Uneak White's Personal Brand Exploration Presentation
Cost management in charitable eye hospital dr.kuldeep dole
1. Dr. Kuldeep Dole
Sight First Technical Advisor, MD 323
Lions Clubs International Foundation
Medical Director
PBMA’S H V Desai Eye Hospital
Cost management in charitable eye hospital
with special reference to Diabetic
Retinopathy
3. What is diabetic retinopathy?
• Diabetic retinopathy – means changes to the retina (the seeing part
at the back of the eye) and is a complication that can affect anyone
who has diabetes.
• Generally retinopathy has no obvious symptoms, so you may not
know you have it until it is well advanced.
• Retinopathy can affect you whether your diabetes is treated with diet
and exercise alone or together with diabetes medication and /or
insulin.
• Early detection is the key to successful treatment.
4.
5.
6. Diabetic Retinopathy Screening Programme
Goal
• Reducing morbidity and disability and improving
quality of life for persons with diabetic Retinopathy.
Objectives
• To identify patients with Diabetic Retinopathy by
screening diabetics and high risk population.
• To provide appropriate Management of Diabetes and
Prevention of Diabetic Retinopathy.
• To generate awareness of Diabetes and Diabetic eye
disease in the community.
• To ensure quality and proper documentation
in screening.
7. Challenges
Large unidentified
diabetic
population
Strategies to Zero in
on target
population
Undiagnosed DR Networking with all
the stakeholders
Complex treatment Team Approach
Poor compliance to
treatment Counseling
Lack of trained
personnel Training
Low level of
Awareness Health Education
Unaffordable cost To subsidies
Sight First - LCIF
21. Organized screening -Diabetic Retinopathy Camps
Objectives
• Early – symptom less – do not access – so go to their doorstep
• Early detection and follow up treatment for management of DR
• To create awareness
Sight First - LCIF
22. Case Finding Cost: Shared Responsibilities
• Pre camp budget
• Camp day budget
Food &
Refreshment
Publicity Campaign
Camp site
Arrangements
Medical team
manpower cost
Medical team
transport
Community
partner
Service
provider
29. Cost – Definitions
• Capital cost: Cost of Land, Building, major equipment,
etc.
• Operating cost: On going cost of providing the
services
• Fixed Cost: Costs that have to be incurred regardless of the
level of activity
• Variable cost: Costs that vary directly with the level of
activity
• Unit cost: Cost (Fixed + variable) per unit of service
Cost Categorization
30. Total Fixed Cost
64
Variable Cost
Per Unit
X
Y
X
X
X
Y
Y
Y
Fixed Cost Per Unit
Total Variable Costs
FC
FC
VC
VC
Volume
Volume
Volume
Volume
Cost
CostCost
Cost
VS
Fixed Vs. Variable Costs
30
32,000
500 1000 1500
500 1000
Cost
32
500 1000
500 1000
7000
14000
14
31. Understanding Cost behavior and management
Number of
Cataract
Surgeries
Total Fixed
Cost
Unit Fixed
cost
Unit
Variable
Cost
Total Cost Fees Profit
500 32,000 64 14 78 100 22
1,000 32,000 32 14 46 100 54
1,500 32,000 21 14 35 100 65
32. Cost-Volume-Profit Planning
Volume 800 900 1,000 1,100
Fixed expenses 8,984,000 8,984,000 8,984,000 8,984,000
Fixed exp. per procedure 11,230 9,982 8,984 8,167
Variable exp. per
procedure
1,320 1,320 1,320 1,320
Total Variable expenses 1,056,000 1,188,000 1,320,000 1,452,000
Charges per procedure 12,000 11,900 11,700 11,000
Total revenue 9,600,000 10,710,000 11,700,000 12,100,000
Net surplus/loss (440,000) 538,000 1,396,000 1,664,000
By Increasing The Volume, We Can Offer Lower Price To The
Patients And Enjoy Higher Profits At The Same Time
34. Cost Sheet
• For calculating the cost of each service, it is necessary to collect all
the expenses relating to that service.
• We make a cost sheet in which we show all the cost relating to
specific service to arrive at the total cost of providing a particular
service.
