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Annual Plan Meeting-2017 A.Xavier Camp Manager AEH, Pondicherry.

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Presentation on theme: "Annual Plan Meeting-2017 A.Xavier Camp Manager AEH, Pondicherry."— Presentation transcript:

1 Annual Plan Meeting-2017 A.Xavier Camp Manager AEH, Pondicherry

2 AEH Pondicherry : Summary of Performance 2015 & 2016 (Jan to Dec) by Organizers
Orgr AEH, Pondicherry Service Area: 6 Districts Populn. In Million: 17 Actual Jan-Dec 2015 Target 2016 Actual Jan-Dec 2016 % to Annual target 1 Comprehensive Screening Camp (CSC) Camp Cat. Avg. -4470 81% 287 20107 70 317 23250 73 268 18780 2 Workplace Screening Camp (WSC) Glasses -183 94% 32 1555 49 50 3000 60 2817 56 3 School Screening Camp (SSC) -233 88% 23 1580 69 40 2000 25 1767 71 4 Balwadi Screening Camp (BSC) OP 1110 144% 14 2208 158 2500 100 13 3610 278

3 AEH Pondicherry: Summary of Performance 2015 & 2016 (Jan to Dec) By Districts
Organizer District Jan - December 2015 Jan - December 2016 Camp IP Avg. K.Harikrishnar Villupuram 69 5,624 82 37 3,127 85 Total V.Thiruvengadam Cuddalore 76 4,195 55 4,358 57 4195 4358 B.Padmanaban Thiruvannamalai 5,043 92 59 5,250 89 J.Paramasivam Nagapattinam 50 3,326 67 3,983 72 V.Rajkumar Vellore 17 1,299 20 1,465 73 Kanchipuram 620 31 21 597 28 1919 52 41 2062 By All Organizers 287 20107 70 268 18780 Variance -19 -1,327

4 Achievers 2016 Organizer Jan-Dec 2016 Avg. Per IP Target 2017
Prop. Target Camps Actual % Padmanaban 5250 59 100% 89 5500 Paramasivam 4000 55 3983 72 4250 Thiruvengadam 76 4358 83% 57 Rajkumar 3000 41 2062 69% 50 Harikrishnar 5750 37 3127 54% 85 Total 23250 268 18780 81% 70 23750

5 Accuracy in Prediction – Jan to Dec’16

6 Organizer wise performance on Workplace Camps Jan – Dec 2016

7 Cost Effectiveness in Camps (Jan – Dec’16)

8 Hospital wise Summary Report Diabetic Patients Screened for D.R.
Diabetic Retinopathy Screening Camps Jan to Dec 2016 Hospital wise Summary Report Base Hospital No. of Camps OP Diabetic Patients Screened for D.R. Diabetic Retinopathy Known & % of total Diab seen in camp New & % of total Diab seen in camp Total Diab screened & % of Diab in total OP Avg Diab seen per camp Known D.R. New D.R. Total D.R. Madurai 48 9344 3225 85% 564 15% 3789 41% 79 56 317 373 10% Mdu UC Project 18 2815 716 70% 304 30% 1020 36% 57 12 66 78 8% Theni 40 2712 2626 100% 8 0% 2634 97% 41 219 260 TVL 19 1040 859 98% 17 2% 876 84% 46 9 96 105 12% CBE 87 14963 3944 89% 488 11% 4432 51 152 438 590 13% PDY 54 6983 3287 96% 129 4% 3416 49% 63 52 206 258 Salem 1 30 26 87% 4 2 3 Total 267 37887 14683 91% 1514 9% 16197 43% 61 323 1344 1667

9 Specialty Services in CSC
Sr.Archana – Patient Counselor

10 Specialty services in Outreach (Jan-Dec)
Parameters Madurai Theni Tirunelveli Coimbatore Pondicherry Salem Outpatients seen 91,497 16738 47,560 70851 74,356 11,070 Specialty diagnosed 7,727 807 3,395 3214 5,932 496 % in OP 8.4% 4.8% 7.1% 4.5% 8.0% Specialty referred 6,436 560 2,587 1775 3,109 409 % of diagnosed 83% 69% 76% 55% 52% 82% Specialty visited 4,257 487 1,722 927 1,929 214 Compliance Rate 66% 87% 67% 62%

