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Harvard Case - L. V. Prasad Eye Institute: Innovating the Business of Eye Care

"L. V. Prasad Eye Institute: Innovating the Business of Eye Care" Harvard business case study is written by Shlomo Maital, D.V.R. Seshadri, Swati Sisodia. It deals with the challenges in the field of Entrepreneurship. The case study is 18 page(s) long and it was first published on : Apr 7, 2020

At Fern Fort University, we recommend that the L.V. Prasad Eye Institute (LVPEI) continue its innovative trajectory by strategically leveraging its existing strengths in technology, research, and patient care to expand its reach and impact. This can be achieved through a multi-pronged approach encompassing: * Global Expansion: Targeting emerging markets with high unmet eye care needs through strategic partnerships and franchise models. * Digital Transformation: Developing a robust digital platform for telemedicine, remote patient monitoring, and online education. * Business Model Innovation: Exploring new revenue streams through partnerships with pharmaceutical companies, insurance providers, and technology firms. * Social Impact Investment: Attracting impact investors and philanthropic organizations to support LVPEI's mission of providing affordable and accessible eye care.

2. Background

The L.V. Prasad Eye Institute (LVPEI) is a non-profit organization dedicated to providing high-quality, affordable eye care to the underprivileged in India. Founded in 1976, LVPEI has grown into a global leader in ophthalmology, with a network of hospitals, research centers, and training programs across India.

The case study focuses on LVPEI?s journey of innovation and its efforts to expand its reach and impact. Key protagonists include:

  • Dr. G.V.S. Murthy: Founder and Chairman of LVPEI, a visionary leader who spearheaded the organization?s growth and expansion.
  • Dr. P. Venkatachalam: Director of LVPEI, instrumental in developing innovative business models and technology solutions.
  • The LVPEI team: A dedicated group of ophthalmologists, researchers, and administrators committed to delivering quality eye care.

3. Analysis of the Case Study

LVPEI?s success can be attributed to its commitment to entrepreneurial management and disruptive innovation. The organization has consistently embraced new technologies and business models to improve patient care and expand its reach.

Key Strengths:

  • Strong Brand Reputation: LVPEI enjoys a strong reputation for quality and affordability, built on decades of service and innovation.
  • Clinical Expertise: LVPEI boasts a world-class team of ophthalmologists and researchers, driving advancements in eye care treatment and technology.
  • Focus on Social Impact: LVPEI?s mission of providing affordable eye care to the underprivileged has attracted a loyal base of supporters and donors.
  • Technological Advancement: LVPEI has embraced technology to enhance its services, including telemedicine, remote patient monitoring, and digital education platforms.

Challenges:

  • Scaling Operations: Expanding LVPEI?s services to reach a wider population requires significant investment and operational efficiency.
  • Competition: The eye care industry is increasingly competitive, with both for-profit and non-profit organizations vying for patients and resources.
  • Financial Sustainability: LVPEI?s reliance on donations and government funding makes it vulnerable to economic fluctuations.
  • Maintaining Quality: As LVPEI expands, it must ensure that its services maintain the same high standards of quality and affordability.

Framework for Analysis:

  • Porter?s Five Forces: Analyzing the competitive landscape in the eye care industry reveals the presence of strong competitive forces, including the threat of new entrants, bargaining power of suppliers, and rivalry among existing competitors.
  • Value Chain Analysis: Examining LVPEI?s value chain reveals its core competencies in research, technology, and patient care.
  • SWOT Analysis: Identifying LVPEI?s strengths, weaknesses, opportunities, and threats provides a comprehensive picture of the organization?s current position and future potential.

4. Recommendations

To address the challenges and capitalize on its strengths, LVPEI should adopt a multi-pronged strategy:

1. Global Expansion:

  • Target Emerging Markets: Identify high-growth emerging markets with a significant unmet need for eye care, such as Africa, Southeast Asia, and Latin America.
  • Strategic Partnerships: Collaborate with local healthcare providers, NGOs, and governments to establish eye care centers and training programs.
  • Franchise Model: Develop a franchise model to enable local entrepreneurs to operate LVPEI-branded eye care centers, leveraging the organization?s expertise and brand equity.
  • International Business Development: Create a dedicated team to oversee international expansion, focusing on market research, partnership development, and regulatory compliance.

2. Digital Transformation:

  • Develop a Comprehensive Digital Platform: Create a user-friendly platform for telemedicine consultations, remote patient monitoring, online education, and appointment scheduling.
  • Leverage Technology and Analytics: Integrate data analytics to improve patient care, optimize resource allocation, and identify areas for improvement.
  • Invest in Software Development and Engineering: Build a team of skilled engineers to develop and maintain the digital platform, ensuring its scalability and security.
  • Promote Digital Literacy: Educate patients and healthcare professionals on the benefits of digital healthcare solutions, fostering adoption and engagement.

