1 Annual Planning Meeting-2017AEH, Coimbatore - Auditorium January 9th & 10th

2 AEH Coimbatore: Summary of Performance 2015 & 2016 (Jan to Dec) by OrganizersAravind Eye Hospital, Coimbatore: Outreach Performance - Parameters based evaluation Orgr: AEH Coimbatore Service Area: 9 Districts Populn. In Million: 15.6 Actual Jan-Dec 2015 Target 2016 Actual Jan-Dec 2016 % to Annual target 1 Comprehensive Screening Camp (CSC) Camp Cat. Avg. -2217 91% 382 24255 63 341 25500 75 353 23283 66 2 Workplace Screening Camp (WSC) Glasses 518 117% 43 3406 79 31 3000 97 38 3518 93 3 School Screening Camp (SSC) -353 82% 26 1538 59 22 2000 91 29 1647 57 4 Balwadi Screening Camp (BSC) OP -826 67% 9 2220 247 13 2500 192 8 1674 209

3 District level performance by OrganizersOrganizer District Jan - December 2015 Jan - December 2016 Camp IP Avg. V. Kamalakannan Dharmapuri 35 5,477 156 31 5,218 168 Krishnagiri 14 1,321 94 13 1,099 85 Total 49 6,798 139 44 6,317 144 B. Vijayakanth Chamraj nagar 1,724 56 1,352 Mysore 30 1,161 39 24 1,329 55 Hassan 2 378 189 1,311 101 63 3263 52 68 3992 59 S. Eswaran Erode 3,885 62 61 3,766 The Nilgiris 15 935 17 1,149 78 4,820 4,915 A. Muthusamy Coimbatore 3,217 47 2,711 46 #DIV/0! T. Rayamuthu Tirupur 72 4,064 53 3,122 No Organizer Kerala 2,093 40 51 2226 124 6157 50 104 5348 By All Organizers 382 24,255 353 23,283 66 Variance -29 -972

4 Achievers 2016 Organizer Jan-Dec 2016 Avg. Per IP Target 2017Prop. Target Camps Actual % V. Kamalakannan 7000 44 6317 90% 144 B. Vijayakanth 3500 68 3992 114% 59 4000 S. Eswaran 6000 78 4915 82% 63 A. Muthusamy 4500 2711 60% 46 T. Rayamuthu 53 3122 69% Kerela 2000 51 2226 111% Total 27500 353 23283 85% 66

5 Accuracy in Prediction – Jan to Dec’16Utilization of Camp Team Manpower Outpatients Inpatients Total # Camps <80% % >110 % V. Kamalakannan 14 27 3 10 17 44 32% 61% 7% 23% 39% B. Vijayakanth 33 8 25 29 68 49% 40% 12% 37% 43% 21% S. Eswaran 34 15 18 32 28 78 44% 19% 41% 36% A. Muthusamy 30 12 20 24 59 29% 51% 20% 34% 25% T. Rayamuthu 22 9 23 16 53 42% 17% 30% 26%

6 Organizer wise performance on Workplace Camps Jan – Dec 2016Organizer Name Actual Jan-Dec 2015 Target 2016 Actual Jan-Dec 2016 % to Annual target Camp Glasses Avg. V. Kamalakannan 5 654 131 600 120 3 615 205 15 103% B. Vijayakanth 4 101% 622 124 604 151 S. Eswaran 50 108% 10 680 68 8 75 650 81 A. Muthusamy 174 129% 14 822 59 6 100 11 774 70 T. Rayamuthu 275 146% 9 628 7 86 12 875 73

7 Management of Challenge (due to election) AEH, CoimbatoreMonth 2015 2016 Variance Camp IP Avg Jan 27 1209 45 1337 50 128 Feb 41 2591 63 42 2255 54 1 -336 Mar 32 1809 57 22 1530 70 -10 -279 Apr 36 3212 89 18 1210 67 -18 -2002 May 31 2284 74 21 1937 92 -347 Jun 1634 53 24 2338 97 -7 704 Jul 39 3049 78 34 2691 79 -5 -358 Aug 29 1761 61 2300 539 Sep 30 2127 71 33 1826 55 3 -301 Oct 1923 62 1439 60 -484 Nov 1219 43 2719 16 1500 Dec 28 1437 51 1701 47 8 264 Total 382 24255 353 23283 66 -29 -972

