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perspectives Inside This Issue: • AOA Congressional Conference Page 4 • Dean Shipp Is AOA OD of the Year Page 5 • Medicare Audits Increase Page 7 • InfantSEE Is Personal Page 15 • Thank You, Realeyes Presenters Page 17

Second Quarter 2012


Perspectives, published quarterly, is the official magazine of the Ohio Optometric Association. Perspectives is distributed to OOA members, paid through allocation of membership dues. Advertising rates are available upon request. All views expressed in articles are those of the writer and do not necessarily reflect the opinion of the Ohio Optometric Association. Send all correspondence to: Perspectives Ohio Optometric Association P.O. Box 6036 Worthington, Ohio 43085 (800) 874-9111 (614) 781-0708 Fax: (614) 781-6521 E-mail: Web Site:

President’s Message

Donald Faimon, O.D. President

© 2012 Ohio Optometric Association

Executive Board President: Donald Faimon, O.D. President-Elect: Brenda Montecalvo, O.D. Secretary-Treasurer: Todd Clark, O.D. Past President: Heath Gilbert, O.D. Trustees: David Anderson, O.D. Rebecca Brown, O.D. Leon M. Favede, O.D. Teresa Gossard, O.D., M.S. Peter Mogyordy, O.D. Jason Miller, O.D., M.B.A

Zone Governors Zone 1 . . . . . . . . . . . . . . . . . . . . . . James Maul, O.D. Zone 2 . . . . . . . . . . . . . . . Cathy Pappas Bravo, O.D. Zone 3 . . . . . . . . . . . . . . . . . . . . . Jessica Simon, O.D. Zone 4 . . . . . . . . . . . . . . . . . . . . . . James Kover, O.D. Zone 5 . . . . . . . . . . . . . . . . . . Charles Fornara, O.D. Zone 6 . . . . . . . . . . . . . . . . . . . . L. Jon Mesarch, O.D. Zone 7 . . . . . . . . . . . . . . . . . . Allison Hoffman, O.D. Zone 8 . . . . . . . . . . . . . . . . . . Kelly Thompson, O.D. Zone 9 . . . . . . . . . . . . . . . . . . . . . John Downer, O.D. Zone 10 . . . . . . . . . . . . . . . . . . . . . Shane Maag, O.D. Zone 11 . . . . . . . . . . . . . . . . . . Roxanna Potter, O.D. Zone 12 . . . . . . . . . . . . . . . . . Bradley Johnson, O.D.

Association Staff Executive Director: Richard Cornett Associate Executive Director: Linda Fette Finance Officer: Rick George Membership & Communications Manager: Amber Gibbs Community Resource Coordinator: Joanna Allen Children’s Vision Program Manager: Stephen Dorman Administrative Assistant: Brittany Hurt Realeyes Program Manager: Matt Fink Realeyes Field Specialists: Cori McCabe Neakmal Prak Jordan Quickel


perspectives Second Quarter 2012

First Things First As I become busier, more involved, more challenged, more everything, it becomes clear that I can sometimes lose sight of what I should focus on and why I am doing what I do. There are so many “good causes” and worthwhile struggles in which to invest my time and energy. It can be overwhelming. When these battles become the center of attention it is easy to lose even when I win. This has never been truer in optometry then it is today. Rick, in his executive director column, speaks of the 800-pound gorillas we are facing today. While each of these challenges is important, we must not forget the real reason we do what we do — to help our patients. As we look at all the contenders for our attention — Health Care Reform, third party access and payments, stand alone vision plans, Accountable Care Organizations, Board Certification, the list goes on — we can get so caught up in taking sides and winning the moment that we forget to apply the true measure by which we will all succeed: doing what is right by our patients. This does not mean that we should let our guard down and allow third party payers to impose their will on providers without speaking up for our profession and our patients. Nor does it mean that we should all be willing to jump through any hoop for credentialing or health care reform to gain access. It does mean that we must always evaluate our decisions on how to best take care of our patients. They rely on us to provide the best of care and advice. They want to have access to our offices and our services. They want us to be well trained and be able to demonstrate that we continually maintain our expertise. Therefore, to provide our services to our patients we must keep up with changes that are required by health care reform. Our patients are going to require us to be connected with the medical community by using electronic records that work and can “talk” with other providers. We must be willing to demonstrate that we are maintaining our expertise so that they are confident in the care we provide. When we speak to third party payers we must always lead with what our patients, their consumers, need to be healthy and productive workers. That may also mean educating our patients on how to respond to insurance companies whose job it is to make money, not provide care. It may require us to educate the health insurance and medical community about what we do as optometrists. First things first require us to remember that when the patient’s needs are met we all win. This should be our main ammunition when we build a defense for optometry as we speak of ACOs, the ACA, Third Party challenges, ABO, etc. If we do what is right for those we serve, we will truly be the primary eye care providers for the coming decades — no matter which gorilla we face. v

Legislative/OOPAC Dan Leite Capitol Advocates

OOA Monitors Legislation The OOA is monitoring the following legislation in the Ohio General Assembly. The Legislature will recess for summer after Memorial Day to focus on the upcoming 2012 elections. House Bill 487—Mid-Budget Review Bill The Ohio House has passed Substitute House Bill 487, the “mid-biennium budget review bill,” that incorporates corrections to last year’s biennial budget bill as well as new, limited policy initiatives. The bill goes to the Ohio Senate for hearings with the intent to have HB 487 in final form before summer recession. HB 487 as passed by the House contains mainly “general government provisions,” as taxation, education, energy and other initiatives will be dealt with as separate bills. Little language in HB 487 deals with health care issues, as much of the “transformation” of Medicaid and other state health-related programs was accomplished in the main budget bill. However, the Senate is starting hearings on the House-passed version of the bill and will be going through a period of accepting amendments from other members for inclusion in a “substitute” Senate version of the bill so the OOA will be closely monitoring these amendments as HB 487 moves forward.

Senate Bill 324—Insurance Reimbursement Republican Senator Bill Seitz introduced legislation that would prohibit a health insurer from reimbursing dental providers based upon a fee schedule if the dental services provided are not covered by any contract or participating

OOA Board Meets Senate President

provider agreement between the health insurer and the dental provider. OOA CEO Rick Cornett is having discussions with the Ohio Dental Association.

Senate Bill 136—Provider Agreements/ Prior Authorization Republican Senator Scott Oelslager, chairman of the Senate Health Committee, introduced SB 136, legislation that would (1) prohibit health insurers from making material changes to existing contracts without those changes being mutually agreed upon and (2) prohibit health insurers who have given prior authorization approval for a service from retroactively issuing a denial for that service. The OOA has met with Senator Oelslager to express our support for the bill who told the OOA that optometry will have a “seat at the table” going forward as meetings take place to shape this legislation. SB 136 is before the Senate Insurance, Commerce & Labor Committee.

