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Young Ophthalmologists
Yo Info

Support provided by Allergan

June 2012

YO Info™ is the American Academy of Ophthalmology's newsletter for young ophthalmologists (YOs) — those in training as well as in their first few years in practice.

This newsletter provides YOs with information about practice management, coding and insurance questions, balancing work and family, and many other issues relevant to YOs. You'll also learn more about resources and services that are already available to you from the American Academy of Ophthalmology and the American Academy of Ophthalmic Executives (AAOE).

Regulatory Updates for 2012
With all of the rapidly occurring coding changes, there are a few that deserve particular attention. These include audits, the ICD-10 transition and updates to the Physician Quality Reporting System and e-prescribing incentive programs.

Practice Management
Applying the Science of Quality Improvement to the Ophthalmology Practice
Concerns about health care quality and cost containment have moved to the forefront in political debates about health care and federal and state budget deficits. Despite the U.S. health system’s proven ability to treat complex, serious illnesses, studies have shown that patients are not receiving basic, cost-effective care known to reduce death and disability, such as cancer screenings and diabetic eye exams.

Patient Safety Challenges Spur Cross-Cultural Collaboration on Advocacy
Scope-of-practice battles follow a predictable path. In most cases, optometrists work with state legislators to expand the procedures they are permitted to do or drugs they can prescribe by amending existing or introducing new legislation. Ophthalmology groups – usually the relevant local society, in partnership with the Academy – respond by educating legislators about patient-safety risks and the significant differences in training between ophthalmologists and optometrists. But what if the society facing scope-of-practice legislation represents more than 15 different island countries, each with widely different health and socioeconomic needs?

Clinical Pearls
10 Pearls for Open Globe Trauma Assessment
1. Proceed with caution: Assume that any periocular or ocular trauma could be a ruptured globe. Avoid placing undue pressure on the globe until you establish that an open globe injury does not exist.

10 Surgical Pearls for Open Globe Repair
1. General anesthesia or bust! The best situation is a controlled one under general anesthesia. If you practice in an area where open globe trauma is less common, confer with your anesthesiologist beforehand to ensure that the patient will be deep for the duration of the procedure (i.e., no bucking please), and that non-depolarizing induction agents are used.

Academy Online Community Highlights
YO Info
picks the most relevant recent discussions among your peers.

Focal Points

Update on Glaucoma Surgery
The search for more effective and safer glaucoma treatment continues today. Recent studies emphasize that adherence to medical therapy continues to be a significant obstacle in stabilizing chronic disease states. This module reviews the latest attempts to improve the safety and effectiveness of filtration surgery, as well as newer techniques that attempt to lower pressure effectively while avoiding filtration blebs and their associated complications. (The American Academy of Ophthalmology designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits™.)

Events and Resources

YO Hosts Utah Legislative Committee
Jeff Pettey, MD, a participant in the Academy’s Leadership Development Program, recently hosted the Utah Health and Human Services Interim Committee in his practice for a tour of the facilities and discussion of ophthalmologists’ role on the eye care team. The meeting was organized in partnership between the Utah Ophthalmology Society and Moran Eye Center, the clinic where Dr. Pettey works.

Help Us Improve YO Info! Take Our Brief Survey
If you haven’t had a chance to respond to our reader survey yet, would you answer seven questions for us? It should only take a couple minutes, but will help us tailor coverage to the needs and interests of our readers. Thanks! Take the survey.

Featured Academy Resource: Routine Preoperative Laboratory Testing For Patients Scheduled For Cataract Surgery
As a service to its members and the public, the Academy has developed a series of guidelines called Preferred Practice Patterns® (PPP) that identify characteristics and components of quality eye care. YO Info will regularly include a link to a PPP, policy statement or other resource to help familiarize young ophthalmologists with these important resources.