LCIF Grants: An Introduction for Multiple District and District Coordinators
Lcif and sf dr pararajasegram
-
date post
14-Sep-2014 -
Category
Health & Medicine
-
view
885 -
download
1
description
Transcript of Lcif and sf dr pararajasegram
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
1
SightFirst History
LCIF SIGHTFIRST
HISTORY AND BACKGROUND
AIMS AND OBJECTIVES
ACHIEVEMENTS
FUTURE TRENDS AND DIRECTIONS
Meeting the Challenges at Lion Eye Hospital Level
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
2
WHAT WAS THE IMPETUS FOR LIONS
BECOMING INVOLVED IN SIGHT-RELATED WORK?
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
3
Helen Keller’s speech
Occasion:
1925 Lions International Convention
Venue:
Cedar Point, Ohio, USA.
Date:
June 30, 1925
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
4
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
5
What Helen Keller said:• “Will you not help me hasten the day when
there will be no preventable blindness; no little deaf, blind child untaught; no blind man or woman unaided?
• It is the caring that we want more than the money. The gift without the sympathy and interest of the giver is empty.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
6
Helen Keller’s appeal to the Lions.
“I appeal to you Lions , you who have your sight, your hearing, you who are strong and kind,
Will you not constitute yourselves
KNIGHTS of the BLIND,
in this crusade against darkness?
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
7
Throughout its History
• Lions have had an enduring interest in prevention of blindness and its alleviation.
• Projects include Cataract Surgical Camps,
Cataract Free zones, Distribution of used spectacles, Eye Banks, Training projects, Low Vision care, Lions Eye Clinics and Hospitals, Academic Chairs in Ophthalmology, Eye health education, Rehabilitation, etc.
The importance of our EYES
Perhaps the most important of our five senses.
Sight Loss of Sight is the most feared event.
HearingTouchSmellTaste04/07/23 LIONS SF Conclave.Kolkata Oct.
20138
The role of Sight
Development and growthEducation and LearningMobilityDoing TasksEmploymentRecreationQuality of Life04/07/23 LIONS SF Conclave.Kolkata Oct.
20139
BUT we take our sight for granted
No one appreciates Sight more than one who has had good sight and lost it.
No one cherishes Sight more than one who has lost it and regained it
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
10
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
11
Lions “Seminar for Sight” in Singapore 1988
International President: Lion Austin Jennings
The Seminar made the delegates aware of the
- magnitude of the problem of global blindness,
- the feasibility and cost effectiveness of intervention
- the great potential for Lions everywhere to participate and help those who were blind or in imminent danger of going blind.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
12
LCIF decided to launch SightFirst "Lions Conquering Blindness”
• The first step was to mobilize resources through a SightFirst Campaign.
• Chair: Past International PresidentJudge Brian Stevenson.
• Lions worldwide responded with their hearts and their purses.
• Over US$140 million was raised
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
13
Setting up of a Structure• Global LevelSightFirst Advisory (Review) CommitteeWHO as Technical advisors to SFSightFirst Department in Oakbrook
• Country levelLionistic SightFirst CommitteesTechnical Advisors for different regions
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
14
Projects launched under SightFirst• Cataract Surgeries- camps, cataract free zone• Training Institutions and training• New Eye Hospitals and upgradations• Eye Health Education - Diabetes, Glaucoma• Onchocerciasis and Trachoma Control• Childhood Blindness
• EVALUATIONS CARRIED OUT
• Findings resulted in the need for re-thinking priorities and new needs.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
15
SightFirst Mission Statement• “The Lions Clubs International Foundation
SightFirst program, funds the efforts of Lions, Non Governmental Organizations, government agencies, and others to fight the major causes of preventable and reversible blindness through the support of eye health care delivery systems, training and infrastructure development.”• Wherever possible the local LIONS should be
involved. It is in their Benefit to do so. • Visibility that this was a LIONS project was
important
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
16
"From LIONS Conquering blindness"Partnerships and Collaborationswere encouraged and developedEnhanced Partnerships for improving
impact of SF.Reinforce existing and forge new
partnerships as stated in mission statement.Seek joint project development where it is
not inimical to Lions SF
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
17
New developments"Top-Down Projects"
Projects targeted for Action by the International leadership based on an
identified need which go beyond even multiple districts.