House Bill 412—Health Insurance Exchange Democratic House members John Carney and Nickie Antonio have introduced House Bill 412, legislation that would establish a health insurance exchange in Ohio as required by the federal health care legislation. Carney and Antonio have said they introduced this bill on their own due to the inactivity of the Kasich Administration on the establishment of the exchange. The OOA was asked by Representatives Carney and Antonio for “technical input” into the bill (which we provided). A substitute version of the bill was just released and Representatives Carney and Antonio conducted an “interested parties” meeting (at which the OOA was present) to discuss the new version of the bill and receive additional input. The OOA has asked the two sponsors to include language that would designate a spot on both the Exchange’s Board of Directors and the Exchange’s Advisory Board for a “non-MD” health care provider (including optometrists) in a similar fashion to past requests made for such appointments in health care related bills. The OOA will continue to offer input to all parties on optometry’s viewpoints of the critical elements that must be contained in a health insurance exchange should Ohio decide to establish such an entity.

Duals Demonstration Project

The OOA Board discussed optometry with Ohio Senate President Tom Niehaus. From left Dr. Jason Miller, Dr. Pete Mogyordy, Dr. Rebecca Brown, Dr. Don Faimon, Senator Niehaus, Dr. Brenda Montecalvo, Dr. Heath Gilbert, Dr. Dave Anderson, Dr. Lee Favede, Dr. Todd Clark.

Ohio recently submitted its final proposal to CMS in Washington to establish a three-year “demonstration project” to provide service to 118,000 Ohioans who are covered by both Medicaid and Medicare. The final plan submitted by Ohio would deliver services to these “dual eligible” in seven service regions. Continued on Page 09 perspectives


AOA Congressional Conference The Ohio delegation to the annual AOA Congressional Conference in Washington, D.C. in April included OOA members Dr. Don Faimon, Dr. Brenda Montecalvo, Dr. Tom Bobst, Dr. Tom Nye, Dr. Heath Gilbert, Dr. Lisa Lex, Dr. Gil Pierce, Dr. Karla Zadnik and 37 OSU College of Optometry students. Visits with the staff of Ohio Congressmen focused on the National Health Service Corps Improvement Act (HR 1195), especially to those who have NOT yet signed on as a co-sponsor of the legislation: Rep. Steve Chabot, Rep. Marcia Fudge, Rep. Bob Gibbs, Rep. Jim Jordan, Rep. Stephen LaTourette, Rep. Jim Renacci, and Rep. Michael Turner.

“ I learned the importance of being an active member in the AOA and how crucial it is for us to be involved in the profession, because if we do not represent ourselves, nobody will.” —Nicholas Perichak (’15)

OSU students: Michaela Minnichello (‘15), Cari Gallagher (‘15), and Nicholas Perichak.

“Meeting with the staff of congress members allowed me to understand how much work has to go into passing laws that impact our scope of practice. In order for our profession to continue to grow, we have to do the hard work necessary for things to change.” — Ann Morrison (’14)

OSU students: Lindsey Neilan (‘14), Ann Morrison (‘14), Danielle Remington (‘14), and Kaitlynn Bock (‘14).


perspectives Second Quarter 2012

Dean Melvin Shipp is OD of the Year Melvin Shipp, OD, MPH, DrPH is the 2012 American Optometric Association (AOA) Optometrist of the Year. The award will be presented at Optometry’s Meeting in Chicago on June 28. He has been Dean of The Ohio State University College of Optometry since 2004.


He was the 2011 OOA Optometrist of the Year. He is currently president of the American Public Health Association. He is a 1972 graduate of Indiana University School of Optometry, received his MPH from Harvard University, and his DrPH from the University of Michigan. He was inducted into the National Optometry Hall of Fame in 2003. He and his wife, Dr. Michele Shipp, reside in Powell. They have two daughters. Dean Shipp served in the United States Navy on active duty from 1972 to 1976 as Chief of Optometry Service in Port Hueneme, California. From 1972 to 2001 he continued to serve in the Naval Reserves as Optometry Officer, Medical Readiness Officer, Commanding Officer, and Professional School Liaison Officer. He is the only optometrist to receive a Robert Wood Johnson Health Policy Fellowship. During this fellowship year he served as a health legislative assistant to Senator Donald W. Riegle, Jr. (D-Mich) in the United States Senate. He previously was a professor and Assistant Dean for Clinical Services/Director of Clinics

at University of Alabama at Birmingham School of Optometry and also taught graduate students at the School of Nursing and School of Public Health. He is the first optometrist elected to serve as president of the American Public Health Association, the oldest and most diverse organization of public health professionals in the world that represents more than 50,000 members. He has been a member for over 25 years, received the APHA Executive Director’s Citation, served as Treasurer, Executive Board Member, and Chair of the Finance and Audit Committee, and is the founding chair of the APHA Education Board. Dean Shipp is a fellow of the American Academy of Optometry, a diplomat of the Academy’s Public Health and Environmental Optometry Section, and a member of the National Optometric Association and the National Board of Examiners in Optometry. He is a past president of the Association of Schools and Colleges of Optometry. His grant activities include Senior Scientist for “Collaborative Longitudinal Evaluation

of Ethnicity of Refractive Error” (NEI, NIH, PHS, DHHS) and Co-principal Investigator for “Homocysteine’s role in the causation of presbyopia” (NIA, NIH, PHS, DHHS), and “Vision Testing and Elderly Drivers – Benefit or Barrier” (NIA, NIH, PHS, DHHS). He has served as an advisor for the U.S. Food and Drug Administration, Health Resources and Services Administration, National Eye Institute of the National Institutes of Health, and Centers for Disease Control and Prevention that produced Improving the Nations Vision Health: A Coordinated Public Health Approach, a document designed to assist policy-makers in the coordination and development of effective strategies to prevent vision loss and promote eye health within America. He has received more than 25 awards in his career including the American Academy of Optometry Koch Medal, the National Optometric Association Founder’s Award, the National Optometric Association Optometrist of the Year Award and the AOSA Teaching Award for Excellence in Clinical Instruction. perspectives


