1. Report on Vision Centers Visit Starting from : 30.11.2016 to 26.1.2017
Dr. G. Natchiar and Team
ARAVIND EYE CARE SYSTEM
Aravind Eye Hospital
& Postgraduate Institute of Ophthalmology
Madurai, India

2. The purpose of my visit to all vision centers was mainly to see
Cleanliness and condemnation of unused things
To see the MLOP’s and to know about the growth of the vision center
But after visiting two vision centers in Theni, the purpose of the visit was more widened.  

3. Non clinical areas
Visibility of the center in that town (Location, approach to the center, center itself, Name board etc.,)
Standardisation of location for photos and important information in the registration area,
Photo of Sri.Aurobindo
Photo of Mother
Chief photo (Dr. V)
Vision and mission statement
Contd..

5. Non clinical areas Contd..
5. Information charts near the registration counter i) consultation fees – Rs. 20 ii) valid for 3 months iii) to get the receipt for money paid iv) to bring the id card during the review visit Totally 8 board should be there in the registration counter so that patients will be able to see them clearly when they come for registration. This was not found in majority of the vision centers even though we standardised everything 10 years back

6. Non clinical areas
Contd..
Registration desk and Optical show case were not in one place. This was relocated in most of the centers at one place so that when patients enter the center the Optical show case will be visible and also it forms the boundary for the registration counter.

7. Clinical areas
Regarding examination room the arrangements were not patient friendly.  It was very clumsy in most of the centers.  So everything was brought into one area (patient examined by torch, patient brought to the slit lamp for examination, refraction, intraocular pressure, BP, Fundus Photo etc) and it could be done in one area.  We have modified the counter and electrical plug points according to that

8. Seating arrangements for patient’s attenders were shifted to the registration area and the corridor so that in the examination room there will not be any waiting patients except the patient and attender.  

9. Awareness posters (Cataract, Glaucoma, Diabetes, Corneal blindness for children, lowvision aid, eye donation) are not found in many centers. These posters were replaced in every center.
We have arranged a basket with books in Tamil like “Kanne Nalama”. Kannoli & Diabetes awareness book etc in patient’s waiting area.

10. Housekeeping things were not available in the center because MLOP did not requested these things. The entire housekeeping things were standardised.

11. The things which are not in use regularly for patient like steel cup-board with drugs  and additional spectacle frames were shifted to the extra room where it is not being used. 
There are some extra room kept  underlock and key. These rooms were used for the patients to see the posters leisurely (Poster exhibition). 

12. Drinking water was not there in few places and it was kept in jug, pot, filter etc. The whole thing was standardised and the indication board was put so that patients are aware of the drinking water and toilets.

13. Now registration counter, examination counter, waiting area for patients, seating arrangements for the attenders has been standardised.  
Awareness posters, drinking water and toilet facilities were similar in all vision centers with sign boards.  Today MLOP from every vision center will be able to work at ease and also the center looks much more dignified and organised and Patients will be more comfortable.

14. We have also studied the neighbours of our vision center (House, shop etc) and what type of people are there surrounding the vision center. 
We were very impressed to see the neighbours of our vision centers are treating our staff with respect and dignity and they are helpful when they need any help.

15. The other area we were concentrating on OP statistics, cataract surgeries and glasses.
Keeping the local and  surrounding  population in mind, we have analysed the new cases, review cases, growth rate from the beginning and how it is growing whether it is steady or unsteady etc.
Regarding cataract we have analysed the ratio of the cataract between paying, free and camp and its correlation to OP and acceptance rate.
Glasses delivery – whether it is proportionate to OP