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Day Care Centers – Small Is Beautiful

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)

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Day Care Centers – Small Is Beautiful

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  1. Day Care Centers – Small Is Beautiful NSD Raju Ranjini Eye Hospital (India’s first NABH Accredited SHCO )

  2. I have no financial interest or relationships to disclose

  3. Day care Ophthalmic surgical Center Small Health Care Organization ( SHCO) Ambulatory Ophthalmic Surgical Centre

  4. Ambulatory Ophthalmic Surgical Centre • Out patient ophthalmic surgery • Most surgical procedures • Cataract surgery forms the bulk of Ophthalmic surgery • Vitreoretinal surgery • Oculoplastic surgery

  5. Location Area and Ambience • Preferably open space • Accessibility • Parking facility • Adequate built up area usually 2000 – 6000 sq.ft

  6. Components of the Ophthalmic Clinic- the Reception • One of the most important divisions Wide enough to handle inflow • Registration process • Adequate number of receptionists • Reduce waiting time smooth registration

  7. The Waiting Areas • Primary area large enough to handle inflow • Secondary waiting area - to preliminary screening and to consultants • Comfortable seating

  8. Preliminary Screening Areas • Easily accessible from waiting areas • Vision • Autorefraction and refraction • Non contact tonometry

  9. Designing the Consultation Rooms • Number of consultants • Placement of equipments ophthalmic unit • Comfortable seating arrangements

  10. Designing the Consultation Room • Enhance the ambience • Diffused lighting • Pleasing soft music

  11. Designing the consultation Room • Ensure easy access of ophthalmoscope and lenses • Enough room for nursing staff to assist

  12. Investigation Areas • Ideally located in separate rooms same nearby locatio • Automated perimetry • Imaging services Fundus Camera OCT • Corneal topography Patient counseling room

  13. 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

  14. Ultra clean Operation Room Ultraclean O R Most crucial component HEPA filter System High Atmospheric Pressure Hermetically sealed door Sensor controlled

  15. Efficiency Enhancing Measures- Electronic 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

  16. 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

  17. Other Measures • MOU with Hospital for Patients needing admission/emergency • Arrangement for ambulance Facility

  18. Conclusion Success story Clinical efficacy and usefulness State of the art world class surgical care Important modality

  19. Thank You

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