Thank You, OOPAC Contributors Following are the OOA members who have contributed to OOPAC in 2012. If your name is not listed, please mail a personal check payable to OOPAC to: OOPAC • P.O. Box 6036 • Worthington, OH 43085. A target of $240 annually from each OOA member is needed to maintain a healthy OOPAC ($20 per month or 66 cents per day). Corporate contributions are prohibited. However, partnerships, LLCs and other unincorporated entities may contribute, but must provide the name of an owner to whom to attribute the contribution. Ohio law requires that all contributors must provide their name and address regardless of the amount of the contribution and the name of their employer if the contribution is for more than $100. If the contributor is self-employed, the business name and occupation of the contributor must be provided. Dr. David Anderson Dr. Staci Anderson Dr. Alexandar Andrich Dr. Phillip Apfel Dr. Cheryl Archer Dr. John Archer Dr. Anthony Arnold Dr. Joseph Babcock Dr. A. Jackson Bailes Dr. Joseph Bannon Dr. Lawrence Barger Dr. Thomas Bauer Dr. Theresa Beals Dr. Edward Beiter Dr. David Bejot Dr. Stephen Belanger Dr. Peter Bickel Dr. Franklin Bickle Dr. Kathy Biddinger Dr. Mark Bidlack Dr. James Bieber Dr. Richard Billman Dr. Nathan Bjork Dr. Steven Blausey Dr. Thomas Bobst Dr. Kenneth Boltz Dr. Troy Bornhorst Dr. Rachel Bostelman Dr. Melissa Bowman Dr. James Bozic Dr. Stephen Brezinski Dr. Jack Bridge Dr. Kyle Brodie Mr. Keith Brooks Dr. Rebecca Brown Dr. Kelly Bruch Dr. Mile Brujic Dr. Chris Calaway Dr. Kristin Campbell Dr. David Canfield Dr. Angelina Cerny Dr. Craig Cerny Dr. Todd Clark Dr. Jeffrey Collins Mr. Richard Cornett Dr. Michael Crawford Dr. Sherry Crawford Dr. Jennifer Crowley Dr. Thomas Dankworth Dr. Stanley Darnell Dr. Jennifer Davis Dr. Linda Dawson Dr. Amanda Delmore Dr. Bryan Delmore


Dr. Daniel Denbow Dr. Richard Deutch Dr. Diane Dible Dr. Rosemary Dickerhoof Ms. Rachel Dietz Dr. Robert Dittoe Dr. Carl Dodson Dr. Ronald Downing Dr. David Dreffer Dr. Daniel Drought Dr. Jeffrey Durkin Dr. Michael Earley Dr. Joy Ellerbrock Dr. Stacie Errington Dr. Donald Faimon Dr. Leon Favede Dr. Clyde Fenton Dr. Kathryn Fenton Dr. Mark Fenton Dr. Stephen Figler Dr. Janine Flood Dr. Lindsay Florkey Dr. Jeffrey Fogt Dr. Charles Fornara Dr. Karen Fortman Dr. Maria Fragoulis Dr. Cara Frasco Dr. Timothy Fries Dr. Luke Fullenkamp Dr. Scott Furgerson Dr. David Gale Dr. Slade Galloway Dr. Christopher Gamble Dr. Brian Gerlach Dr. Diana Gilbert Dr. Heath Gilbert Dr. Marc Gilbert Dr. Ronald Gilbert Dr. Kenneth Gilfillan Dr. Michael Gilliland Dr. Michael Giovanetti Dr. Teresa Gossard Dr. Gregary Graves Dr. Katie Greiner Dr. William Guappone Dr. Mark Hagee Dr. Margaret Hamilton Dr. Steven Hansen Dr. John Heiby Dr. Julie Heidish Dr. Michael Heidish Dr. James Hermann Dr. Gregory Hicks Dr. Jeffrey Hirschl

perspectives Second Quarter 2012

Dr. Paul Hoffman Dr. Matthew Hurst Dr. Gregory Ingram Dr. Angela Jackson Dr. Brad Kaster Dr. William Kegerize Dr. Amy Keller Dr. Amy Knapke Dr. Gene Knapke Dr. Tamara Kuhlmann Dr. Jason Kunsman Dr. Arnold LaGraff Dr. Brian Landrum Dr. Dennis Laub Dr. Amy Lay Dr. William Lay Dr. Robert Layman Dr. Melissa Leach Mr. Dan Leite Dr. Lisa Lex Dr. Lucas Lindsell Dr. Sarah Lopper Dr. Michael Lyons Dr. Bruce Manning Dr. Richard Marquardt Dr. Darryl Mathewson Dr. Brian Mathie Dr. Doug McCloy Dr. Daniel Meffley Dr. DeVon Meyer Dr. Jason Miller Dr. Robert Miller Dr. Peter Mogyordy Dr. Kelly Moser Dr. Mark Motley Dr. Donald Murphy Dr. Jeffrey Myers Dr. Ronald Nelson Dr. Theresa Nemeth Dr. Robert Newcomb Dr. J. Stephen Newell Dr. Gregory Nixon Dr. Andrea Noonan Dr. Thomas Nye Dr. Jacob Olding Dr. Jean Orehek-Dreyer Dr. Donald Perlmutter Dr. Mark Petrykowski Dr. Gilbert Pierce Dr. Abdulwahed Qotaynah Dr. Susan Quinn Dr. Thomas Quinn Dr. Kelly Raies Dr. Michael Raies

Dr. James Ranft Dr. Sherri Reed Dr. William Reeves Dr. Michael Rengert Dr. Kathleen Reuter Dr. Karen Riccio Dr. Jeffrey Rice Dr. Tara Richmond Dr. Matthew Ritter Dr. Thomas Ritter Dr. Dennis Roark Dr. James Rocklin Dr. Robert Rudge Dr. Kathleen Rudolf Dr. William Rudy Dr. Mark Ruff Dr. Douglas Ryen Dr. Thomas Sandy Dr. Michele Schlagheck Dr. Jeffrey Schmakel Dr. Michael Schmit Dr. James Schmoll Dr. Stephen Schnulo Dr. Jeffrey Schultz Dr. Thomas Scullion Dr. Linda Sedlacek Dr. Melvin Shipp Dr. Frank Siciliano Dr. Jessica Simon Mr. Joseph Snider Dr. Rod Snow

Dr. Kristi Stalker Dr. Christopher Stanwick Dr. Mary Jo Stiegemeier Dr. Travis Storm Dr. James Studebaker Dr. Joseph Studebaker Dr. Peter Studebaker Dr. Jeffrey Swearingen Dr. Terence Templeton Dr. Lisa Testa Dr. William Thomas Dr. Kelly Thompson Dr. Larry Tope Dr. Brian Tracy Dr. James Volk Dr. Emily Voytilla Dr. Jeffrey Walline Dr. Jonathan Warner Dr. Ronald Wheeler Dr. Paul Wilken Dr. Roger Wilson Dr. Todd Winkler Dr. Duane Wires Dr. Robert Woodruff Dr. Jean Wrightnour Dr. Katie Wulff Dr. Richard York Dr. Karla Zadnik Dr. Jenna Zigler Dr. LaMar Zigler Dr. Travis Zigler