A small technical committee should pursue the identification and development of such
project(s) eg. Childhood Blindness
Child friendly Eye Care Centers04/07/23 18LIONS SF Conclave.Kolkata Oct.
2013
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
19
NEED FOR COMMITMENT OF LIONS LEADERSHIP AT ALL LEVELS
Lions Leadership to become very familiar with SF goals, criteria, projects and outcomes
Formal training of new International Directors on SF
Include SF information Seminar in Regional Forum and have staff on hand
Training of MD SF Chairmen Include SF information in DG-Elect Training
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
20
PUBLIC RELATIONS regarding SIGHTFIRST
Highlight SF achievements in LCI PRin-house to Lions and externally to general
publicUse opportunity of World Sight Day to
emphasize activities and achievements of Lions SF.
Keep Lions Web site updated on SightFirst
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
21
• Some new principles and criteria• The general moratorium on Capital
Construction projects to be maintained• Upgradation of facilities be entertained based on
established criteria• Management
• Prior MOU/ Letter of intent, with partners be established before proposal submission
• Management training for Project staff including Lions
• Standardized Management (Technical) monitoring system be introduced
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
22
MONITORING, REPORTING AND EVALUATION
SHOULD BE AN INTEGRAL PART OF THE PROPOSAL
OPERATIONAL RESEARCH AND POPULATION BASED SURVEYS TO BE
CONSIDERED WHERE NECESSARY.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
23
PRIORITY AREAS FOR SIGHTFIRST
Disease perspective Blinding Cataract – an unfinished agenda (phasing
out) Blinding Trachoma (S A F and E ). “ Diabetic Retinopathy, Glaucoma, URE LV care in
areas where adequate infrastructure exists. The Lions Eye Health Program (LEHP) Areas not included could be supported by other LCIF
grants or local clubs
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
24
TRAINING
Technical training/skills developmentManagement skillsCommunity Eye CareEstablishing partnerships with existing
centres of excellenceComprehensive Eye Care
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
25
DEVELOP ALTERNATIVE PROJECTS
• Comprehensive eye care
• Sustainable projects
• Develop model projects in poor areas
• TRAINING IN MANAGEMENT AND CEH
• Identify Centres for training
• Develop capability in Region
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
26
TECHNICAL COOPERATION BETWEEN “LIONISTIC” AND “NON LIONISTIC” COUNTRIES
• The Committee accepted this in principle and would like to promote this idea especially between
geographically proximal countries, with active local participation in needs assessment, planning and implementation, monitoring and evaluation,
with special emphasis on training and local capacity building.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
27
PAST AND PRESENT• The SightFirst Programme has been a DYNAMIC
one with periodic evaluation, reviews and long range planning. These Long range plans have served as dynamic guidelines to assist Lions and TA’s, out in the field, and SF staff and the SAC.
• They have been flexible enough to deal with unforeseen or emerging situations.
MUCH HAS BEEN ACHIEVED
MUCH MORE REMAINS TO BE DONE
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
28
Future directions for the Lions SightFirst Programme.
• The second Lions Seminar for Sight, in Seoul, S Korea,held in 2004, 16 years
since the first one, brought in the promise of new dimensions, with a
galaxy of experts in fields, representing a broad spectrum of Vision related eye care and activities including research
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
29
DETERMINING THE BEST INVESTMENT
How can the Lions, individually and collectively, through their philanthropy and volunteerism, do the greatest good, to the largest number, in greatest need, in the shortest possible time, at the lowest cost?
