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Marayal Ganeshamoorthy MBA (H&HSM).,
Fellow in Eye Hospital Management
Aravind Eye Care System.
Performance indicator is a metric or fact that provides insight into a performance to enable assessment and improvement of the existing vision centers. Here the performance indicators which helps to manage the schedule, plane, evaluate the effectiveness and efficiency of the vision centers and track the eye care service delivery.
1) Indicator:
Early detection of cataract, both
Percentage of general population screened
Percentage of school children population screened
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- Larger indicator values reflect greater levels of screening coverage
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Methodology:
Vision center weekly monthly reports
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Purpose:
This indicator can be used to assess the access of blindness prevention services.
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2) Indicator:
Number of patients registered and treated in that vision centre (or) in the base hospital through vision centre composite consisting of
General population treated
School population treated
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- Higher the number of regiration and treated patients denotes that maximum and fast coverage of patients.
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Methodology:
Registration statistics from the vision centre register
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Purpose:
Having the mission of elimination of needless blindness through appropriate, compassionate and high quality eye care to all in this fast growing blindness population the fast and maximum coverage of patients to eliminate the blindness is very important.
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3) Indicator
Number of patients refracted / prescribed / glass sold
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- Larger the number reflects the greater level of refracted / prescribed / glass sold.
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Methodology:
Vision center screening, weekly, monthly reports
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Purpose:
Refractive error one of the major causes of blindness, mere 20% of the people affected by refractive error among the blindness.The indicator confirms that early prevention of blindness due to refractive error in that area.
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4) Indicator:
Surgery advised and Surgery rates, both
Cataract replacement.
Specialty surgeries trough vision centre( tele-opthamology).
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- Larger indicator values show greater provision of these procedures.
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Methodology:
Surgery advised from vision centre report and
Surgery done from the base hospital report
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Purpose:
The indicators measure surgery rates to eliminate the blindness, which are effective when used appropriately and where low rates may denotes poor service delivery and unmet need. Early removal and replacement of cataract lens of the eye restores vision and increases quality of life.
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5) Indicator:
Number of In-patients through vision centre
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- Lower the number indicates the poor acceptance rate
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Methodology:
In-patients statistics from base hospital
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Purpose:
This indicator will help to measure the acceptance of services; ultimately this will reflects the quality of services and reputation of the hospital.
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6) Indicator:
Percentage of Visual Acuity (Out-Come)
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- Higher the percentage of patients with better visual out come reflects the effective and high quality of eye care delivery.
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Methodology:
Assessing and tracking the visual outcome of the patients
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Purpose:
The whole system of eye care delivery functioning to restore the vision at the best level. Simply screening, treating and surgery alone will not satisfy the patients. The visual acuity which will satisfy the patients and meeting patients expectation are very important.
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7) Indicator:
Unit cost of caring for patients in receipt of specialist services
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- Smaller indicator values reflect lower unit costs.
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Methodology:
Periodical costing per patients.
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Purpose:
Cost per patients is one of the indicator that reveals the effectiveness and efficiency of the system and procedure in that vision center. This can be compared with other vision center where the similar set up established.
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8) Indicator
Percentage of operating cost met in vision centre.
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- Higher the cost indicates poor utilization of resources and inefficiency in system and procedure.
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Methodology:
Through cost study ( internal record keeping)
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Purpose:
The operating cost of the vision center reveals that the effective use of equipement, instruments and other scary resources to make it self sustainable.
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9) Indicator:
Improvement in quality of life those who received the treatment through vision centre.
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- Larger the number reflects the greator the service delivery.
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Methodology:
Through survey (those who got the treatment or surgery from our hospital and their quality of life)
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Purpose:
Making people to see is one side, that we know as soon as after surgery or treatment, but what extend it helps to be a independence in his life is another side.it will motivate the worker of vision center and hospital.
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10) Indicator:
Timely report generation
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Methodology:
Monitoring the availability of the report each month or week
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Purpose:
This is an indicator which appraise the effectiviness and performance of the coordinator of the vision center.
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11) Indicator:
Prescribtion
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- Lower indicator values reflect lower prescription rates of these drugs.
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Methodology:
Monitoring of Prescription
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Pupose:
These indicators are measures of cost-effective prescribing. It includes often unnecessary and over-prescribing of drugs, when there is cheaper than that prescribtion.
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12) Indicator
Percentage of patients with compliance
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- Lesser the compliance indicates high quality of the service delivery
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Methodology:
Recording the Complaints
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Purpose:
This indicator reflects the recurrence rate, quality of treatments and effective service delivery
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