11 Aravind Eye Hospitals: Specialty services in Comprehensive Eye Screening Camps (Details of diagnosed and referred in camp and registered in base hospital) Madurai Theni Tirunelveli Coimbatore Pondicherry No. of Camps & OP 362 91497 105 16738 282 47560 353 70851 268 74356 Speciality Diagnosed & % in OP screened: Glaucoma 1102 1.2% 149 0.9% 670 1.4% 360 0.5% 655 Retina 1211 1.3% 57 0.3% 850 1.8% 692 1.0% 651 Diab. Retinopathy 252 21 0.1% 141 27 0.0% 171 0.2% Childhood Eye def. 864 370 0.8% 310 0.4% 415 0.6% Cornea 1223 95 420 732 1034 Orbit 737 44 285 274 545 0.7% Neuro 429 5 122 179 215 Uvea 65 25 45 67 PCO 618 125 210 378 Others 1226 1.7% 302 595 1801 2.4% Total 7727 8.4% 807 4.8% 3395 7.1% 3214 4.5% 5932 8.0%

12 Aravind Eye Hospitals: Specialty services in Comprehensive Eye Screening Camps (Details of diagnosed and referred in camp and registered in base hospital) Speciality Referred & % in diagnosed: Glaucoma 928 84% 106 71% 454 68% 194 54% 424 65% Retina 1021 38 67% 652 77% 380 55% 356 Diab. Retinopathy 238 94% 17 81% 94 24 89% 141 82% Childhood Eye def. 723 19 90% 294 79% 175 56% 207 50% Cornea 1040 85% 60 63% 362 86% 426 58% 642 62% Orbit 603 30 227 80% 167 61% 315 Neuro 353 4 105 100 136 Uvea 61 5 100% 32 44 66% PCO 511 83% 85 130 149 39% Others 958 78% 196 69% 252 277 47% 695 Total 6436 560 2587 76% 1775 3109 52%

13 Aravind Eye Hospitals: Specialty services in Comprehensive Eye Screening Camps (Details of diagnosed and referred in camp and registered in base hospital) Speciality Registered & Rate of Compliance: Glaucoma 630 68% 98 92% 295 65% 115 59% 263 62% Retina 713 70% 34 89% 459 219 58% 228 64% Diab. Retinopathy 173 73% 14 82% 59 63% 7 29% 101 72% Childhood Eye def. 395 55% 15 79% 189 79 45% 120 Cornea 738 71% 54 90% 253 225 53% 402 Orbit 394 26 87% 140 75 184 Neuro 230 3 75% 73 48 48% Uvea 38 4 80% 9 12 38% 22 50% PCO 340 67% 74 82 Others 606 165 84% 163 147 451 Total 4257 66% 487 1722 927 52% 1929

14 Drop out details due to delayed admission

15 Camps: tokens issued for all 9 1450 87 125 1325 1222 228
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 253 20272 2548 1766 17934 13% 88% 9% 2 Camps: tokens issued for all 9 1450 87 125 1325 1222 228 6% 84% 16% 3 Camps: tokens issued partly 6 1856 155 98 836 814 748 66 8% 45% 40% 5% 4%

16 Optical Services in CSC and Review camp

17 Glass dispensed in Comprehensive Screening Camps (Jan – Dec)
2015 2016 Out Patients 76,698 74,356 Glass Prescription 19,359 20,943 % of OP 25% 28% Glass Order 16,890 16,731 % of GP 87% 80% on the Spot delivery 13,239 12,874 % of GO 78% 77%

18 Quality Assurance: Visual Outcome in Follow up camp

19 Quality related Parameters 1
Cataract Follow up – Visual Outcome – Complication Referral 2015 (Jan-Dec) 2016 (Jan-Dec) Cataract Follow up: Cataract surgery Reviewed Follow up rate 19104 15961 84% 16379 14180 87% VA with Correction: VA 6/6 - 6/18 6/24-6/60 < 6/60 15517 363 55 13868 260 44 97% 2% 0% 98% Follow up on Complication referral: Referred (% in Rev.) Registered (% of refrd) Data not available

20 Sr.Durga – Camp Hospital Ward
Not Operated details Sr.Durga – Camp Hospital Ward

21 Quality related Parameters 2
Not operated details Year Actual IP Pts Operated Not Operated Systemic Problems Speciality Non-clinical Total Hypertension Diabetic Cardiac Asthama Foot Ulcer Others Neuro Orbit cornea Conjuctivitis Retina Glaucoma GP given Not willing Absconded Relation died 2015 20107 19434 673 50 31 56 14 68 6 13 39 36 42 111 32 21 7 17 130 3.3% 32.5% 41.5% 26.% 2016 18780 18177 603 29 22 44 3 26 15 46 51 60 30 169 3.2% 25.7% 39.8% 34.5%

