logging in or signing up Hallway Controversies Optometry is Not Dead, Dr. Jeff Machat brightgreenforester Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 67 Category: Science & Tech.. License: All Rights Reserved Like it (0) Dislike it (0) Added: July 03, 2011 This Presentation is Public Favorites: 0 Presentation Description Dr. Jeffery Machat on the lasik and optometry with regard to comanagement and working together in service to patients. Comments Posting comment... Premium member Presentation Transcript Hallway Controversies: The Business of Refractive Surgery 2004: Hallway Controversies: The Business of Refractive Surgery 2004 No, Optometry is NOT Dead Property of Dr. Jeffery J. Machat. All rights reserved. Unauthorized use is prohibited.No, Optometry is NOT Dead: No, Optometry is NOT Dead Optometry ’ s role will increase in the RS Historically Demographically Patient perspective Surgeon perspective Economic perspective Personal perspectiveNo, Optometry is NOT Dead: No, Optometry is NOT Dead HISTORICALLY: Shared Care is a natural complement to all facets of medicine Family MD > Cardiologist > Cardiac Surgeon ODs and MDs share this same relationship History shows fluctuating trends, this past year is not indicative of the next 5 yearsNo, Optometry is NOT Dead: No, Optometry is NOT Dead Optometry ’ s Role in Refractive surgery will increase as: More patients have refractive surgery More surgeons perform refractive surgery More refractive options introduced More technologies develop e.g. wavefront More price confusion continues More problems surface and appear in the pressNo, Optometry is NOT Dead: No, Optometry is NOT Dead DEMOGRAPHIC ARGUMENT: The majority of good refractive surgery candidates receive their primary eye care from an optometrist, estimated at 70% of the potential candidate pool Optometrists are trusted by their patients Optometrists will always be involved in vision care options for their patientsNo, Optometry is NOT Dead: No, Optometry is NOT Dead CLINICAL ARGUMENTS: Optometrists will always have greater knowledge and insight into the candidacy of their patients Stability of Rx & CL history Past ocular history Occupation & Hobbies etc... Personality & Expectations !!!!No, Optometry is NOT Dead: No, Optometry is NOT Dead Optometric Co-management provides certain essentials and unique benefits to refractive surgery candidates: Pre-op: Candidacy, Education, Refraction and Ocular evaluation confirmation, controversially help with Surgeon/Center/ Laser selection Intra-op: Reassurance, Continuity of care Post-op: Convenient and More frequent evaluationNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Candidates need to make sense of all the marketing hype: Centers, Lasers, Surgeons, Prices, Technologies They require access to unbiased information based upon their particular eye history and prescriptionNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Optometric co-management provides a vital quality control aspect By assessing patients post-operatively separately from the surgeon, patients feel reassured Patients desire an advocate and trust their optometrist to seek solutions for any problemsNo, Optometry is NOT Dead: No, Optometry is NOT Dead SURGEON ARGUMENT: the surgeon with a well selected candidate, clinical information, history and insight highly informed re: risks factors /presbyopia allows the surgeon to perform more surgery provides more convenient & frequent post-op care with continuity of care for Readers, Night Rx, Retinal evaluationsNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT & CLINICAL ARGUMENTS: Good surgeons may or may not co-manage Poor surgeons do not co-manage Patients ask their OD: Where would you go – they may not pick you, but they will always pick someone proficient in RSNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMICS ARGUMENT: Economics of competition has brought into question role of optometry As fees reduce– question is where to cut: Marketing vs. Optometric Care Marketing in major cities is not typically cost effective and can easily range from $100 for a typical patient lead to $1000 per patient acquisition or doubleNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMICS ARGUMENT: Concede that within the deep discount LASIK marketplace, ODs have been excluded Concede also that 90-98% of LASIK patients will do well with minimal post-op care Problem is which patients will not do well ? One poor outcome can negate 100 good ones!No, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMICS & PATIENT ARGUMENTS: Most marketing dollars do nothing to educate patients Most centers place similar messages despite differences: Everyone either invented or pioneered LASIK Or was the First at Something!No, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & CLINICAL ARGUMENTS: Optometry provides a vital link for most patients and high volume centers Information conduit Screening satellites