Volume 47 April 13, 2009 No. 14
InfantSEE® CDC project
pilot marketing pro- distribution and advance
A gram is providing
valuable insight into organiz-
media outreach are part of the
efforts leading up to each
CDC InfantSEE® Week.
ing doctors and raising the The program is also con-
public’s awareness of the pro- ducting extensive outreach to
gram. community health resources
InfantSEE®, an entity of including health departments,
Optometry’s Charity™—The pediatrics centers, community
AOA Foundation, provides a centers and other outlets that
one-time, no-cost eye health provide care for infants.
assessment to infants between Grassroots efforts
6 and 12 months old. include moms and other local
With nearly 7,500 advocates, including partici-
providers and support from pating doctors of optometry,
the AOA and Vistakon®, a to promote and engage fellow
Division of Johnson & community members regard-
Tom Cullinane, O.D., watches a youngster test her depth perception as part Johnson Vision Care, Inc., the ing the InfantSEE® Week.
of AOA’s participation in the Transitions Championship golf tournament last program starts children off to In preparation for the
month. In the background, Graham Erickson, O.D., chair of the AOA Sports a lifetime of vision care. InfantSEE® Weeks, the pro-
Vision Section, oversees laser-assisted putting. See story, page 15. The pilot marketing pro- gram offers orientation ses-
gram, made possible by a sions and continuing educa-
TBI, aviation vision lead Sunday CE $430,000 grant from the
Centers for Disease Control
tion to volunteer optometrists.
The sessions are provided at
and Prevention (CDC), no cost to the participating
ptometry’s Meeting® Brunstetter, O.D., Ph.D.; A. Federal Aviation includes the launch of provider and are designed to
O Sunday education
covers a broad range
of topics from aviation vision,
Engle, O.D.; J. Kent, O.D.; V.
Nakagawara, O.D.; J. Weaver,
Administration medical exam-
ination and certification
process; aviation vision stan-
“InfantSEE® Weeks” through-
out the country.
This year, eight locations
refresh their knowledge on
the clinical examination of
to neuro-optometry, to anterior This six-hour course is dards; prescription options for will host an InfantSEE® Week The featured weeks do
segment challenges. designed to prepare aviation; color vision in avia- with concentrated media and not require any changes on
Essilor and The Vision optometrists to meet the basic tion; spatial disorientation; public relations efforts the part of InfantSEE®
Care Institute™, LLC, a needs of their pilot patients, night vision in aviation; and designed to raise awareness providers, but instead are con-
Johnson & Johnson company, whether they are involved in refractive surgery in aviation. of the program and encourage centrated periods of time in
are sponsoring “Aviation general, commercial, or mili- “Neuro-Optometric parents to make appointments
Vision,” course #4110, from 8 tary aviation. for their infants.
a.m. to 3 p.m. (Lecturers: T. The course will cover the See Sunday, page 27 Direct mail pieces, flyer See CDC, page 8
President’s Column Optometry’s Meeting®
Optometric Bill of Rights Woodruff to
243 N. Lindbergh Blvd.
St. Louis MO 63141
Optometric Bill of Rights
www.aoa.org s I drafted the last disclosure statements by vision therapy, low vision,
Peter H. Kehoe, O.D.
A President’s Column
Declaration of Optometric
managed vision or health
plans to more easily deter-
mine if joining a panel makes
sports vision and specialty
contact lens referrals. In addi-
tion, based on experience,
Independence, I was about to financial and professional equipment limitations or
share the message to nearly sense for his/her practice. In practice settings, some
Randolph E. Brooks, O.D.
300 industry executives at the particular, as in some man- optometrists choose to refer
Vision Monday Global aged vision plan carve outs of glaucoma and other medical
Joe E. Ellis, O.D. Leadership Summit prior to medical eye care – when eye conditions. In the future,
Vision Expo East. there is disparity between those optometrists will first
Dori M. Carlson, O.D. It seems fitting today as I reimbursement or scope of look to their optometric col-
depart Washington, D.C., services provided between leagues. The patients will be
Kevin L. Alexander, O.D., Ph.D.
IMMEDIATE PAST PRESIDENT
after having met with several optometry and ophthalmolo- promptly returned to their Dr. Kehoe
members of Congress and gy – the plan will clearly dis- family optometrist for care
senators that I share my ver- close the disparity and the not based on the referral. commit to a lifetime of learn-
David A. Cockrell, O.D.
Ronald L. Hopping, O.D., M.P.H. sion of the Optometric Bill of optometrist can then deter- Fourth Amendment – ing to ensure the best patient
Steven A. Loomis, O.D. Rights. mine if the lower reimburse- Fair and Reasonable care possible. In addition, the
Mitchell T. Munson, O.D.
Christopher Quinn, O.D. The first five, in this ment or limited scope of serv- Reimbursement for Services optometric profession will
Andrea Thau, O.D. issue, concern the rights of never stop striving to provide
practitioners. With the nation-
al discussions of health care
Optometrists in all practice necessary care to patients in
need and will set no limits on
AOA News Staff
reform, it’s critical that settings shall work closely with the expansion of scope when
optometry is clear with where it is in the patient’s best inter-
Bob Foster, ELS we believe the profession
their optometric colleagues est.
ASSOCIATE DIRECTOR ,
E DITORIAL S ERVICES
must be, so we begin with the to ensure all patient needs are Because our patients are
first five rights of the focus of all we do, the
RAF OSTER @AOA. ORG
Bob Pieper optometrists. met by optometry whenever next issue will conclude with
RFP IEPER @AOA. ORG
First Amendment – appropriate. my view of patient rights
Equitable Reimbursement – from a presbyopic perspective
Tracy Overton optometrists and ophthalmol- of optometric care.
TLO VERTON @AOA. ORG ogists shall receive equal ices provided is in the Provided – The AOA will
Stephen M. Wasserman
reimbursement for the same patients’, his/her practices’ or provide its members with
DIRECTOR, COMMUNICATIONS AND MEMBERSHIP services regardless of the the professions’ best interest tools and information to
SMWASSERMAN@AOA.ORG payer. There is currently dis- to join the panel. ensure that no optometrist
crimination in managed Third Amendment – shall ever have to make
Medicare, some Medicaid Optometric Co- patient-care decisions based Peter H. Kehoe, O.D.
and obviously in ERISA Management and Intra- on the economics of reim- President
Display Advertising plans and even (possibly Professional Referrals – bursement. Eye examination
without common knowledge) optometrists in all practice reimbursement will cover all PS: Please visit
Advertising Sales Representative
Elsevier traditional commercial insur- settings shall work closely costs of providing the servic- www.PetesAOABlog.com to
360 Park Avenue South ers. Optometry, through the with their optometric col- es and a reasonable profit. add your “Amendments” or
New York, NY 10010-1710
(212) 633-3721 AOA and state associations, leagues to ensure all patient The provision of professional comment on this or any other
Fax: (212) 633-3820 will need dues dollars and needs are met by optometry services or materials will all topic of importance.
support in fighting for equal whenever appropriate. This is cover the costs of providing PPS: Watch your e-mail, my
reimbursement for equal serv- a natural evolution for our the products or services and a blog and snail mail for the
Keida Spurlock ices. profession and very success- reasonable profit. latest updates on the board
Advertising Sales Representative Second Amendment – ful in limited areas of the Fifth Amendment – certification discussion – your
360 Park Avenue South Truth and Transparency – country for some specialties. Lifetime of Learning and input is valued!
New York, NY 10010-1710 optometrists shall be provided There are thousands of Professional Growth – all
Fax: (212) 633-3820
with easy-to-understand full patients who can benefit from optometrists shall continue to
Change of address: Notify pub- American Optometric Association News (ISSN: 0094-9620) is published 18 times per year by Elsevier Inc.,
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4 AOA NEWS
Carlson files for vice president Win prizes, attention
ori M. Carlson, O.D., the Professional Relations serve on the in AOA Photo Contest
D of Park River, N.D.,
has filed for the AOA
office of vice president.
Advisory Committee, the
As a way of building a
storehouse of arresting and
Dr. Carlson was first Optometry’s Charity™-the Advisory beautiful photos, the AOA
elected to the board in June AOA Foundation Board of Committee and announces its first photo con-
2004. Currently, Dr. Carlson is Directors and the Commission is a longstand- test. Open to AOA member
the chair of the Finance on Paraoptometric ing member of the North ODs, American Optometric
Committee, Constitution and Certification. Dakota Legislative Committee. Student Association (AOSA)
Bylaws Committee and the Dr. Carlson was the first Her North Dakota colleagues member students and Paraoptometric Section members, the
Program Planning Committee. female president of the North awarded her the Young contest’s top prize in each category is $500 cash. All partici-
She also serves on the Dakota Optometric Assoc- Optometrist of the Year Award pants will have a chance at seeing their photography in AOA
Personnel Committee and iation (NDOA). She served on in 1994 and the Optometrist of publications or online media.
Building Committee and is the the AOA’s Communications the Year Award in 2003.
liaison to the Council on Technology Project Team from A 1989 graduate of Prizes:
Research. 2001-2002 and was chair of Pacific University College of There will be one $500 cash winner in each of four cate-
She has served as board the Information & Member Optometry and a former resi- gories: Practice Settings, Special Populations (children, sen-
liaison to the Advocacy Group Services Group and dent at the American Lake and iors, disabled or diverse), Community, and Events. The first
Executive Committee, the Membership Development Seattle Veterans Administra- finalist in each category will win an AAXA Pico Projector, a
Federal Legislative Committee. tion hospitals, Dr. Carlson and pocket-sized LCD projector valued at $259. The second
Committee, the Federal Since 1999, she has been her husband and partner Mark finalist will win a digital picture frame valued at $125. The
Relations Committee, the a trained consultant for the Helgeson, O.D., own practices third finalist and the Altered Image winner in each category
Finance Committee, the Health Accreditation Council on in Park River and Grafton, will each receive a “gallery-wrapped” 16” by 20” print of
Information Technology and Optometric Education. N.D. The doctors have two their winning photo. In addition, an entrant chosen at ran-
Telemedicine Project Team, Dr. Carlson continues to sons, Seth and Ian. dom – and his or her guest – will be invited to meet Jeff
Foxworthy at Optometry’s Meeting® for a photo session.
LETTERS The American Optometric Association’s Photo Contest
begins April 1, 2009, and ends May 15, 2009, at 2 p.m.
Central Daylight Time (CDT). By submitting an entry, each
contestant agrees to the rules of the contest.
Protect and in New Jersey in 1992 when making and remaking our Eligibility:
Advance the we passed our first therapeu- case to continue Members of the AOA, the AOA Paraoptometric Section and
tics law. We then went the status quo so that co-man- the AOSA are eligible. For details and to submit photos,
through the regulatory process agement prevails. visit www.aoa.org/photocontest.xml.
Editor: so that we could call our- Our adversaries stand
I have served as New selves “optometric physi- ready at the first opportunity
Jersey Society of Optometric cians,” which more accurately at both the state and federal profession that serves most of care to the nation. And who
Physicians (NJSOP) legisla- defined us and we cemented levels to take from us our our citizens, and Protect and knows, it may help to open up
tive chairman for more than that definition when we hard-fought gains and render Advance optometry. access heretofore denied.
20 years. During that time I passed our orals law. us second-class practitioners. It is within this context So, to reiterate, board
have done my best to fulfill But at every turn we were Do not be so naïve or that we once again find our- certification is another layer
the obligation that comes with opposed. Remember, we are a blasé and content to selves at a crossroads. We of protection against losing
the title and is shared by those legislated profession and have think that it could not happen have the opportunity to our collective patient base
in leadership: Protect and had to fight repeal laws and or won’t happen in some protect and advance the pro- and allowing us to advance
Advance the profession of other legislation meant to form. Yes, the NJSOP is a fession on our terms or let our profession into the 21st
optometry and in so doing limit our professional preroga- strong society politically, but I others, in a vacuum left by century.
expand our patient base while tives. By the way, within the know too well the thin line inaction, dictate what The marginally additional
providing the best eye care we wording of our practice act that exists between success our place will be in the health cost or extra hours that may
can to our patients. was language that held us to and failure at our state house care marketplace. attend this process pale in
I believe a short historical the same standard of care as a and in Congress. I believe board certifica- contrast to its need. I do not
review of where we were and medical practitioner. We glad- So at every turn, whether tion will strengthen our hand believe it to be a hardship
where we are going will be ly agreed to such wording in you like it or not, we must in meeting a changing health severe enough to warrant a no
helpful. order to give our legislative continue to prove our worth, care landscape by creating a vote. That would be penny-
When our optometric friends the level of comfort make the case for the uniform process requiring a wise and pound-foolish.
forefathers made the first necessary to vote for our new- high level of competency by On two critical notes, I
change from a drugless pro- found privileges. which, yes, once again, we would suggest:
Send letters to: Editor,
fession to one utilizing diag- We co-manage without will prove our worth to those Making the process less
nostic pharmaceuticals, it restriction in our state, but decision makers who make complex so as to make com-
raised our stature in our behind the scenes another 243 N. Lindbergh Blvd., health care policy in pliance less onerous.
patients’ eyes and our own. type of battle continues — at St. Louis MO 63141 Washington. We should also consider
But even then, ophthalmology the regulatory level where we RAFoster@aoa.org. It will be difficult for making license reciprocity
and medicine fought against have to quash attempt after AOA News reserves the them to limit our access as we among all states a reality
our right to simply use diag- attempt to roll back and limit right to edit letters submit- give them the level of comfort
nostic drugs. that privilege. This means ted for publication. they need to keep us as a
We made a quantum leap meeting with state officials, main player in providing eye See Letters, page 14
APRIL 13, 2009 5
Industry leaders take stock of economy
atient buying behavior their benefits, or jobs. demand.
P is changing as a result
of the economic down-
turn, but in ways that may not
Patients who are paying
for the exams and eyewear
themselves, however, seem to
Wally Lovejoy, senior
vice president for eye care
development at Luxottica
have been predicted, accord- be delaying their visits to the Retail affirmed that view. He
ing to industry leaders meet- eye doctor, Bracy said. said Flexible Spending
ing at the Ophthalmic Ranaan Naftalovich, chief Accounts, or FSAs, long a
CouncilSM prior to executive officer of Shamir reliable pool of funds for eye-
International Vision Expo Insight, said he was “very con- care, especially in the fourth
East last month. quarter, may be diverted
leaders said they have
“My biggest concern is to paying higher
deductibles as employers
observed a clear break that practitioners are shift more of the cost of
in behavior between
patients who are cov-
incurring self-inflicted health care to employees
– or the newly unem-
ered by managed care harm by selling ployed buy high-
plans and those who
are paying out of their
consumers down.” deductible insurance.
Richard Edlow, O.D., describes the state of the
pockets. leaders noted that vision
ophthalmic market at the Ophthalmic CouncilSM.
“We’ve seen an increase cerned personally about peo- care utilization is faring far
in utilization of managed care, ple using up their benefits and better than dental plan utiliza-
with usage up almost 30 per- the coming impact of higher tion. Where patients seem to Bradley said, “and noted On the contact lens front,
cent, but private pay down,” unemployment.” be making changes is in keep- some trading down in frames, there is some concern among
said Kerry Bradley, president His take was that people ing their existing frames, but but trading up in lenses.” ophthalmic executives that
of Luxottica Retail. still employed with eyewear upgrading their lenses. Howard Purcell, O.D., of patients are taking measures
He noted that Luxottica’s benefits are buying now, and “We’ve seen a 3 percent Essilor, said that premium to cut expenses, such as
Lenscrafters chain, perceived artificially inflating the increase in lens-only orders,” anti-reflective coatings seem stretching out the wearing
as upscale, has seen a decline to have slowing sales growth times and re-using solutions,
in sales – in fact at least 110 but value-oriented products or switching to generic solu-
stores are closing – but the are faring better. tions.
discount-oriented Pearle One concern, shared by The market for LASIK
Vision, Sears Optical and many, is that practitioners are and refractive surgery has
Target Optical have all seen instructing staff to suggest slowed down, as many would
growth. lower-priced options, to their expect an elective procedure
Carl Bracy, vice president own detriment. to do in a recession.
of marketing at Essilor, said “My biggest concern is However, cataract surgery
the market most recently “has that practitioners are incurring is “way up,” according to sev-
not been bad, it’s just self-inflicted harm by selling eral executives, likely because
changed.” He said Essilor consumers down,” Bracy said it is covered by Medicare and
noticed a shift at the end of at an Essilor news conference. baby boomers are starting to
2008, with patients covered by He noted that most indicators turn 65 in large numbers.
managed care plans accelerat- show that patients are not shy- One change in the
ing their visits to the eye care Wally Lovejoy, senior vice president for eye ing away from higher-end cataract market is that a sur-
practitioner – perhaps out of care development at Luxottica Retail, describes coatings and lens options, if prising number of patients are
fear that they might soon lose the vast untapped market for eye care. given the choice. turning to premium IOLs.
AOA executive director outlines
association’s role in helping ODs
With two prominent forums in New providers, plans, employers, ophthalmic indus-
York in late March, AOA Executive Director try — to solve the puzzle of mainstreaming ALL
Barry Barresi, O.D., Ph.D., described how vision and eye care within health insurance
the association is taking a more aggressive and medical plans,” he said.
position regarding third-party plans that sell He questioned whether the reimbursement
optometrists’ services short. of optometrists has kept pace with ODs’ rapid-
At the Vision Monday Global Summit, ly expanding scope of practice. He also
and at the Ophthalmic CouncilSM, Dr. described how the AOA’s new Research &
Barresi described how some plans can best Information Center would be seeking data to
be visualized as handcuffs, barbed wire show how ODs’ practices costs and training
and scissors cutting dollar bills. justify fairer reimbursements.
“Are these the icons of the vision plan
companies’ entry into the medical benefits AOA Executive Director Barry
administration in eye care?” he asked. Barresi, O.D., Ph.D., outlines how the
“The AOA is ready to do its part to AOA is being structured to reflect the
help bring together all stakeholders — best practices among associations.
6 AOA NEWS
Changes include ‘board eligible’ status, governance
ollowing two months To be classified as board Optometry Code of Ethics months of completing all 150 optometrists that practicing
F of presentations of —
and feedback on — a
model for board certification
eligible, a candidate for board
certification would submit the
eligibility application, appli-
Upon confirmation of the
requirements, the American
Board of Optometry (ABO)
points and submitting an
application for the Board
ODs have a meaningful voice
on the new organization.
