News from the AOA's Blog

APHA President Mel Shipp, O.D., Dr.PH, MPH, and his wife, Michelle Shipp, M.D., Dr.PH, at the APHA annual meeting.

Melvin Shipp, O.D., Dr.PH, MPH, began his term as president of the American Public Health Association (APHA) at the conclusion of the 139th Annual Meeting in Washington, D.C., on Nov. 2, 2011. 

Dr. Shipp is the first optometrist selected to lead the APHA, which is the oldest, largest and most diverse organization of public health professionals in the world. Read the rest of this entry ?

The National Eye Health Education Program (NEHEP) of the National Eye Institute (NEI) has developed See Well for a Lifetime: An Educational Series on Vision and Aging, a free online toolkit to help people working with older adults in community settings to promote eye health as part of healthy aging.

The toolkit, which includes three educational modules, contains science-based, easy-to-understand tools to educate older adults about age-related eye diseases and conditions, low vision, and the importance of comprehensive dilated eye exams. Read the rest of this entry ?

California-based InSite Vision Incorporated announced the appointment of a new Scientific Advisory Board (SAB) to help guide and shape its research programs in the development of novel ophthalmic medicines. Members of InSite’s SAB represent leaders in ophthalmic research, treatment and clinical drug development, including Richard Lindstrom, M.D., Gary Foulks, M.D., Michael Lemp, M.D., and Kelly Nichols, O.D., Ph.D., MPH. The SAB will be led by InSite’s Chief Medical Officer Kamran Hosseini, M.D., Ph.D. Brian Levy, O.D., a member of InSite’s Board of Directors, will also participate in all SAB meetings. Read the rest of this entry ?

November 21, 2011

Dear Colleague:

Friday I was once again at the White House to continue our push to make comprehensive eye exams the basis of the new health care law’s essential pediatric vision benefit. As I left, I received an e-mail from VSP that served as a fresh reminder that optometry’s future is not only threatened by organized medicine but also by other outside forces that want to define and control us.

I am surprised at both the tone and the not-so-subtle threats it contained to practicing optometrists, the AOA and the “leadership” of the AOA, i.e., me. Perhaps they wanted to distract doctors from the many other issues of concern between them and VSP, but the personal attack was a bit of a surprise. A large portion of the comments made by Dr. Mannen were not correct.

Let me be very clear. More than anything else, as AOA president, I’m committed to ensuring that neither medicine nor insurers gain the ability to define optometry. Medicine continues to attempt to define optometry by what we are not. Insurance companies attempt to define us by the services for which they reimburse us. The former is overt, the latter more covert. It is clearly critical that optometrists define optometry.

Being in DC whenever needed to lobby for optometry comes with this job. From my trips here I can tell you the battle over health care that began in 2009 rages on, and the stakes remain high. The AOA, and only the AOA, fought for a seat at the table and made expanded patient access to optometric care our priority, and we got results:

• We backed the Harkin anti-discrimination amendment, and now we alone are standing up to the AMA’s efforts to repeal it.
• We backed the designation of pediatric vision care as essential, and now we alone are fighting to put a comprehensive eye exam at the center of it.
• We backed an end to artificial restrictions on our services imposed by health plans, including stand-alone plans whose business model isolates optometry from the rest of health care as if somehow vision care “stands alone” from primary health care. Because of the AOA’s efforts we now stand ready to care for millions of new patients who will gain coverage.

All of these critically important issues have been fought by the AOA and the AOA alone. There were no insurance companies “advocating” for the profession. And that’s to be expected because they have their business models to protect. We have optometrists and our patients to protect.

With regard to stand-alone vision plans, they absolutely can participate in the state health insurance exchanges now being created. They can do so by working with qualified health plans to assure the delivery of the full range of essential eye care services we provide our patients.

But they want something more. They want a special loophole in the law that would allow them to continue to profit at the levels they have in the past while maintaining a barrier to segregate optometry from the mainstream of health care. That status quo is good for some insurance companies, but it’s not good for optometrists or our patients. “Standing alone” is in their best interests, but in the new world order it is clear it will no longer be good for optometry.

Although I’m surprised to be attacked personally, my primary concern is the needless damage being done to our profession and to our advocacy efforts, which I can tell you from my visits this week on Capitol Hill and the White House is distracting and taking away from our efforts to define the pediatric benefit as an eye exam.

The AOA has no interest in fighting a battle in the media or anywhere else for that matter with VSP. The AOA has no interest in harming VSP. I actually don’t know how the AOA could harm a $3 billion insurance company. And while the AOA cannot ever hope to match the PR campaigns of this industry giant, we do believe that common ground can be found on a number of issues facing our patients, our doctors and our nation.

