1. Keerti Bhusan Pradhan Healthcare Management Advisor

2. Current Eye Care Scenario in North India No major private institutes in eye care Over last decade eye care chains have definitely come up However they are hospital chains No institute has come up in last 25 years which offers capacity building initiatives for eye care human resource development All this points to the need for good eye care institutes in North India

3. Myriad Activities of an Institute Comprehensive Eye Care Teaching and Training Research Community Activities Active in Disseminating Learning

4. Group Practice-Coming together An effective strategy for meeting the evolving demands of an increasingly complex health care market.

5. Strategic Advantages of Group Practice Consolidates the administrative and management functions of solo practitioners Lowers the administrative overhead for each group practice member Sharing of resources ultimately lowers the practice's costs and increases competitiveness Economies of Scale By offering the one-stop shopping desired by healthcare systems and payers, multispecialty groups enhance their negotiating position. In the current health care marketplace, practitioners, hospital, clinics, residential treatment centers and other facilities often interact in complex systems of care. Group practices are in an excellent position to contract with, develop, or in some cases, have a financial stake in, these systems of care. Enhanced negotiating position Greater access to patients than solo practitioners do. Having multiple affiliated health professionals and staff increases opportunities for making community connections with potential clients and referral sources. Group practices may also expand their geographic reach by having more than one location. Greater market access Individuals in group can divide responsibilities and pursue their interests Can enhance the satisfaction and productivity of individual group members, and the group as a whole Shared decision making related to practice and availability of fellow members to take advice Combine interests and talents

6. Group Practice Allows Sharing of Resources Pooled CapitalRisk sharingDoctor’s TimeEnhanced peer consultation

7. Group Practice Findings Practices with a strong information culture favor electronic data systems and formal programs that provide comparative or evidence-based data to enhance their clinical practices Those with a quality-centered culture appear to prefer patient satisfaction surveys to assess the quality of their care Practices that are more business-oriented rely on bureaucratic strategies such as benchmarking and physician profiling Practices with a highly collegial culture appear to rely on informal peer review mechanisms to assure quality rather than any of the structural programs

8. Necessary Character Traits For Solos An entrepreneurial mindset Willingness to have the buck stop with you – both financially and with treatment decisions. Independent spirit and willingness to be innovative Willingness to work whenever, wherever, however Willingness to be the only doctor on your block getting to the hospital in the middle of a heavy rain Willingness to market your practice

9. Solo Practice Advantages Disadvantages Independence: Freedom to operate every facet of the business as you see appropriate. Hours: Statistics show that solos work less during the workweek than physicians in group practice do. But solos tend to work more on the weekends than do group practice physicians. Money. Whatever you make is yours. Doing everything: You may have to do things you have never done before, as well as tasks you may not be good at doing and also tasks that the office staff ordinarily does at a larger practice. Time: Long weekend and evening hours translate into less time for your spouse and children, as well as less vacation time, at least initially. Lack of coverage for emergencies and during illness Initial cost of set-up. Reimbursement rates for solos are not always as high as they are for members of a group.

10. Group Practice Advantages Disadvantages Bigger is often better. Group practices really are more efficient and easier to operate (the whole is more than the sum of its parts). More doctors share the office overhead. Shared management decisions and problems. Shared call. More staff to do administrative work. A ready source of income Bigger is not always better. Others have a say in the way the practice runs. While many group contracts grant all doctors equal say in the way the practice runs, the original group members often set the rules and policies of the group practice, and the newer doctors have little say in changing the rules. A new member may have no decision- making power. More overhead and less control over it.

11. Centre of Excellence A center of excellence refers to a team, a shared facility or an entity that provides leadership, evangelization, best practices, research, support and/or training for a focus area It may also be known as a competency center or a capability center Such a center may bring together faculty members from different disciplines and provide shared facilities

12. Path Forward Group Practice Eye Care Institute Centre of Excellence

13. To ponder on How can I better leave a legacy? What is your succession plan? What is your thought of making a beginning on this? Can we have a vision of Eye Care Institutes and CoEs in Northern India ?

14. Thank you!! keerti.health@gmail.com 9501119651