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Dear Readers,
For efficient delivery of eye care services efficient proper management and utilization of resources are a top priority. This is more so in the context of VISION 2020 wherein utilization of eye care services have been seen to be as low as 25% currently. The VISION 2020 Right to Sight goal is to increase resource utilization to 90%. The theme of this issue of Sitenews focuses on resource utilization.
Resources are broadly classified into Human Resources, Material Resources, Financial Resources as well as Instruments and Equipments. In a eye hospital we broadly classify the human resources into the ophthalmologists, the paramedical group which includes the nursing and refractionist group and the non clinical staff include the technicians, support staff as well as the administrative staff. The role played by each group has to be well worked out for them to work together as a team synergistically. This issues provides links to various e-resources which can provide a better understanding of human resource utilization.
Materials, finance and Instrument equipment utilization is another important aspect which is often not seriously considered or neglected. This is mainly because funding may be coming external to the organization so the hospital does not pay enough attention related to its own financial self sustainability. Related to material and equipment utilization it is very important to pay attention to its maintenance for better utilization.
This issue of Sitenews provides various practical tools, and tips to help your organization improve utilisation. If you have your own story, tool or tip to share kindly email it to eyesite@aravind.org.
We also look forward to receiving your feedback about how you have applied any of the resources at your workplace and the impact it had.
Wish you a productive reading!
Happy reading!
Regards,
Vision 2020 e-resource team
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| | Vision 2020 – The Right to sight is recommending a two to five fold increase in the volume of cataract surgery. The only way to accomplish this feat is to make best use of available personnel and facilities and to become organized to reach more people in need. These efforts will require considerable strengthening of programmes, expansion of trained staff, and engagement with communities in ways that stimulate people in need of surgery to come forward early in their progression toward blindness. In so doing, the likelihood of a programme being capable of sustaining itself from modest patient fees is enhanced. - WHO, 1999 - STRATEGIC MANAGEMENT OF THE HEALTH WORKFORCE IN DEVELOPING COUNTRIES: WHAT HAVE WE LEARNED?
Abstract:
This paper reviews lessons relating to strategic management challenges emerging from the growing literature in this area.
- HUMAN RESOURCE DEVELOPMENT FOR VISION 2020
Abstract
This article is a modified version of a presentation at the workshop on Human Resource Development for VISION 2020 in Africa, which took place at the PAACO meeting in Tunis on 21 May 2003.
- PEOPLE DELIVER EYE CARE: MANAGING HUMAN RESOURCES
Abstract:
This article describes in detail about the health workforce serving the eye health community. It highlights how to identify and bride the staffing gap with effective workforce. It suggests that the managers can train the Eye Health Workers in the NGO’s, also gives in detail the need for motivating the staffs for getting effective service.
- PROFESSIONAL MANAGEMENT FOR EYE CARE
Abstract
This article addresses the opportunity from a professional management perspective. It also describes the need for the health providers having the potential to significantly enhance their service by adopting professional management practice and new technologies in clinical services. It also tells how to efficiently manage the situation to make the Heath care Organization sustainable.
- COMPREHENSIVE PLANNING OF HUMAN RESOURCES FOR EYE CARE TO MEET THE GOALS OF VISION 2020: THE RIGHT TO SIGHT
Abstract
This study is based on the criteria to review the status of the eye health workers with regard to number, mix, distribution, the areas of deficiency and major areas for reform in educational policies and to come out with a policy on the Human Resources development for Vision 2020 - The Right to Sight programme.
- THE INTERFACE BETWEEN HEALTH SECTOR REFORM AND HUMAN RESOURCES IN HEALTH
Abstract
This work intends to review the evidence on how the individual or collective actions of human resources are shaping the reforms, by spotlighting the reform process, the workforce reactions and the factors determining successful human resources participation. It attempts to provide a more powerful way of predicting the effects and interactions in which different "technical designs" operate when they interact with the human resources they affect. The article describes the dialectic nature of the relationship between the objectives and strategies of the reforms and the objectives and strategies of those who must implement them.
- THE IMPORTANCE OF HUMAN RESOURCES MANAGEMENT IN HEALTH CARE: A GLOBAL CONTEXT
Abstract
This paper addresses the health care system from a global perspective and the importance of human resources management (HRM) in improving overall patient health outcomes and delivery of health care services.
- ATTRACTING AND RETAINING TRAINED OPHTHALMIC PERSONNEL IN A REMOTE, RURAL SETTING
Abstract
This article focuses on how Sadhguru Nethra Chikitsalaya was able to attract and retain trained ophthalmic personnel in remote setting.
- CREATING MOTIVATION, IDENTIFYING INCENTIVES AND ENABLERS, AND ENCOURAGING STAFF DEVELOPMENT
Abstract
This article tells in detail about how to motivate the staffs to do their jobs well. It also lists out the various processes which will enable the workers to do their jobs in an effective way. It briefs on how to encourage the staffs and provide needed training.