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
30
Sight Preservation, Restoration and Enhancement
Helping to apply the knowledge and skills that we already possess, to prevent and treat blindness and visual impairment and enhance functional vision, is perhaps the
first priority.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
31
ENHANCING VISION AND IMPROVING Function
Uncorrected Refractive errors
Low Vision careOrientation and Mobility
Training
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
32
Vision loss
from Diabetes Mellitus
( A Chronic Multi- System Disease)
Diabetic RetinopathyControl of systemic
disorder important
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
33
• Preventing Blindness from GLAUCOMA
Aging relatedChronic Disease – Long follow up.Care expensive and labour intensiveAdherence to treatment poorBest case detection through
Comprehensive eye examination
Measuring the Results of our labours
To measure is to know.If we do not measure (EVALUATE)
we will never know whether we achieved what we set out to achieve.Publish and truthfully share our
results.It will help reaping rich dividends
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
34
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
35
HOSPITAL LEADERSHIP/
MANAGEMENT
• PATIENT CENTRED COMPREHENSIVE EYE CARE
• EFFECTIVENESS AND EFFICIENCY• HUMAN RESOURCES
• QUALITY OF CARE• SUSTAINABILITY• SELF RELIANCE
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
36
• “See the Person in the Patient”
• PATIENT CENTRED CARE
that is COMPREHENSIVE
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
37
EFFECTIVENESS
and
EFFICIENCY
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
38
HUMAN RESOURCES
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
39
SUSTAINABILITY
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
40
• QUALITY OF CARE
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
41
Quality Assurance inEye Care
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
42
The Role of Lions Eye Hospitals in the context of implementing
SightFirst Projects
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
43
• HOSPITAL
• LEADERSHIP and MANAGEMENT
• SUSTAINABILITY
• and
• SELF RELIANCE
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
44
The SightFirst Programme• The SightFirst Programme was conceived
as a Sight preserving and sight restoration project
• Of the LIONS• By the LIONS• For the PEOPLE – the poorest of the Poor.• The rewards for the LIONS would come from
the gratitude of the PEOPLE who are helped
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
45
The provision of health, including Eye Health is already a “service business”.
Patients (customers) must come first. They should not be treated with needless technology for diagnosis or treatment.
They must be the recipients of a product (VISION) that is good, is affordable and is delivered with compassion and in a timely manner.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
46
The key to Quality in Health Care Service Delivery is patient satisfaction
Patient satisfaction means fulfilling the expectations of patients.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
47
The Deming Philosophy
Three basic precepts
• Customer orientation
• Continuous sustained improvement
• Recognising that Quality is determined by the system
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
48
.If you or your parents went as a patientwhat factors would make you feel confident and satisfied with the doctor you are consulting?
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
49
Behaviours and service quality perceptions of customers
• Reliability• Responsiveness• Competence• Access• Courtesy• Communication• Credibility• Security• Understanding• Empathy
Inspiring confidence
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
50
QUALITY ASSURANCE
The Concept of Quality assurance comes from the Manufacturing Industry
It has not been used in Health Care Delivery till recently
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
51
In What way has this happened?
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
52
ADAPTING QUALITY PRINCIPLES• Adapting quality principles used in manufacturing
to health care services is a means to achieve both productivity improvement (quantity) and along with it, product improvement (quality).
• However quality improvement is not something that you do once and then sit back to enjoy the results.
• QUALITY is associated with an attribute of a product at a discrete time.
• RELIABILITY relates to performance over a period• of time - consistent quality.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
53
ENSURING QUALITY
• With a product, the manufacturer (provider) ensures that the product is of acceptable standards through various forms of quality control
• The Customer (user) is the final judge.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
54
IN EYE HEALTH CARETHIS IS SADLY LACKING
• There is generally hardly any mechanism for ensuring quality control in the production of the product, which
is FUNCTIONAL VISION.
• The PATIENT (customer) is seldom consulted on, or an opinion sought on the quality of the product (outcome).
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
55
Lessons from Manufacturing Industry
• Much of our quality practice comes from the
manufacturing industry but fundamental differences exist
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
56
MANUFACTURE OF A PRODUCT
>STRUCTURE
>PROCESS
>PRODUCT (OUTPUT and OUTCOME)
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
57
STRUCTURE(In manufacturing)
• Factory building
• Machinery
• Trained Personnel
• Components
• Stores etc.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
58
PROCESS(In manufacturing)
COMPONENTS PRODUCT
INPUTS OUTPUTS
• Checking parts and product
• Discarding faulty items
• Assembling
• Checking final product for quality
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
59
OUTPUT(In manufacturing)
The Product
In productivity terms this refers to quantity
• the Number of a products manufactured
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
60
OUTCOME(in manufacturing)
• Finished Product of assured Quality
• Determined by the consumer in terms of the “value” and enjoyment of the use of the product (customer satisfaction).