OOA Third Party Committee Dr. Chuck Brownlow AOA Coding Expert

Medicare Audits Requiring Strict Adherence to Documentation Guidelines By Dr. Charles Brownlow, OD, FAAO


here is no question that Medicare audits are increasing in frequency and volume. Within the past month, I’ve heard of doctors who are being told to repay hundreds of thousands of dollars in Medicare payments following audits of their claims and medical records. Since the audits are done by independent contractors whose payment is a percentage of the doctors’ repayment, you can expect the audits to be more frequent and uglier. If you’ve been complacent about medical records compliance, this uptick in audits may be the motivation you need to commit to better medical record keeping and more accurate coding in your practice. Central Government Services (CGS) is a contractor to the US government, providing administrative and provider audit services for Medicare programs in DME MAC C, as well as Ohio and Kentucky Medicare Part B. They have become quite active in audits of Medicare providers, including physicians, and their policies may ‘spill over’ into other Part B and DMEPOS physicians and suppliers. Their influence makes it critical for us to pay attention to their opinions regarding physicians’ billing practices and the issues they focus on during audits. A few days ago, I extracted the following quote from a CGS publication. “Increasingly, CGS is seeing components of evaluation and management services completed or updated by nursing or other medical staff in the EMR [electronic medical records]. For example: In the Past Medical or Family/Social History sections, there is an electronic note stating “updated by Nancy Jones, Medical Technician” or an electronic statement of “medication list updated by Mary Smith RN.” If the physician does not review and address these components as well; and the only documentation relating to these components is the entry from the nurse or a medical technician, then these components may not be used in determining the level of E&M service provided as they do not reflect the work of the physician.” The CGS interpretation of this rule is disturbing, as it seems to represent a very narrow reading of the Documentation Guidelines for the Evaluation and Management Services—1997. In order to comply with this requirement, based on this quote from the CGS document, each record should have a box indicating that the doctor has personally reviewed all elements of the case history, and the note would be accompanied by the doctor’s signature and the date the information was reviewed by the doctor.

This opinion apparently stems from the documentation guideline in the case history section of 1997 Documentation Guidelines, which states, “The ROS [review of systems] and/or PFSH [past/family/social history] may be recorded by ancillary staff or on a form completed by the patient. To document that the physician reviewed the information, there must be a notation supplementing or confirming the information recorded by others.” Most doctors would argue that their signature at the end of the chart has traditionally been sufficient to make it clear that they accept responsibility for all that is recorded in the chart, including the notes made by ancillary staff in the case history and elsewhere. To be on the safe side though, until this disagreement is settled, it will be important for all doctors to be sure that their paper or electronic records have a place for the doctor to indicate the obvious; that she/he has reviewed all components of the case history and accepts responsibility for it. PMI created a medical record form thirteen years ago that includes the following statement, dated, initialed or signed by the doctor, ‘Reviewed ROS and PFSH from __/__/__, no changes except as noted.” I guess that could be reworded slightly to meet these new rules; “Reviewed all elements of case history as recorded on __/__/__ , no changes except as noted.” Refer to: php#Records. v

Attention, Doctors and Staff: If you’re interested in doing internal audits on your medical records and/or choosing office visit codes accurately as you are seeing patients, check out PMI’s PDA-based VisitCoder© at and It’s pretty cool, and it actually works! News Flash…VisitCoder is now available through the app store as an iPhone/iPad app, too! VisitCoder will give you increased confidence in your choices of office visit codes in the 99000 and 92000 CPT office visit series. Try it, you’ll like it. perspectives


2012 Practice Management Institute Thank you to the following vendors who participated in the OOA annual Practice Management Institute, May 2 at the Columbus State Conference Center in downtown Columbus. Nearly 250 ODs and allied eye professionals from around the state attended. Alcon Compulink Business Systems Diopsys, Inc. Diversified Ophthalmics, Inc. Essilor Laboratories Eyefinity FoxFire Systems Group Frank Gates Managed Care Services Kowa Optimed, Inc. Marco MaximEyes by First Insight Optovue, Inc. RevolutionEHR Select Optical Toledo Optical Practice Director


perspectives Second Quarter 2012

Legislative continued from Page 03

The OOA has met with Ohio Department of Jobs & Family Services (JFS) to offer opinions on this project and promote the importance of vision services and optometry to this population. Service to these 118,000 “duals” in Ohio will be provided through managed care entities with the goal for consumers to have a choice of at least two managed care entities in each region. JFS has released an RFA to participate in the duals demonstration project and CMS said that 17 entities have responded to the RFA. JFS set the following “time periods” during 2012 for components of the selection of these entities. The goal is to have this demonstration project active by January 1, 2013: • Submission and Scoring of bids: June 18 • Selection of Plans: July 25 • Signing of Agreements: September 20 • Enrollment begins: October 1

Medicaid Managed Care JFS announced the selection of five managed care plans to serve as Medicaid providers for 2013. The state will now provide Medicaid medical coverage through three service regions instead of seven. Selected were: • Aetna Better Health of Ohio • CareSource • Meridian Health Plan • Paramount Advantage • United Healthcare Community Plan of Ohio Molina and Buckeye Health Plan were not selected and during the “protest period” resubmitted data and information and asked for a “rescoring” of their bids. JFS will announce the results of this “protest period” soon, and Buckeye’s parent company has already said it will file suit against JFS for its “non-selection” for 2013. The OOA plans to meet with JFS Medicaid Director John McCarthy regarding “continuity of care” issues for optometrists and their patients.

House Bill 479—Ohio Asset Management Modernization Act The OOA, along with other healthcare organizations within the Ohio Provider Coalition, supports House Bill 479, legislation that will create the Ohio Legacy Trust Act to modernize trust laws. This bill, which is jointly sponsored by Representatives Christina Hagan and Lou Blessing, will modify property rights and amend laws regarding the creation and management of trusts. HB 479 is before the House Judiciary & Ethics Committee.