I have reached out to VSP many times to discuss areas we think might be of mutual interest, such as the definition of the pediatric benefit. I will again. So far, VSP has not agreed to assist optometry in that battle, and we are going it alone. By the way, our last scheduled meeting in which the AOA had many items on the agenda to benefit optometry was canceled by VSP on June 9. I thought then, and I still think now, it was a missed opportunity. On Sept. 30, I again sent Dr. Jankowski, VSP board chair, an e-mail telling him the AOA’s door was still open for dialogue on areas of common interest with no positive response. Perhaps Dr. Mannen was not aware of those important facts.

I have every confidence we are on the right track. We will not let medicine or insurance companies define us and limit our practices for their benefit. Our members can be assured that the integration and independence of optometrists is and always will be at the forefront of my mind and the efforts of the AOA.

Dori Carlson, O.D.
President, American Optometric Association

Gerald Eisenstatt, O.D., has been named director of the Hayes Center for Practice Excellence (HCPE) at Southern College of Optometry (SCO) in Memphis, Tenn.

The Hayes Center for Practice Excellence was founded in 2005 by 1973 SCO graduate, Jerry Hayes, O.D., and his wife, Cris. Read the rest of this entry ?

Ken Eakland, O.D., Pacific University College of Optometry associate dean of clinical programs, in the 3-D Vision Performance Eye Clinic’s “theater for one.”

The AOA Clinical and Practice Advancement Group hopes the Oregon clinic will serve as the prototype for similar 3-D facilities in optometric practices across the nation, according to Michael Duenas, O.D., AOA associate director of Health Sciences & Policy.

“All ODs should consider setting up at least a mini  3-D clinic within their offices,” Dr. Duenas said.

Dr. Duenas believes demand for 3-D vision services in optometric practices could increase sharply over the coming months as movie studios release a new wave of planned 3-D “blockbusters” and several manufacturers plan to introduce 3-D eyewear for sale through eye care practices.

Sony, a major manufacturer of 3-D projection equipment, recently announced it will no longer offer complimentary, disposable 3-D eyewear to client theaters for distribution to moviegoers. Read the rest of this entry ?

The AOA and its state affiliate partners learned late last month that the Centers for Medicare and Medicaid Services (CMS) had approved a requested change to the Illinois State Plan for Medicaid to fully recognize optometrists as physicians under the Medicaid program in Illinois.

While Illinois ODs have always been treated as Medicaid physicians for payment purposes, optometrists would not have been able to claim the federal Electronic Health Records (EHR) incentives now being made available for Medicaid physicians without this change to the state plan.  Read the rest of this entry ?

Taking part in grand-opening ceremonies for the 3-D Vision Performance Eye Clinic, from left, Michael Duenas, O.D., AOA associate director, Health Sciences & Policy; John Dahl, senior fellow, director of education, THX Ltd.; Philip Corriveau, principal engineer, Intel Corp., and chair, 3D@Home Consortium Human Factors Steering Team; Rick Dean, senior vice president, THX Ltd., and chair, 3D@Home Consortium; Jennifer Smythe, O.D., Pacific University College of Optometry (PUCO) dean; Jim Sheedy, O.D., Ph.D., PUCO Vision Performance Institute director; AOA President Dori Carlson, O.D.; and Lesley Hallick, Pacific University president.

“Groundbreaking,” the Hollywood Reporter proclaimed in its coverage of Pacific University’s new 3-D Vision Performance Eye Clinic in suburban Portland, Ore., the first eye and vision care practice ever devoted primarily to vision problems associated with the use of three-dimensional media technology.

Over the coming months, the first-of-its-kind 3-D vision practice could literally help bring a new dimension to eye care, eye research, and a variety of fields within the worlds of entertainment, education, and industry, according to James Sheedy, O.D., Ph.D., who spearheaded development of the unique clinic under a partnership between the Pacific University College of Optometry (PUCO) and its Vision Performance Institute  with primary support from the San Rafael, Calif.-based entertainment technology standards organization, THX Ltd.

“This is the first facility in the world dedicated specifically to addressing    3-D stereoscopic viewing challenges,” said Rick Dean, senior vice president, THX Ltd. and chair, 3D@Home Consortium. “The ‘3 Ds of 3-D viewing’ – discomfort, dizziness and lack of depth – prevent millions of people from enjoying 3-D motion pictures, television programming and video games, or benefitting from a growing range of additional, practical applications for 3-D technology. This facility will directly help them by providing the best diagnosis and treatment for eye coordination problems affecting 3-D vision. The clinic will also conduct research that will further enhance care for 3-D stereoscopic viewing challenges in the future and help to develop industry standards that will be used to improve 3-D programming, equipment and real-life applications for consumers to enjoy and benefit from.”  Read the rest of this entry ?

By Jeffrey W. Jones, O.D., AOA Practice Advancement Committee

One of the biggest difficulties facing optometric offices today is the ability to attract and keep new and existing patients. The means to keep the appointment schedule full on a day-to-day basis is a daunting task to new and established practice alike.

But what do you do when you don’t have a large marketing budget, and your only strategy for growing your practice awareness is through the Yellow Pages?  Read the rest of this entry ?