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
61
EYE HEALTH CARESTRUCTURE
• Outpatient Department• Wards• Operating Theatre• PERSONNEL • Equipment• General facilities – lobby, waiting rooms,
toilets• Dining rooms
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
62
PROCESS(In Health Care)
NON CLINICAL ACTIVITIES• Appointment system• Registration• Counseling• Billing• CLINICAL ACTIVITIES• Patient care – Doctor/patient relationship• Pre Op/ Operative/Post Op care
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
63
PRODUCT(In health care)
OUTPUT- Number of surgeriesOUTCOME - quality of surgery
• VISION - VA
• Return of Functional activity
• Activities of Daily Living (ADL)
• Quality of Life
• Patient Satisfaction
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
64
Measures of OUTCOME
• ORGAN LEVEL Function of eye» Visual acuity» Field of vision» Contrast sensitivity» Colour vision
• PERSON LEVEL Function of person» ADL - QOL
• SOCIETAL LEVEL» Patient satisfaction
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
65
Methods of Measurement• ORGAN LEVEL - Clinical audit
• PERSON LEVEL - extended clinical audit - community based study
RACSS• PATIENT SATISFACTION - part of clinical audit - follow-up study
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
66
“CLINICAL AUDIT”SELF ASSESSMENT
• Measure outcome - VA• Analyse outcomes - good and poor results• Identify reasons for suboptimal outcome, if any.• Retrain as necessary - individual or team
THIS SHOULD BE A RECURRING PROCESS.
CONTINUOUS SELF ASSESSMENT and SELF
IMPROVEMENT IS THE KEY TO SUCCESS
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
67
Learning and Progress“To measure is to know”
Learning and Progress accrue only when there is something to learn from, and the something, is any completed action.
DO NOT FALL INTO THE TRAP OF THE
“SYNDROME OF ASSUMED MERIT “SAM”
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
68
There is a major difference between the
manufacturing industry and health care
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
69
A MAJOR DIFFERENCE IN MANUFACTURING AND HEALTH
CARE
• The interface between the producer
( health care provider ) and the customer ( patient )
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
70
INTERFACE• Customers never interact with
workers in manufacturing organizations, whereas in service organizations, interactions between provider and patient (consumer) is high.
• INTERACTIONS AFFECT PERCEPTIONS OF QUALITY
• STAFF BEHAVIOUR HAS A CRITICAL IMPACT UPON PERCEPTIONS OF QUALITY
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
71
PRODUCER/CUSTOMER INTERFACE IN
MANUFACTURING
FFAACCTTOORRYY
RREETTAAIILLEERR
STORESTORE
CustomerCustomer
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
72
HEALTH FACILITY/ PATIENTINTERFACE
OOTT
OOPPDD
STRUCTURE PROCESS OUTCOMESTRUCTURE PROCESS OUTCOME
WWAARRDD
WWAARRDD
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
73
HEALTH FACILITY/ PATIENTINTERFACE
OOTT
OOPPDD
STRUCTURE PROCESS OUTCOMESTRUCTURE PROCESS OUTCOME
SatisfactionSatisfaction
WWAARRDD
WWAARRDD
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
74
Service Organizations
• Must recognize that QUALITY is a product of the SYSTEM, and in service organizations, particularly, PEOPLE are the system.
• Sustained excellence has to be developed in a systematic and well directed fashion.
• Pre-experience training Skills Training
• “On the job” guidance Re- training
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
75
Team WorkA number of personnel with different job descriptions and training are involved in these
three phases. However the Team Leader has to ensure the
highest quality of performance in each one of the personnel. Being a good role model is critical.
This cannot be enforced. The value of quality must be a shared culture.
Motivation is a key factor in developing a quality culture. Job satisfaction is a key element.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
76
Training needs
• Training is necessary in order to enable personnel to acquire the skills, knowledge
and attitude necessary to perform the task to an acceptable standard.
• Training is essentially a learning process , and in order that progress can be
successfully monitored there should be a system of constructive performance
assessment.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
77
Details of Training
• The training needs of both the individual and the organization must be identified and
analyzed.
• Targets and standards must be set for the trainee which are within their capabilities.
• There must be active involvement on the part of the learner, not just passive
acceptance of information.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
78
Training
• A variety of methods and techniques should be used to provide stimulus variation and maintain interest.
• The pace of the training programme should reflect the trainee’s ability to maintain progress.
• The trainee should have regular feedback of results. Any problem areas should be highlighted/ discussed/resolved as soon as possible.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
79
Shared value of Quality• Quality control should not be construed as an
extra burden incorporated in, or added to, a process.
• It should be the concern of all personnel, since the production of high quality services enhances the reputation of the institution.