Senate Bill 301—Prescription Drugs Senate Bill 301, sponsored by Senator Dave Burke, is a “clean up” bill to House Bill 93 from last year which dealt with regulating certain prescription drugs and regulated so-called “pill mills” in Ohio. SB 301 contains language regarding reporting limited drug samples and procedures of the Ohio Dental Board. SB 301 is before the Senate Health & Aging Committee. v perspectives


EastWest Eye Conference

EastWest On-line Registration Opens EastWest Eye Conference • October 4-7, 2012 Public Auditorium–Downtown Cleveland


Dr. Tom Quinn of Athens, chair of the 2012 EastWest Eye Conference, is excited about the activities planned in the Exhibit Hall in Public Auditorium. This will be the final conference held in downtown Cleveland’s Public Hall, as the 2013 conference will be in the newly opened Cleveland Medical Mart, he said. Dr. Brian Mathie, chair of OD Education, said speakers in the tracks of Glaucoma, Contact Lens, Anterior and Posterior Disease, Pharmacology, Billing and Coding, Neuro-otometric Rehabilitation, Binocular Vision and Pediatrics, Low Vision, Optics, and Sports Vision will provide a wide variety of topics pertinent to all optometrists. Education for Allied Eye Professionals “One of the keys to creating a successful optometric practice is having a well educated team that is passionate about eye care,” according to Dr. Mile Brujic who, along with Mandy Miller, planned the staff education.“ This year’s speakers will invigorate attendees with their expertise and their dynamic presentation skills.” Speakers include Dr. Crystal Brimer, Laurie Guest, Dr. Debbie Hettler, Rebecca Johnson, Dr. David Kading, Lynn Lawrence, Dr. Robert Reed, Buddy Russell, Mary Schmidt, and Dr. Mark Yoder.“ EastWest is a must attend event for pro-active optometric practices looking to engage everyone in the office,” Dr. Brujic said.

Posters Dr. Dawn Goedde, in charge of Posters at 2012 EastWest Eye Conference, announced


perspectives Second Quarter 2012

the theme for student and resident poster presentations will be “Look, Listen, and Learn: Challenging Cases in Optometric Practice.”

Friday Night Party EastWest registration includes admission to the exclusive Friday Night Party at the Rock and Roll Hall of Fame on the shores of Lake Erie. Continuous shuttle service will be provided between the hotels and the Rock Hall.

Hotels Room blocks with special rates for EastWest attendees are offered at these hotels within walking distance of the Cleveland Public Auditorium: DoubleTree Downtown Cleveland at Lakeside (phone: 800-222-3447), Embassy Suites Downtown Cleveland (phone: 216-523-8000), and Hyatt Regency at the Arcade (phone: 888-421-1442). Make your reservations early.

2012 EastWest Exhibitors (As of 5/16/2012)

OOA Congress The OOA annual business meeting and election of officers will be Saturday, October 6, from 2:00 to 5:00 p.m. at the DoubleTree Hotel. The President’s Banquet and Reception to honor OOA President Dr. Don Faimon will take place at the DoubleTree Hotel Saturday evening. Dr. Andrea Thau, trustee, will represent the American Optometric Association in Cleveland.

Registration Materials Registration for the EastWest Eye Conference is open on-line at

EastWest Eye Conference gratefully acknowledges the major sponsorship provided by: Alcon Allergan Bausch & Lomb CooperVision Vistakon

u Check for latest news and information at the newly designed EastWest Web site —

Alcon Laboratories, Inc. Allergan, Inc. American Optometric Society Art Optical Contact Lens, Inc. Bausch & Lomb CareCredit Carl Zeiss Meditec Classic Optical Laboratories Compulink Business Systems CooperVision, Inc. COVD DGH Technology, Inc. Diopsys, Inc. Diversified Ophthalmics, Inc. Essilor Instruments USA Eye Designs, LLC Eye Solutions, Inc. EyeScience Labs First Insight Corporation Hoya Vision Care IDOC, LLC Interstate Optical Co., Inc. Konan Medical USA Latham & Phillips Ophthalmic Products Luxottica Wholesale North America Marco Merck, Inc. Ocusoft Ophthonix, Inc. Optical Distributor Group Optical One, Inc. Optics, Inc. Optos, Inc. Precision Instruments, Inc. Reichert Ophthalmic Instruments RevolutionEHR Rooney Optical Safilo USA Santinelli International Select Optical Singer Optical Soderberg, Inc./Walman Optical Solutionreach Synemed, Inc. SynergEyes, Inc. Toledo Optical Laboratory, Inc. Transitions Optical, Inc. Tura, LP U. S. Bank Vistakon- Johnson & Johnson Vision Care, Inc. Walmart Williams Group/Practice Director perspectives


New Format for Annual OOF Golf Outing The Ohio Optometric Foundation Golf outing will be August 1 at Scioto Reserve Golf Club. There will be one session of golf with a shotgun scramble beginning at noon. Registration begins at 10:30 a.m. with morning activities including a putting competition, silent action, and raffle. Awards ceremony and an hors d’oeuvres buffet will follow. Foursomes can sign up now at Interstate Optical, Toledo Optical, Classic Optical and HOYA are returning as sponsors for 2012. Hole sponsorships are still available. The Golf Outing is the major fundraiser for the OOF, and all proceeds will be used to support the mission of the Foundation.

About the Ohio Optometric Foundation The Ohio Optometric Foundation is a 501c3 charity which provides resources to obtain eye care for underserved children and provides scholarships for Ohio students in optometry school. If you can’t participate in the Golf Outing, please consider a tax-deductible donation to the Ohio Optometric Foundation.

VSP Eye on Diabetes Campaign Visits Columbus


Partnering with The Ohio State University (OSU) College of Optometry and the Ohio Optometric Association, VSP Eye on Vision Campaign brought two mobile eye clinics to Faith Mission, a Columbus center which provides services and resources to the homeless community. “We were excited to partner with VSP in bringing the Eye on Diabetes campaign to Columbus,” said Dr. Joan Nerderman, OD, clinical associate professor at The OSU College of Optometry who coordinated the College’s participation. “Our students were able to experience the impact an optometrist can make on the daily life of a patient while increasing the connection between eye health and overall health within our community.” Also participating were Dr. Lisa Lex and Dr. Barbara Fink of OSU and College of Optometry students and pre-optometry club members. Dr. Nerderman provided the following information about the event. • Comprehensive dilated eye examinations were done and glasses provided for 95 people. • Seven glaucoma suspects were found who will return to the clinic at Faith Mission for further testing. • Two glaucoma patients who had not used drops for years will return for follow-up services. • Ten patients had amblyopia and received glasses to help them see and for protection of their good eye. • Moderate cataracts were found in seven patients with two needing immediate referral. • Ten patients had a condition of significant arcus (a white ring on the front of the eye that can be related to elevated cholesterol) and were encouraged to go to a free clinic for further testing. • VSP provided blood sugar test and blood pressure checks. At least 14 patients had hypertension.

