make use of the OT backup team proficiently (Anon 2011). An Aravind ophthalmologist could carry out up to two thousand medicines annually unlike other doctors who could do less. Aravind's price of cataract surgery was around eighteen dollars for every individual thus increasing the number patients flooding there (Krishan 2015).

Improvements in the Sector of the Intra-ocular Lens


The fourth strategy that enabled Aravind to boost its efficiency is the vertical incorporation of significant industrious efforts. Vital price rudiments are workforce and the precarious modules in the surgery. Aravind's model was produced to leverage the doctor's time by providing them with juniors with useful skills. With the development of clinical apparatus and know-how, there was an enormous quality breach between the paying patients and the deprived ones since the hospital did not have the intra-ocular lens; a crucial element in the surgery (Rangan 1993, p. 22). Aravind resolved to valiant modernizations, and the improvements resulted in a remarkable achievement including the fabrication of Intra Ocular lens and nursing staff. Afterwards, they get employed and the enrollment force comes from the provision region of the hospitals all over the five localities it extends (Manikutty and Vohra 2004, p.16).

Improvement in the Sector of the Intra-ocular Lens


Another improvement, in the sector of the intra-ocular lens. The commonly used technique was extra-capsular surgery, and Aravind was incapable of affording IOL. American producers of this product offered some to Aravind. Only the affluent patients could meet its expense thus Dr. Govindappa with his counterparts figured a solution. About the requirement of these lenses, one David Green of the U.S started a procedure of knowledge acquisition that ensued an interior, industrial volume under the patronges of a self-governing benevolent organization called Aurolab; the industry produced and continued to provide significant classy lenses at a reasonably priced fee (Mishra 2014).

An Organized, Enthused, and Self-controlled Workforce


Final strategy was creating an organized, enthused, team spirited and self-controlled workforce. Aravind has always capitalized its functional spare in gaining advanced skill and paraphernalia and keeping outlays to the effective lowest. Human resources, however, are what has been keeping the system on toes due to a large number of poverty-stricken patients. This encompasses clinicians and caregivers. Aravind has ingrained utilitarian devices that play the inspirational role in its workforce. Doctors are funded in study undertakings that involve teachings in incision practices. Dr. Govindappa together with her spouse provided guidance with reverence to cataract operation, and it progresses. Dr. Namperumalsamy was involved in the training of medics and linkages to leading study and inventions organizations. Mr. Srinivasan was concerned with filling in the omission for development and preservation of the physical plant. The team spirit exercised by all these workforces enabled them to achieve the organization's goal of helping the needy individuals in society. Most of their meetings and deliberations were away from the work setting, and each had to understand each other's viewpoints (Kumar 2016).

Conclusion


As discussed above, Aravind attained realization by the practical use of its labor force, putting into effect many modernizations in the healthcare division. Cost-friendly and added value services were and still are delivered even in the most interior areas. The services have helped in treating eyes in interior areas where most people could not get eye services. The rate of cataract, which was termed as the most widely spread cause of the eye problem, was significantly reduced. Methods and interventions used in the industry are applied in the healthcare business (Royal College of Ophthalmology 2012). An organization that is ready to support the crowds with quality products and facilities is guaranteed to produce returns and profits, and above all, retain its customers by earning their trust and attract even more. Aravind Eye Hospital has been able to increase efficiency in services offered through a combination of different strategies aimed at improving services in different localities where people could not afford to get eye treatment.

Bibliography


Anon., 2011. NU SOCIAL ENTERPRISE INSTITUTE. [Online] Available at: https://www.northeastern.edu/sei/2011/10/aravind-eye-care-system-case/[Accessed 12/01/2018].


Dr.Chaudhary, B., Dr.Modi,A. G. and Dr.Reddy,K., 2012. Right to Sight: A Management Case Study on Aravind Eye Hospitals. International Journal of Mulitidiscplinary Research, 2(1), p. 11.


Karmali, N., 2013. Aravind Eye Care's Vision for India. [Online] Available at: https://www.forbes.com/global/2010/0315/companies-india-madurai-blindness-nam-familys-vision[Accessed 12/01/2018].


Krishan, A., 2015. Aravind Eye-Care System – McDonaldization of Eye-Care. [Online] Available at: https://rctom.hbs.org/submission/aravind-eye-care-system-mcdonaldization-of-eye-care/[Accessed 12/01/2018].


Kumar, S. V., 2016. Aravind Eye Hospital plans 700-bed facility in Chennai. [Online] Available at: http://www.thehindu.com/news/cities/chennai/aravind-eye-hospital-plans-700bed-facility-in-chennai/article5643435.ece[Accessed 12/01/2018].


Mahajan, R., 2015. Arvind Hospital. [Online] Available at: https://www.bartleby.com/essay/ARVIND-HOSPITAL-FK5R443TC[Accessed 12/01/2018].


Manikutty, S. and Vohra, N., 2004. Aravind Eye Care System: Giving them the Most Precious Gift. [Online] Available at:http://www.wetherhaven.com/Documents/aravindwhitepaper.pdf [Accessed 12/01/2018].


Mishra, S., 2014. Arvind eye care hospital. [Online] Available at: https://www.slideshare.net/sumammishra/arvind-eye-care-hospital[Accessed 12/01/2018].


Naldoo, J., 2015. An Infinite Vision: The Story of Aravind Eye Hospital. [Online] Available at: https://www.huffingtonpost.com/jayaseelan-naidoo/an-infinite-vision-the-st_b_1511540.html[Accessed 12/01/2018].


Rangan V. K., 1993. Aravind Eye Hospital, Madurai, India: In Service for Sight, the Harvard Business School Case 593-098, Boston: McGraw Hill.


Rangan V.K. andThulasiraj, R.D., 2007. Making Sight Affordable Innovations Case Narrative: The Aravind Eye Care System, Calcutta: The Shwab Foundation.


Royal College of Ophthalmology, 2012. Overview of the Aravind Eye Care System, New Jersey: Wharton School Publishing [Online] Available at: http://www.bkpextranet.com/infinitevisionresources.pdf [Accessed 12/01/2018].

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