Tjahjono D. Gondhowiardjo
JEC Eye Hospitals & Clinics
Hospital Development based on “Hub and Spoke” Strategy
My presentation is connected to the following theme
Eye Hospital Management
5 key short sentences highlighting the essence of my presentation
- Balancing access, quality, and financial sustainability
- Building a hub-and-spoke ecosystem for diverse patients
- Delivering subspecialty care closer to communities
- Connecting spoke clinics with expertise through teleophthalmology
- Developing clinical resources through fellowship and training
Summary
Eye care providers face the challenge of delivering high-quality services while meeting rising patient expectations and maintaining financial sustainability. To address this, JEC applies a hub-and-spoke management model supported by a broader ecosystem of subspecialty care, digital technology, education, and workforce development.
In this model, clinics serve as community-based spokes that provide accessible entry points for both premium patients and National Health Insurance patients (known as BPJS). Unlike conventional referral clinics, JEC clinics are supported by subspecialist ophthalmologists, subspecialty-based diagnostic equipment, and selected surgical capabilities, including procedures such as glaucoma surgery. More complex procedures requiring greater facility readiness, such as strabismus and vitreoretinal surgery, are referred to the central hub, where advanced infrastructure and higher-level expertise are available.
This model is strengthened by integrated information systems and teleophthalmology, enabling spoke-clinic cases to be reviewed by more specialized expertise within the network. Complication management is supported through structured referral pathways and coordinated clinical governance. Beyond technology, JEC develops its own medical personnel through fellowship programs, structured training, education, and continuous competency development to sustain network-wide clinical capability. Through this integrated hub-and-spoke ecosystem, JEC can serve diverse patient segments while strengthening access, clinical quality, operational resilience, and sustainable eye care delivery.
In this model, clinics serve as community-based spokes that provide accessible entry points for both premium patients and National Health Insurance patients (known as BPJS). Unlike conventional referral clinics, JEC clinics are supported by subspecialist ophthalmologists, subspecialty-based diagnostic equipment, and selected surgical capabilities, including procedures such as glaucoma surgery. More complex procedures requiring greater facility readiness, such as strabismus and vitreoretinal surgery, are referred to the central hub, where advanced infrastructure and higher-level expertise are available.
This model is strengthened by integrated information systems and teleophthalmology, enabling spoke-clinic cases to be reviewed by more specialized expertise within the network. Complication management is supported through structured referral pathways and coordinated clinical governance. Beyond technology, JEC develops its own medical personnel through fellowship programs, structured training, education, and continuous competency development to sustain network-wide clinical capability. Through this integrated hub-and-spoke ecosystem, JEC can serve diverse patient segments while strengthening access, clinical quality, operational resilience, and sustainable eye care delivery.