The focus of VSP Eye on Diabetes is to increase awareness and understanding of the connection between eyecare and a person’s general health. The VSP Eye on Diabetes campaign has made stops in ten states since it launched in 2010.

John Art of Interstate Optical and Jeff Szymanski of Toledo Optical are co-chairs of Sponsors for the Golf Outing. They created this artwork to showcase Foundation sponsors.

In recognition of the VSP Eye on Diabetes campaign Ohio Governor John Kasich and Columbus Mayor Michael Coleman issued proclamations. It is estimated more than 895,000 Ohio residents have been diagnosed with diabetes, and more than 268,000 have undiagnosed diabetes in the state. perspectives


Member’s Corner

Welcome New Members The OOA welcomes these optometrists who have recently become members: Dr. Cheryl Adams of Cincinnati Dr. Bradley Dougherty of Columbus Dr. Joseph Gilbuena of Toledo Dr. Elizabeth Hyatt of Elkins Park, PA Dr. Anita Soto of North Royalton Dr. Daniel Powell of Columbus Dr. Jason Singh of Cincinnati Dr. Trisha Vance of Chardon Dr. Clayton Westphal of Toledo

Science Fair Winners Four OSU College of Optometry students judged the vision-related projects at the 2012 State Science Day held in May. Katherine Bickle, Phil Dickey, Abigail Graeff and Cibele Parrish judged the 26 vision-related projects. Chosen as first-place winner of $100 prized awarded by the OOA was Avery DeLong, a seventh grade student at Everts Middle School in Circleville. The project title was “A Blink Is More Than You Think: Do Males or Females Miss The Most Time in Their Life from Blinking?” Honorable mention winner of $25 prize awarded by the OOA was Adam Ben-Porath, an eighth grade student at National Inventor’s Hall of Fame School in Akron. His project title was “Reading Comprehension: A Comparison of Print Versus Digital Media.”


perspectives Second Quarter 2012

Who Has Time for Pilot Projects? By Mark Ridenour, OOA Consultant All aspects of healthcare seem to be changing or transforming. Perhaps you think you and your practice are doing fine, so why should you care? You’ve heard the burning platform scenario before: Healthcare inflation is unsustainable. The United States cannot bear the increasing cost of its ineffective healthcare system. If we don’t change the system, it will change us. Other industries have already experienced the efficiencies delivered by reducing paper and manual transactions toward electronic storage and retrieval. The sensitivity of healthcare information complicates this transition, but the conversion is inevitable. It is difficult to argue with the benefit of a new provider having ready access to your healthcare data as they deliver your healthcare. It is easy to see the benefits of patients not having to fill out duplicate forms for various providers. It is also easy to imagine the benefits of adding hard data science to the art of medicine. As challenging as the conversion to electronic health records is, this is not the destination. The construction of interconnected electronic health care data is merely the infrastructure to support more change. The most significant fundamental transformations within the healthcare industry are within the reimbursement and delivery systems. The financial aspects of our current healthcare system reward providers for volume, not quality. In that manner, the current system is producing what it was designed to produce — runaway costs and duplicative services. Newer models of care delivery, including Medical Homes and Accountable Care Organizations, are inter-professional teams of providers which attempt to 1) emphasize outcomes over volume, 2) reward quality and 3) keep patients well. Optometrists are the providers of primary eye care for life, and this transformation in healthcare important. With emphasis on keeping populations healthy, comes greater emphasis on appropriate cost-effective preventive care. Preventive eye care can avoid catastrophic outcomes and costs, and optometric care can provide cost-effective monitoring of patients with chronic disease. The clearest example of optometry’s contribution is the importance of the annual eye exam for diabetics. While these changes were accelerated by the Affordable Care Act, this transformation will continue no matter the outcomes of a Supreme Court ruling or the Presidential election. The momentum has been established. Purchasers will continue to demand these improvements. Healthcare is local. Despite national trends each community implements trends in their own way. This is why it is critical optometrists become informed and involved in their community’s local transformational pilot projects. Optometry’s contribution to project in one locale does not guarantee optometry’s success in another community. For pilot projects, the earlier optometry becomes involved, the more effect optometry will have in the outcome. Remember, ultimately each of these pilot projects must produce improved quality of care and/or savings. A couple of well-worn phrases apply here: “One person’s waste is another person’s income.” “If you are not at the table, you are likely on the menu.” If optometrists don’t make time for Pilot Projects, the future may not make a place for optometry. v

InfantSEE Jay Lytle, Optometry 2 The Ohio State University College of Optometry

InfantSEE Is Personal By Jay Lytle, Optometry 2


nfantSEE is a double-edged sword. To understand the dynamics of InfantSEE, we must take a journey back to 1990, when I was diagnosed with retinoblastoma. The tumor that eventually took my right eye went undetected through all the “well baby” exams with my pediatrician. In fact, the person who first detected my cancer was not a health care professional at all: it was my father. At two years old, an obvious leukocoria (white pupil reflex) caused my father to suspect something was wrong. Within a week of being diagnosed with unilateral retinoblastoma, I was admitted for surgery and underwent enucleation of my right eye. It is intriguing to me that most retinoblastomas are present at birth. It is likely that my cancer existed for two full years before being noticed. In today’s advanced medical society with the diagnostic capabilities at our fingertips, no retinoblastoma should go undetected that long. A well-baby visit to a pediatrician does not a complete eye and vision exam. The well baby exams performed by pediatricians screen for several common eye disorders. But the only way to completely evaluate a child’s ocular and visual health is through a comprehensive, dilated eye exam. Optometry provides this service…at no cost. Any child up to 12 months of age is eligible to receive a complete eye exam by a volunteer InfantSEE doctor.

The beautiful power of InfantSEE reaches beyond one exam, on one infant, on one day. InfantSEE connects families with their local optometrist for a lifetime of eye and vision care. Realistically, most InfantSEE exams have normal findings. However, by exposing a family to the profession of optometry, the family will know where to find help if their infant becomes a first grader who has trouble reading the chalkboard. By connecting a family with the local optometrist, the family can find the care needed when their first grader becomes a teenager with convergence insufficiency symptoms. When that teenager enters college and experiences an acute red eye, the family optometrist can help. When that college student becomes an adult whose arms are too short to read the newspaper, the optometrist will be there to make the world clear again. When that adult becomes older and needs a cataract evaluation or follow-up from a glaucoma procedure, the family optometrist can provide excellent care. Optometrists walk with patients through every step of their life. v ------------------------------------------------------------------------------------------Jay Lytle is a second-year optometry student at The Ohio State University College of Optometry. Jay is blessed with a 20/15+2 acuity in his “good eye” and hopes to use his (almost) Nyquist limit vision to positively impact patient lives. perspectives



Dr Ann Rea Miller presenting the new ‘What’s Your EYE-Q?’ curriculum at St Anthony School in Columbus Grove (Putnam County)

School Nurse Praise At the recent Ohio Association of School Nurses Conference, a school nurse from the Dayton area expressed her appreciation for the OOA school nurse symposia and the partnership fostered between her and local optometrist, Dr. Heath Gilbert. Dr. Gilbert was assigned to her table, and she appreciates his willingness to help her when student vision problems arise and to answer her questions about eye health and safety.