A practitioner initially
in optometry, the Joint Board cation fee, and evidence of would confer that the candi- In addition to approving licensed less than five years
Certification Project Team the following initial qualify- date is board eligible for a the new designation, mem- would represent the American
(JBCPT) has made several ing requirements: period of one year. bers of the JBCPT voted to Optometric Student
changes and clarifications to Graduate of school or Candidates could renew alter the composition and Association.
the proposed model, as college of optometry accredit- their board eligible status for governance of the proposed There would be a mem-
recently as March 23 and 31 ed by the Accreditation up to three years total by sub- American Board of ber of the public on the
via WebEx meetings. Council on Optometric mitting of proof of comple- Optometry: board, reflecting the impor-
The change that would Education (ACOE). tion of 50 points progress Under the new plan, the tance of ensuring quality care
affect all optometrists intend- Possession of an active toward completion of the American Academy of and education that the board
ing to become board certified license to practice therapeutic Post-Graduate Educational Optometry (AAO), the would place on its work.
is the creation of a new desig- optometry in a state, District Requirements by the end of Association of Regulatory In earlier drafts of the
nation: board eligible. of Columbia, U.S. common- each year of board eligibility. Boards of Optometry model, the American Board
The designation responds wealth or territory. The Post-Graduate (ARBO) and the Association of Optometry had a represen-
to concerns that new practi- Clearance of a search of Educational Requirements of of Schools and Colleges of tative of the National Board
tioners, or those on the path the National Practitioner Data 150 points would remain Optometry (ASCO) would of Examiners in Optometry.
to certification, would have Bank (NPDB) and Health unchanged. each have one member on the At AOA affiliate and
no way of indicating to the Integrity and Protection Data A board eligible board. regional meetings, there were
public or third parties their Bank (HIPDB) optometrist should pass the The AOA would have some concerns voiced that the
seriousness about the creden- Statement of adherence Board Certification two members, reflecting a
tial. to American Board of Examination within 12 frequently stated desire of See Changes, page 12
Project team takes questions about proposal
n order to shed further Q: If the house vote is “No” American Board of used by other organizations is when it was released by the
I light on the proposed
model for board certifica-
tion, AOA News asked mem-
at the AOA House of
Delegates, will the issue of
Optometry. Any funding plan
involving the AOA would be
in the form of a loan with
that the currency of
residency or any formal train-
ing program becomes stale
JBCPT in January. The Board
will make the formal
motion that will begin and
bers of the Joint Board A: The issues of competence interest, so it would not affect over time. allow discussion by the AOA
Certification Project Team and board certification have dues. House of Delegates. The
(JBCPT) to answer common surfaced many times in Q: I would want to know motion will likely recommend
questions about the process. the past, at least once every Q: Why do the residency specifically what happens if support of the model as well
To submit a question to the decade for the past 40 years. and the Academy fellowship the House of Delegates as recommend that any
team, write: As the U.S. health care points only apply if the have votes “no,” since there are newly formed entity obtain
firstname.lastname@example.org. system continues to evolve, been completed in the last many other agencies significant input from the pro-
there will likely be ever- 10 years? An accredited res- involved. Will the other fession before any final
Q: If the AOA House of increasing demands on the idency is an accredited resi- agencies continue to carry process is rolled out.
Delegates vote is “Yes,” is profession of optometry to dency no matter when it the torch?
there any further opportu- have a process to demonstrate was completed. The same A: The leadership of all the Q: Was what we heard at
nity for input on the final ongoing competence in a can be asked about the participating organizations the Presidents’ Council the
model for Board manner such as board certifi- AAO. Why is there a limit- saw the wisdom in working final program or will it be
Certification? cation and maintenance of ed value on having passed together with all stakeholders further modified before the
A: The Joint Board certification. The AOA will the AAO last year vs. more in optometry to study this House of Delegates in
Certification Project Team not support board certification than 10 years ago? issue. While it is thought Washington, D.C.?
has developed a “model” for should it be defeated in the A: This was discussed and that the decision of the AOA A: The model released by the
a board certification process. AOA House of Delegates. debated extensively by the House of Delegates is crucial JBCPT has been modified by
While the model has some JBCPT. Our model for board to this decision, it is possible the Project Team and could be
detail, even more detail will Q: Is there a game plan to certification and maintenance that another group either further before being voted on
need to be developed before come up with initial funding of certification is based large- inside or outside of optome- by each of the organizations.
board certification could to get this off the ground? ly on that of the American try could move forward with It will certainly be further
begin in earnest. If the AOA ($2 million has been quot- Board of Family Medicine a board certification process. refined and developed by the
House of Delegates accepts ed). Our AOA affiliate and other member boards of American Board of
the model, the process would members will be asking as the American Board of Q: Does the AOA have an Optometry if the process
become the responsibility of they will be fearful of the Medical Specialties. Nearly official position regarding moves forward.
the American Board of dues increase or special all of their programs have adoption of the JBCPT Issues that arise through
Optometry. That organization assessments. time limits of 10 years, so the recommendations? the presentation of the model
should accept input from the A: Along with other organiza- JBCPT believes that a similar A: Like the rest of the profes- to the profession should be
profession as final details are tions, the AOA could be one 10-year sunsetting for resi- sion, the AOA Board of forwarded to the JBCPT for
developed prior to implemen- of the “funding entities” to dencies and fellowship is a Trustees saw the final product consideration.
tation of the plan. finance the startup of the reasonable one. The premise
APRIL 13, 2009 7
from page 1 The additional promotion and coordinated well with our
increased awareness of the local efforts to promote
InfantSEE® program and the InfantSEE®.”
which the program can work number of assessments, U.S. Rep. Dave
to raise awareness and test according to Nancy Kopp, Loebsack (D) of Mt. Vernon,
how its efforts affect the executive director of the Iowa, held a press conference
behavior of those making North Dakota Optometric to promote the IOA’s efforts,
appointments. Association (NDOA). and Iowa Gov. Chet Culver
The first InfantSEE® “We did have a very pos- (D) proclaimed InfantSEE®
Week held in the Madison, itive response from Governor Week in the state.
Wis., area Jan. 26-30 made a John Hoeven and his office The project’s efforts to
measurable impression in the staff, as well as an interview reach out to various industry
Doctors in Chicago attend an orientation ses- area. with Congressman Earl and non-industry parties in all
sion and continuing education in preparation The 24 Wisconsin Pomeroy, who is a great locations have resulted in the
for the upcoming InfantSEE® Week to be held in optometrists who volunteered advocate for all children in formation of extensive and
the area. The sessions are provided at no cost to be part of the pilot saw 46 our state,” said Kopp. “The meaningful partnerships.
to the participating provider and are designed infants during that week and InfantSEE® Week promotion There has been great
to refresh their knowledge on the clinical 51 more in the following did open the opportunity to reception from federal, state
examination of infants. three weeks—this comes out work more closely with pedi- and local representatives for
to 20 percent of the total atricians in Bismarck on the project, including quotes
number of infants seen by the vision care for infants.” endorsing and supporting the
same providers in the past In the month following InfantSEE® program from
High-quality prints year. the InfantSEE® Week, the U.S. senators, members of
“InfantSEE® Congress, state
showcase importance Week in Wisconsin governors and
was a huge success I am extremely proud of the local mayors in
of children’s eye care both for patients all three
To further enhance patient care and education efforts, and Wisconsin
InfantSEE® providers in our InfantSEE® Week
the AOA has introduced three new “gallery prints” highlight- optometrists,” said state, not only for their dili- locations.
ing the importance of comprehensive eye exams for chil- Peter Theo, execu- The project has
dren. These digitally painted, museum-grade canvas gallery tive vice president gent work during InfantSEE ®
also seen great
prints, focusing on the impact of undiagnosed vision prob- of the Wisconsin Week, but for their daily media response
lems in children, will educate parents on why every child Optometric in the three
should be seen by an optometrist. The large-format 20 x 24- Association. “I am efforts to educate the public states.
inch “gallery-wrapped” prints feature important visual mes- extremely proud of
regarding the importance of The InfantSEE®
sages that create a branded patient counseling collection.
Prints arrive with hardware, ready to hang with no fram- providers in our good vision and eye health been picked up
ing costs and may be purchased individually, or as a collec- state, not only for
their diligent work
care for children. by TV stations,
tion, depending on the needs of the office.
The cost is $89 per print. Available are: during InfantSEE® newspapers,
CE-1 – Children’s Eye Exam Canvas Print – “She May Week, but for their daily number of requests received community papers, Internet
Never Recover…” efforts to educate the public in the NDOA office for Web pages and community
CE-2 – Children’s Eye Exam Canvas Print – “His regarding the importance of InfantSEE® brochures calendars, as well as other
Education Cost a Lot…” good vision and eye health increased dramatically. local and state outlets.
CE-3 – Children’s Eye Exam Canvas Print – “A Child care for children. Doctors of Hospitals, county public Nationally, the
Shouldn’t Have to Fail…” optometry are among the health centers and early child- InfantSEE® program has
To order, contact the Order Department at 800-262- most benevolent health care hood programs all requested received more than 450 com-
2210. providers in the world, and materials. bined media hits across the
InfantSEE® is another exam- In Iowa, 29 optometrists country.
ple of their dedication to serv- in 22 practices participated Future InfantSEE® Weeks
ing the most needy and vul- during the InfantSEE® Week will also include the introduc-
AOA First Look nerable citizens around the
from March 23-27.
The final numbers have
tion of a mobile clinic provid-
ed by VSP in West Virginia in
In a new benefit exclusively for AOA members, the
The impact of the North not been tallied, but 21 May.
AOA provides a daily e-mail summary of health care and
Dakota InfantSEE® Week appointments were scheduled The grant will fund addi-
ophthalmic news titled “AOA First Look.” Editors scan the
(Feb. 23-27) was felt through- for assessments during the tional InfantSEE® Weeks
Web and compile digest articles of news most likely to inter-
out the state. week. throughout 2009 in the fol-
est optometrists. AOA members and optometry students
The 44 participating “Overall, it was an excel- lowing states: Illinois,
who already receive association e-publications should be
optometrists saw 44 infants, lent opportunity,” said Gary Louisiana, Missouri,
receiving AOA First Look now. If not, check your spam-
which constitutes 12 percent Ellis, executive director of the Washington and West
blocking settings and add FirstLook@AOA
of the number seen in the Iowa Optometric Association Virginia.
.custombriefings.com to your address book. If your network
entire previous year. (IOA). “There is no question To sign up as an
administrator or Internet service provider requests it, you can
The doctors saw 26 infants that the pouring in of adver- InfantSEE® provider and learn
provide the sending IP address: 188.8.131.52 for
during the three weeks fol- tising certainly helped our more about the program, con-
whitelisting. To sign up, send an e-mail to address-
lowing the designated efforts across the state. The tact email@example.com or
InfantSEE® Week. media exposure was excellent visit www.infantsee.org.
8 AOA NEWS
Proactive efforts ensure optometry Ellis files for
‘at the table’ during White House president-elect
health reform summits Joe Ellis, O.D., has filed
n an effort to reinforce the an invitation were rejected. Americans.
I Obama administration’s
commitment to national
health care reform, the White
However, the AOA wasn’t
about to take “no” for an
The AOA learned that
the Regional White House
Forums would be held in
for the AOA office of presi-
Dr. Ellis, currently the
AOA vice president, was first
House announced in February Following up on the orig- California, Iowa, Michigan, elected to the board in June
that the president was making inal White House forum in North Carolina and Vermont 2001 and re-elected in
plans to host a summit in the nation’s capital, the White during the month of March 2004.
Washington, D.C., to identify House announced in early and into early April. He is a member of the
barriers to quality care and March that it would hold a On March 11, the White Optometry Awareness and
consider a number of reform series of health care summits House made known that the Public Affairs Committee and
proposals. in select locations around the first of the summit events the liaison trustee to the
While organized medi- country in an attempt to bring would be held the following Industry Relations Committee and the Eye Care Benefits
cine, nurses, health insurers, the conversation about health day in Dearborn, Mich. After Committee.
pharmaceutical companies, care reform directly to com- hearing from the AOA, He has served as a member of the AOA Constitution
labor unions and business munities and continue the dis- Michigan Optometric and Bylaws, Finance, Personnel, and Building Committees
groups were quickly selected cussion on bringing down and as a board liaison to the Communications Group
to attend the March 5 meet- health care costs and expand- Advisory Committee, the Contact Lens and Cornea
See Health reform, page 22
ing, the AOA’s efforts to gain ing coverage for all Section, the Accreditation Council on Optometric
Education, the Advocacy Group, the Commission on
Paraoptometric Certification, the Practice Perpetuation
Stalled DoD-VA vision center Project Team and the AOA Sports Vision Section.
Prior to his election to the board, Dr. Ellis held a vari-
lets vets with eye injuries down ety of volunteer appointments within the AOA.
Most recently, he served as chair of the State Health
full 13 months after state-of-the-art care that our pointment of the AOA, the
A the creation of a
backed program to ensure a
injured veterans need and
The Vision Center of
BVA and others, on March
17, the House Veterans’
Affairs Oversight and
Care Legislation Committee.
Dr. Ellis served on the board of the Kentucky
Optometric Association (KOA) from 1990 to 1996 and
was president in the 1994-1995 program year.
seamless continuum of care Excellence was created Investigations Subcommittee, He was named the Kentucky Young Optometrist of the
for American service mem- through the National Defense led by Chairman Harry Year in 1992 and the Kentucky Optometrist of the Year in
bers and veterans who have Authorization Act of 2008 Mitchell (D-Ariz.), conducted 1995.
suffered combat eye injuries (NDAA) and championed in a hearing to evaluate the The KOA has also honored him with three President’s
and vision-related problems Congress by Rep. Boozman, progress the DoD and Awards.
associated with Traumatic O.D., the only optometrist in Department of Veterans Dr. Ellis was very instrumental in his efforts and rela-
Brain Injury (TBI), the AOA Congress. Affairs (VA) have made on tionship with Kentucky Gov. Paul Patton and the Kentucky
has joined together with the The NDAA mandated the VCE and how it has General Assembly to help pass the first school entrance-
Blinded Veterans Association that “[t]he Secretary of affected veterans in need of level eye examination in the United States in 2000.
(BVA), Rep. John Boozman, Defense shall establish within Dr. Ellis is a member and past president of the Benton
O.D. (R-Ark.) and other lead- the [DoD] a center of excel- See Center, page 23 Lions Club and is a member of the Marshall County
ing members of Congress to lence in the prevention, diag- Chamber of Commerce.
spur progress on a project nosis, mitigation, treatment, Dr. Ellis graduated from the Southern College of
that is intended to ensure that and rehabilitation of military Optometry in 1986. He is in private practice in Benton,
veterans receive needed eye eye injuries…” Ky.
and vision care without hav- However, the Vision
ing to deal with the overly Center of Excellence (VCE)
bureaucratic process during is still in the planning phase
rehabilitation. and minimal execution has
“Our wounded warriors occurred, according to the
deserve the very best care and AOA Washington office.
AOA-PAC looking for ODs
optometry is committed to More than a year after signed on as ‘Life Members’
helping Congress, defense the enactment of the NDAA,
and veterans health officials there is no physical structure
make certain they get it,” said identified, no computer hard- AOA-PAC is trying to identify AOA-PAC "Life Members."
Peter H. Kehoe, O.D., presi- ware, and no support staff. In the late ‘80s and early ‘90s, the PAC developed this
dent of the AOA. “The AOA The Department of giving level to sign up “high-dollar donors” - $1,000
worked to help pass Rep. Defense (DOD) states that $3 over a few years. If you signed up to be an AOA-PAC
Boozman’s Military Eye million has been allocated to life member, contact Julie Trute in the Washington office
Trauma Treatment Act, and create this center; however at firstname.lastname@example.org or 703-837-1376.
we remain confident that the minimal money has been
Vision Center of Excellence spent to create the VCE.
will ultimately provide the In addition to the disap-
APRIL 13, 2009 9
EYE ON WASHINGTON AOA-backed
Vision Care for Kids Act
approved by U.S. House
New Medicare address On March 31, the U.S. House of Representatives over-
correction rules take effect whelmingly approved the AOA-backed Vision Care for Kids
Act (H.R. 577), which recognizes the link between healthy
vision and classroom learning and seeks to provide new fed-
ealth care practition- or appeal with information or also to investigate any unex-
H ers, including
must promptly inform
documentation that was
missing from the incomplete
pected delay or reduction in
Medicare payments,” Hymes
eral funding to expand the reach of children’s vision pro-
grams enacted at the state level. The measure passed by a
wide, bipartisan majority in Congress and would help to
ensure that America’s school-age children are ready and able
Medicare if they move their Medicare payment con- “The AOA is working to learn.
practices -- or else face tractors may revoke a physi- with the CMS and leaders in Originally introduced by Rep. Gene Green (D-Texas),
potentially severe penalties, cian’s billing privileges for Congress to address and fix a H.R. 577 aims to establish a federal grant program focusing
according to the AOA failing to comply with number of outdated and on treatment and is designed to bolster children’s vision initia-
Washington office. Medicare’s ordering and repressive Medicare regula- tives in the states and encourage children’s vision partnerships
New Centers for referring documentation, tions and requirements, but with non-profit entities.
Medicare & Medicaid including not maintaining we encourage ODs, in the H.R. 577 directs the U.S. Department of Health &
Services (CMS) rules on written ordering and refer- meantime, to remain vigilant Human Services, through the Centers for Disease Control and
physician enrollment and re- ring documentation for seven and continue to report regu- Prevention, to provide $65 million in grant funding to proven
enrollment in the Medicare years from the date of serv- latory issues to the AOA efforts to allow more children, particularly those under 9
program took effect April 1. ice. Washington office team,” years of age who are already known to be at-risk for vision
Under the new rules, Electronic funds transfer said Hymes. problems, to receive comprehensive eye examinations and
health care practitioners must (EFT) payments for physi- A Medicare Learning appropriate care from their local optom-etrist or other eye
report changes in practice cians may only be made to a Network Matters article out- doctor. Grants would also go toward supporting public edu-
location to their Medicare banking institution located in lining the provisions of the cation and awareness efforts designed to promote early
carrier within 30 days. the state in which the prac- Medicare enrollment rule can detection and treatment of vision.
Physicians will no tice (or the applicable prac- be found online at “The Vision Care for Kids Act creates a much-needed
longer be allowed to estab- tice office) is located. www.cms.hhs.gov/MLNMatte grant program to provide follow-up vision care for children
lish retrospective Medicare These new Medicare rsArticles/downloads/MM63 with vision disorders who do not have access to these servic-
effective billing dates when enrollment rules are intended 10.pdf. es. This lack of vision care jeopardizes a child’s develop-
they open or move their to reduce improper billing as ment and can unfortunately lead to life-long vision impair-
practices, or need to enroll or well as the waste and ineffi- ment,” said Rep. Green, a founding member and chair of the
re-enroll in Medicare. ciency that can result from Congressional Vision Caucus. “This bill gives states the
Instead, the Medicare simple errors, such as an resources they need to cover vision services to millions of low-
contractor will establish an incorrect address, according income children, and I am glad that it passed the House with
effective billing date by to AOA Advocacy Group Survey says such overwhelming support.”
selecting the date on which Director Jon Hymes. According to the National Parent Teacher Association,
the practitioner filed an However, even when a Optometry: Journal 10 million children suffer from vision disorders. Vision disor-
enrollment application for doctor does nothing wrong, of the American ders are considered one of the most common disabilities in
the new location or the date the mistakes of others could Optometric Association the United States, and they are one of the most prevalent
on which the practitioner lead to a long and complicat- strives to offer important handicapping conditions in childhood. Undetected and
first began furnishing servic- ed correction. peer-reviewed research untreated vision deficiencies, particularly in children, can take
es at a new practice location; In fact, the AOA topics, engaging editori- a large toll. Studies have shown that the costs associated
whichever is later. Washington office recently als and reviews, and on- with adult vision problems in the U.S. are at $51.4 billion.
