Taxonomy I Part VII-B (Ophthalmology)

(05 May 2006 16:38)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part VII-B

Ophthalmology

SD I.13k(6.1) (new) Does your residency provide the following kinds of specialty care: k(6.1) ophthalmology? Yes __ No __

Yes:

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OSHU Portland

SD I.13k(6.2)  If you do provide ophthalmology, are these services provided as normal family medicine center appointments? Yes __ No __

Yes:

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OSHU Portland

SD I.13k(6.3)  If you do provide ophthalmology, are these services provided during special clinics? Yes __ No __

If the answer to SD I.13k(6.3) is yes, what is the number of patients seen?  What revenues are generated in each specialty service?

No:

Natividad

Klamath Falls

Lehigh Valley

Mercy Toledo

Kaiser LA

Tyler

Las Vegas

Fresno

Springfield

Glasgow

Lexington

OSHU Portland

NPCB P2 I.13.2k(36)(SD I.13k(6.4)) Describe the kinds of ophthalmology that typically takes place within the family medicine center (whether as normal appointments or during special clinics):

Natividad                     (Infections; basic primary care ophthalmology; diagnosis of glaucoma; where diagnosed, glaucoma patients are sent to eye doctors next door)

Klamath Falls               (red eye; conjunctivitis, including initial diagnosis of allergic conjunctivitis; iritis; changes in visual acuity; removal of

foreign bodies; tests for glaucoma)

Lehigh Valley                (eye exams; screening tests; treatment of red-eye; removal of foreign bodies)

Mercy Toledo              (vision screening; ophthalmoscopy; tonometry; foreign bodies; ocular injuries)

Kaiser LA                    (red-eyes; glaucoma, co-managed with ophthalmology department; retinal photos)

Tyler                            (Opthalmoscopy; fluorescene staining; foreign body removal; upper eyelid evaluation; visual acuity testing; papillary reaction and response; informal visual field evaluations; eye irrigation; topical anesthesia; dilation of pupils; tonometry (Schiotz))

Las Vegas                    (vision screening; pinkeye; foreign body removal; corneal abrasion management; screening for retinopathy)

Fresno                          (full scope of non-surgical ophthalmology; removal of foreign bodies)

Springfield                    (pinkeye; corneal abrasion)

Glasgow                       (foreign body examination and removal; fluorescene testing; visual acuity; fundoscopic exam)

Lexington                     (foreign bodies; keriatitis; visual acuity; glaucoma screening; undilated retinal screening; strabismus; vision screening in general)

OHSU Portland            (pinkeye; visual disturbance; vision screening)

Phase 2 Responses:

Sparrow                       (conjunctivitis and other causes of redeye; vision screening; infections; blockage of tear ducts; sties; glaucoma management; foreign bodies)

Huntsville                      (conjunctivitis; allergies; viral and bacterial infections; foreign body removal; lid lesion management; pinkeye; cebaceous gland management)

Ventura                        (conjunctivitis; vision loss; redeye of any etiology; corneal abrasions; foreign bodies)

Long Beach                  (conjunctivitis; foreign body evaluation; do slit lamp examps; fluorescence evaluation; no glaucoma or cataracts)

U Penn                         (normal appointments)

Crozer-Keystone          (fluorescence stain; vision screening; ophthalmoscope)

Jefferson                       (redeyes; allergic reactions; conjunctivitis; viral conjunctivitis; blurry vision)

McKeesport                 (visual acuity; Schiotz tonometry; fluorescence staining; foreing bodies; corneal abrasions; ophthalmoscopic exams)

Oahu                            (basic primary care ophthalmology; vision exams; tonometry; glaucoma screening; corneal abrasions; retinal camera used for

retinal exams for diabetes)

NPCB P2 I.13.2k(51) For what conditions would your residency program refer patients to ophthalmologists? What is the expected wait time before the patient is seen?

