Jamalpu rquality eye_care_ in lions eye hospitals

1. Lion Pradip kumar Roy
Chairman
Lions Seva Eye Hospital

2. •A good number of Lions hospital did not have regular OPD and
selection of surgery patient from OPD is very minimum,
•Lions hospitals mostly depend on ORC under NPCB
programme,
•Pay patient is minimum and the hospitals have to depend on
NPCB grant,
•Hospitals could not afford to bear any cost except staff salary
and regular maintenance

3. •Do not follow the proper sterilization process,
•Most of the hospitals baring few still used formalin for
sterilization of OT.
•No systematic arrangement of regular mopping, scrubbing ,
fumigation and AC cleaning etc.
•No standard protocol is following,
Staff are not aware of new changes due to lack of training,

4. Most of the hospitals did not follow the standard of
ISO although some have certified ISO 9001-2008
hospital,
Maintaining quality according to standards require
involvement of all stake holders i.e. staff, patient and
the management,
Any changes require acquiring knowledge and
continuous practice but most are reluctant,

5. Now the situation in West Bengal and some other states have
changed due to imposition of restriction and de-listing of some
hospitals from NPCB programme,
Hence the need of the hours is to strengthen OPD and bring
more pay patient to afford fund for ensuring quality,
Ayushman Bharat scheme has opened registration process
which requires certain criteria in regard to quality.
Hence improving quality is essential for all hospitals

6. What is quality?
The simplest definition of quality is “Doing the right
thing right, right away”.
Quality in healthcare means providing the care the
patient needs when the patient needs it, in an affordable,
safe, effective manner.
Improving the quality of care is not an easy task. It
has nevertheless been seen as a great incentive both
for staff and patients.

7. Health care quality is a level of value provided by any health
care resource.
It is an assessment of whether something is good enough and
whether it is suitable for its purpose
The goal of healthcare is to provide medical support of high
quality to all who need it.
Quality of care plays an important role which defines the intricate
relationships between quality, cost and accessibility of health care
within a community
;
•.

8. Following domains used to measure the quality of care in
health :
•Safe : Avoiding injuries to patients from care that is intended to help him,
•Effective : avoiding overuse and misuse of care,
•Patient centered : providing care that is unique to patient’s needs,
•Timely : reducing wait times and harmful delays for patients and providers,
•Efficient : avoiding waste of equipments, supplies, ideas and energy,
•Equitable : providing care that does not vary across intrinsic personal
characteristics,
•Sustainability : Sustainability should be viewed as an essential characteristics
of eye heath care,

9. Key of Quality maintenance:
•Patient safety : Risk cannot be reduced to zero but minimize,
•Patients satisfaction : It is varying from patient to patient hence
necessary to achieve optimum level,
•Patients feedback assessments : It is an essential tool to design the future steps
according to the need of the patient,
•OPD, IPD & OT management : Important to ensure effective management so that
patient is not harassed,
•Trained staff : Providing continuous skill development training is utmost necessary
to adopt them with changes,
•Accreditation : This is necessary to set a system of standards following which the
quality can be achieved at desired level,
•Computerized Medical record : Essential in today for ensuring medical audit ,
resolving medico legal cases,

10. Increase in eye
care facilities’
utilization
Patients are
more satisfied
Increase in
quality
and quantity
of eye
care services
delivered
Increase of
Staff
motivation
Quality Circle

11. Hospital Quality
System
INTERNAL QUALITY
SYSTEM
(Safety, Effectiveness,
Timeliness, Efficiency,
Patient focus Equity)
EXTERNAL QUALITY
SYSTEM
(External Medical Audit
ISO Certificate,
Hospital accreditation-
NABH)

12. How to set up a Quality Improvement system in Eye Care ?
Quality is a multidimensional and subjective concept. It can
only be defined by people who are concerned by health
services:
· Health service managers/administrators
· Health staff
· Patients

13. Quality Improvement process:
Reduce complexity
Computerized surveillance system
Monitoring Patient complaint feedback as improvement
Dependency on system not in Individual
Trained Staff
Patient Satisfaction

14. Hospitals should go for obtaining ISO certification
standards 9001-2015,
But purchase of certificate from the market will not help the
hospitals,
Requirements under above standards and the existing
procedure of the hospital has to be assessed and fulfill the
gaps within a time frame,
Depute staff to training which are available free of cost or
with very minimum cost,

15. NABH is the final target hence all hospitals need to prepare
accordingly,
Ensure quality which in turn bring more patient resulting more
revenues for the hospital
All insurance companies now require NABH accreditation,
Follow the guidelines of Quality Council of India to ensure
safety, patient satisfaction and make your hospital sustainable.