Physicians may retroac- learned, through a state affil- target strategies for help- “The Vision Care for Kids Act is an important assign-
tively bill for services pro- iates, of a number of ing your practice suc- ment for Congress and a timely reminder for America of what
vided at the newly enrolled optometrists who unexpect- ceed. needs to be done to help concerned parents and teachers
practice location for up to 30 edly stopped receiving To Optometry
Journal of the American Optometric Association
ensure that no child is left behind in the classroom due to an
days prior to their effective Medicare electronic pay- help us undiagnosed or untreated vision problem,” said Peter Kehoe,
billing date. ments. in our efforts, please O.D.,AOA president. “With nearly 25 percent of school-age
The new Medicare In each case, the prob- take a few moments to children suffering from vision problems, the AOA is proud to
physician enrollment rules lem turned out to be that a fill out a brief survey. support visionary leaders in Congress in the effort to provide
include several other provi- mailman had mistakenly Results will be used states with the resources – the federal dollars – they need to
sions that optometrists returned the doctor’s paper to help shape future con- make children’s vision and classroom learning a top priority.”
should be aware of, accord- mail to the Medicare pay- tent of Optometry and The AOA is also joined in supporting the Vision Care for
ing to the AOA Advocacy ment contractor undelivered. ensure we are delivering Kids Act by Prevent Blindness America, Vision Council of
Group: The contractors then information in a way America and the American Academy of Ophthalmology.
Medicare payment con- erroneously assumed that the that best suits your prac- Sen. Kit Bond (R-Mo.) introduced S. 259, the Senate
tractors will deny, rather than doctor had moved or stopped tice. companion bill to H.R. 577, which has been referred to the
reject, incomplete enrollment practicing, and decided to Visit Committee on Health, Education, Labor, and Pensions. For S.
applications submitted by stop the electronic payments. http://tinyurl.com/ 259 to be considered as a priority by Congress, a large
physicians. (However, a “These situations were d2clz8. number of U.S. Senate co-sponsors will need to be added to
practitioner can preserve the ultimately resolved, but they this important bill. Please visit the AOA Online Legislative
effective date of the original serve to illustrate how impor- Action Center, www.aoa.org/DoctorCenter.xml, to immedi-
application filing by submit- tant it is to keep information ately contact your senators and members of Congress on this
ting a corrective action plan current with the CMS and issue.
10 AOA NEWS
New Medicare independent auditing program begins
aid Medicare Part A audits, according to the AOA being assessed. Montana, New Hampshire, Web site: www.performant
P and Part B claims in
about half the United
States are being audited by a
The AOA recommends
optometrists pay attention to
Practitioners can also file
an appeal within the 30-day
period, with any payment
New Mexico, New York,
Nevada, North Dakota,
Oklahoma, Rhode Island,
Region B: CGI, tele-
new system of independent RAC outreach activities in then deferred until after the South Carolina, South phone 877-316-7222, e-mail:
Recovery Audit Contractors these states and to monitor appeal is resolved. Dakota, Texas, Utah, Vermont email@example.com,
(RAC) that began last month. RAC plans. The CMS is host- Practitioners who make and Wyoming. Web site: www.cgi.com/
The independent auditors are ing a Special Open Door recoupment payments can The program begins on web/en/industries/health
to be reviewing Medicare Forum for Part B providers still file appeals for up to 120 or after Aug. 1 in Alabama, care.htm
claims across the rest of the on April 14 from 2 p.m. to days following an overpay- Alaska, Arkansas, Region C: Connolly
nation on or shortly after 3:30 p.m. ment notice. Practitioners can Connecticut, Delaware, Consulting, Inc., telephone
Aug. 1, according to the U.S. An audio recording of also request extended pay- Georgia, Idaho, Illinois, Iowa, 866-360-2507, Web site
Centers for Medicare & the forum will be posted to ment programs (covering Kansas, Kentucky, Louisiana, www.connollyhealthcare.com/
Medicaid Services (CMS). the CMS’s Special Open both overpayment and inter- Maryland, Mississippi, about.aspx
The RAC program is Door Forum Web page at est) up to 120 days following Missouri, Nebraska, New Region D:
controversial because the www.cms.hhs.gov/OpenDoor a notice. Providers were Jersey, Pennsylvania, Ohio, HealthDataInsights, Inc.,
auditors are paid a 9 to 12.5 Forums/05_ODF_SpecialOD often successful when they Oregon, Tennessee, (Medicare Part B) telephone
percent commission on the F.asp and will be accessible appealed RAC determinations Washington, Virginia, West 866-376-2319, e-mail: rac
overpayments and underpay- for downloading beginning in the demonstration pro- Virginia, Wisconsin and firstname.lastname@example.org, Web site
ments they find. April 22, 2009, and available gram. Washington, D.C.Contact www.healthdatainsights.com/
Under the new program, for 30 days. The RAC program took information for the new ihs_hcare.aspx
claims will be reviewed by While the CMS begins effect March 1 in Arizona, regional auditors is as fol- Additional information
one of four firms retained phasing in the new auditing California, Colorado, Florida, lows: on the Medicare Recovery
directly by the CMS to pro- program this month, auditors Georgia, Hawaii, Indiana, Region A: Diversified Audit Contractor program can
vide postpayment auditing will have authority to review Maine, Massachusetts, Collection Services (DCS), be found on the CMS Web
services on a regional basis as claims filed as far back at Michigan, Minnesota, telephone 866-201-0580, site at www.cms.gov/RAC.
follows: October 2007.
AOA backs bill to aid
Region A: Diversified Auditors will have
Collection Services — authority to request solo
Maine, New Hampshire, health practitioners provide
Maryland, New Jersey,
up to 10 medical records for
review during a 45-day peri-
Delaware, Pennsylvania, od. Group practices of two- he AOA is backing a FEEL and Perkins programs gram that requires health pro-
Rhode Island, Connecticut,
New York, and Washington,
to-five practitioners can be
asked for up to 20 records,
and groups with six to 15
T new effort in Congress
led by Rep. Vern
Ehlers (R-Mich.) aimed at
are considered to be suffering
economic hardship if they are
working full-time, have a fed-
fessions residents to begin
repaying student loans while
still in residency training.
Region B: CGI — practitioners can be asked for retaining the 20/220 pathway eral educational debt burden Following an immediate
Michigan, Indiana, up to 30 records over the for optometry and other resi- equal to at least 20 percent of outcry from the AOA, the
Minnesota, Wisconsin, same timeframe. Very large dents to defer their payment their adjusted gross income, Association of Schools and
Illinois, Ohio, and Kentucky. practices with 16 or more of student loans. and the difference between Colleges of Optometry, the
Region C: Connolly practitioners can be asked for Rep. Ehlers’s bill, the their adjusted gross income American Optometric
Consulting, Inc. – Alabama, up to 50. Medical Economic minus such debt burden is Students Association, podia-
Mississippi, Georgia, South The RAC will be Deferment or “MEDS” Act less than 220 percent of the try, dentistry and organized
Carolina, Florida, North instructed to review claims (H.R. 1615), seeks to amend greater of: medicine groups, the U.S.
Carolina, Oklahoma, South for specific payment prob- the Higher Education Act of (1) the annual earnings of an Department of Education
Carolina, Texas, New lems. Targeted payments 1965 with respect to the minimum wage earner; or took action to keep the
Mexico, Virginia and West issues will be designated by meaning of economic hard- (2) 150 percent of the poverty 20/220 pathway intact until
Virginia. the CMS and posted on the ship under the Federal Family line applicable to their family July 1, 2009, when the
Region D: RAC Web sites prior to wide- Education Loan (FEEL) or size. income-based repayment pro-
HealthDataInsights, Inc. – spread review. Issues identi- Perkins Loan and related loan This provision, known as gram is due to take effect.
Alaska, Arizona, California, fied by the CMS, the Office insurance programs. the 20/220 pathway, is criti- The MEDS Act would
Hawaii, Idaho, Montana, of the Inspector General, or Sen. Richard Burr (R- cally important to optometry fully and permanently rein-
Colorado, Wyoming, Nevada, the Government N.C.) is the sponsor of an residents and other health state the 20/220 rule.
North Dakota, Oregon, South Accountability Office (GAO) identical bill introduced in the professional students who, as For H.R. 1615 / S. 646 to
Dakota, Kansas, Nebraska, are likely to come up for the U.S. Senate, S. 646. In addi- part of their education, serve be considered as a priority by
Missouri, Iowa, Utah and RACs. tion to the AOA, organiza- a requisite number of years in Congress, a number of con-
Washington. The RACs may electron- tions representing medical residency prior to licensure. gressional co-sponsors will
While the new auditing ically audit some claims for doctors, dentists and podia- The 20/220 pathway need to be added to both bills.
system is likely to focus on obvious error. Other claims trists are also supporting H.R. allows deferment of payment Concerned ODs and
the high-dollar Medicare Part will require a review of the 1615 / S. 646. on student loans until residen- optometry students are urged
A claims filed by hospitals, medical records. For optometry graduates cy completion. However, in to visit the AOA Online
optometrists and other health When health care practi- in residency training, the bill 2007, the 20/220 pathway Legislative Action Center,
care practitioners who pro- tioners receive a request for would allow for deferment of was eliminated by The www.aoa.org/DoctorCenter
vide services under Medicare “recoupment” of overpay- payment on subsidized loans College Cost Reduction and .xml, to immediately contact
Part B should be aware that ment from auditors, they can for the length of their residen- Access Act (Public Law 110- their senators and members of
claims will be now be poten- pay Medicare by check with- cy training without accruing 84), and was replaced by an Congress on this issue.
tially subject to additional in 30 days without interest interest. Borrowers under income-based repayment pro-
APRIL 13, 2009 11
EYE ON WASHINGTON
Optometrists not subject to DMEPOS deadlines
nlike suppliers of cally for physicians and other oxygen equipment. accredited by Sept. 30, requirement (see AOA
U wheelchairs and
home oxygen equip-
ment, optometrists and most
The CMS has
announced that, beginning in
Congress added the
broadly in the Medicare
optometrists and other physi-
cians will not,” Hymes said.
The CMS originally
News, Jan. 16).
The DMEPOS surety
bond and accreditation
other health care practitioners May, Medicare’s durable Modernization Act of 2003, planned to require health requirements have been the
will not be required to post medical equipment benefit until relaxing the burden on care practitioners to post the subject of several recent
surety bonds or become will apply only to items physicians with MIPPA last surety bonds and to get CMS bulletins and health
accredited in upcoming obtained from equipment summer. accredited. care provider trade publica-
months in order to continue suppliers that have posted “The DMEPOS surety The AOA and other tion articles.
to provide goods or services special surety bonds. bond and accreditation associations successfully As a result, the AOA
for Medicare patients, accord- The new requirement is requirements were imposed to convinced the CMS to Advocacy Group finds
ing to the AOA Advocacy an effort to curb Medicare address numerous reports of revise the proposal to more some optometrists may still
Group. fraud and abuse in the home improper practices by retailers accurately reflect the intent be concerned about the
The U.S. Centers for health supply industry, of large home health supplies of Congress. surety bond requirement
Medicare & Medicaid according to the agency. such as wheelchairs and oxy- After Congress stepped and accreditation.
Services (CMS) has been However, health care gen units,” emphasized Jon in to address accreditation, The CMS estimates
reminding suppliers to get practitioners are not subject to Hymes, director of the AOA and further meetings with that these two require-
accredited by Sept. 30, but the surety bond requirement, Advocacy Group. the AOA and other allies, ments would cost $2,500
those announcements do not the AOA Advocacy Group “Health care practitioners the Medicare agency specif- per doctor per practice
always make clear that notes. are not the problem. Although ically exempted physicians location if there were no
optometrists are exempt. Congress mandated the the CMS technically classifies from the accreditation exemptions.
The Medicare surety bond requirement under eyeglasses as durable medical
Improvements for Patients the Balanced Budget Act of goods, the new requirements
and Providers Act (MIPPA) 1997, following reports of do not apply to doctors pro- Changes,
prohibited the CMS from widespread Medicare fraud viding eyewear to their from page 7
requiring physicians and other among some suppliers of patients,” said Hymes. NBEO representative, serving input from the members,” Dr.
health professionals to comply durable medical equipment, “For that reason, while on behalf of a test-creating Kehoe wrote.
with the accreditation require- prosthetics, orthotics and sup- home health goods retailers and administering organiza- “I know many of you are
ment unless the CMS devel- plies (DMEPOS) — notably will be required to post surety tion, could have conflicts holding meetings in the next
ops quality standards specifi- providers of wheelchair and bonds by May 3 and be when the board selects testing few weeks, and I am asking
vendors or evaluates propos- you to hold off making any
als. final decision on a state posi-
Two additional changes tion or on instructing your del-
were made to the model: egates to vote a particular way.
Members of the What your members would be
American Board of voting on today may well be
Optometry would serve a different by the time this
maximum of two three-year motion goes to the House,” he
terms, with staggered initial noted.
appointments. “Please keep your options
Also, after the initial open so that your delegates
board is appointed, subsequent can benefit from the additional
appointments would be select- information and discussions at
ed from three persons nomi- Optometry’s Meeting®. We
nated by the sponsoring organ- will continue to send you and
ization for each available posi- your members material relative
tion on the board. to this issue on a regular basis
Noting the changes to the to aid in your discussions,” he
model, and the ongoing dia- said.
logue within the profession, Dr. Kehoe noted that proj-
AOA President Pete Kehoe, ect team members are continu-
O.D., sent a letter to state ally learning of examples
optometric association and where decision-makers are
affiliate leaders April 3 asking considering health reform ini-
that they let the dialogue con- tiatives and terms like “value”
tinue rather than casting votes and “board certified” are com-
months before Optometry’s ing to the forefront.
Meeting®. AOA members are encouraged
“The project team has lis- to make constructive com-
tened to concerns and has ments on the model, and to
made a number of changes to continue to monitor the AOA
the proposed board-certifica- News and Web site for
tion model as a direct result of updates.
12 AOA NEWS
from page 5
since there will be a national- MAY require board certifica- continuing education to retain their boarding process and AOA Congress in June will
ly uniform competency in tion, at the federal level board our license. These are very maintain their board certifica- make this issue go away. This
place that will level the play- certification/ continued com- fine and effective programs. tion is optimum. issue is not going away, we
ing field that has heretofore petency will be one way that Third, it is reminiscent of If you have a patient cannot simply ignore it.
been uneven and an impedi- MAY BE USED to evaluate many journal articles that end requiring an obscure diagno- The facts are that optom-
ment to any optometrist want- quality of care.” Are we to with “more research needs to sis, an ABO-certified ophthal- etry is the ONLY independ-
ing to practice in another revise our current very ade- be done to further our under- mologist will do. But when ently licensed prescribing
state. quate boarding process in standing…” which should go your mom needs cataract sur- doctoral level health care pro-
Finally, on a personal such a drastic manner on con- on to say “because I still need gery, you best investigate fur- fession with no mechanism
note, I embrace the opportuni- jecture? a job and research is how I ther. for proof of continued compe-
ty to prove my competence as AOSA representation on pay my bills.” The answer? Acknow- tency. Much has been said
necessary, understanding that this project team advises that The one nugget of truth ledge and proclaim the virtues about the mechanisms in
it will elevate my stature as an place for other professions to
optometric physician to demonstrate continued com-
patients, managed care enti- If legislation passes in a state that forces the issue petency, and third-party carri-
ties, and insurance carriers ers, state and local govern-
alike. Any edge going forward
(such as appears might be the case in ours) ments, and consumer groups
will be necessary to ensure I would rather have a process our doctors can use have made the assumption,
our rightful place within the right or wrong, that those
health care delivery system in rather than be forced to do something developed mechanisms help ensure a
this country. by our department of health. higher level of quality in
Waiting until we “see” the health care. These assump-
necessity or until there is an tions may or may not be valid,
imminent threat to our liveli- students and new practitioners in this article was uttered by of our current education and but the fact remains that
hoods is not in keeping with want a process that facilitates Arol Augsburger, O.D., when boarding programs. We ARE optometry has no such mech-
what has kept us safe over their ambitions of lifelong he said “The first problem: board certified. If you must, anism and cannot compete
these last two decades: learning. Lucky for them that Optometry is often excluded.” create a board RE-certifica- now with those professions
Protect and Advance the pro- they chose a profession that There it is. tion program. But if you do that do.
fession of optometry. already does that. But the solution to this is so, make it clinically relevant, We need to enact a sys-
It is one doc’s opinion but I attribute the student not to create an artificial not an academic exercise. tem of accountability for the
I hope my unique perspective misunderstanding of our cur- device to try to prove our Make it inexpensive so as not public, for our patients, for
gives credence to the board rent process on lack of experi- worth anew. The answer is to to line the pockets of the third-party payers, and for the
certification process. ence with long existing state, educate industry and third testers. Make it so that after I governmental agencies who
With respect for all thought- regional and national opportu- party payers as to what we complete the process I will are demanding a demonstra-
ful opinions and personal nities to do just that through already do and what programs count the time spent worthy tion of continued competence.
regards to all I remain. journals, continuing education are currently in place to and it will help me take care Most of us work in a
requirements for relicensing ensure our ongoing compe- of my patients. Anything less third-party payer system.
Larry Charles Wallis, O.D. and professional organiza- tence. Do not think for a is window dressing and Accountability measures for
Legislative Chairman, tions. Not to mention that moment that those dark forces unworthy of our profession. quality of care are becoming
New Jersey Society of anyone who seeks lifelong who oppose optometry now more commonplace. We have
Optometric Physicians learning will easily find it will suddenly turn to the light Howell M. Findley, O.D. no idea as to what health care
Gloucester City, N.J. without these artificial exter- because we add another level Lexington, KY. reform will bring. While
nal constraints. of bureaucracy. many have stated their feeling
Organizations Is it possible that this is a They will discount the Larger picture that it is inconceivable today
reflection of poor motivation new process as they do our that any carrier would deny a
‘daft’ model or poor mentoring of these current education. Their Editor: physician privileges for lack
Editor: young doctors? opposition is about turf and I am writing to ask for a of a system proving continued
I am compelled to Then there are the self- they will not more readily more honest and factual dis- competence, it is happening
respond, again, to the mis- serving motivations of those share it regardless of what cussion of the board certifica- right now in some of the
guided notion of “board certi- invested in currently existing optometry does short of tion issue in optometry. The Medicare Medical Home proj-
fication.” I write in regards to optometric boarding organiza- becoming their employees. time has come for a more bal- ects.
the article in the January 2009 tions expounding, “We cannot There is the great danger anced dialogue for this pivotal As the health care deliv-
issue of AOA News. In this demonstrate continued com- of creating a new board that topic. There has been much ery system evolves, it certain-
article several members of the petence (beyond entry level) does not measure what it is said regarding the concept of ly could be a more wide-
project team weakly defend in the same manner as the intended to measure. a providing our profession spread reality in the future. A
the rationale for imposing a other health care professions I take for my example the with a verifiable mechanism system such as this is going to
new boarding system upon without a board certification American Board of to demonstrate continued take time to develop, time to
our profession. process.” Ophthalmology. This test competence. verify, time to legitimize, and
For example, the article is This is an example of measures the book knowledge It seems to me that many time for doctors to attain.
redundant with phrases such putting the fox in charge of of ophthalmologists. It does are too caught up in the lesser National standards need to be
as “lack of board certification protecting the henhouse. It is nothing to measure their sur- important details and are developed. A common lan-
MAY hinder optometrists, like asking Ted Kennedy to gical skills. That is one rea- indeed missing the larger pic- guage needs to be used in
movements on many fronts eliminate the death tax. First, son board certified hack sur- ture. dealing with this evolving sys-
that would SEEM TO SUG- we DO currently have a board geons still exist in our midst. I fear that some of our tem. This is the very thing that
GEST some type of board certification process. Second, Of course the ABO would colleagues truly believe that
certification, PQRI and P4P we each are required to obtain deny any shortcoming with defeating this measure at the See Letters, page 16
14 AOA NEWS
Healthy sight key message
at Transitions Championship
ith an unprece- 1,000 schoolchildren came Ryo Ishikawa
W dented level of
on the importance of good
through the exhibit, with local
ODs joining AOA President
Peter Kehoe, O.D.; Clinical
ball out of a
bunker in the
vision, the Transitions Care Group Director Jeff
Championship for Healthy Weaver, O.D., and Sports of competi-
Sight debuted as an important Vision Section Chair Graham tion.
stop on the Professional Erickson, O.D.
