Day Care Centers – Small Is
Beautiful
NSD Raju
Ranjini Eye Hospital (India’s first NABH
Accredited SHCO )
• I have no financial interest or relationships to
disclose
Day care Ophthalmic surgical
Center
Small Health Care Organization
( SHCO)
Ambulatory Ophthalmic Surgical
Centre
Ambulatory Ophthalmic Surgical
Centre
• Out patient ophthalmic surgery
• Most surgical procedures
• Cataract surgery forms the bulk
of Ophthalmic surgery
• Vitreoretinal surgery
• Oculoplastic surgery
Location Area and Ambience
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Preferably open space
Accessibility
Parking facility
Adequate built up area
usually 2000 – 6000 sq.ft
Components of the Ophthalmic Clinicthe Reception
• One of the most important divisions
Wide enough to handle inflow
• Registration process
• Adequate number of receptionists
• Reduce waiting time smooth registration
The Waiting Areas
• Primary area large enough to handle inflow
• Secondary waiting area - to preliminary
screening and to consultants
• Comfortable seating
Preliminary Screening Areas
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Easily accessible from waiting areas
Vision
Autorefraction and refraction
Non contact tonometry
Designing the Consultation Rooms
• Number of consultants
• Placement of equipments ophthalmic unit
• Comfortable seating arrangements
Designing the Consultation Room
• Enhance the ambience
• Diffused lighting
• Pleasing soft music
Designing the consultation Room
• Ensure easy access of ophthalmoscope and
lenses
• Enough room for nursing staff to assist
Investigation Areas
• Ideally located in separate rooms same nearby
locatio
• Automated perimetry
• Imaging services Fundus Camera OCT
• Corneal topography Patient counseling room
The surgical Suite
Design with care and caution Single complex
Reception Area
Buffered by pre sterile area separate from OPD
II floor all in one complex
Pre operative and post operative care
Sterilization , digital scrubbing adjacent to O R
Ultra clean Operation Room
Ultraclean O R
Most crucial component
HEPA filter System
High Atmospheric Pressure
Hermetically sealed door
Sensor controlled
Efficiency Enhancing MeasuresElectronic Medical Record (EMR)
• Enhanced efficiency -Patient data , clinical,
diagnosis ,treatment outcome etc
• Networking system 5 consultants and
departments
• Imaging, Perimetry results direct to EMR
• Accessible to all
NABH Accreditation
First Accredited Day Care Ophthalmic Centre
Benchmark withWorld class quality Care
Enhanced Medical tourism patronage
Insurance company recognition
Empanelment in CGHS and ECHS
Complete conversion to EMR
Other Measures
• MOU with Hospital for Patients needing
admission/emergency
• Arrangement for ambulance Facility
Conclusion
Success story
Clinical efficacy and usefulness
State of the art world class surgical care
Important modality
Thank You