8 Cost Effectiveness in Camps (Jan – Dec’16)Organisers No. of Camps in ‘Case Finding Cost’ slots Upto 200 >400 Total V. Kamalakannan 11 8 10 15 44 25% 18% 23% 34% B. Vijayakanth 22 14 68 32% 21% 15% S. Eswarn 31 12 20 78 19% 40% 26% A. Muthusamy 16 59 27% 20% T. Rayamuthu 5 53 28% 42% 9%

9 D.R.Screening Camps by Palanisamy 2015 & 2016 (Jan to Dec)Aravind Eye Hospitals: Diab.Retinopathy Screening Camps Parameters Jan - December 2015 2016 Camps held 106 87 Out patients screened 12521 11299 Diabetics: Known Diabetics Seen 4718 3944 New Diabetics Seen 508 488 Total Diabetics Screened 5226 4432 % of Diab in OP 42% 39% Diabetic Retinopathy: Amongst Known Diab: Known D.R. Seen 143 152 Amongst Known Diab: New D.R. Seen 682 438 Amongst New Diab: New D.R. Seen Total DR Screened 825 590 % of D.R. in Diabetics 16% 13% Referrals D.R. Patients advised to come to AEH 395 325 Rate of Referral 48% 55% D.R. patients visited hospital 289 265 Rate of Compliance 73% 82%

10 Drop out details due to delayed admission

11 Drop out of Camp Admissions due to Systemic - Not willing - Late Admission for the period of January to December 2016 No. Type of admission No. of camps Advised for surgery Not admitted due to Systemic Not admitted due to Not willing Admitted same day Tokens issued Admitted later Drop out (Same day Admission) Drop out (delayed) Admission) 1 Same day admission 352 26241 1782 1222 23255 7% 89% 5% 2 Camps: tokens issued for all 50 46 28 20 4% 56% 40% 3 Camps: tokens issued partly #DIV/0!

12 Optical Services in CSC and Review camp

13 Glass dispensed in Comprehensive Screening Camps (Jan – Dec)2015 2016 Out Patients 88,856 85,353 Glass Prescription 19,252 20,756 % of OP 22% 24% Glass Order 16,363 17,851 % of GP 85% 86% on the Spot delivery 15,558 16,874 % of GO 95%

14 Review Camps: Glasses Dispensing Services (Jan – December’16)Cataract Surgery Reviewed No. of glasses delivered Reading (ready made) Fitted Total % in Rev Bifocal DV Bif. Glass BE One eye 42 3256 2786 108 80 1457 1645 59% 1397 60 62 18 Note: Glass dispensing service was introduced in Follow up camps in September 2015 and it is not compared with previous year.

15 Quality Assurance: Visual Outcome in Follow up campSr.Srimala – Refraction

16 Quality related Parameters 1Cataract Follow up – Visual Outcome – Complication Referral 2015 (Jan-Dec) 2016 (Jan-Dec) Cataract Follow up: Cataract surgery Reviewed Follow up rate 21592 19752 91% 21126 16368 77% VA with Correction: VA 6/6 - 6/18 6/24-6/60 < 6/60 16211 3133 408 13628 2380 360 82% 16% 2% 83% 15% Follow up on Complication referral: Referred (% in Rev.) Registered (% of refrd)

17 Not Operated details

18 Treatment on base hospitalQuality related Parameters 2 Not operated details Year Actual IP Pts Operated Not Operated Systemic Problems Speciality Non-clinical Reasons Total Hypertension Diabetic Cardiac Asthama TB Foot Ulcer Others Neuro Orbit Cornea Conjuctivitis Retina Glaucoma IOL UVEA GP given C/S Growth Injured Not willing Absconded Relation died Treatment on base hospital 2015 24255 21592 2663 30 38 15 11 7 12 6 18 10 2 20 62 43 9 17 171 47 592 11% 4% 7% 3% 2016 23283 21103 2180 143 23 55 53 64 49 29 1 78 675 9% 14% 2%