Golfers’ Association (PGA) Throughout the tourna-
schedule last month. ment, volunteers at the AOA
With the first two rounds exhibit showed how vision
televised on the Golf Channel can impact their golf game.
and the final two rounds aired Other exhibitors included
live on NBC, Transitions was Vision Service Plan, Optos,
able to promote the impor- and Oakley.
tance of good vision in sports Harry Wayne of Wayne
on many occasions. The Engineering donated the AOA President Pete Kehoe, O.D.,
proximity to Transitions’ Wayne Saccaddic Fixator, a discusses children’s vision at the
headquarters in Pinellas Park, big hit with schoolchildren. Healthy Sight Roundtable.
Fla., allowed the company to Transitions, along with
reach out to the community the AOA and VSP, also host-
with events highlighting ed a Healthy Vision Round- added that more than 50 con-
healthy sight and vision care. table for the media. Dr. ditions of the eye are related
Copperhead Course at Kehoe used the opportunity to sun damage and urged the
Innisbrook Resort in Palm to describe the AOA’s empha- eye care community to spread
Harbor is about 20 minutes sis on children’s vision and the news of the importance of
away from Transitions’ office. prevention of eye disease. Dr. prevention.
A key part of the action Weaver noted that the eye Among the field of 144
at the tournament was the care community is just begin- pro golfers at the Transitions
Healthy Sight pavilion, where ning to inform patients of the Championship were
AOA’s Sports Vision Section risks not only from ultraviolet FedExCup leaders Nick
hosted hands-on tests of but from solar radiation. Watney, Zach Johnson and
hand-eye coordination, laser- Michael Duenas, O.D., 17-year-old Japanese phenom
sighted putting and depth per- AOA associate director of Ryo Ishikawa, making his
ception. On one day, nearly Health Sciences and Policy, first PGA cut and finishing 9
The winner, at 8 under
par, was Retief Goosen.
O.D., watches a golfer
try her skills on the
Transitions Optical, Inc., VSP Vision Care and the American Optometric
Association sponsored a roundtable event -- Perspectives in Healthy Sight
AOA President Pete Kehoe, O.D., explains the
-- during the Transitions Championship at the Innisbrook Resort and Golf
role of eye-hand coordination in sports to a
Club in Palm Harbor, Fla. Pictured left to right: Sharon Ottey, M.D.;
local youngster. More than 800 schoolchildren
Michael Duenas, O.D.; Smitesh Patel, O.D.; Peter Kehoe, O.D.; Lawrence
visited the Healthy Sight Pavilion at the
Lampert, O.D.; Jeffrey Weaver, O.D.; Susan Taylor, M.D.; and Douglas
APRIL 13, 2009 15
from page 14
the JBCPT is developing and In my home state of of whom are board certified) are not board certified.
we need to move this process
destiny? Washington our state associa- to either be board certified What do we do about
ahead now. Editor: tion’s insurance liaison tells us in a specialty area or the this? Wring our hands and
Having a mechanism for The issue of voluntary that private carriers in our state department of health get caught up in a great
continued competency testing continuing competency for the state are stepping up quality would be given the responsi- debate about semantics…or
and certification is simply part profession of optometry as assurance measuring and one bility of coming up with an take an active part in deter-
of the evolution of the profes- proposed by the coalition of of the items they are increas- equivalent competency mining our own future. No
sion of optometry. professional organizations ingly interested in are assur- assurance program. The doubt there are those who
Critics say “why now” look at the proposals that
and I ask them why not now?
We have yet to see a valid
In Illinois we have mandatory and tested have been developed by the
coalition of ARBO, COPE,
argument for postponing this CE requirements which keep us current ACOE, AAO, and others that
discussion or for tabling con-
tinued investigation of the
in the profession, thank you. Would will find fault and talk about
what it won’t do for the pro-
topic. certification make us practice differently? fession. I would rather look
I practice in Rhode Island
and am fortunate to enjoy the
I think not. at what it CAN do…it can
enable us to control our own
company of those who made destiny. It is voluntary so
the first major stride taking the coordinated through the ances of their provider panel’s legislation was tabled in those who choose can do it
profession of optometry from a efforts of the AOA is shaping continuing competence favor of a governor’s study and those who prefer not
drug-free profession to what up to be one of those that through some form of board group that has been moving need not. If legislation pass-
we know today. could be a potential watershed certification even for “gener- slowly but eventually is es in a state that forces the
They too were visionaries. moment for our profession. al” practice. expected to give recommen- issue (such as appears might
They foresaw the future of the Why is that? This also seems to me to dations for legislation that be the case in ours) I would
profession and moved forward In my view it is due to a be a natural outgrowth of the could very well include rather have a process our
for optometry’s sake. They had confluence of events that are PQRI initiative and such optometry, dentistry, nurse doctors can use rather than be
to take on the responsibility shaping up to create a poten- things as efforts to have prac- practitioners, and medicine. forced to do something
and to make hard decisions, tial storm for our profession. titioner quality ratings avail- Another item that developed by our department
and time has proven their deci- We have a new president who able to patients on carrier Web becomes increasingly of health.
sions right. has a friendly legislature to sites as well as independent important is that of “medical If the perfect storm
These were the leaders in back him…and a mandate consumer Web sites. home.” The government has occurs and medical reform
optometry of the last genera- partly brought on by the bank- Then there is increased funded several pilot projects comes about that incorporates
tion. Who will lead the profes- ing crisis and associated consumer demand for contin- in various states involving the concept of medical home
sion into the generations to recession that have resulted in uing competence. Shortly medical home. that not only has a gatekeeper
come? the unprecedented nationaliza- after the demise of ABOP The original concept of system but requires all
tion of that industry as well as there was a consumer group medical home in a nutshell providers involved to prove
Stephen Montaquila, O.D. many others. presenting their view that con- was that it was supposed to continuing competency/board
Warwick, R.I. Health care is clearly in tinuing competency was a be a concept whereby a certification, then I would
the sights of the new adminis- concept whose time had come practitioner was selected by rather we had a program up
Phony thing tration and the legislature. to a national ARBO meeting. a patient to be the primary and running vs. being locked
The funds released by the No doubt that group and repository of information out until something was
Editors: passage of the “stimulus” others like it are still present- about their care and to serve developed that would be
The board certification package have given financial ing their case. At that meet- as facilitator of the care acceptable to the “powers
railroad is running again. It is impetus to making change ing it could be concluded their involving other providers. It that be” at that time.
ridiculous to think general with the health care industry. strategy was two-pronged… seems to have morphed, par- In short, I prefer we take
practice optometrists should The high unemployment rate they would like to partner ticularly in our state, to a an active hand in controlling
be “board certified.” In is leaving a lot of persons with organizations such as gatekeeper system. our own destiny.
Illinois we have mandatory uninsured …which increases ARBO in hopes of influenc- The so-called pilot proj-
and tested CE requirements motivation to study some ing the legislative process ects do nothing more than Richard Ryan, O.D.
which keep us current in the form of national health insur- (making continuing compe- reinforce that system rather Spokane, Wash.
profession, thank you. ance. tency mandatory through than study better ways to
Would certification make Congress appears more licensing efforts) and they make medical homes do as
us practice differently? I think ready than ever to spend would reach out to third-party they were intended. What
not. The only people who money on such an enterprise. carriers to encourage them to does this have to do with Send letters to: Editor,
would benefit are special inter- If they do, they will want a lot revise their quality standards continuing competency? AOA News
est groups. of oversight and quality assur- to include board certification Medical reform being
243 N. Lindbergh Blvd.,
If you want to pass a real ance to prove they have been even for “family” practice. proposed currently has such
St. Louis MO 63141
certification for specialists good stewards of our coun- Have these efforts been provisions as decreased
who complete residencies, tries financial resources. successful? It seems they are reimbursement for providers
fine. But please not this phony There were changes moving there…witness what I who do not participate in
thing which will be voted on going on before this…such have mentioned already about PQRI and other quality AOA News reserves the
in June. things as PQRI heralded a what seems to be going on in assurance measures…and right to edit letters
“weather change” that has our state with insurance carri- one such measure, as pro- submitted for publication.
Thomas Wilkison, O.D., ushered in increased scrutiny ers. More to the point was the posed by Sen. Baucus, relat-
Springfield, Ill. of the quality of health care fact that legislation was intro- ed to the CMS Medical
provider services at a national duced a few years ago to Home Model will not allow
level. force MDs in our state (not all doctors to participate who
16 AOA NEWS
2009 Physician Quality Reporting Initiative
by Rebecca H. Wartman, O.D. such as the National Quality 2007 due to the reasons just “This initiative will help your the QDC should be linked to
Forum (NQF). discussed may receive that doctor and Medicare provide the proper diagnosis codes
or 2009, the Physician When the approved quali- bonus sometime in late 2009. the highest level of quality of when applicable for the specif-
F Quality Reporting
Initiative (PQRI) has
added new eye care measures
ty measurements are reported
frequently enough, the
Medicare provider will be
The reports of the 2008
and 2009 PQRI results will,
again, be sent to the holder of
care for people like you, who
have Medicare. Medicare
greatly appreciates that your
The exact order of the
code listed on a claim form
for reporting. All of the eye rewarded financially. The the Tax Identification Number doctor has chosen to join this does not matter. However, the
care measures used in 2008 hope is that PQRI will result in (TIN) but broken down by important initiative.” QDC has to be on the same
have been retained with very improved patient care. National Provider claim form as the patient
little change. Eventually, the Centers Identification (NPI) number. Reporting encounter. You cannot file or
Three new PQRI eye care for Medicare & Medicaid The CMS is reviewing re-file a claim ONLY to add
measures have been added. Services (CMS) may move to options for viewing the PQRI
in 2009 the QDC code. A patient
Other non-eye care specif- true “pay for performance.” reports because many For 2009, most providers encounter may require more
ic PQRI measures that providers found the secure may report in one of three than one QDC to meet the
optometrists may choose to PQRI reporting Internet IACS system burden- ways: by claim-based report- measure requirements. More
use have been altered for 2009. some to use. ing, by registry, or by measure than one measure may be
This article will review
results 2007, The 2007 PQRI reporting groups reporting. reported on any given patient
the 2009 PQRI measure 2008 and 2009 results were not supposed to be However, optometrists can encounter when the require-
details. Please refer to the For 2007, the overall fail- made public; however, the only report by the claims- ments are met. (See the
AOA Web site for any updates ure rate was approximately 50 CMS decided to publish the based method at this time. CMS1500 sample forms on
that might occur and all the percent and included the fol- list of providers who attempted To report, a provider must the sidebar or the AOA Web
tools you may need for the lowing errors in reporting: to report PQRI measures in code a patient visit as he or she site.)
2009 PQRI reporting period. 1. National Provider 2007. The statement made to normally would and then add
The PQRI tools on the Identification (NPI) numbers Medicare recipients is as fol- the applicable QDC codes to
See PQRI, page 18
AOA Web site include a missing or stripped (12.15 per- lows: the same claim form. As well,
recorded webinar presentation cent)
with PowerPoint on the 2. Incorrect diagnosis points
specifics of the 2009 PQRI for Quality Data Codes (QDC)
measures, a summary sheet for
use in the exam room, and
3. Failure to adhere to meas-
2009 Eye Care Measures
other background resources ure specifications (18.89 per-
Eye care-specific measures
that optometrists will find use- cent) like diagnosis codes, age,
ful. sex (Not changed from 2008)
The 2009 PQRI guide- 4. Split billing - submitting Measure #12: 2027F Primary Open-Angle Glaucoma - Optic Nerve Evaluation
lines were published in the QDC alone (4.97 percent) by Measure #14: 2019F ARMD - Dilated Macular Examination
final form on Dec. 15, 2008. provider, clearinghouse, or car- Measure # 18: 2021F Diabetic Retinopathy Documentation of Presence or Absence of
All of the information present- rier. Macular Edema and Level of Severity of Retinopathy
ed in this article was taken The Eye Care Measures Measure # 19: 5010F Diabetic Retinopathy Communication with Physician Managing
from the final guideline publi- 12-17 were among the highest Ongoing Diabetes Care
cation. reported measures with 75 to Measure #117: 2022F, 2024F, 2026F, 3072F Dilated Eye Exam in Diabetic Patient
80 percent being successfully
Background reported. Measures 18-19 for Eye care-specific measures new for 2009
Diabetic Retinopathy were Measure #140: 4177F AMD: Counseling on Antioxidant Supplements
The PQRI was created as much less reported with 43 to Measure #141: 3284F, 0517F, 3285F POAG: Reduction of Intraocular Pressure (IOP) by
a part of the Tax Relief and 55 percent being successfully 15 percent OR Documentation of a Plan of Care
Healthcare Act of 2006 that reported.
provides the statutory authority The reports of the 2008 2009 eye care measure – surgeons only
for PQRI. PQRI results and bonus pay- Measure #139: #139: 0014F Cataracts: Comprehensive Preoperative Assessment for
The Medicare, Medicaid, ments will be available in the Cataract Surgery with Intraocular Lens (IOL) Placement
and SCHIP Extension Act of middle of 2009. Optometry does not report this measure.
2007 (MMSEA) continued the The CMS hopes to pub-
authorization for PQRI in lish an interim report early in
2008-2009. And finally, the 2009.
2009 additional measures
These measures may be used by eye care professionals (and other providers):
Medicare Improvements for The problems that
Measure #114: Inquiry Regarding Tobacco Use
Patients and Providers Act of occurred for the 2007 report-
Measure #115: Advising Smokers to Quit
2008 (MIPPA) expanded the ing period have been reviewed.
*Measure #124: HIT - Adoption/Use of Health Information Technology (Electronic Health
bonus payments for 2009- The CMS is in the process of
2010. reconsidering some of the
Measure #128: Universal Weight Screening and Follow-Up
PQRI reporting is bonus denials that occurred
*Measure #130: Documentation/Verification of Current Medications in the Medical Record
designed to bring attention to due to technical issues such as
*These measures include 92 codes series
the quality of care. The PQRI the stripping of NPI numbers
Thus, 12 measures are potentially available for use by eye care professionals. The
measures are designed to bring from claims, not recognizing
guidelines still state you must report at least three measures, 80 percent of the time to be eligi-
provider attention to evidence- all diagnosis codes listed on
ble for the bonus payment of 2.0 percent.
based gaps in care. The meas- claims, and the splitting of
A provider does not have to attempt to file all 12 measures. To avoid confusion or feel-
ures are developed by profes- claims by clearinghouses or
ing overwhelmed, a provider new to PQRI reporting might choose four to six of the measures
sional groups and are endorsed carriers. Providers who were
to report for 2009.
by national consensus groups denied bonus payments in
APRIL 13, 2009 17
from page 17
AOA resources can help navigate PQRI 3P: Optic nerve head evalua-
tion not performed for system
The AOA offers a range of resources to assist member optometrists in providing the serv-
reason (provider is not primari-
ices encouraged under the PQRI.
2009 measure The AOA Communications and Membership Group’s AOA Eye Disease Management
ly responsible for ARMD
details Program offers the AOA Eye Disease Management Kit, with a Recommended Nutrients for
8P: Other reasons for not per-
Healthy Eyes leaflet, to assist in antioxidant counseling for patients with age-related macular
There are 153 measures forming a dilated macular
degeneration (AMD) and as well as other chronic eye conditions such diabetic retinopathy.
listed for 2009. Participation is examination
The Practice Strategies section in the December edition of Optometry: Journal of the
voluntary, and a provider does
American Optometric Association offers advice on the kit’s use. Additional information on
not have to register to partici- Measure #18: 2021F
antioxidant counseling for AMD patients appeared in the February edition of Optometry.
pate. Diabetic Retinopathy
The AOA Clinical Care Group offers AOA Optometric Clinical Practice Guidelines on glau-
The bonus amount for Documentation of Presence
coma, cataract, diabetic retinopathy, and AMD.
2009 is 2.0 percent of all or Absence of Macular
A revised edition of the AMD guideline with new guidelines on antioxidant counseling
allowable Medicare charges, Edema and Level of Severity
is scheduled for release next spring. Information on all of the AOA’s member resources can
including the –TC components of Retinopathy
be accessed on the Doctors’ Page of the AOA Web site (www.aoa.org).
of procedures. This measure applies to
There are a total of eight patients 18 years or older who
eye care-specific measures list- have the diagnosis of diabetic
ed for 2009; however, one of Details of how this cap is Instead, a different G code to the reporting period for an retinopathy who have had a
these measures is designated calculated can be found at is used to describe each coding optic nerve evaluation and dilated macular or fundus
for surgeons only and will not www.cms.hhs.gov/PQRI or situation. Together the CPT II returns for an IOP check dur- examination at least once with-
be reported by optometrists. www.aoa.org/PQRI.xml. codes and the HCPCS G codes ing the reporting period but an in the last 12 months.
The 2008 eye care are referred to as Quality Data optic nerve evaluation is not The documentation must
specifics measures that are Reporting Codes (QDC). performed at that visit, the indicate the presence or
included for 2009 have had Again, the AOA Web site measure is still reported absence of macular edema
very few edits. Three new
quality will have all the tools and because the guidelines state AND the level of severity of
measures for eye care have measures – background reference materi- “optic nerve evaluation at least the diabetic retinopathy.
been added. filing specifics als needed to properly utilize once within 12 months.” The classification guide-
Please see the details of All the applicable meas- all the 2009 PQRI measures. Thus, the measure should lines for the levels of diabetic
the measures later in this arti- ures will be detailed below. Please visit this site fre- be reported or the encounter retinopathy are well document-
cle for details. The measure specifics quently. Updates will be post- will count against your report- ed. The summary of this clas-
The AOA Third Party were finalized on Dec. 15, ed as they become available. ing totals as a missed reporting sification is posted at
Center recommends that 2008. The 2009 reporting peri- opportunity. Please note that www.aoa.org/x7990.xml.
providers do report at every od began Jan. 1, 2009, and end Measure #12: 2027F you may be required to report Please note that the cor-
opportunity for the measures Dec. 31, 2009. Primary Open-Angle this measure more than once rect use for the diabetic ICD-9
they choose to report in order Please note that you may Glaucoma - Optic Nerve within the reporting period codes require that diabetic
to achieve the “three measures, be required to report many Evaluation because the reporting period retinopathy (362 .01 – 362 .06)
80 percent if the time” thresh- measures more than once with- This measure applies to covers an entire 12 months. must be coded if you are going
old. in the reporting period because patients 18 years old and older to code 362.07 for macular
Bonus payments will be the reporting period covers an diagnosed with primary open- Measure #14: 2019F edema. Also note this measure
made in a one-time lump sum entire 12 months. angle glaucoma who have had ARMD - Dilated Macular is not used for diabetes without
payment to the holder of the Again, as in previous an optic nerve evaluation at Examination retinopathy.