- CHALLENGES IN GETTING HUMAN RESOURCES IN EYE CARE
Abstract
This article focuses on Challenges in getting Human Resources in Eye Care in regions of Africa, Asia and Europe and suggestions to over come this.
- UTILISATION OF EYE CARE SERVICES IN RURAL SOUTH INDIA: THE ARAVIND COMPREHENSIVE EYE SURVEY
Abstract
To determine utilisation of eye care services in a rural population of southern India aged 40 years or older.
- CHALLENGES FOR HUMAN RESOURCES IN EYE CARE IN THE CONTEXT OF SOUTH AMERICA
Abstract
An analysis of current situation in Latin-American Countries is discussed in this article.
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Materials Management is an essential part of any organization especially in a Hospital, Materials Management Department plays a vital role in the smooth and efficient function of it. It means the management of materials likes planning, Purchasing, Store & Inventory Control, Care and Preservation, Issue of materials, Accounting and Disposal of scrap. It is in direct touch with the user department in its day-to-day activities. The most important purpose served by stores is to provide an uninterrupted service to the various user departments. In the case of a Hospital we can say the ‘Operation Theatre, Wards, Specialty Clinics, Units, Refraction Departments, Registration, Admission Departments etc.’ are the user departments. The successful and efficient functioning of a department depends mainly upon how best the materials are supplied by stores department to them. Further stores often equated directly with money, as materials have money value.- MATERIALS MANAGEMENT IN VOLUNTARY HOSPITALS
Abstract:
The purpose of this article is to describe the materials management and its uses to bring about control over the acquisition, storage, irretrievability, distribution, use and disposal of supplies and equipment in order to carry out the primary responsibilities of the organization in an efficient, effective and economical manner. It also describes about the Organization and the process of the materials management.
- INCREASE YOUR SPAN OF EFFECTIVENESS THROUGH STRATEGIC RESOURCE PLANNING
Abstract:
This article gives some suggestions to provide the foundation for evolving Materials department profession into the better-suited Strategic Resource and Planning Department role.
- HOSPITALS CAN CUT MATERIALS COSTS BY MANAGING SUPPLY PIPELINE
Abstract:
This article tells in detail about how the Hospitals can cut materials costs by efficiently managing supply pipeline. It also describes about the Supply chain procedures and the policies that have to be followed by the materials management department of the hospitals.
- MOBILISING RESOURCES WITHIN THE COMMUNITY: MOBILISING THE UNMOBILISED
Abstract:
This article tells in detail how to mobilize various heath care resource amongst the community by creating awareness about the health care utilities.
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| Eye care services, like other health care services, often face demands for services which fluctuate monthly, daily, or even by the hour. The services can’t be produced and stored for later delivery. Neither can the resources be increased at very short notice. Hence maximum utilization of the existing resources (human, social and financial) should be adopted so that it leads to a significant improvement in eye care.
Cost containment requires linking expenditures with outputs, and making that linkage clear to those who can affect either or both. Thus current and accurate records are integral to cost containment. Control will need to be exercised at the micro level, looking at each transaction. Purchase and payment procedures should ensure that what is needed is purchased at the right time, price, quantity and quality.- FINANCIAL SUSTAINABILITY
- QUALITY CATARACT SERIES - FINANCIAL SUSTAINABILITY
Abstract:
Financial Sustainability consists of examples and models, cost recovery issues, and cost recovery principles such as pricing, accountability etc. and also a cost recovery exercise to record lessons learned in the achievement of cost recovery in eye care programmes, to describe the factors and principles to consider when implementing cost recovery measures for financial sustainability, and to remind those responsible for economic development, costing decisions and financial decisions to ask the right questions to the right people at the right time in the planning process.
- RETURN ON INVESTMENT - WEB BASED FINANCIAL PLANNING TOOL FOR PAEDIATRIC DEPARTMENT
- UNDERSTANDING AND USING FINANCIAL MANAGEMENT SYSTEMS TO MAKE DECISIONS
- ESTIMATING THE COST OF PROGRAMME SERVICES AND PRODUCTS USING THE INFORMATION PROVIDED IN THE STANDARD FINANCIAL STATEMENTS
- COST EFFECTIVENESS STRATEGY WORKSHEET AND CHECKLIST
Abstract
This is a worksheet for providing services on a sustainable basis. This consists of the worksheet for designing the action plan and also a checklist for guiding the action plan design. It directs you to deliver services on a financially viable basis.
- HOSPITAL PLANNING
Abstract
This article focuses on Feasibility study for the hospital to be located in a particular area and the Actual planning of the buildings, equipments etc.
- COST CONTROL IN HOSPITALS
Abstract
This presentation gives a brief overview of cost control in medical care in the hospitals. It also tells about the objectives of medical care in hospitals, strategies involves in the cost control for improving the Organizations efficiency.
- BUDGETING AND CAPITAL INVESTMENT COST CONTROL AND REDUCTION
Abstract
This presentation gives a brief overview on the importance of budgeting and plan a new capital investment cost control. It also suggests the necessary steps that could be followed while performing budgeting. It also tells about the role of the finance and accounts while preparing the new budget for the Organizational upliftment.