19 Issues / Incidents – Jan to Dec 2016ICU During 2015: 16  No. Place of camp Patient Name IP No Cause Admitted on Follow up 1 Dharmapuri Poongodi 69523 abdoman pain shifted to KMCh 2 Thiru Kailayapuram kannamal 70758 Nose Bleeding 3 Devarayampalayam Jayalakshmi 71297 Diaharea shifted to Kongunadu Hospital 4 Vellalore Duraisamy 71695 Epilepsy 5 Bargur Elayammal 74195 severe dyspensia Shifted to G H 6 Ramasamy 74311 Acute Chest pain 7 Kangeyam Murugesan 80977 Cardiac arrest 8 Uthukkuli Jayaraman 81774

20 Quality of Data - Patient Information in Medical RecordsCoordinator – Camp Hospital

21 Quality related Parameters 3Quality of Patient information in Medical Record Audit was done for 7020 IP from 115 Camps 1 No. of patients found not wearing the discharge summary 632 9.0% 2 No. of medical records found without complete address 11 0.2% 3 No. of information card without phone number 226 3.2% 4 No. of phone numbers recollected & recorded in case sheets 94 1.3% 5 Medical records found with no Id proof like ration card etc. 652 9.3% 6 No ID proof & Phone no in the case sheet 47 0.7% 7 Diagnosis Details not recorded in the case sheets 0.1% Note: This data is presented in weekly meeting

22 Missing Case Sheets in Camps

23 Missing Case Sheets in Screening CampsMonth 2015 (Jan-Dec) 2016 (Jan-Dec) OP Missing % Jan 5713 52 0.9% 5930 30 0.5% Feb 9941 59 0.6% 9269 50 Mar 6939 63 5004 32 Apr 9681 55 3518 34 0.0% May 6924 21 0.3% 5602 22 0.4% Jun 5395 19 5609 Jul 10306 29 9910 9 0.1% Aug 6514 18 8701 27 Sep 7780 13 0.2% 7783 Oct 7613 35 5972 11 Nov 4704 12 9519 33 Dec 7346 45 8536 56 0.7% Total 88856 421 85353 325

24 Missing Case Sheets in Review CampsMonth 2016 (Jan-Dec) Actual Surgery Missing % Jan 802 16 2.0% Feb 2304 32 1.4% Mar 1514 18 1.2% Apr 1104 13 May 1825 23 1.3% Jun 2108 37 1.8% Jul 2210 42 1.9% Aug 2274 14 0.6% Sep 1634 22 Oct 1281 24 Nov 2442 8 0.3% Total 19498 249

25 Quality of Care: Camp In Patients

26 Issues / Incidents – Jan to Dec 2016B Injury Jan-dec 2016 S.no Place of camp Patietns Name M.R No Type of Injury Injured on Followup 1 Hassanur Jayabai 932546 Fall down 26/11/2016 Shifted to GH 2 C H Nagar Kenjanchetty 938609 27/12/2016 Treated in AEH C Absconded Jan-Dec 2016 Place Of camp Patients Name M.R.No Type Absconded date Hassan Putte Gowda 932660 Abscond 27/11/2016 05/12/2016 reached home D Morbidity Jan-dec 2016 Camp Name MR No/IP NO Infection Date of Surgery Final vision Pilathara Gopalan 874530 NO GROWTH 01/05/2016 6/36 Sulur Vellappan 878191 02/03/2016 5/60 3 Sirumugai Parimala 884420 03/07/2016 6/18 4 Dharmapuri Maniammal 896521 05/23/2016 5 Ramnagar Anburaj 896681 6/12 6 Pattambi Kamalam 904072 06/24/2016 6/9 7 Coonoor Velan 922051 09/26/2016 6/60 8 Erode Rajammal 920133 09/19/2016 6/18p

27 “Intelligence & capabilities are not enough.There must be the joy of doing something beautiful..” - Dr. V