TIN sometime in 2010. The years, the AOA recommenda- least once within the past 12 This measure applies to Numerator: 2021F
bonus payment made to the tion is that the measures be months. This measure should patients 50 years old and older Denominator: 18 years or
holder of the TIN will be bro- reported for every instance to be reported at least once within diagnosed with age-related older
ken down by NPI number. ensure that an optometrist the reporting period. macular degeneration (AMD) 362.01, 362.02, 362.03,
The maximum bonus will meets all the minimum coding Numerator: 2027F who have had a dilated macu- 362.04, 362.05, 362.06
be 2.0 percent of ALL guidelines to earn the bonus Denominator: 18 years or lar examination performed at 99201 – 99215, 99241 –
Medicare allowable charges payments. older least once within the past 12 99245, 92002 – 92014, 99307-
filed during the reporting peri- There is no penalty for 365.01, 365.10, 365.11, months. Documentation must 99310, 99324-99337
od, including the –TC compo- reporting a measure more than 365.12, 365.15 include the presence or Modifiers:
nent of any diagnostic services. once within the period defined 99201 – 99205, 99212 – absence of macular thickening 1P: Documentation of medical
In some instances, a cap by the measure guidelines. In 99215, 99241 – 99245, 92002 or hemorrhage AND the level reason dilated macular/fundus
may be applied to the bonus. fact, the guidelines typically – 92014, 99307-99310, 99324- of severity of the ARMD. exam not performed
This cap would be applied state “at least once within the 99337 Numerator: 2019F 2P: Documentation of patient
when an individual provider reporting period” for those Modifiers: Denominator: 50 years or reasons dilated macular/fundus
only has a small number of measures with a defined range 1P: Optic nerve head evalua- older exam not performed
claims in which measures of time. Note that several of tion not performed for docu- 362.50, 362.51, 362.52 3P: Documentation of system
could apply compared to the these measures are using mented medical reasons 99201 – 99215, 99241 – reason for exclusion when the
total number of claims that HCPCS G codes for the 3P: Optic nerve head evalua- 99245, 92002 – 92014, 99307- provider is not primarily
provider actually filed. reporting in addition to the tion not performed for system 99310, 99324-99337 responsible for the manage-
Because there are seven more familiar CPTII codes. reason (provider is not primari- Modifiers: ment of the retinopathy
eye care specific measures and HCPCS G codes are used ly responsible for glaucoma 1P: Medical reason (s) for not 8P: Documentation of other
five additional measures avail- when there is not a CPT II management) performing a dilated macular reasons dilated macular/fundus
able for reporting, most code to adequately describe the 8P: Optic nerve head evalua- examination exam not performed
optometrists will not be measure. When a G code is tion not performed, reason not 2P: Patient reason for not per-
impacted by the bonus pay- used, the modifiers 1P, 2P, 3P otherwise specified forming a dilated macular
ment cap. and 8P are not used. If a patient was seen prior examination See PQRI, page 19
18 AOA NEWS
from page 18
Measure #19: 5010F and 5010F and G8397: DR com- ophthalmologist or optometrist Antioxidant Supplements 99328,99334-99337
G8397 or G8398 munication occurred and documented and reviewed This measure is used Modifiers:
Diabetic Retinopathy dilated fundus exam per- 2024F: Seven standard field when patients and/or caregiv- 3284F with 8P: IOP not docu-
Communication with formed stereoscopic photos with inter- er(s) counseled on the benefits mented, reason not otherwise
Physician Managing G8398: No DR communica- pretation by an ophthalmolo- and/or risks of the AREDS for- specified
Ongoing Diabetes Care tion occurred because no dilat- gist or optometrist documented mulation at least once in 12 0517F with 3P: Glaucoma
This measure applies to ed fundus exam performed and reviewed month period. care plan not documented, sys-
patients 18 years or older who 5010F 2P and G8397: NO 2026F: Eye imaging validated Numerator: 4177F tem reason
have the diagnosis of diabetic DR communication occurred to match diagnosis from seven Denominator: 50 years or 0517F with 8P: Glaucoma
retinopathy who have had a due to patient reasons but dilat- standard field stereoscopic older care plan not documented, rea-
dilated macular or fundus ed fundus exam performed photos results documented and 362.50 362.51 son not specified
examination at least once with- 5010F 3P and G8397: NO reviewed 362.52 The correct combination
in the last 12 months with doc- DR communication occurred 3072F: Low risk for retinopa- 92002-92014, 99201- of numerator codes must be
umented communication with due to system reasons but thy (no evidence of retinopathy 99205, 99212-99215*, 99241- reported on the claim form in
the physician who is managing dilated fundus exam performed in the prior year) 99245, 99307-99310, 99324- order to properly report this
the patient’s diabetes. 5010F 8P and G8397: NO Denominator: 18 to 75 years 99328, 99334-99337 measure. The “correct combi-
Communication is defined DR communication occurred old Modifiers: nation” of codes may require
as follows: due to unspecified reasons but 250.00, 250.01, 250.02, 3P: Documentation that the submission of multiple
Documentation in the dilated fundus exam performed 250.03, 250.10, 250.11, AREDS counseling not per- numerator codes.
medical record indicating that 3284F: IOP reduced by >15
the results of the dilated macu- percent from pre-intervention
lar or fundus exam were com- The AOA Third Party Center recommends level OR
municated (e.g., verbally, by
letter) with the clinician man-
that providers do report at every opportunity for the 0517F: Glaucoma plan of
care documented AND 3285F:
aging the patient’s diabetic measures they choose to report in order IOP reduced < 15 percent
care OR a copy of a letter in
the medical record to the clini-
to achieve the “three measures, from pre-intervention level
The correct combination
cian managing the patient’s 80 percent if the time” threshold. of QDC with or without modi-
diabetic care outlining the find- fiers is as follows:
ings of the dilated macular or Therefore, reporting on 250.12, 250.13, 250.20, formed or appropriate due to 1) 3284F: IOP reduced by
fundus exam. diabetic retinopathy might 250.21, 250.22,250.23, 250.30, system or clinician providing 15 percent
Numerator: 5010F (without include up to four measures for 250.31, 250.32, 250.33, the primary management for 2) 0517F & 3285F: Care
without a modifier) AND each claim: 250.40, 250.41, 250.42, AMD plan & IOP reduced < 15 per-
G8397 OR G8398 alone For example when using 250.43, 250.50, 250.51, 8P: AREDS counseling not cent
Denominator: All patients 92004 with a diagnosis of 250.52, 250.53, 250.60, performed, reason not other- 3) 0517F 3P & 3285F: No
with diabetic retinopathy 362.04, you might also report 250.61, 250.62, 250.63, wise specified care plan-system reasons &
362.01, 362.02, 362.03, 2021F, 5010F and G8397 if 250.70, 250.71, 250.72, *Note that this measure does IOP reduced <15 percent
362.04, 362.05, 362.06 you performed the dilated reti- 250.73, 250.80, 250.81, not include 99211 4) 0517F 8P & 3285F: No
99201 – 99215, 99241 – nal exam and found diabetic 250.82, 250.83, 250.90, care plan-other reasons & IOP
99245, 92002 – 92014, 99307- retinopathy and communicated 250.91, 250.92, 250.93, 357.2, Measure #141: 3284F, OR reduced < 15 percent
99310, 99324-99337 the finding to the primary care 362.01, 362.02, 362.03, 0517F AND 3285F 5) 3484F 8P: No IOP docu-
Modifiers*: physician responsible for car- 362.04, 362.05, 362.06, POAG: Reduction of mented- reason not specified
2P: Documentation of patient ing for the diabetes. 362.07, 366.41, 648.00, Intraocular Pressure (IOP) A plan of care is defined
reasons for not communicating You would also report 648.01, 648.02, 648.03, 648.04 by 15 percent OR as including:
results to physician 2022F (see below for details of 92002-92014, 97802- Documentation of a Plan of 1. re-check of IOP at speci-
3P: Documentation of system this measure) if that patient 97804, 99201-99215, 99304- Care fied time
reason for exclusion when the was between 18 and 75 years 99310, 99324-99328, 99334- This measure is used for 2. change in therapy
provider is not primarily of age and had a dilated fundus 99337,99341-99345,99347- patients with primary open- 3. perform additional diag-
responsible for the manage- exam (or one of the other 99350, G0270, G0271 angle glaucoma who have a nostic evaluations
ment of the retinopathy methods detailed in measure Modifiers: reduction of at least 15 percent 4. monitoring per patient
8P: Documentation of other 117). *8P Dilated eye exam was not in intraocular pressure from decisions
reasons for not communicating performed, reason not other- the pre-treatment levels OR 5. unable to achieve due to
results to physician Measure #117: 2022F, 2024F, wise specified whose pressure was not health system reasons
*File modifiers for this meas- 2026F, 3072F *Do not use the modifier reduced by 15 percent but who 6. referral to a specialist
ure ONLY in conjunction with Dilated Eye Exam in for 3072F. have a plan of care document-
5010F Diabetic Patient Generally, optometrists ed in the chart at least once in Eye care
The correct combination This measure is used to would use 2022F instead of a 12-month period.
of numerator codes must be report patients age 18 through the other three choices present- Numerator: 3284F OR
reported on the claim form in 75 years with a diagnosis of ed in the measure. 0517F and 3285F reported by
order to properly report this diabetes mellitus who had a 2024F might be consid- Denominator: 18 years or optometrists
measure. The “correct combi- dilated eye exam and is used a ered but would not typically be older #139: 0014F
nation” of codes may require minimum of once within 12 used without dilation in an eye 365.10, 365.11, 365.12, Cataracts: Comprehensive
the submission of multiple months. care provider’s office. 365.15 Preoperative Assessment for
numerator codes. Numerator: 92002-92014, 99201- Cataract Surgery with
2022F: Dilated retinal eye Measure #140: 4177F 99205, 99212-99215*, 99241-
exam with interpretation by an AMD: Counseling on 99245, 99307-99310, 99324- See PQRI, page 20
APRIL 13, 2009 19
from page 19
Intraocular Lens (IOL) 115, and 128.
Placement optometry-specific EMRs that 92588, 92626, 96116, 96150, not eligible if one or more of
This measure was Measure #124: G8447 or have obtained certification. 96152, 97001-97004, 97802, the following exist:
designed to only be used by G8448 Also note that this measure 97803, 98960, 99201-99215, a. Patient refuses to partici-
the surgeon performing the HIT - Adoption/Use of cannot be used if you do not 99241-99245, G0101, G0108, pate
cataract surgery. There is no Health Information have an EMR that meets the G0270 b. Patient is in an urgent or
mechanism for optometrists to Technology (Electronic qualifications listed above. G8427: List current medica- emergent medical situation
report this measure even with a Health Records) Numerator: G8447 tions (dosages) & verification where time is of the essence
modifier. This measure is to be G8448 with patient/authorized repre- and to delay treatment would
Therefore: reported at each visit occurring Denominator: 18 years or sentative documented (include jeopardize the patient’s health
OPTOMETRISTS DO NOT during the reporting period for older Rx, over-the-counter, herbals, status
REPORT MEASURE #139. patients 18 years and older All patient encounters vitamin/ mineral/ dietary c. Patient cognitively
seen during the reporting peri- 90801-90809, 92002- [nutritional] supplements) OR impaired and no authorized
Other measures od. There is no diagnosis asso- 92014, 92541-92544, 92548, G8428: List of current med- representative available
ciated with this measure. This 92552, 92553, 92555, 92557, ications (dosages) without
potentially measure may be reported by 92561-92565, 92567, 92568, verification (includes Rx, Measure #114: 1000F and
available for use clinicians who have adopted 92569, 92571, 92572, 92575- over-the-counter, herbals, vita- 1034F or 1035F or 1036F
by optometrists and are using health informa- 92577, 92579, 92582, 92584- min/mineral/dietary [nutrition- Inquiry Regarding Tobacco
Please note that the meas- tion technology. 92588, 92601-92604, 92620, al] supplements) OR Use
ures 114, 115, and 128 do not Patient encounter docu- 92621, 92625- 92627, 92640, G8429: Incomplete/no This measure applied to
list the 92002 – 92014 series mentation substantiates use of 95920, 96150-96152, 97001- provider documentation of cur- patients 18 years or older who
of codes as denominators for certified/qualified EMR 97004, 97750, 97802-97804, rent medications (dosages) are queried about their tobacco
2009. (CCHIT) or the EMR is non- 98940-98942, 99201-99215, were assessed (includes Rx, use at least once within the
The measures included certified but is capable of: 99241-99245, D7140, D7210, over-the-counter, herbals, vita- past 24 months. This measure
here do list the 99201 - 99215 1. Generating a medication G0101, G0108, G0109, min/ mineral/ dietary [nutri- requires two CPT II codes per
series of evaluation and man- list G0270, G0271 tional] supplements) OR submission.
agement codes and are avail- 2. Generating a problem list Modifiers: G8430: Provider documenta- Numerator:
able for those optometrists 3. Ability to manually enter None listed tion that patient is not eligible 1000F: Tobacco use assessed
who can and do utilize the 99 or electronically receive, store, *Note G8449 was deleted for for medication assessment OR AND one of the following:
codes series for some of their display laboratory tests as dis- 2009 G8507: Provider documenta- 1034F: Current tobacco smok-
patient encounters. Measures crete searchable data elements. G8447: Patient encounter tion that patient is not eligible er
124 and 130 do specifically list 4. Ability to meet basic pri- documented using CCHIT for patient verification of cur- 1035F: Current smokeless
the 92 code series for 2009. vacy and security elements Certified or Qualified EMR rent medications tobacco user
These two measures will be To date, there are no G8448: Patient encounter 1036F: Current tobacco non-
detailed before measures 114, commercially available, documented using non-CCHIT Definitions are as follows for user
certified EMR but the system Measure #130 Denominator: 18 years or
was qualified (see above) 1. Authorized Representative older
Free nutrition, Measure #130: G8427,
– A person who is acting on
the patient’s behalf and who
90801, 90802, 90804-
90815, 90845, 90862, 96150,
eye health kit offer G8428, G8429, G8430,
does not have a conflict of
interest with the patient, when
96152, 97003, 97004, 99201-
99205, 99212 -99215
The AOA, working in Documentation /Verification the patient is temporarily or Not associated with any
partnership with of Current Medications in permanently unable to act for specific ICD-9 diagnosis code
Kemin and DSM the Medical Record him or herself. This person Modifiers:
Nutritional Products, This measure is designed should have the patient’s best 8P: Tobacco used not
will be promoting the to encourage providers to gath- interests at heart and should be assessed, reason not specified
importance of caring
er all the details of a patient’s reasonably expected to act in a Attach to 1000F, only this
for the eyes through
current medications, including manner that is protective of the CPT II required to be reported
proper nutrition. To
help educate patients dosages for all prescription, person and the rights of the when use not assessed
on the relationship over-the-counter, herbals, vita- patient. Preferably, the patient *Note that 99211 is not a listed
between diet and eye min/ mineral/ dietary [nutri- appoints this individual. CPT I code for this measure.
health, a new member tional] supplements taken. As 2. Current Medications – All Specific combinations are
kit is available for dis- well these listings must be ver- medications (includes prescrip- required to successfully report
play in-office. This free ified by the patient or caretak- tion, over-the-counter, herbals, this measure.
member kit includes: er, when applicable. When no vitamin/ mineral/ dietary 1. 1000F and 1034F:
Clear acrylic documentation and/or verifica- [nutritional] supplements) a Queried about tobacco use and
counter card with brochure pocket tion is possible, then an alter- patient may be taking routinely is a current tobacco smoker
Two counter card inserts native QDC is used. and/or on a PRN basis 2. 1000F and 1035F:
Two pads of the “Recommended Nutrients for Numerators: G8427 or 3. Verification – Document- Queried about tobacco use and
Healthy Eyes” brochure G8438 or G8429 or G8439 or tation of acknowledgment by is a current smokeless tobacco
Template news release G8507 the patient and/or authorized user
To order a kit, visit www.aoa.org/syvm-kits.xml and Denominator: 18 years and representative or provider that 3. 1000F and 1036F:
complete the requested information. Simply click submit, older signifies discussion, assess- Queried about tobacco use and
and your order will then be shipped to your office. 90801, 90802, 92002-92014, ment, or review to confirm is a current tobacco non-user
Please allow five to seven business days for delivery. 92541-92545, 92547, 92548, accuracy of information.
92557, 92567-92569, 92585, 4. Not Eligible – A patient is See PQRI, page 21
20 AOA NEWS
from page 20
4. 1000F 8P: Tobacco use measure application varies 2. Record that weight prob- medication list incorporating request, or qualified e-pre-
not assessed, reason not speci- with age and BMI. lem managed by another electronic data received from scribing system was tem-
fied 1. Age 65 and older BMI provider applicable pharmacies and porarily inoperable.
>30 or <22 3. Patient has a terminal ill- benefit managers (PBMs) if Denominator: 18 years or
Measure #115: 4000F, 4001F, 2. Age 18 – 64 BMI >25 or ness (< six months’ life available older
G8455, G8456, G8457 <18.5 expectancy) 2. Select medications, print Reported on EVERY
Advising Smokers to Quit BMI is a number calculat- 4. Patient refuses BMI meas- prescriptions, electronically encounter
This measure applies to ed from a person’s weight and urement transmit prescriptions, and 90801, 90802, 90804-
patients age 18 years and older height. BMI can be calculated 5. Any other reason docu- conduct all alerts (defined 90809, 92002-92014, 96150-
who are smokers and who using a chart or formula; how- mented by the provider below) 96152, 99201-99215, 99241-
received advice to quit smok- ever, the patient’s actual explaining why BMI measure- 3. Provide information 99245, G0101, G0108,
ing. weight and height must be ment was not appropriate related to lower cost, thera- G0109
This measure is reported measured and cannot be mere- 6. Urgent or emergent med- peutically appropriate alterna- Modifiers: None listed
for all patients at least once per ly reported by the patient. ical situation where delaying tives (if any). (Tiered formula-
patient per reporting period. Follow up can include treatment would jeopardize the ry information, if available, Summary
All patients identified as documentation of a future patient’s health status would meet this requirement)
tobacco smokers at any time appointment, education, refer- 4. Provide information on 1. The 2009 PQRI reporting
during the reporting period ral, prescription/administration E-prescribing: formulary or tiered formulary period is Jan. 1, 2009, to Dec.
should be advised to quit. If a of medication/diet supplements medications, patient eligibili- 31, 2009
smoker, must file with two and the like.