New Middle School Curriculum Is Popular “What’s Your Eye-Q,” the new Realeyes curriculum for students in grades 6 to 8, debuted this school year and received great feedback from teachers, doctors, and students. The students ask in-depth questions that show a heightened interest and appreciation for their vision health. Students are able to relate to those with common vision disorders and have a respect for the need for a lifetime of vision care that


perspectives Second Quarter 2012

Students dance to the song ‘We Need Our Eyes to See’ during a Sammy Safe-Eyes presentation at Urban Community School in Cleveland (Cuyahoga County)

includes preventative measures. The teachers seem more focused and engaged and tell other teachers about the program, leading to twice as many middle school presentations as previous years.

Impact The Vision Health In Your Community Dr. Jeff Myers, Dr. Amy Keller, and Dr. Kari Cardiff of Winchester Vision Care meet the majority of students in Kindergarten, 1st and 3rd grades in their local school district, Groveport-Madison, each year because they regularly present Realeyes. They are making an impact on the vision health of the children in their community. Consider presenting Realeyes to the school in your community.

Realeyes Completes Best Year Ever The tremendous growth in the number of schools and students participating in Realeyes this school year is due to volunteers presenting in their community.

During 2011-12 Realeyes was in front of volunteers present in their community. During the 2011-12 Realeyes was in front of 77,600 students. The breakdown by presenters was Optometrists — 80%; Realeyes staff — 18%; and School Nurses — 2%. Thank you to Realeyes presenters (listed on page 17).

Quick Stats 2011-12 School Year f77,600 Students Participated f249 Presenters f2,045 Classrooms f159 New Schools f368 Returning Schools f88 of 88 counties

Participating Doctors and Staff during the 2011-12 School Year Dr. Alexandar Andrich Dr. Cheryl Archer Dr. Khris Ballard Dr. Amy Bankey Dr. Jill Barker Dr. John Barnhart Dr. Keith Basinger Dr. Stephanie Baxter Dr. Lori Beals Dr. Christine Beiling Sheerer Dr. Charles Belles Dr. Rick Billman Ms. Jill Bishop Ms. Jennifer Blandi-Scruggs Dr. Alison Bolinger Dr. Doug Bosner Ms. Bonnie Bradfield Dr. Kyle Brodie Dr. Donald Brown Dr. Kevin Brown Ms. Kim Browne Dr. Gregory Bruchs Dr. Mile Brujic Dr. Jillynn Bruner Dr. Michelle Buckland Dr. Karen Budd Ms. Sara Bush Dr. Kevin Cain Dr. Kari Cardiff Dr. BrandonChester Dr. ToddClark Dr. Liz Cockerill Dr. Jeffrey Collins Dr. Holly Conway Dr. San-San Cooley Dr. Teresa Cooperrider Dr. Charles Craig Dr. Sherry Crawford Ms. Kim Cremeans Dr. Jacqueline Davis Dr. Patrick Dawson Dr. Rose Dickerhoff Dr. Andrea Dietz Dr. Brian Dietz Dr. Andrea DiNovo Dr. Jeff Durkin Dr. Duke Dye Dr. Timothy Earley Dr. Joy Ellerbrock Dr. Ellen Ellsworth Dr. Lori Engler Dr. David Erwin

Dr. Danielle Erwin Dr. Don Faimon Dr. Greg Fair Dr. Gail Fedak Dr. Kathryn Fenton Dr. Michael Fishbaugh Ms. Andrea Fisher Dr. Lindsay Florkey Dr. Charles Fornara Dr. Karen Fortman Dr. Maria Fox Dr. Maria Fragoulis Dr. Scott Furgerson Dr. Mary Furgerson Dr. Rebecca Gambs Dr. Valerie Gardner Dr. Susan Gayer Dr. Julia Geldis Dr. Diana Gilbert Dr. Heath Gilbert Dr. Marc Gilbert Dr. Michael Gilliland Dr. Cheri Glaus Dr. Dawn Goedde Dr. Kathy Gonzalez Dr. Terri Gossard Dr. Katie Greiner Dr. Lauren Grillot Dr. Gwen Grimes Dr. James Grove Dr. Aimee Gump Dr. John Gwin Dr. Tatiana Hammond Dr. Kara Hampton Dr. Steve Hansen Dr. James Hardie Dr. Amy Havens Dr. Friedrich Heiby Dr. Michael Heidish Dr. Julie Heidish Dr. Jay Henry Dr. Julie Henry Dr. Mark Henry Dr. Bridget Hermann Dr. Clayton Hicks Dr. Gregory Hopkins Ms. Michelle Horvat Dr. Matt Hurst Dr. Matthew Ingram Dr. Brett Irvin Dr. Angela Jackson Dr. Bruce Jeffries

Dr. LeVelle Jenkins Dr. Sylvia Jones Dr. Philip Jutte Ms. Betsy Kaminski Dr. Darrin Karcher Dr. Scott Keating Dr. William Kegerize Dr. Amy Keller Dr. Jennifer Killian Dr. Margaret Kissel Dr. Jason Kolodziejczyk Dr. Josie Kosunick Dr. Tamara Kuhlmann Dr. Marjean Kulp Dr. Jason Kunsman Dr. Ann Kurzer Dr. Le Lam Dr. Brian Landrum Dr. Melanie Lang Dr. Becca Lauffenburger Dr. Aaron Lawrence Dr. Lara Leach Dr. Melissa Leach Dr. Michelle Lieb Dr. Eric Liggett Dr. Christopher Long Dr. Vicki Louis Dr. Heidi Loy Dr. Jonathan Lucas Dr. Julie Mackall Dr. Bruce Manning Dr. James Markley Dr. Brian Mathie Dr. Bruce Mathie Dr. Jennifer Mattson Dr. Doug McCloy Dr. Leah McConnaughey Dr. Ryan McKinnis Dr. Carrie McMahon Dr. Jennifer McNamara Dr. Jay Meents Dr. Dan Meffley Dr. Jennifer Mentessi-Fitzsimons Dr. Jon Mesarch Dr. DeVon Meyer Dr. Kristin Middlesworth Dr. Jason Miller Dr. Ann Rea Miller Dr. Richard Miller Dr. Patrick Milleson Dr. Peter Mogyordy Dr. Brenda Montecalvo