22 Issues / Incidents – Jan to Dec 2016
ICU During 2016 (Jan to Dec)  No. Place of camp Patient Name IP No Cause Admitted on Follow up 1 Chidambaram A.Thamodharan 38452 Fits 15/02/2016 Treatment was given and patient was discharged. 2 Cheyyar Saroja 40905 Vomiting ,Diarrhea,Fever 22/03/2016 3 Tharangampadi Amirthalingam 41929 Giddiness 27/05/2016 Patient admitted in GH 4 Ayakkaranpulam Arockiamary 49075 Giddiness, Vomitting, allergy 22/08/2016 5 Chengam Sambangi 49507 Urinary Problem 07/09/2016 6 Vedaraniyam Marimuthu 51314 BP –High 21/09/2016 7 Athilakshmi 52381 Vomiting,Giddiness 05/10/2016 8 Ulundurpettai Subramaniyan 52575 Heart Block 08/10/2016 9 Periyathatchur Sankar 55295 Chest pain 06/12/2016 10 Thiruvannamalai Vijayan 55109 Wheezing 07/12/2016 11 Oddambattu Rajam 55408 13/12/2016 12 Natarajan 55850 Asthamatic 19/12/2016 13 Kollidam Natesan 56479 27/12/2016 14 Vridhachalam Revathi 56530 Fever 28/12/2016

23 Quality of Data - Patient Information in Medical Records

24 Quality related Parameters 3
Quality of Patient information in Medical Record Audit was done for 1258 IP from 12 Camps 1 No. of patients found not wearing the discharge summary 0% 2 No. of medical records found without complete address 70 5.6% 3 No. of information card without phone number 150 11.9% 4 No. of phone numbers recollected & recorded in case sheets 5 Medical records found with no Id proof like ration card etc. 250 19.9% 6 No ID proof & Phone no in the case sheet 7 Diagnosis Details not recorded in the case sheets

25 Missing Case Sheets in Camps
Sr.Thamaraiselvi – MRD

26 Missing Case Sheets in Screening Camps
Month 2015 (Jan-Dec) 2016 (Jan-Dec) OP Missing % Jan Data not available 4604 160 3.5% Feb 7796 486 6.2% Mar 4127 213 5.2% Apr 806 24 0.0% May 3281 143 4.4% Jun 6006 113 1.9% Jul 9153 217 2.4% Aug 12052 159 1.3% Sep 8988 296 3.3% Oct 3966 69 Nov 7719 187 Dec 5858 171 2.9% Total 74356 2238 3.0%

27 Missing Case Sheets in Review Camps
Month 2016 (Jan-Dec) Actual Surgery Missing % Jan 856 21 2.5% Feb 1685 34 2.0% Mar 1136 26 2.3% April 349 13 3.7% May 843 17 Jun 1856 39 2.1% Jul 2564 44 1.7% Aug 2378 30 1.3% Sep 2246 60 2.7% Oct 881 56 6.4% Nov 1775 1.2% Total 16569 361 2.2%

28 Quality of Care: Camp In Patients

29 Issues / Incidents – Jan to Dec 2016
B. Injury During 2016 No. Place of camp Patient Name IP No Type of Injury Injured on Follow up 1 Thiruvannamalai A.Jayaraj 53566 Injury due to bathroom slip 11/11/2016 For further treatment, the patient had been they advised in the respected clinic by our Hospital physician C. Mortality   During 2016 No. Place of camp Patient Name IP No Cause Date of death Follow up 1 Thiruvannamalai Singaravelu 486813 Cardiac arrest (Myocardial infarction) D. Absconded During 2016 From where Date and Reason of missing Vaniyampadi Khadeer Ahamed 37711 Camp Ward ensured they reached (Over to phone call) 2 Arakonam Ramachandran 43856 3 Vadalur Mani 524604 E. Delayed departure 2015 & 2016 5 to 10 Min (2015 Jan- Jun) >10 Min(2015 Jan- Jun) 5 to 10 Min (2016 Jan- Jun) >10 Min(2016 Jan- Jun) 7 camps 8 camps 10 camps 5 Camps F. Camp supplies Issues (clinical and non-clinical) Record/Instruments… Nature of Issue NIL

30 Issues / Incidents – Jan to Dec 2016
G. Relationship issues (between Camp Sponsor and Camp Team Staffs) No. Place of camp Date Details of Issue Follow up  Nil H. Camp site facilities  (site requirements, stay etc.) I. Review camps Review Date Nil J. Other Issues NIL

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


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