A stand-alone ty, and authorization require- 2. There are 12 measures
appropriate QDCs. If not a Numerators: bonus program ments received electronically available for use by
current smoker, this measure G8417: Calculated BMI above E-prescribing is no longer from the patient’s drug plan optometrists for this reporting
should be reported with the upper parameter with docu- a PQRI measure. The CMS (if available) period
appropriate G code designated mented follow-up plan opted to pull this measure out Numerator: 3. There are seven new
below. G8418: Calculated BMI below as a stand-alone bonus pro- G8443: All prescriptions cre- measures available for use by
Numerator: G8455 and lower parameter with docu- gram. The bonus structure is ated during the encounter optometrists
4000F or 4001F OR G8456 mented follow-up plan laid out for 2009 – 2014 and were generated using a quali- 4. Some of the measures
OR G8457 G8419: Calculated BMI out- beyond. This initiative marks fied e-Prescribing system have minor modifications so
Denominator: 18 years or side normal parameters but no the first time that the CMS will G8445: No prescriptions were review all measures carefully
older documented follow-up plan eventually involve penalties for generated during the 5. Successful reporting
99201-99205, 99212- G8420: Calculated BMI with- NOT participating. The sched- encounter, Provider does have requires reporting at least
99215*, 99217-99220, 99241- in normal limits documented ule is as follows: access to a qualified e-pre- three measures, 80 percent of
99245 G8421: BMI not calculated 1. Separate bonus payments scribing system the time
The combination of G8422: Patient not eligible for for using E-Rx G8446: Some or all prescrip- 6. Measures use Quality
QDCs are as follows: BMI calculation a. 2009 - 2010 is 2 percent tions generated during Data Codes (QDC) for report-
1. G8455: Current tobacco Denominator: 18 year and up b. 2011 - 2012 is 1 percent encounter were handwritten ing:
smoker & 4000F: Tobacco (application varies with calcu- c. 2013 is 0.5 percent or phoned in due to a state a. G codes
use cessation intervention, lated BMI) 2. Reduction in payment for law requirement, patient
See PQRI, page 22
counseling OR 90801-90809, 97001, not using E-Rx
2. G8455: Current tobacco 97003, 97802, 97803, 98960, a. 1 percent for 2012
smoker & 4001F: Tobacco 99201-99215, 99241-99245, b. 1.5 percent for 2013
use cessation intervention, 99324-99328, 99334-99337, c. 2 percent for 2014 and
pharmacologic therapy OR 99341-99345, 99347-99350, each subsequent year
3. G8456: Current smoke- D7140, D7210, G0101, This measure is to be
less tobacco user OR G0108, G0270 reported at each visit occurring
4. G8457: Current tobacco Modifiers: None listed during the reporting period for
non-user *Note that 92 code series not patients 18 years and older
listed seen during the reporting peri-
Measure #128: G8417, Follow-up plan documen- od that is the same reporting
G8418, G8419, G8420, tation could include the pro- period as the 2009 PQRI (Jan.
G8421, G8422 posed outline of treatment to 1, 2009, to Dec. 31, 2009).
Universal Weight Screening be conducted as a result of There is no diagnosis associat-
and Follow-Up abnormal BMI measurement. ed with this measure. This
This measure is used to This plan could include: measure may be reported by
report patients who have a cal- a) Documentation of a future clinicians who have adopted a
culated Body Mass Index appointment qualified e-prescribing system.
(BMI) within the past six b) Education Please note that this measure
months or current visit that is c) Referral cannot be used if you do not
documented in record. d) Prescription/administra- have access to a qualified e-
The provider must meas- tion of medications/dietary prescribing system.
ure actual weight and height supplements, etc. Details of this program
and calculate BMI or use a Patients can be considered can be found at: www.aoa.
table or obtain it from another not eligible in the following org/HIT.xml.
provider’s medical records. As situations: A qualified e-Rx system
well there must be documenta- 1. Patient already document- must do ALL of the following:
tion of a follow-up plan. The ed as over or under weight 1. Generate complete active
APRIL 13, 2009 21
from page 21
11. E-prescribing is a separate
CMS initiative with its own AOA announces business card
b. CPT II codes with/with-
While the future is hard to
predict, PQRI does not appear
program for students, grads
7. The AOA Web site will to be going away any time he AOA announced a The cards are essential eligible for this program.
list all the up-to date informa-
8. The 2009 bonus is cur-
In this economic environ-
ment, most providers can use
T new program to help
member students and
soon-to-be-grads build their
tools for networking and gen-
erating referrals whether stu-
dents are searching for their
Active AOA/AOSA member-
ship is also required.
To request the business
rently 2 percent of all allow- all the extra payments offered, networks and jumpstart their first practice opportunity or cards, visit www.aoa.org/
able Medicare charges especially when this bonus is careers. marketing themselves to the cards.xml. The cards will be
9. The 2008 PQRI reports in return for only a small effort The association is pro- communities in which they shipped within four to six
should be available in June on the part of the provider. viding third and fourth-year will practice. weeks at no cost.
2009 As well, the additional 2 optometry students with free Incoming fourth-year For more information,
10. Some providers who par- percent bonus possible with e- sets of personalized business students in the class of 2010 contact Denise Kincaid at
ticipated but did not earn a prescribing makes participation cards imprinted with the and soon-to-be-graduates in email@example.com or call
2007 PQRI bonus may receive in this separate program a “Member of the AOA” logo. the class of 2009 who are 800-365-2219, ext. 4107.
a payment when the CMS re- good economic decision as The set of 250 business enrolled in an accredited The AOA thanks Alcon
evaluates some reporting errors well. cards can help students get school or college of optome- for its unrestricted grant in
their careers off to a success- try in the United States, support of student and new
undiagnosed. ful start. Puerto Rico or Canada are graduate education.
Health reform, A highly efficient and
from page 9 cost-effective preventive care
program, InfantSEE® offers offer excellent learning “As the AOA continues to be decided,” Hymes added. “In
Association (MOA) President eye assessments — provided opportunities for the pro-active in Washington, fact, in Washington, D.C., it’s
Barbara Horn, O.D., cleared at no cost by practicing NEWENCO students who ODs must be as willing as Dr. often said that “if you’re not
her schedule and made plans optometrists — for all chil- often clinical rotations there. Horn, Dr. Scott and our feder- at table, then you’re on the
to attend the summit. dren under 12 months of age, Among other issues, the al Keyperson army to ensure menu.”
The opening forum in regardless of family income. health care reform movement that optometrists and patients Practitioners may also
Dearborn was co-moderated The program is champi- is attempting to prevent dis- are treated fairly.” wish to submit comments or
by Michigan Gov. Jennifer oned by former President parities in care attributable to “Optometry – which was questions on the White House
Granholm (D), Wisconsin Jimmy Carter, InfantSEE’s cultural differences between excluded entirely from Health Reform Web site. The
Governor Jim Doyle (D) and honorary co-chair, Dr. Horn practitioners and patients, Dr. Medicare from its inception Web site (which also features
White House Director of noted. Scott noted. Based largely in in 1965 until 1987 – must videos of the region forums
Domestic Policy Melody Dr. Horn’s actions that neighborhoods with distinct continue to recognize that with the comments by Dr.
Barnes. day helped pave the way for ethnic identities, many com- there’s no substitute for hav- Horn and Dr. Scott) can be
Though not invited, Dr. Clifford Scott, O.D., M.P.H., munity health center clinics ing a seat at the table when accessed at www.healthre-
Horn gained access to the five days later, to attend and offer students an opportunity health care policy is being form.gov.
meeting, which was attended speak at the next summit to “become immersed” in the
by White House officials,
members of Congress and
meeting held in Burlington,
local culture. Following the
residency, students “are cul-
LVU announces golf tour
two governors, and she took a On March 17, communi- turally aware, culturally com-
Kemin Health is sponsoring a free three-hour, COPE-
turn to speak. ty health care center eye clin- petent,” Dr. Scott said. Forum
approved Low Vision University™ (LVU) educational program
One of the few health ics were discussed by Dr. moderators appeared recep-
at the Principal Charity Classic Champions Tour in May.
care practitioners to speak Scott, an attending tive to the comments, he
The program will be held at the Glen Oaks Country
during the Michigan forum, optometrist with New reported.
Club, West Des Moines, Iowa, which hosts the golf tour,
Dr. Horn echoed moderator England College of While the White House
on Saturday, May 30, 2009, from 8 a.m. to 11 a.m.
comments on the importance Optometry’s (NEWENCO) Regional Health Forum series
LVU is an educational program developed by the AOA
of preventive care. She noted New England Eye Institute, ended April 6, the AOA
Low Vision Rehabilitation Section (LVRS) to provide primary
that AOA’s InfantSEE® pro- during a second forum at the Advocacy Group is urging
care optometrists with the information needed to begin pro-
gram is uncovering hundreds University of Vermont. practicing optometrists and
viding low vision rehabilitation in their practices to individu-
of potentially serious eye and In fact, at one point in optometry students to consid-
als with age-related vision loss.
vision problems — such as a the program a woman who er participation in any future
Low vision rehabilitation is an important component in
life-threatening retinoblas- was a resident of Boston’s public forums that may be
the continuum of care for individuals with vision loss. Low
toma in an Arizona infant Dorchester suburb stood up held by federal or state offi-
vision rehabilitation and nutritional supplements are the only
–that might otherwise go and praised the care she has cials on health care reform.
non-surgical treatments currently available for the majority of
received through the Codman “Although there are
people with age-related vision loss.
Square Community Health times that optometry is
LVU participants will receive a complimentary ticket to
Center. included from the beginning
attend the golf event on Saturday and a free VIP parking
The center is among 15 – both in legislation and
pass. Register online for the Low Vision University™ by visit-
through which NEWENCO’s important meetings on health
ing the AOA LVU registration Web page at
New England Eye Institute care policy – inclusion cannot
provides eye and vision care. be assumed with the stakes
For more information, contact Sections Coordinator
Dr. Scott told the forum this high and the special inter-
Alisa Krewet at 800-365-2219, ext. 4137 or e-mail
that in addition to effectively ests as active as they are right
providing care for under- now in Washington, D.C.,
AGKrewet@aoa.org. Early registration is recommended
because space is limited.
served populations, Boston’s said Jon Hymes, director of
Dr. Horn community health centers the AOA Advocacy Group.
22 AOA NEWS
Laser burn in one eye can disrupt immune privilege in both
cientists at Schepens and senior scientist at injected either the burned or a group of control mice with- privilege in one or both eyes.
S Eye Research Institute
have shown for the first
time that a laser burn to one
Schepens Eye Research
Immune privilege is a
the unburned eyes of each
mouse with the antigen,
Ovalbumin. Antigens are sub-
out burns, they observed no
Since created in the
nisms that destroy or disrupt
immune privilege will ulti-
retina can cause both eyes to modification of the body’s stances that the body per- 1960s, lasers have found their mately lead to novel therapies
lose a special protective abili- normal immune response. It ceives as foreign and against way onto the battlefield, into to restore that special privi-
ty known as immune privi- protects the eye, the brain and which it mounts a defense. the operating rooms and into lege not only in the eye but in
lege. the reproductive system with- They found that immune modern research laboratories. the brain and the reproductive
Immune privilege pro- out the full-blown immune privilege was disrupted in While ophthalmologists have system as well, she adds.
tects the eye without the response that uses inflamma- both eyes after six hours and been aware of the local dam- The next steps for the
inflammation of the body’s tion to violently reject foreign continued to be disrupted even age done by laser burns to team will be to study the novel
normal immune response, tissue or invaders. after 56 days. retinas, they have not been mechanisms that allow for
which can further damage del- While inflammation in When they injected the tuned into the possibility of communication between the
icate eye tissue. This finding, other parts of the body is a same antigen into the eyes of long-term loss of immune injured and non-injured eye.
published in the February useful battle between immune
2009 American Journal of and foreign cells, it is too
Pathology, has implications aggressive for fragile eye, Center, and that it is unacceptable that Visual problems from
for treating patients with laser brain and reproductive tissues, from page 9 vets with eye injuries have to TBI are often overlooked dur-
burns sustained on the battle- and, in the case of the eye, wait for this plan to be put ing initial treatment of injury.
field and in other modern set- can even lead to blindness. vision care. into action. Frequently these prob-
tings. Immune privilege, which At the hearing, the The injuries of lems are hidden or neglected,
The discovery is also sig- intervenes in the battle, is also Subcommittee assessed the Operations Enduring Freedom lengthening and impairing
nificant because it suggests a what prevents the eye from efforts of the agencies as they and Iraqi Freedom are shaped rehabilitation.
previously unknown commu- rejecting corneal transplants, work to ensure a seamless by the widespread use of Because there is a close
nication between the two making them the most com- continuum of care for service improvised explosive devices relationship between vision
eyes. mon and successful of trans- members and veterans who (IED). and the brain, TBI can disrupt
“This deepens our under- planted tissues. have suffered eye injuries. IEDs increase the likeli- the visual process, interfering
standing of the way immune In her laboratory, Stein- On the whole, the sub- hood that combat troops will with the flow and processing
privilege works,” says Joan Streilein and her team made committee determined that be exposed to incidents such of information.
Stein-Streilein, M.D., princi- tiny laser burns in one of the the sense of urgency now as blasts that can cause TBI The result can be a TBI-
pal investigator of the study retinas of 15 mice. They then being felt by veterans is clear and other debilitating injuries. related vision problem.
APRIL 13, 2009 23
SPOTLIGHT ON AOA MEMBERS
Hawaii museum optometry exhibit
educates, entertains children
he Children’s ting cage to the exhibit that
T Discovery Center in
Hawaii said aloha to
an educational exhibit
would allow optometry to
emphasize the importance of
eye safety and sports.
designed and produced by the An artist created a mural
Hawaii Optometric as part of the exhibit, and the
Association (HOA) last fall. HOA provided optical illu-
The idea for an interac- sions to further engage the
tive exhibit came after one of museum’s visitors.
HOA Executive Director Three months after the
Charlotte Nekota’s frequent initial idea, the optometry
visits to the world-class chil- exhibit was implemented.
dren’s museum with her For the grand opening of
grandchildren. the exhibit, the HOA con-
“I saw the dentists had ducted free vision screenings
an exhibit, and I thought this and paid the day’s admission
was a good idea for optome- fees to the Children’s
try,” said Nekota. “It was a Discovery Center.
perfect venue.” “They had a big thing on
Nekota spoke to the TV about it, and we had a
director of the center who couple hundred children
agreed she was onto some- screened by our HOA volun-
thing. teers,” said Nekota.
Players from the Hawaii Winter Baseball league gave tips to visitors to
Nekota went to work and Nekota said the HOA’s
the Children’s Discovery Center in Honolulu. The Hawaii Optometric
arranged for donations of a goals for the project were to
Association included a batting cage as part of its exhibit to emphasize
vision chart, exam chair, educate visitors on the impor-
the importance of eye safety and sports.
frames, slit lamp and tance of eye exams for chil-
phoropter. dren and to familiarize chil- eyes and get used to the
VSP agreed to provide a dren with optometry. equipment found in an Area schools often organize
grant for funding, and the “With the slit lamp, they optometrist’s office,” said
HOA was able to add a bat- could look at someone else’s Nekota.
field trips to the center, and
The exhibit is stocked the HOA ordered AOA
with books related to optome-
try such as “My First Visit to materials for packets that
the Optometrist.” teachers can bring back to the
The HOA placed
InfantSEE® posters in the classroom to further
exhibit to raise awareness of emphasize the importance of
the need for eye care to begin
at an early age. eye exams for children.
The museum is geared
for children 8 and younger,
though older children visit as
The optometry exhibit
has become one of the more
Volunteer optometrists Eugene Young, O.D.,
popular exhibits with the chil-
and Brian Kubo, O.D., screen children at the
dren, said Nekota.
grand opening of the Hawaii Optometric
Area schools often
Association exhibit at the Children’s Discovery
organize field trips to the cen-
ter, and the HOA ordered
AOA materials for packets
Editor’s note that teachers can bring back
to the classroom to further
AOA News is highlighting the admirable emphasize the importance of
charitable work and exceptional patient eye exams for children. From left, Liane Usher, director of Exhibits &
care that distinguishes members of the The packets include edu- Programs at the Hawaii Children's Discovery
American Optometric Association. cational materials and activi- Center, Charlotte Nekota, executive director of
the Hawaii Optometric Association, and Hervy
Got a story to share? Kurisu, president of Hawaii Winter Baseball,
see Exhibit, page 26
Drop a line to RAFoster@aoa.org. gather with players who participated in the
exhibit’s grand opening.
APRIL 13, 2009 25
Opening session to feature Woodruff, honor ODs
ob Woodruff, the for- The event will also honor Peabody Award for “Wounds showdown in Iran and, in spondents during the war in
B mer co-anchor of
ABC’s “World News
Tonight,” will be the keynote
the Distinguished Optometrist
of the Year, the Optometrist
of the Year and the Young
of War—the Long Road
Home for Our Nation’s
Veterans,” a series of reports
June 2005, was granted
unprecedented access to the
secretive country of North
Afghanistan, reporting from
Kabul and Kandahar on the
fall of the Taliban.
speaker at the Opening Optometrist of the Year. that aired on ABC. Korea. His overseas reporting of
General Session for the 2009 Woodruff himself was in Woodruff was also hon- He has reported exten- the fallout from Sept. 11 was
Optometry’s Meeting®. the media spotlight when he ored with the Daniel Pearl sively on the continuing part of ABC News’ coverage
Sponsored by Essilor, the was seriously injured by a Award for Courage and unrest in Iraq from Baghdad, recognized with the Alfred I.
Opening General Session will roadside bomb while report- Integrity in Journalism. Najaf, Nassariya and Basra. duPont Award and the George
be Thursday, June 25 from 8 ing on U.S. and Iraqi security In addition to his cover- During the initial inva- Foster Peabody Award, the
a.m. to 9:30 a.m. forces in Taji, Iraq, in 2006. age of the war, Woodruff has sion of Iraq, Woodruff report- two highest honors in broad-
Woodruff continues out- reported on other top stories. ed from the frontlines as an cast journalism.
patient rehabilitation in the His reports from New embedded journalist with the He was also a part of the
New York area and has since Orleans in the aftermath of 1st Marine Division, 1st ABC News team recognized
returned to work at ABC Hurricane Katrina helped Light-Armored Reconnais- with an Alfred I. duPont
News covering major stories focus the nation’s attention on sance Battalion. Award for live coverage of
throughout the country and the building tragedy there. Woodruff also covered the death of Pope John Paul II
around the world. He was ABC’s lead cor- the past presidential cam- and the election of Pope
In February 2007, respondent on the Asian paign of Sen. John Edwards. Benedict XVI.
Woodruff and his wife, Lee, Tsunami, reporting from Before moving to New York Please do not miss the
published a personal memoir, Banda Aceh, Indonesia, and in 2002, Woodruff worked tremendous opportunity to
“In an Instant: A Family’s Sri Lanka. out of ABC News’ London hear Bob Woodruff speak
Journey of Love, Courage, Woodruff has covered Bureau. about his amazing journey
and Healing,” about his the “axis of evil” named by After the Sept. 11 and his work to help those
recovery and the medical and former President George W. attacks, he was among the with war-related traumatic
family support that helped Bush as Iran, Iraq and North first Western reporters in brain injuries (TBI), especial-
him heal. Korea. Pakistan and was one of ly those with visually related
Woodruff won a 2008 He covered the nuclear ABC’s lead foreign corre- challenges.
from page 25 Hawaii
ties for children. Approximately 90,000 players help
“The packets are key visitors a year come through
with teachers,” said Nekota. the doors of the center.