Ms. Sierra Moore Ms. Holly Moose Dr. Melissa Moreno Dr. Elizabeth Muckley Dr. Chantelle Mundy Dr. Beth Munzel Dr. Donald Murphy Dr. Don Mutti Dr. Jeff Myers Dr. Tracey Needham Dr. Theresa Nemeth Dr. Robert Newcomb Dr. Sarah Nigh-Bruner Dr. Carol Novak Dr. Tom Nye Dr. Tamara Oechslin Dr. Troy Ogden Dr. Rebecca Olding Dr. Chad Otte Dr. Diana Overberger Dr. Cathy Pannebaker Dr. Jaclyn Paskiet Dr. Randy Peters Ms. Eva Pound-Bickle Dr. Lynette Powell Dr. Kelli Price Dr. John Price Dr. Philip Raber Dr. Nadia Rahman Dr. Kelly Raies Ms. Renee Rambeau Dr. Joyce Ramsue-Thompson Ms. Lois Rapp Dr. Ted Rath Dr. Sherri Reed Dr. Toni Reed Dr. April Reffner Dr. Robert Reid Dr. Kathleen Reuter Dr. Tara Richmond Ms. Diane Ricer Dr. Rhonda Riles Dr. Michael Ringel Dr. Dennis Roark Dr. Teresa Rohrs Dr. Reed Roth Dr. Kathleen Rudolf Dr. Steve Ruhenkamp Dr. Kelly Ryen Dr. Gail Sanderson Dr. Tom Sandy Dr. Austin Saneholtz

Dr. Robyn Sargent Dr. Stephen Sasala Dr. Nidhi Satiani Dr. Blake Schermer Dr. Marie Schiff Dr. Jennifer Schmelzer Dr. Danielle Schneider Dr. Scott Schwartz Dr. Chassie Schwemer Dr. Scott Sedlacek Dr. Linda Sedlacek Dr. Michael Shaheen Dr. Robert Shreiner Dr. Chris Smiley Dr. Bradley Smith Dr. Brian Starr Dr. Deborah Stein Ms. Paige Stretton Ms. Natali Sutermeister Dr. Brent Swartz Dr. Lisa Testa Dr. Ryann Thacker Swindler Dr. Kristen Thompson Dr. Matthew Thompson Dr. Larry Tope Dr. Brian Tracy Ms. Sandra Travaglianti Dr. Beth Travis Dr. Susan Truitt Dr. Kathryn Vanderhorst Dr. Tiffany Vassalle Dr. Emily Voytilla Dr. Jeff Walline Ms. Robin Walters Dr. Mandy Ward Dr. Jon Warner Dr. Rachel Watson Dr. Nick Weber Dr. Alicia Wellman Dr. Rachael White Ms. Tammy Whitely Ms. Courtney Wilson Dr. Robert Woodruff Dr. Beth Workman Dr. Mark Yoder Dr. Karla Zadnik Dr. Emmanuel Zanoudakis Dr. Jenna Zigler Dr. Travis Zigler Dr. Michael Zysik perspectives


DID YOU REALEYES? Realeyes invites OOA members to present the Realeyes program to classrooms in their community, but you don’t have to take our word for it…

Dr. Karen Fortman

Did you know this about one of our Realeyes presenters, Dr. Karen Fortman? Practices in Sidney (Shelby County — Zone 9) She has presented Realeyes to 3,297 students in 101 classrooms at 11 schools in three counties. What is your favorite Realeyes curriculum to present and why? Sammy Safe Eyes...The OOA has made it so easy to entertain and engage this age group (pre-school and kindergarten), and it’s the only time I get to sing and dance on the job. How do you normally connect with a school? I take Realeyes brochures with me to all speaking engagements that include educators or school nurses in the audience, and I tell them about the program. Do you have a better relationship with the school nurse, principal, or teacher because of Realeyes? Definitely. One district gave me a special award at a recognition banquet for my support of their school system. Do you involve your staff in Realeyes presentations? Not yet.

Middle School students at Columbus Academy (Franklin County) get to see what the iris and pupil do when light is shined on them during the new ‘What’s Your EYE-Q?’ curriculum.

What’s your secret to presenting Realeyes to so many students? I always say “yes” when Realeyes asks. What was your undergrad major and from where? Biological Sciences Education, The Ohio State University. Where did you go to optometry school? The Ohio State University Class of 1994. How long have you been practicing? 18 years. Why did you decide to become an optometrist? During my freshman year of undergrad at OSU fellow dorm-mate, Dana Fabian, (OD, class of 1993) invited me to a Pre-optometry Club meeting. Dr. Arol Augsburger spoke.  Being an optometrist has exceeded my expectations of the happiness and satisfaction that a career can offer. 

Realeyes vision education kiosk was on display at different Columbus area libraries throughout the year (pictured at the Gahanna branch, Franklin County).

What has been your most rewarding experience working in optometry? Helping children to see to learn is the most rewarding aspect of optometry for me. I love when kids see me outside of the office and they call me “Karen,” instead of “Dr. Fortman.”

A Realeyes doctor is featured in each issue of Perspectives. v


perspectives Second Quarter 2012

Dr. Karla Zadnik, Realeyes Medical Director, trained more than 50 doctors to present Realeyes at a combined meeting of Zone 2 (Cleveland area) and Zone 3 (Akron/Canton area).

The Director’s Chair Richard Cornett Executive Director

800 Pound Gorilla What are the big issues optometry has faced any time during the past 100 years of healthcare? Certainly, changes in diagnostics and therapeutics specific to patient care. Also third party payors as well as corporate entrance into the administrative aspects of vision and eye care. Currently, optometry is experiencing changes of a magnitude that are without precedent. The creation of medical homes and health information exchanges, conversion of provider offices to electronic health records, health insurance exchanges, accountable care organizations, the Affordable Care Act (Obamacare) and a general redefining of third party payor practices to possibly include a new era with vision defined as an “essential benefit” are among those changes.

Suddenly, there is not only one major element of change (800 pound gorilla) to be dealt with, but there are several facing us simultaneously. The vital importance of eye and vision health in this sea of change must be constantly and consistently articulated at every opportunity. We must create such opportunities by always being engaged in the process, recognized as bringing significant value to the health care system, and ultimately considered a part of the solution to the problems with our country’s health care system. Only through the very best collaborative effort by organized optometry can we rest assured that the challenges being faced today will result in a better future. v perspectives


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