- BUDGETING FOR A DISTRICT VISION 2020 PROGRAMME
Abstract
This article highlights some of the core concepts of a strong, practical VISION 2020 programme to be considered when preparing a budget. This article also describes in detail about budgeting the variable cost needed for the infrastructure and healthcare requirements for the planned service population.
- IMPORTANCE OF AFFORDABLE EYE CARE
Abstract
This article focus primarily on the supply issues of service delivery, looking particularly at how increasing operational and manufacturing efficiencies can reduce costs to an affordable level to reach the goal of Vision2020.
- COST CONTAINMENT IN EYE CARE
Abstract
This article mainly focuses on the factors that affect the cost containment in eye care. It also describes the strategies that have to be considered while fixing variable cost in eye care.
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| Ophthalmic equipment is a major resource required for delivery of quality eye care at an appropriate cost. This resource should be selected carefully and once purchased it should be maintained and used efficiently in order to generate adequate return on the investment. The typical economic issues that need to be addressed to adequately justify this investment are the following: - Appropriate charges for the procedure
- Anticipated revenue per year
- Estimated expenses per year
- Volume required for break even
- Estimated financial returns over multiyear period
- INVESTMENT ANALYSIS FOR GENERAL EQUIPMENTS
Abstract:
With the advent of modern technology, in order to provide quality eye care the hospitals are forced to purchase several equipments. Purchasing of equipments not only involves capital cost of the equipment but also the cost for supporting facilities like air-conditioning, special foundations and construction. It also involves some recurring costs like salaries to technicians, annual service contract charges, cost of spares, consumables, interest and depreciation charges. Due to all these costs many of the charity hospitals find it difficult to invest in new technology. In this context, the hospitals face a situation as to how to mobilize resources (money) to procure the necessary equipments and also whether to charge patients and if so what would be the amount they would charge?
- INVESTMENT ANALYSIS FOR PHACO & YAG LASER
Abstract:
With the advent of modern technology, in order to provide quality eye care the hospitals are forced to purchase several equipments. Purchasing of equipments not only involves capital cost of the equipment but also the cost for supporting facilities like air-conditioning, special foundations and construction. It also involves some recurring costs like salaries to technicians, annual service contract charges, cost of spares, consumables, interest and depreciation charges. Due to all these costs many of the charity hospitals find it difficult to invest in new technology. In this context, the hospitals face a situation as to how to mobilize resources (money) to procure the necessary equipments and also whether to charge patients and if so what would be the amount they would charge?
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- April 2008 - Eye Care Barriers
- March 2008 - Global Eye Care Programme
- February 2008 - Standardization through Clinical Protocols
- January 2008 - Materials Management in Hospitals
- December 2007 - Glaucoma Management
- November 2007 - Outpatient Management
- October 2007 - Demand Generation
- September 2007 - Trachoma
- August 2007 - Eye Banking
- July 2007 - Diabetic Retinopathy
- June 2007 - Paediatric Eye Care Services
- May 2007 - Managing People
- April 2007 - Ophthalmic Emergencies in Eye Care
- March 2007 - Eye Care Information Resource Center
- February 2007 - Patient Education Resources
- January 2007 - Financial Planning for Eye Hospital
- December 2006 - Patient Satisfaction
- November 2006 - MLOP for Effective Delivery of Eye Care
- October 2006 - Low Vision & Refractive Error
- September 2006 - Tele Ophthalmology
- August 2006 - Medical Records in Hospitals
- July 2006 - Housekeeping in Hospitals
- June 2006 - Quality Assurance in Eye Care
- May 2006 - Refractive Correction
- April 2006 - Evidence for Action - Cataract Control
- March 2006 - Leadership
- February 2006 - Community Outreach - Cataract
- January 2006 - Counselling
- December 2005 - Vision Centre
- November 2005 - Human Resources in Eye Care
- October 2005 - Ophthalmic Equipment and Instruments
- September 2005 - IEC
- August 2005 - Start up eye Hospital
- July 2005 - Refractive Error
- June 2005 - Low Vision
- May 2005 - Cataract
- April 2005 - Paediatric Eye Care Service Delivery
- March 2005 - Strategic Planning Tools
- February 2005 - Frequently Asked Questions on Eye Glasses!
- January 2005 - Refractive Error Service Resources
- December 2004 - Highlighting Starting a New Eye Hospital Tool
- November 2004 - Diabetic Retinopathy Knowledge, Attitude and Practice Study
- October 2004 - Strategy worksheet for continually improving quality of services and checklist
- September 2004 - Quality Cataract Series - Paramedical Contributions Module
- August 2004 - Sterilization Protocol
- July 2004 - Medical Records Protocol
- June 2004 - Magnitude of Cataract Blindness Estimation Tool
- May 2004 - Cataract Frequently Asked Questions
- April 2004 - Introduction to SiteNews
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