“Some doctors have had kids Most large cities have
come into their practices similar children’s museums
as part of
after visiting the exhibit. And that may offer the same type
President Barack Obama of opportunity for state opto-
brings his girls to the center metric associations, accord-
when he visits Hawaii. It’s a ing to Nekota.
very popular place.” “You could replicate it in
almost any environment,” said
Nekota. “You don’t even need
brand-new equipment; it just
has to be sturdy.”
The HOA plans to host an
optometry day at the center
every year to encourage explo-
ration of the exhibit. The
events will continue to include
screenings, free admission
and, hopefully, TV coverage,
“I can’t believe I didn’t
Reid Saito, O.D., waits to be interviewed as
think of it a long time ago,” Liane Usher, director of Exhibits & Programs at
Loretta Yajima, president and CEO of the
said Nekota. “It’s a real learn- the Hawaii Children's Discovery Center, Hervy
Hawaii Children's Discovery Center, is inter-
ing tool.” Kurisu, president of Hawaii Winter Baseball,
viewed. Roger Ede, O.D., screens a young child
and Charlotte Nekota, executive director of the
in the foreground.
HOA, participate in the grand opening.
26 AOA NEWS
Students to capitalize on careers
at Optometry’s Meeting®
Ryan Parker, O.D., chair of the Optometry’s Meeting®
Student Program Committee
In today’s economy, what can you pos- specifically with stu-
sibly invest in that will give you a return on dents in mind are:
your investment? How about your future? The AOSA
Optometry’s Meeting® provides what stu- General Session kicks of the student pro-
dents need in order to capitalize on their gram on Thursday afternoon. Thanks to VSP,
careers after graduation. students will release some stress with the
We all know that education is impor- sidesplitting humor of comedian Karyn Ruth
tant, but often who you know can be just as White.
important as what you know. The Varilux® Optometry Student Bowl™
Optometry’s Meeting® provides the per- XVIII and Reception continues as a Thursday
fect balance of education and networking night tradition at Optometry’s Meeting®. The
opportunities to advance your career. enthusiasm of the students who attend is
A key reason the student program at amazing. Students are so energized that
Optometry’s Meeting® is so successful is that Essilor, the sponsor of the event, instituted
it is designed for students by students. the “Spirit Award” given to the school that
As the Student Program Committee exemplifies the most team spirit.
chair, I feel this is instrumental to a successful iConnect with TLC promises to be a
program as the student volunteers on the rock-n-roll, sing-a-long good time this year.
committee are currently living the academic Dueling pianos have become so popular
The Kennedy Center is shown at night. The per- life and, therefore, understand what students that TLC is bringing them to the Gaylord
forming arts center is located on the Potomac need. National®! Students who attend the TLC-
River in Washington, D.C. Photo: Destination DC. Our goal is to provide students with a E
sponsored lecture “Eye Want the Hook
program that focuses on their career after Up!” on Friday afternoon, and their regis-
graduation. tered guests, are invited to attend this event.
Sunday, Eye and Allergy,” course We incorporate practice management The Optometric Residency Forum is a
from page 1 #4106, will bring together courses into the program such as great resource for students who are consid-
leading experts in the clinical M
“Marketing Diamonds: How to Market ering a residency after graduation. On
Rehabilitation: How to and practice management of Yourself and Your Future Practice,” spon- Friday, residency representatives from many
Serve the Growing Demand anterior segment disease from sored by The Vision Care Institute™, LLC, optometry schools will be available to
of Brain Injury Patients,” 8 a.m. to 10 a.m. (Moderator: because we understand that students want answer questions about their programs. This
course #4112, will be from 8 A. Epstein, O.D.; Lecturers: to know how they are going to make is a great opportunity to learn about what
a.m. to noon. (Lecturers: C. E. Bowling, O.D.; J. money after graduation. makes each residency program unique.
Carman, O.D.; M. Cron, O.D.; Rumpakis, O.D., MBA; B. Students who want to learn more on a Student Focus Hours in the Exhibit Hall
B. Heinke Montecalvo, O.D.) Townsend, O.D.) particular clinical topic are invited to take have been dedicated specifically for stu-
The program is designed The panelists will present OD and/or paraoptometric continuing edu- dents on Saturday from noon to 2 p.m. This
to provide the optometrist with and debate diagnostic and cation courses at a reduced rate of only $5 is a great opportunity to start building ven-
a comprehensive overview of therapeutic options using a per credit hour. dor relationships.
the epidemiology of the brain- case and evidence-based If you are preparing to take your board By attending Optometry’s Meeting®, stu-
injured and aging populations medicine approach. exams, Optometry’s Meeting® is the perfect dents will see firsthand who supports the
and the commonly encoun- Billing and coding place to brush up on what you have AOSA and AOA.
tered visual deficits. specifics will also be present- learned in optometry school. Doing business with people who sup-
Lecturers will discuss the ed in this interactive course. There are 12 hours of National Board port optometry will continue to strengthen
impact on practices and Part I will focus on dry of Examiners in Optometry (NBEO) review our profession and our associations.
opportunities for expanding eye, ocular disease and aller- courses that offer a comprehensive review Several prize drawings will be held
patient care, as well as the gy, and Part II will focus on of topics covered on the exam. throughout these dedicated hours just for stu-
necessary education and infection and inflammation. Students are also welcomed to the dents.
resources available. “Anterior Segment main Optometry’s Meeting® events such as Optometry’s Meeting® is about your
In addition, the evaluation Challenges—Part II— the Wednesday Night Welcome Reception future. It is the meeting you can’t afford to
and treatment process will be Infection and Inflamma- with live entertainment, sponsored by miss!
described in relation to the tion,” course #4108, will be Bausch & Lomb; the Opening General Allergan, Essilor, HOYA, TLC, and The
various neurological deficits. held from 10 a.m. to 11 a.m. Session featuring Bob Woodruff, sponsored Vision Care Institute™ know this is a meeting
The importance of multi- (Moderator: A. Epstein, O.D.; by Essilor; Exhibit Hall events; and the you can’t afford to miss so they generously
disciplinary collaboration and Lecturers: E. Bowling, O.D.; Presidential Celebration, featuring Jeff sponsored travel grants and scholarships to
ways to engage in team-build- J. Rumpakis, O.D., MBA; B. Foxworthy, sponsored by HOYA. ensure that students who want to attend can
ing will be discussed. Townsend, O.D.) Events such as these, while fun in attend.
Various case studies will For more information, nature, are a great opportunity for students Talk to your school trustee to see how
be presented. and to register for courses, to network with their peers, ODs and future you can be one of the lucky recipients next
“Anterior Segment visit www.optometrysmeet- business contacts. year.
Challenges—Part I—Dry ing.org. One of these events could be where Visit www.optometrysmeeting.org for
you meet your future employer or business more information, to register, and to book
Correction: An article in the March 23 issue of AOA News partner! hotel reservations for the meeting.
incorrectly identified Floyd Spechler as an OD. He is a Other great events that are designed See you at National Harbor!
MD. The AOA News regrets the error.
APRIL 13, 2009 27
Industry Profile: CooperVision VisionWeb appoints
CooperVision is one of the world’s leading manufacturers
of soft contact lenses, with a portfolio that includes the indus-
try’s broadest range of soft toric and soft multifocal lenses.
Crooks to advisory role
Dedicated to enhancing the contact lens experience for practi-
tioners and patients, CooperVision is a global innovator in con-
tact lens design, material development and manufacturing.
V the appointment of
C. Thomas Crooks
III, O.D., as Professional
New to CooperVision’s growing number of silicone hydro-
In his new role at
gel contact lens designs, the company recently introduced
VisionWeb, Dr. Crooks will
Biofinity® Toric, a monthly silicone hydrogel lens that offers
serve as the primary liaison to
exceptional comfort, eye health, and vision quality. Utilizing the
eye care professionals and
same material as Biofinity® Sphere, Biofinity Toric is Food and
Drug Administration-approved for both daily and extended Dr. Crooks
providing strategic advice to
wear (for up to six nights). Within the last year, CooperVision
the VisionWeb team on behalf
also released Avaira®, a two-week silicone hydrogel lens.
Abbott Medical Optics eye care professionals. In addition to his impres-
These third-generation lenses feature CooperVision’s
“VisionWeb is dedicated sive background in private
Alcon unique Aquaform™ technology, which creates a naturally wet-
to providing technology that practice, Dr. Crooks has held
table lens material without the need for internal wetting agents
Allergan helps eye care providers to several leadership positions
or surface treatments. The lenses offer a combination of high
become more efficient and within the professional opto-
Bausch & Lomb water content, low modulus and high oxygen transmissibility
successful,” said Ken metric community at the
that provides maximum comfort, optimal health and excellent
CIBA Vision Corporation Engelhart, VisionWeb presi- state, regional, and
dent and CEO. “Dr. Crooks is national level.
CooperVision Biofinity Toric is the latest addition to The CooperVision
a respected eye care provider Dr. Crooks is a past pres-
Total Toric Solution, which offers the widest range of toric prod-
Essilor of America ucts and parameters. Only CooperVision lets practitioners fit vir-
and business leader. We are ident of the AOA, the
extremely grateful to have his Alabama Optometric
Eyemaginations tually any astigmatic patient with a portfolio that includes
input and endorsement as we Association and the Southern
Proclear® Toric and Proclear® Toric XR. As part of the PC
HOYA Vision Care chart the course for the next Council of Optometrists.
Hydrogel™ family of lenses, Proclear Toric and Proclear Toric XR
generation of practice “I am very pleased to be
Johnson & Johnson offer the excellent resistance to dehydration and deposits that
automation.” a part of the VisionWeb fami-
Vision Care, Inc create outstanding comfort.
Dr. Crooks brings more ly,” said Dr. Crooks. “Having
The CooperVision Total Multifocal Solution contains the
Kemin Health than 30 years of private prac- served on the VisionWeb
industry’s largest range of multifocal contact lenses and param-
tice experience to the board, and having incorporat-
Luxottica Group eters, including: Biomedics® EP, Proclear® Multifocal and
VisionWeb team, in addition ed VisionWeb into our prac-
Proclear® Multifocal Toric. With sphere powers from +20.00D
Marchon Eyewear to -20.00D, cylinder powers up to -5.75 and add powers up
to his business acumen as a tice and our lab as an integral
founder and CEO of one of part of our business model, I
Optos to +4.00, practitioners can virtually fit all their presbyopic
the largest private independ- look forward to working with
patients—from emerging to advanced.
Shamir ent practices in the country, other practitioners to help
For those interested in optimum health and ultimate con-
EyeCare Associates, with 19 them streamline their prac-
TLC Vision Corporation venience, CooperVision provides a 1-Day portfolio that include
locations and 33 providers. tices.”
Proclear® 1-Day, ClearSight™ 1-Day, and ClearSight™ 1-Day
Transitions Optical Toric.
VSP Vision Care Practitioner Resources Zeiss launches HD progressives
CooperVision has created a number of online training and
VisionWeb practice building resources aimed at increasing patient loyalty, Carl Zeiss Vision announced its high-definition (HD) series
reducing contact lens drop out and helping practitioners of customized progressives is now available with NuPolar®
increase their contact lens businesses. Programs include: polarization in multiple material and color options.
CooperVision Online Learning Center—with this free Included in the line extension are Sola HDV, SolaOne
resource, practitioners and staff receive high-quality contact HD, Sola Compact Ultra HD and AO Easy HD.
lens training designed to develop knowledge and hone skills NuPolar polarized lenses offer 100 percent protection
on a broad range of topics ranging from contact lens basics to against ultraviolet (UV) A and B rays, while eliminating blind-
fitting advanced lens designs. ing sun glare.
CooperVision.tv—practitioners can direct their patients to “Polarized prescription sunwear delivers visual health, clar-
Industry Profile is a ity and comfort outdoors,” said Bernadette Hiskey, Carl Zeiss
these videos to help further their understanding of lens wear
regular feature Vision’s director of Customized Lenses. “The category is grow-
and care techniques. CooperVision.tv also explains the tech-
in AOA News ing in double digits, but the great majority of progressive
nologies behind CooperVision’s contact lenses.
allowing participants wearers still don’t have prescription sunwear, so there is plenty
CooperDirect™ Shipping—to improve office efficiency and
of the of opportunity for further growth.”
patient support, patients and practitioners can choose a deliv-
Ophthalmic Council SM Each lens is individually optimized for the patient’s sphere,
ery option that enables patients’ lenses to be shipped directly
to express themselves cylinder, axis and add using proprietary real-time customiza-
to their homes.
on issues and products tion software and then manufactured using the company’s
Online Ordering and Customer Service Center—the
they consider patented back-surface freeform process.
MyCooperVision e-commerce site also features secure online
important Plus, Sola HDV is fully customized for the patient’s frame
ordering and access to shipment tracking, invoice lookup, pay-
to the members and prescription using proprietary morphing technology to
ment history and product bank balances.
of the AOA. deliver a variable corridor length for fit heights 13mm to
For more information about CooperVision and its contact
lenses, contact your CooperVision sales rep or visit www. 35mm.
coopervision.com. For more information, visit www.vision.zeiss.com.
28 AOA NEWS
B&L, Pfizer to co-promote
ausch & Lomb and besifloxacin ophthalmic sus- mid-stage development pro-
B Pfizer Inc. announced
agreement involving both
pension 0.6%, which is cur-
rently awaiting approval from
the U.S. Food and Drug
grams in its own pipeline.
“Working in collabora-
tion, our U.S. sales organiza-
companies’ prescription oph- Administration (FDA). tions will now represent one
thalmic pharmaceuticals in Under the terms of the of the broadest products
the United States. agreement, both the Pfizer offerings in the U.S. oph-
The agreement will and Bausch & Lomb sales thalmic market,” said
allow both companies to forces will promote Xalatan, Flemming Ornskov, M.D.,
greatly increase the level of Alrex, Lotemax, Zylet and MPH, corporate vice presi-
eye care industry support for besifloxacin (subject to FDA dent and global president,
these important medications approval). Pharmaceuticals, Bausch &
that treat serious ophthalmic “Ophthalmic disorders Lomb. “We’ll be able to
conditions. cause significant disability in reach considerably more eye
The five-year agreement the United States,” said care practitioners and, in
includes Pfizer’s Xalatan® Olivier Brandicourt, presi- turn, better attend to the
(latanoprost ophthalmic solu- dent and general manager for needs of millions of patients Ray-Ban ads introduce its new Colors eye-
tion) and Bausch & Lomb’s Pfizer’s Specialty every year.” wear collection highlighting the iconic mod-
Alrex® (loteprednol etabonate BusinessUnit. “This agree- In December 2008, the els worn by non-conformists and free spirits.
ophthalmic suspension ment with Bausch & Lomb FDA’s Dermatologic and
0.2%), Lotemax® (lotepred- combines our portfolios and Ophthalmic Drugs Advisory
nol etabonate ophthalmic further demonstrates our Committee voted unanimous-
suspension 0.5%) and Zylet® commitment to provide pre- ly to recommend approval of
(loteprednol etabonate 0.5% scription medications that can besifloxacin for the treatment
and tobramycin 0.3% oph- benefit people living with of bacterial conjunctivitis.
thalmic suspension). serious eye conditions.” Bausch & Lomb
The co-promotion agree- Separate from this co- anticipates a decision from
ment also will apply to promotion agreement with the FDA in 2009. Financial
Bausch & Lomb’s investiga- Bausch & Lomb, Pfizer will terms of the agreement were
tional anti-infective eye drop, continue to maintain three not disclosed.
Transitions expands eye care academy
he expanded Academy communications and support working knowledge of how to
T for Eyecare Practices™
Transitions Optical is
to help participants put what
they have learned into prac-
leverage their unique story to
the community. They also
have the opportunity to Grammy-nominated artist Duffy showcases
designed to help practice The Academy for receive free fits for her Jee Vice sunglasses. She is shown in
owners and eye care profes- Eyecare Practices™ format Transitions® lenses with anti- the Exotic style. www.jeevice.com
sionals gain valuable insight was tested in three markets in reflective coatings.
into marketing and capturing 2008: Charlotte, Anaheim and Transitions and its lab
new business Minneapolis. partners have scheduled a
The program is supported Attendees received prac- total of 16 educational semi-
by industry laboratories and tical and valuable information nars this year, beginning in
lens manufacturers and builds on how to keep their practices March, with more to be
on the success of Transitions viable, improve capture rates, added.
Academy – the company’s quantify their work and use For more information and
annual education event origi- new approaches to educate to register for upcoming
nally developed for laboratory staff and doctors about the events, visit www.Transitions
partners – by providing eye importance of vision-enhanc- .com/ecpacademy.