3. Business Model Innovation:

  • Partnerships with Pharmaceutical Companies: Collaborate with pharmaceutical companies to develop and distribute affordable eye care medications and devices.
  • Insurance Partnerships: Partner with insurance providers to offer eye care coverage to a wider population, increasing access to treatment.
  • Technology Licensing: License LVPEI?s innovative technologies to other healthcare organizations, generating revenue and expanding the reach of its solutions.
  • Social Impact Investment: Attract impact investors and philanthropic organizations to support LVPEI?s mission and fund its expansion plans.

4. Social Impact Investment:

  • Develop a Compelling Investment Case: Highlight LVPEI?s impact on improving eye health and reducing blindness, attracting investors seeking social and financial returns.
  • Establish a Social Impact Measurement Framework: Develop a robust framework to track and measure the impact of LVPEI?s programs, providing transparency to investors.
  • Explore Innovative Financing Mechanisms: Consider impact bonds, blended finance, and other innovative financing mechanisms to attract a wider range of investors.
  • Engage with Impact Investors: Actively engage with impact investment funds and foundations to build relationships and secure funding for LVPEI?s initiatives.

5. Basis of Recommendations

These recommendations are based on a thorough analysis of LVPEI?s strengths, weaknesses, opportunities, and threats. They align with the organization?s mission of providing affordable and accessible eye care, while also considering the need for financial sustainability and global impact.

  • Core Competencies and Consistency with Mission: The recommendations leverage LVPEI?s core competencies in research, technology, and patient care, while remaining consistent with its mission of providing quality eye care to the underprivileged.
  • External Customers and Internal Clients: The recommendations address the needs of both patients and healthcare professionals, providing them with access to high-quality eye care and innovative solutions.
  • Competitors: By embracing digital transformation and exploring new business models, LVPEI can stay ahead of the competition and attract a wider range of patients and investors.
  • Attractiveness ? Quantitative Measures: The recommendations are expected to generate positive financial returns, while also delivering significant social impact, making them attractive to investors and donors.

6. Conclusion

LVPEI has a unique opportunity to become a global leader in affordable and accessible eye care. By embracing a multi-pronged strategy that combines global expansion, digital transformation, business model innovation, and social impact investment, LVPEI can significantly increase its reach and impact, improving the lives of millions of people worldwide.

7. Discussion

Alternatives:

  • Focusing solely on domestic expansion: While this would be a less risky approach, it would limit LVPEI?s potential impact and growth.
  • Adopting a purely for-profit business model: This could jeopardize LVPEI?s mission of providing affordable eye care to the underprivileged.

Risks and Key Assumptions:

  • Regulatory hurdles: Expanding into new markets may involve navigating complex regulatory environments.
  • Cultural differences: LVPEI must adapt its services and marketing strategies to different cultural contexts.
  • Competition from established players: LVPEI may face competition from established eye care providers in emerging markets.

8. Next Steps

  • Develop a detailed business plan: Outline the specific goals, strategies, and timelines for each recommendation.
  • Establish a dedicated team: Assemble a cross-functional team with expertise in international business, digital transformation, and social impact investment.
  • Pilot projects: Implement pilot projects in selected emerging markets to test the feasibility of the proposed strategies.
  • Secure funding: Engage with impact investors, foundations, and other potential funders to secure the necessary resources for expansion.
  • Monitor and evaluate progress: Regularly track the progress of LVPEI?s initiatives and make adjustments as needed.

By taking these steps, LVPEI can successfully navigate the challenges and opportunities ahead, becoming a global leader in affordable and accessible eye care, and making a lasting impact on the lives of millions of people worldwide.

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Case Description

The case delineates the journey of L.V. Prasad Eye Institute (LVPEI), which evolved to become the biggest rural eyecare network, and it is amongst the most well-known eyecare providers in the world. Established in the year 1987 in the city of Hyderabad, India, LVPEI had been known internationally for its quality of eye care. As part of its vision, it treats half of its patients free of cost by adopting the cross-subsidization model. It developed the unique 'Pyramid Model' to serve the last mile population. The subject of Strategy and Innovation is riddled with paradoxes. A paradox is typically a pair of opposites, that have to be creatively reconciled, ensuring that both the opposites are simultaneously true. The case is set in the year 2018, and the key highlight of the case is to showcase how LVPEI has reconciled the hierarchy of paradoxes, i.e., strategy paradoxes, and innovation paradoxes during its 30 years journey and achieved excellence in eye care. The vital question of how LVPEI can sustain continued innovative excellence has emerged now. The senior management of LVPEI has to chart their way forward for the coming 30 years, reconciling the hierarchy of paradoxes. These paradoxes are elusively described in the case. Students would need to identify the paradoxes and think through LVPEI's journey ahead by reconciling them.

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