Sparrow                       (positive glaucoma; iritis; serious eye injuries; cataract surgery; diabetic eyechecks; most are about 3 weeks)

Huntsville                      (diabetic hemorrhages; retinal detachment; diabetic retinopathy; very serious ocular infections; glaucoma; 1 week turnaround)

Ventura                        (vision loss; iritis; cataracts; normally 2 weeks, acute vision loss, same day)

Long Beach                  (glaucoma; iritis; cataracts; foreign bodies we are unable to remove)

U Penn                         (physician specific; same day)

Crozer-Keystone          (surgery; glaucoma management; corneal ulcers; 2 weeks)

Jefferson                       (retinitis; iritis; glaucoma; retinopathy; acute visual loss; 4-8 weeks)

McKeesport                 (child with decreased visual acuity; cataracts; retinopathy; same day for emergencies, 1 month for routine referrals)

Oahu                            (no slit; glaucoma; corneal problems; surgical; infection of eye by herpes; trauma)

*NPCB P2 I.VII.B1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

a.      glaucoma? Yes __ No __

Yes:

Shadyside                     (we co-manage chronic glaucoma; we refer acute glaucoma)

Johnstown

Altoona

St Margaret                  (if suspected, we refer out but collaborate on care)

Fairfax

Santa Rosa                   (most such services take place in the ophthalmology department)

Lebanon

Beaver

Latrobe

Erie

Lawton

No:

Reading                        (not primarily)

York

Billings

Monroeville

*NPCB P2 I.VII.B1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

b.      vision screening/refractory problems? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa                   (most such services take place in the ophthalmology department)

Reading

York

Lebanon

Billings              (refraction yes; screening no)

Monroeville

Beaver

Latrobe                        (we don’t handle refractory problems)

Erie

Lawton

*NPCB P2 I.VII.B1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

c     amblyopia? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa                   (most such services take place in the ophthalmology department)

Reading                        (with subspecialty assistance)

York

Lebanon

Billings

Beaver

Latrobe

Erie

Lawton

No:

Monroeville

*NPCB P2 I.VII.B1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

d.   foreign bodies/redeye? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa                   (most such services take place in the ophthalmology department)

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

*NPCB P2 I.VII.B2 Does your residency program utilize screening and surveillance procedures consistent with professional guidelines for the following conditions?

a.   amblyopia? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa                   (most such services take place in the ophthalmology department)

Reading

York

Lebanon

Billings

Beaver

Latrobe

Erie

Lawton

No:

Monroeville

*NPCB P2 I.VII.B2 Does your residency program utilize screening and surveillance procedures consistent with professional guidelines for the following conditions?

b.   glaucoma screening? Yes __ No __

Yes:

Johnstown

Altoona

Fairfax

Santa Rosa

Reading

York                            (may refer those eligible for glaucoma screening)

Lebanon

Billings

Beaver

Latrobe

Erie

No:

Shadyside                     (we make sure they get screened)

St Margaret

Monroeville

Lawton             (there is no tonometry in Lawton)

* NPCB P2 I.VII.B3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

a.      Cataracts? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VII.B3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

b.      Diabetic Retinopathy? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver

Latrobe

Erie

Lawton

* NPCB P2 I.VII.B3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

c.   Retinal surgery? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Monroeville

Beaver

Latrobe

Erie

Lawton

No:

Billings

* NPCB P2 I.VII.B4 Are you able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

a.      Vision testing? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver                         (service available in FMC)

Latrobe

Erie

Lawton

* NPCB P2 I.VII.B4 Are you able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

b.      Tonometry?  Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver                         (service available in FMC)

Latrobe

Erie

Lawton

* NPCB P2 I.VII.B4 Are you able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

c.       Slit-Lamp Exam? Yes __ No __

Yes:

Shadyside

Johnstown

Altoona

St Margaret

Fairfax

Santa Rosa

Reading

York

Lebanon

Billings

Monroeville

Beaver                         (service available in FMC)

Latrobe

Erie

Lawton

Last Updated (04 September 2006 14:40)