care professionals an educa- ing eyewear. And, as a result, Upcoming dates include:
tional program that moves they reported increased sales San Francisco: April 30
beyond abstract lectures. of Transitions lenses. Sacramento: May 1
With laboratory and lens Participants will benefit Phoenix: May 6
manufacturer involvement at from a full day of interactive Seattle: May 13 and 14
the local level, the program sessions highlighting topics Southbridge, Mass.: May Immagine Eyewear presents a sneak pre-
provides doctors and their such as marketing, manage- 28 and 29 view of Wasty, a design from the new X-
staff proven methods for inde- ment and finances. They will East Rutherford: June 3 IDE® collection that was introduced at Mido
pendent optometry practices walk away with concrete Uniondale, N.Y.: June 5 2009. The 2009 line is unparalleled in
to build profitable businesses. materials, such as benchmark- Fort Lauderdale: June 11 design as well as mood: 13 new designs,
Beyond the event, the ing tools, customizable mate- and 12 each with a story to tell. www.x-ide.it
program provides ongoing rials for their office, and Denver: June 18
APRIL 13, 2009 29
Florida Dr. Arthur T. Young
MEDICAL EYE CARE
FAX: 239/574-1374 May 26, 2009 RELATED VISUAL PROBLEMS (VT 2)
ARKANSAS OPTOMETRIC Eyeguy4123@msn.com Tiffany Diner, 9010 Roosevelt Blvd., (OEP CLINICAL CURRICULUM)
ASSOCIATION Philadelphia, PA 19115 June 4-8, 2009
2009 SPRING CONVENTION ILLINOIS OPTOMETRIC Richard H. Sterling, O.D. Baltimore, Maryland
April 23-25, 2009 ASSOCIATION 267/474-3190 Theresa Krejci 800/447-0370
The Peabody Hotel, Little Rock, AR MIDWEST EYECARE CONGRESS Rster9737@comcast.net
Vicki Farmer May 1-3, 2009 www.philaoptometry.org VIRGINIA OPTOMETRIC
501/661-7675 St. Louis Union Station Marriott ASSOCIATION 107TH ANNUAL
FAX: 501/373-0233 Charlene Marsh BRITISH CONTACT LENS CONVENTION, MIDDLE ATLANTIC
firstname.lastname@example.org 800/933-7289 ASSOCIATION 2009 CLINICAL CONTINUING EDUCATION
www.arkansasoptometric.org www.midwesteyecarecongress.com CONFERENCE AND EXHIBITION Conference and Paraoptometric
May 28-31, 2009 Education Conference
MOUNTAIN WEST COUNCIL OF NORTHEASTERN STATE Manchester, United Kingdom June 5-7, 2009 Williamsburg Aboard the NCL Pride of America
OPTOMETRISTS UNIVERSITY, OKLAHOMA +44 (0)20 7580 6661 Lodge, Williamsburg, VA 888/638-6009
April 23-25, 2009 COLLEGE OF OPTOMETRY FAX: +44 (0)20 7580 6669 Jerry Neidigh, O.D. email@example.com
Las Vegas, Nevada LASER VISION CORRECTION firstname.lastname@example.org 804/353-3937 www.optometriccruiseseminars.com
Tracy Abel May 1-3, 2009 www.bcla.org.uk email@example.com
888/376-6926 or 503/436- TLC Oklahoma City, OK www.voaeyedocs.org TROPICAL CE BAHAMAS
0798 Lisa McCormick 918/444-4033 PRINCIPAL CHARITY CLASSIC July 5-12, 2009
FAX: 503/436-0612 firstname.lastname@example.org CHAMPIONS TOUR LOW VISION ALASKA OPTOMETRIC Atlantis Paradise Island
email@example.com UNIVERSITY™ Sponsored by Kemin ASSOCIATION ANNUAL Stuart Autry 281/808-5763
www.mwco.org PENNSYLVANIA OPTOMETRIC Health Glen Oaks Country Club, CONFERENCE John Ogden 281/900-8493
ASSOCIATION SPRING West Des Moines, Iowa, May 30, June 11-14, 2009 www.TropicalCE.com
KENTUCKY OPTOMETRIC CONFERENCE www.aoa.org/x11836.xml Best Western Kodiak Inn, Kodiak,
ASSOCIATION107TH ANNUAL May 1-3, 2009 Alisa Krewet, 800-365-2219, Alaska Tracy Oman NORTH DAKOTA OPTOMETRIC
SPRING CONGRESS April 23-26, Skytop lodge, Skytop, Pennsylvania ext. 4137 AGKrewet@aoa.org. 907/770-3777 ASSOCIATION Annual Golf Outing
Hyatt Regency Hotel, Louisville, Ilene Sauertieg Ilene@poaeyes.org FAX: 907/272-7532 July 10, 2009 Hawktree Golf Club,
Sarah A. Jones 502/875-3516 www.poaeyes.org firstname.lastname@example.org Bismarck, North Dakota
June www.akoa.org Nancy Kopp or Tracy Thomas
BUILDING A THERAPEUTIC 701/258-6766 or 877/637-2026
PRACTICE IN OCULAR SURFACE GEORGIA OPTOMETRIC WEST VIRGINIA OPTOMETRIC FAX: 701/258-9005
OPTOMETRIC EXTENSION DISEASE Paul Karpecki, O.D. and ASSOCIATION 105TH ANNUAL ASSOCIATION MID-YEAR e-mail: email@example.com
PROGRAM VT/STRABISMUS & John Lahr, O.D. May 2, 2009 MEETING June 4-7, 2009 MEETING June 11-14, 2009
AMBLYOPIA April 23-26, 2009 Birmingham, Alabama Amelia island Plantation The Homestead Resort NORTHEASTERN STATE UNIVERSITY,
Ft. Lauderdale, Florida Charlotte Latham Vanessa Grosso 800/949-0060 304/720-8262 OKLAHOMA COLLEGE OF
Theresa Krejci 800 447 0370 917/716-0032 FAX: 770/961-9965 www.wvoa.com OPTOMETRY
FAX: 212/791-4980 firstname.lastname@example.org LASER THERAPY FOR THE ANTERIOR
UNIVERSITY OF CALIFORNIA, email@example.com www.goaeyes.com NORTH CAROLINA STATE SEGMENT July 10-11, Tahlequah,
BERKELEY, SCHOOL OF www.eyecareeducators.com OPTOMETRIC SOCIETY OK Lisa McCormick
OPTOMETRY 24TH ANNUAL UTAH OPTOMETRIC 2009 ANNUAL SPRING 918/444-4033
MORGAN/SARVER SYMPOSIUM ARIZONA OPTOMETRIC ASSOCIATION CONGRESS firstname.lastname@example.org
April 24-26, 2009 ASSOCIATION 2009 SPRING 2009 ANNUAL CONGRESS June 12-14, 2009
DoubleTree Hotel, Berkeley Marina, CONGRESS May 8-10, 2009 June 4-7, 2009 Myrtle Beach, South Carolina OPTOMETRIC EXTENSION
Berkeley, Calif. Nyla Marnay Renaissance Glendale Hotel & Spa Zermatt Resort, Midway, Utah Sue Gardner PROGRAM THE ART & SCIENCE OF
510/642-6547 Glendale, AZ Kate Diedrickson Clive Watson 252/237-6197 OPTOMETRIC CARE—A
FAX: 510/642-0279 Kate@azoa.org www.azoa.org www.utaheyedoc.org www.nceyes.org BEHAVIORAL PERSPECTIVE (OEP
email@example.com Clinical Curriculum) July 11-15,
http://optometry.berkeley.edu NEW MEXICO OPTOMETRIC OPTOMETRIC EXTENSION OPTOMETRY’S MEETING® Memphis, Theresa Krejci
ASSOCIATION 2009 ANNUAL PROGRAM VT/LEARNING Take part in Monumental 800/447-0370
NEW JERSEY CHAPTER OF THE CONVENTION May 14-17 RELATED VISUAL PROBLEMS (VT 2) Achievements at the 2009
ACADEMY April 29-May 3, 2009 Embassy Suites Hotel (OEP Clinical Curriculum) Optometry’s Meeting® at the NATIONAL OPTOMETRIC
Kingston Plantation, Myrtle Beach, Albuquerque, NM June 4-8, 2009 Gaylord National Resort & ASSOCIATION
South Carolina Dennis Lyons, O.D. Richard Montoya 575/751-7242 Baltimore, Maryland Convention Center near 40TH ANNUAL CONVENTION
732/920-0110 Dhl2020@aol.com firstname.lastname@example.org Theresa Krejci Washington, D.C., from June 24- July 14-19, 2009
800/447-0370 28, 2009. Register now at Charleston Place Hotel
COLLEGE OF SYNTONIC OPTOMETRIC EXTENSION www.optometrysmeeting.org. Charleston, SC
OPTOMETRY 77TH PROGRAM 2009 EASTERN STATES MISSISSIPPI OPTOMETRIC Dr. Charles Comer 877/394-2020
INTERNATIONAL CONFERENCE CONFERENCE May 16-17, 2009 ASSOCIATION 2009 SUMMER AEA CRUISES OPTOMETRIC www.nationaloptometricassociation.org
ON LIGHT AND VISION Crowne Plaza, White Plains, CONVENTION June 5-6, 2009 CRUISE SEMINAR
April 28-May 2, 2009 New York Stuart Rothman, O.D. Pearl River Resort, Philadelphia, June 27 - July 4, 2009 AEA CRUISES OPTOMETRIC
Niagara Falls, Ontario, Canada SMROD@aol.com Mississippi Linda Ross Aldy Western Caribbean CRUISE SEMINAR
Ron Wahlmeier 866/486-0190 601/853-4407 Aboard the Disney Magic July 15-27, 2009
FAX: 719/486-0190 OPTOMETRIC EXTENSION FAX: 601/853-4408 AEA CRUISES OPTOMETRIC Grand Mediterranean
email@example.com PROGRAM ACQUIRED BRAIN firstname.lastname@example.org CRUISE SEMINAR Aboard the Ruby Princess
INJURY/TRAUMATIC BRAIN INJURY www.mseyes.com June 29 - July 8, 2009 888/638-6009
(ABI/TBI) (OEP Clinical Curriculum) email@example.com
May May 16-18, 2009 MAINE OPTOMETRIC
Aboard the Caribbean Princess www.optometriccruiseseminars.com
Baltimore, Maryland ASSOCIATION AEA CRUISES OPTOMETRIC
FLORIDA CHAPTER OF THE Theresa Krejci 800/447-0370 JUNE “SUMMER” CONFERENCE CRUISE SEMINAR AEA CRUISES OPTOMETRIC
AMERICAN ACADEMY OF June 5-7, 2009 June 29 - July 6, 2009 CRUISE SEMINAR JULY 20-27,
OPTOMETRY EDUCATIONAL PHILADELPHIA COUNTY Harborside Hotel & Marina, Bar Gulf of Alaska Blue Danube Discovery River Cruise
MEETING 2009 May 1-2, 2009 OPTOMETRIC SOCIETY & Harbor, Maine Ohio State University Alumni Cruise Aboard Amadeus Amadante
Mission Inn, Howey-in-the-Hills, TELSCREEN Joann Gagne (Open to all) 888/638-6009
207/626-9920 Aboard the Coral Princess firstname.lastname@example.org
www.MaineEyeDoctors.com 888/638-6009 www.optometriccruiseseminars.com
To submit an item NORTHEASTERN STATE
www.optometriccruiseseminars.com NORTHERN ROCKIES
for the meetings calendar, UNIVERSITY, OKLAHOMA
COLLEGE OF OPTOMETRY
July 23-25, 2009
send a note to 16TH ANNUAL OCULAR DISEASE July Snow King Conference Center
UPDATE June 5-7, 2009 Jackson Hole, WY
email@example.com Chateau on the Lake, Branson, MO
Lisa McCormick 918/444-4033
AEA CRUISES OPTOMETRIC
Dan Lex, CAE
firstname.lastname@example.org July 4-11, 2009 Hawaii Ph: 307/637-7575
30 AOA NEWS
ASCO welcomes new school PCO launches eye network
The Pennsylvania College of Optometry at Salus
he Association of “The Eastside Clinical membership as the 20th University (PCO), in collaboration with CenterVue SpA of
T School and Colleges
of Optometry (ASCO)
Board of Directors announced
facility is, in my opinion,
what constitutes the jewel of
the program,” said H.S.
school or college of optome-
try,” said John Amos, O.D.,
ASCO president. “We support
Padova, Italy, announced the launch of a new service
designed to increase dialogue among a worldwide net-
work of vision care professionals that includes
the approval of the University Ghazi-Birry, O.D., M.D., the UIWSO’s mission, which optometrists, ophthalmologists and optometric students.
of the Incarnate Word School Ph.D., founding dean and is consistent with ASCO’s The Eye Knowledge Network (EKN) is an interac-
of Optometry’s (UIWSO) professor. “We are able to mission of reaching out to tive networking site designed to bridge boundaries that
application for active mem- serve a significant population underserved and diverse pop- may exist due to geography or unintentional professional
bership in the organization. of the underserved. We are ulations. We look forward to insulation.
ASCO welcomes the school able to expand the mission of UIWSO’s contributions to Network contributors from the top of their professions
as its 20th active member the university in terms of optometric education and the will bring their expertise to EKN members via podcasts,
school of optometry. social justice, community profession.” screencasts, presentations, audio and video files and
UIWSO’s mission is to service and the provision of UIWSO was granted other formats that lend themselves to the exchange of infor-
educate and prepare future health care.” “preliminary approval” by the mation between members.
leaders in optometry through In conjunction with the Accreditation Council on Members will be able to carry on electronic conver-
excellence in education, Doctor of Optometry pro- Optometric Education sations, allowing for questions, comments and dialogue.
patient care, vision research gram, UIWSO is launching a (ACOE) in February 2009. CenterVue SpA, a technology company with strong links
and public service, within a Bachelor’s degree in Vision “Preliminary approval is to universities, research centers and clinical departments,
context of faith and personal Science. granted to a professional has combined the necessary competencies and technical
development. Its curriculum, which optometric degree program expertise for the development and production of this pro-
The school’s primary will be partially taught by the that has clearly demonstrated fessional social network on the Internet.
location will be in the heart of optometry faculty, will incor- it is developing in accordance PCO will provide a link to the EKN network from its
San Antonio’s Medical porate a two-year rotation to council standards. The pro- Web site at www.salus.edu.
Center, which will include the through the optometry clinics gram has been approved to Continuing education (CE) credits approved by the
academic headquarters and and will provide the gradu- begin student recruitment, Council on Optometric Practitioner Education (COPE) for
one of two clinical facilities. ates with a strong foundation selection and admissions, and licensed professionals will be available on EKN.
The second clinic will be in vision science. to begin offering the pro- The network expects to provide members with a minimum
located on the east side of “ASCO congratulates gram,” according to the of 20 PCO practitioner faculty-authored courses in the first
San Antonio. and welcomes UIWSO to its ACOE. year.
With a primary mission to deliver education and to
gather clinical collaborative expertise, the collaboration
between the EKN and PCO is key to promoting a world-
Optical family celebrates 50 years wide dialogue among professionals, experts and students
in the world of vision care.
obertson Optical enced lots of change in the changed from manually fabri-
R Laboratories celebrat-
ed its golden 50th
anniversary with many events
optical business over the
course of 50 years.
“When I started in the
cating lenses to increased
automation of today’s equip-
ment,” said Calvin. “The
over the past year. optical industry, the only quality of lenses produced
Jack Robertson founded material available was glass, today is far superior. I must
Robertson Optical 50 years and the grinding process was ask the question, ‘Can future
ago, and his sons, Richard very labor intensive,” said machinery and equipment
and Calvin, continue the busi- Richard Robertson. produce any better quality
ness today. “We used the roughing than today?’ And my answer
Richard is the president pan to grind lenses. This was is I can see this happening
of the Loganville, Ga., lab a process where we manually year after year for future gen-
and secretary-treasurer of the placed rough emery on a erations.”
Columbia and Greenvile, sphere tool while holding the The Robertson brothers
S.C., labs. Calvin is the presi- blocked lens in our hands and said they are very satisfied
dent of the Columbia and rocked it back and forth until with what they have accom-
Calvin Robertson, left, and Richard Robertson
Greenville labs and secretary- the desired cylinder is in the plished with their company.
receive a plaque from their employees.
treasurer of the Loganville curve of the lens. Today, the “When I think about how
lab. computer generator grinds many lives we have improved 50-year period is the friend- wholesale labs in the nation,
“The most satisfying part these automatically,” Richard by helping people see better, ships developed with our according to Vision Monday.
about being in business for 50 said. it is staggering to me. It gives wonderful employees, busi- Neither of the
years is looking back to the Richard also noted that me great joy,” said Richard. ness partners, the three O’s Robertsons has any plans for
beginning of our company,” materials have evolved during “Watching our employees and manufacturers,” said retirement.
said Calvin. “My father, Jack his time in the industry. grow with the company and Calvin. “I am having too much
Robertson, called me by “No one had heard of pleasing our customers has Robertson Optical serves fun now to retire and want to
phone and asked ‘Calvin, do materials such as CR-39™, been a very important and the United States from its continue doing all I can to
you want to join me in open- polycarbonate and Trivex,” satisfying part of the last 50 three locations in Georgia and help eye care professionals
ing our new company, said Richard. “And anti- years. I have always said, South Carolina. and their patients, as well as
Robertson Optical reflective coating and pro- ‘Without customers and In 2008, Robertson our employees,” said Richard.
Laboratories, Inc. in Atlanta, gressive lenses did not exist employees, one would not Optical was ranked ninth in “I plan to retire when I
Georgia?’” as they do today.” have a company.’” prescription sales and jobs die unless the unknown hap-
The family has experi- “The optical industry has “The other thrill of the per day of all independent pens sooner,” said Calvin.
APRIL 13, 2009 31
Vi s i t t h e
We b s i t e
w w w. a o a . o r g
32 AOA NEWS
APRIL 13, 2009 33
Professional Opportunities Eastern TEXAS – Practice for Miscellaneous VOSH-INTERNATIONAL NEEDS Equipment for Sale
Sale. Established in Gregg YOUR OUTDATED EQUIPMENT!!
ALL STATES – PRACTICES FOR County, which currently boasts a DO YOU WANT TO HELP CHIL- How would you like to donate your Pretesting Tables & Equipment
SALE and 100% FINANCING newly built sports arena. Fully DREN? 1 out of 4 children strug- outdated equipment to a worthy For Less. Save hundreds even
plus Working Capital. 30 years of equipped practice. Asking gle with vision problems that cause and receive a tax deduction at thousands on all your pretesting
professional experience .Large $300,000. Financing Available. interfere with reading and learn- the same time? VOSH-INTERNA- needs. Pretesting tables of all
Database of Buyers/Sellers. Call 888-277-6633. www.promed- ing. Detection and treatment of TIONAL with the support of WCO shapes and sizes For Less
Confidentiality Maintained. Pre- financial.com. these vision problems could be and UNESCO has embarked on a Guaranteed. If you are looking for
qualified Buyers. Free Valuation your niche. Learn more about program of equipment-technology quality equipment at the best
and internet advertising for Optometrist for private optom- making vision therapy a profitable transfer to fledgling Optometry pro- price Call today. 800-522-2275
Sellers. Call ProMed Financial, etry practice in beautiful service in your practice. Call grams in South America and Africa.
Inc. 888-277-6633. Visit www. Northampton, MA. Initially 3 today to schedule a free consulta- This is being done with a new part-
promed-financial.com. days/week, grow with our prac- tion with Toni Bristol at Expansion ner IMEC (International Medical
tice! Current instrumentation, 3 Consultants, Inc., specializing in Equipment Collaborative); a non-
CENTRAL PENNSYLVANIA. Well- lanes, 3 licensed opticians, pleas- Vision Therapy practice manage- profit 501c3 that gathers, services,
established practice for sale due to ant staff and work environment. mentand marketing since 1988. cleans and packages entire eye clin-
retirement planning. Excellent Contact Dr. Erb 413-584-6616. Toll free 877/248-3823. ics, hospitals and other medical facil-
opportunity for young energetic ities and ships them to an organiza-
optometrist. Call 717 892 6761. PRIVATE PRACTICES FOR SALE/ I NEED FRAMES, temples, tion that gives them a second life.
SELLERS NEEDED FOR BUYERS bridges stamped 1/10th 12kG.F. Please look through your garage,
Danville VA, Large practice SEEKING PRIVATE PRACTICES (gold filled). New, old stock, or closets, basement for all your
needs associate/partner. Email in Ohio, New York and Florida. Used. Full, Semi, or Rimless unused books, equipment, instru-
resume with cover letter to Contact Sandra Kennedy at styles. Contact GF Specialties, ments, stock frames and lenses
email@example.com National Practice Brokers (800) Ltd. 800/351-6926. and any items that might be of use
201-3585. to a Optometry school, a student or
Learning how to see the visu- eye clinic. Instructions on how to
Virginia, Roanoke Metro Area al concepts of things, time, proceed are available by going to
Optometrist F/T, top salary and space and movement is how the VOSH website (www.vosh.org)
benefits. Recent grads welcome we learn. Interested? See: and click on Technology Transfer
to apply. Please call 732-502-0071 www.mydvc.info Developmental Program. Information about IMEC
Vision: the only solution for chil- is available at www.imecamerica.
dren’s learning problems. The most desirable items that
Interested? See: www.mylearn- programs in developing countries
ingprogram.info. need are: Trial lens kits, battery
powered hand scopes, assorted pli-
Maximize your profits by ers and optical tools, hand stones
adding VT to your practice. OEP for edging glass lenses, uncut lens-
Clinical Curriculum Courses are es (both SV and BF), manual
the answer. Call 800 447 0370. lensometers, phoropters, lens
clocks, color vision tests, keratome-
ters and biomicroscopes.
This list is certainly not complete
but gives an idea of some of the
basic needs these developing pro-
grams can benefit from. All items
may be shipped directly to:
1600 Osgood Street
North Andover, Mass. 01845
Assistance with shipping cost
may be available through your local
Rotary or Lions Clubs. Contact
www.vosh.org with any questions
or email firstname.lastname@example.org and
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34 AOA NEWS