• Thus all employees should be encouraged to contribute ideas for increasing efficiency of the processes and the quality of the product.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
80
QUALITY ASSURANCE(In health care )
ENSURE QUALITY OF• STRUCTURE
• PROCESS
• PRODUCT/ (OUTCOME)
IF PATIENT SATISFACTION IS DESIRED
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
81
ENSURING QUALITY
• Mission for Quality in top management
• Shared Vision of Quality
• Development of a Quality Culture
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
82
Ensuring Quality (Contd)Adopting Norms/Preferred Practice
GuidelinesContinuous Measurement &
MonitoringSelf assessment
Continuing Professional Development
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
83
Quality Aspects of Cataract Surgery
Each year cataract surgery enables millions of people to improve their vision - it is one of the most frequently performed and successful surgical operations in the world.
Although it has been performed from ancient times, the last half century has seen remarkable refinements of the procedure
We need to ensure that the benefits are passed on to all patients
Use of Quality (Visual Outcome)
The primary purpose is for the surgeon to assess his or her own results of Surgery.
Analysis of these results would indicate how well or badly they are helping the patient.
It is a clue to improving the outcome.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
84
Stages in Cataract Surgery
• Preoperative Assessment
• Surgical procedure
• Post Operative care
• A POOR result may be due to one or more of these stages
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
85
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
86
Elimination of Avoidable Blindness
• We now say 38 million people are blind and 3 times that number have "low vision".
• ."• We need to address the issue of blindness on an
individual basis, whether it is cataract surgery, or prescription and supply of glasses, or glaucoma etc.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
87
Extreme sub-specialization
With increasing sub-specialisation professionals begin to focus on the tissue rather than on the person and beyond.
Some overlook that the cornea is part of the eye, leave alone part of a person, a family, a community.
Adopt a holistic view of eye care, not a narrow tissue oriented focus.
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
88
Benefits of Quality Assurance(In health care)
• Patients perspective
• Surgical team’s perspective
• Institutions perspective
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
89
Patients’ perspective
• Patients expectations achieved - Patient satisfaction
• Better functioning
• Better productivity
• Better Quality of life
• Removes barrier to service utilization by patients
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
90
Surgical Teams Perspective• Self esteem and professionalism
• Identification of weaknesses
• Needs assessment for training
• Improvement in teamwork and practice
• Sense of achievement
• Gratitude of patient
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
91
INSTITUTIONAL PERSPECTIVE
• Gaining in Popularity
• Increased patient load and income
• Sustainability
• Sense of achievement
• Sense of gratitude of community
• Recognition as a centre of excellence
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
92
REWARDS OF QUALITY
• PERSONAL LEVEL
• Self Esteem working in a Quality Facility
• Seeing happy, Satisfied Patients
• Professional satisfaction
• Enhanced practice and incomes
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
93
QUALITYQUALITY
> willingness> willingnessto payto pay
QualityQualityreputationreputation
PatientPatientsatisfactionsatisfaction
Provider Provider satisfactionsatisfaction
QAQAQUALITY QUALITY
REPUTATIONREPUTATION
Cost effectiveCost effectiveStandardsStandards
Loyalty toLoyalty toFacilityFacility > REVENUE> REVENUE
> NET REVENUES> NET REVENUES
Doing itDoing itRight the first timeRight the first time < COSTS< COSTS
SUSTAINABILITYSUSTAINABILITY
> > CUSTOMER BASECUSTOMER BASE
ReducedReducedAttritionAttrition
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
94
Quality Assurance inEye Care Delivery
• Take Home Messages A WORTHWHILE INVESTMENT IT REMOVES AN IMPORTANT BARRIER TO UPTAKE OF
SERVICES IT ENHANCES PATIENT COMPLIANCE and LOYALTY IT ENSURES SUCCESS IN ACHIEVING VISION 2020 GOALS
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
95
Take Home Messages (contd)
CLEAR VISION AND GOALS ABOUT QUALITY MUST BE COMMUNICATED TO ALL
TOTAL TEAM MEMBER EMPOWERMENT AND INVOLVEMENT IS NECESSARY
CUSTOMERS( patients ) AS THE KEY DRIVERS FOR CHANGE FOCUS ON PROCESS: THE HOW OF DOING WORK:PEOPLE THE KEY
ELEMENT MEASURES FOR CONTINUING PERFORMANCE ASSESSMENT and
IMPROVEMENT
04/07/23 LIONS SF Conclave.Kolkata Oct. 2013
96
Thank you