Leading the WayTaking initiative in a limited resource setting

Mirza Yawar BaigOpening the world, one mind at a timeExperienceLeadership trainer, author, life coach, entrepreneur, photographer. 16 years in general management, 30 years in training. Trained over 200,000 managers, on three continents. International consulting practice. Specialize in Leadership Development, Family Business and Education.1994 Founded Yawar Baig & Associates EducationIIMA, P-CMM, MBTI, WSA, ISABSBooks includeLeadership is a Personal ChoiceLeadership Lessons from the life of RasoolullahAn Entrepreneurs DiaryHiring WinnersUnderstanding Islam 52 Juma KhutbasFieldbook for the Khateeb 52 Juma Khutbas20-10-2010, 55. Life lessons of 55 years

Member Panel of ConsultantsAssociation of Muslim Schools, South Africa & UKJamiat ul Ulama, South Africa & Sri LankaUSAGE Corporate University, CrotonvilleAMA International, New YorkAndersen Corporate University MNIndiaSVP National Police Academy, HyderabadSSB Academy, Gwaldam, Uttar AkhandLBS Academy of Administration, MussoorieClients includeGE, Oracle, Motorola, Microsoft, IBM, National Semiconductor, Unilever, BSNL, Tata Indicom, Colgate, Asian Paints, Siemens, Wartsila, MphasiS, EXL Service, World Bank-CGIAR, Tata Corporate, J & J, Accenture, Zeneca Seeds, Reuters, Air India, Yusuf Bin Ahmed Kanoo, Olam, Regal Beloit, AMKA, Checkout, Suzlon, JP Morgan, SEW Infrastructure, SEAPOL, Expolanka, KAR Group, LANCO, Verizon, Mars Chocolates, Rahimafrooz, Utah Group

First comes the NiyyahWhy are you in the Health Care business?Is it a business?What are the implications of viewing it as a commercial enterprise?2 terminal illnesses of modern society are the commercialization of education and health care

Aravind Eye HospitalCase Studyhttps://www.youtube.com/watch?v=65TLzg7GShwhttp://www.aravind.org

Passion for the Goal

Dr. Govindappa Venkataswamy 1918 2006Born Oct 1, 1918 Vadamalapuram, TamilnaduEldest of 5 children, walked bare foot to school. Wrote lessons in sandSaw 3 cousins die during childbirthGoal : To cure blindness and to see all as one.

Studied obstetrics5

1976Retired from Government service at age 58With 5 brothers and sisters and their spouses, all eye doctors, started an 11 bed eye clinicMortgaged the family house, sold family jewelry and put life savings on the lineNo business plan, no safety net, no experienceGoal: Eliminate needless blindness

201350 facilitiesLargest eye care provider on the planet38 million patients seen in 37 years5 million surgeries performedThe MAJORITY for FREEHarvard case study for 20 years mandatory case study for every Harvard MBA student

Surgeon productivity

Fastest time for Cataract surgery 3.5 minutes

Comparison Volume & Cost

Less than 1%

Comparison Quality careAravinds quality is equal to or exceeds the quality outcomes of NHS over 20 different complication types

Financial sustainabilityOperating surplus of $ 13 M on a revenue of $ 27 MAll services, all growth is covered by patient revenueSufficiency model abundance mindsetDo the work, the money will follow. ~ Dr. VSpectacularly profitable, worthy of any for-profit organization ~ Forbes

Aravind Eye Hospital RulesWe cant turn anyone away Compassion We cant compromise quality Excellence We must be self-reliant Own ResourcesLet the patient decide Trust

High quality, high volume, low cost

Upside-down Business ModelNo growth numbersNo financial targetsNo organizational career pathsNo business strategy only selfless serviceStill produced the largest, most productive, high quality eye care in the world

Self-impose creative constraints on yourself ~ Pavi Mehta

Dr. Vs Core IdeologyWere not here to mechanically restore sight. We are here to affirm dignity.Zero is a legitimate price pointQuality will not differ. Optional add-ons are payablePoor patients seen as contributors. Not rich helping the poor but the poor are equal partners in dignity

India: 12 M blind people, majority living on < $1.5 per day

Finding versus BuildingYou cant find people. You have to build people. ~ Dr. V100% of nurses trained in-house certified by the same agency that certifies nurses for American hospitals95% of doctors trained in-house15% of all eye doctors in India trained at AravindAravind trains residents from Harvard, Johns Hopkins etc.Aravind is a tertiary care facility with all super specialty clinicshttp://www.aravind.org

How did they make it happen?Own the barriers take the hospital to the people or bring them to the hospital2200/year 50/week: Partnership with community sponsors/partners45% of volume building trust, ownership, goodwillStandardization, optimization of techniques McDonaldsTake responsibility for all of it~ Lesson taught by a blind beggar

Bottom line - if you want something, you have to believe enough to invest yourself - mind, money, energy and most of all, heart.

Constraints are in the mind1980s: Intraocular lenses for cataract surgery @ $300WHO It would be irresponsible to encourage addiction to a technology that this country cant afford.Aravind started an internationally certified manufacturing facility and produced IOLs @ $10 and then @ $2 and exported them to 170 countries.They train competition 60 countries Beyond Open source??To maximize impact share the knowledge

JDT Iqra HospitalCase # 2

Mopla (Mapilla) Rebellion 1921Two brothers from Punjab came to Calicut in 1921 after this and set up an orphanage called the JDT Islam Orphanage to take care of the orphans from this warLocal people took it over and developed it further Today JDT Islam Group of Institutions as over 15, 000 students in different disciplines including Vocational TrainingToyota set up a training facility in JDT 1st of its kind

JDT Iqraa PartnershipIQRAA hospital is owned by JDT Islam Orphanage350 bed hospital with multispecialty servicesRs.10/- for consultation with General Practitioner, Rs.50/- to Rs.200/- for the Specialist.Friday Specialty Clinics for Rs.50/- for all specialties including Super specialties.

Quality care at cheapest rates

Dialysis Large volume of dialysis patientsCharge between Rs. 100-200 per dialysis compared to Rs. 2000-3000 in other hospitals in the countryEquipped to do renal surgery and other procedures for renal careTeam of highly dedicated doctors and nursesTake donations but financially self-sufficient

You dont need money. You need compassion.

InsightsCompassion paysConstraints are inspiringHappiness lies in the lives of othersWealth is measured in terms of contributionThe most powerful unit One Person

Enough for need Not for greed

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