Optometric Management

FEB 2017

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60 F E B R U A R Y 2 0 1 7 • O P T O M E T R I C M A N A G E M E N T . C O M CLINICAL POSTERIOR OPTOME TRIC MANAGEMENT FEBRUARY SUMMARY MEDICAL SERVICE ISSUE TIPS COMPILED HERE are selected tips from this, Optometric Management's Medical Service issue. Let us know what you think of this feature at tinyurl.com/ OMComment. • ADDRESS THE ROOT CAUSES The first treatment solution in al- lergy management is avoidance. You can't get resolution for some- one who is allergic to cats if he or she sleeps with a cat every night, for example. Once you find out what the patient is allergic to, try to incorporate avoidance techniques, such as not sleeping with the cat. (Springtime Allergies, p.16) • EVALUATE ALL SURGICAL PATIENTS FOR DRY EYE DISEASE Visual fluctuations and reductions post cataract and refractive sur- gery are likely due to DED. Be sure to get an accurate patient history, and assess corneal integrity behind the slit lamp. (Manage DED, p.22) • CONSIDER PERSONALITY FOR IOL RECOMMENDATION Keep both prescription and patient personality in mind when discuss- ing IOL options. (Cornea, p.28) • SUBSCRIBE TO MULTI-CAUSE DED If doctors truly subscribe to the circular nature of DED, both inflam- mation and obstruction may require evaluation and treatment. (Dry Eye Disease, p.34) • SEPARATE YOUR PRACTICE'S PROBLEMS FROM PATIENT ISSUES Patients care about their experi- ence with the optometric practice, but not the practice's efforts or problems in providing that experi- ence. For example, when a patient asks about the high cost of frames, avoid explaining cost increase. A better response is, "Because these have 26 amazing features that make you look like a rock star." (Business Strategies, p.48) • ENSURE AN ACCURATE MEDICAL RECORD Ensure a complete and accurate medical record by identifying the following: reason for the visit, laterality of signs and symptoms and, in the case of an injury, what caused it, where it occurred and what activity was performed when the injury was sustained. (Coding, p.49) • RECOMMEND YOUR OFFICE AS THE "FIRST CHOICE" When patients go "health-care shopping" to treat their red eye, and arrive at your office for a sec- ond opinion, gently remind them that the inconvenience and cost of the second appointment, as well as the time spent suffering, might have been avoided with a first and one-time visit to your office. (Merchandising, 52) • TRAIN STAFF TO IDENTIFY THE PATIENT'S REASON FOR THE VISIT Once the reason for the visit is identified, the staff member can in- form the patient whether his or her medical plan or managed vision care plan will be applied to the vis- it. This way, the staff member sets clear expectations for services rendered and payment. (Corporate O.D., p.53) • DON'T FORGET THE CLASSICS To aid in the diagnosis of glaucoma when the go-to devices (such as OCT or VF) can't be used, consid- er the classic tools (gonioscopy, Marcus Gunn test, stereoscopy). (Glaucoma, p.36) • COMMUNICATE WITH THE PCP When encountering ocular mani- festations of systemic diseases, provide a summary report to help the primary care physician (PCP) understand the ocular condition. (Interdisciplinary Care p.38) • ASSUME DRYNESS Assume everyone has underlying dryness, until proven otherwise. Identify contact lenses that spe- cifically enhance the corneal sur- face as a go-to lens. (Contact Lens, p.40) • HIRE AN ASSOCIATE BASED ON EXISTING DEMAND The decision to hire an associate optometrist is usually driven by pa- tient demand. Don't assume an as- sociate will grow the patient base. The O.D. owner shares much great- er responsibility in that capacity. (CEO Checklist, p.47)

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