ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Optometric records which have evolved in private practice must be reconsidered when included in a comprehensive care environment. These hospital, health maintenance organization (HMO), preferred provider organization, and similarly linked systems require a higher degree of communication among specialties than do self-standing practices. Furthermore, the administrative requirements of such a system require more standardization, cost sensitivity, medicolegal compliance, and other elements peculiar to a comprehensive facility. The expanded scope of care provided by optometrists within a hospital requires familiarity with a new range of procedures, languages, and reports. Information from laboratories, radiology, and other areas must be incorporated into the optometric record. Continuity of care is more complex. Opportunities for strong interprofessional synergies within the organization arise directly from proactivity in optometric record keeping. New legal hot spots arise from questions of records ownership, access, and privacy. Billing procedures are becoming extremely important, with significant effects on quality assurance audits, coding, doctor “profiling” against fraud, and abuse; these priorities can interfere with clinical priorities. Driven primarily by the concerns and resources of large third-party payers, technology is making rapid changes in the form of optometric record keeping in comprehensive systems. Electronic data management will change the face of medical records, although administrative data will be digitized much more quickly than clinical notes. Comprehensive care environments will be the “test beds” for these technologies. Optometry is in a good position to show its contribution to the health care team through leadership in the implementation of new record keeping models.

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Since 1985, accreditation standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) state that nonphysician providers such as optometrists may be appointed to a hospital's professional staff and may be granted clinical privileges in order to provide patient care services within that facility. This paper provides an overview of the mechanisms hospitals typically use to appoint and to grant clinical privileges to optometrists.

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The demand for bedside optometric care is increasing because of the rise in the geriatric population and the increasing fiscal demands with which long-term care facilities in the United States are faced. It is important for optometrists to keep pace with the need for bedside optometric care in hospital environments. I will discuss the requirements for performing the bedside examination such as knowing what rules and regulations must be followed, the importance of making an environmental assessment with corresponding recommendations, as well as possessing the necessary portable equipment.

ISSN:1040-5488    

出版商:OVID    

年代:1996

数据来源: OVID