Post-operative care satellites Continued eye care centersNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: Most candidates see an OD Most candidates trust their OD ODs are ideally suited to provide clinical history & information on their patients ODs are ideally suited to educate their patients on RSNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: By having optometry provide much of the pre-operative and post-operative care, surgeons are able to: perform more surgeries dedicate more time to care for more complex and problem casesNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: While in-house optometric care is cheaper, it fails to provide the other essential aspects of quality care: unbiased information, continuity of care and trust, independent quality controlNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: Negative rumors & Negative press can only be effectively dealt with through education which optometry can provide Each of these points will become increasingly important as refractive surgery continues to evolveNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: Low price corporate centers did exclude optometry but they have failed to stand the test of time Marketing is too expensive and impossible to differentiate the players at the high end Optometry will always have influence on this segment of the candidate poolNo, Optometry is NOT Dead: No, Optometry is NOT Dead My Refractive Surgery Experience with Optometry: High quality patient experience provided which always stands the test of time Increased role as I introduced Wavefront Guided LASIK last year in Toronto My competition has once again shifted back toward co-management this past monthNo, Optometry is NOT Dead: No, Optometry is NOT Dead T HANK Y OU FOR THE OPPORTUNITY, Jeffery J. Machat MD Toronto, CanadaThe Business of Refractive Surgery: The Business of Refractive Surgery Oh Yeah ! Property of Dr. Jeffery J. Machat. All rights reserved. Unauthorized use is prohibited.No, Optometry is NOT Dead: No, Optometry is NOT Dead The closing of low cost LASIK centers promotes the role of optometry The increase in LASIK advertising promotes the role of optometry The introduction of Wavefront actually promotes the role of optometry againNo, Optometry is NOT Dead: No, Optometry is NOT Dead Wavefront Technology will be marketed at a premium Optometry influences most at the high end ATMs did not eliminate bank tellers Autorefractors and similarly, aberrometers will not replace the role of optometry Most expensive cars come standard with best options, comanagement is high endNo, Optometry is NOT Dead: No, Optometry is NOT Dead Everyone will have their own opinion based upon their personal experience & competitor positioning with ODs Nevertheless, Optometry will once again increase in importance with: the decline of low cost LASIK centers introduction of Wavefront TechnologyNo, Optometry is NOT Dead: No, Optometry is NOT Dead My Refractive Surgery Experience with Optometry: Cautious, Conservative as a whole Spend more chair time pre & post-op High index of clinical suspicion: Over-refer No safety difference in follow-up problems observed with ODs & MDsNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Optometry in general provides each patient with far more unbiased information regarding surgical risks and clinical results Optometry as a whole is far more conservative than ophthalmology with respect to elective refractive surgeryNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Patients need post-operative care and most feel most comfortable with their own OD Visiting their OD is less time consuming: often both for travel & office time Patients post-operatively need continued care for: Readers, Night Rx, Retinal evaluationsNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT & CLINICAL ARGUMENTS: If a patient sees their own optometrist and has a poor result: striae, loss of bcva, or severe night glare ODs will not refer again despite any real or perceived economic benefit Only excellent clinical results promote referrals Marketing however ignores past resultsNo, Optometry is NOT Dead: No, Optometry is NOT Dead Poor quality surgeons will not receive optometric support, We Concede: Not all high quality surgeons comanage However: Extremely rare for less proficient surgeons to receive referrals Fee amounts are another issueNo, Optometry is NOT Dead: No, Optometry is NOT Dead To imply that Optometrists are incapable of providing high quality post-operative care is insulting to optometrists and other non-surgical professionals Just as most surgeons are excellent caring professionals, so are most optometrists Proper refractive surgery training can be for anyoneNo, Optometry is NOT Dead: No, Optometry is NOT Dead To imply that an optometrist would refer a patient to a substandard surgeon for a few hundred dollars is ludicrous The optometrist has a longstanding relationship with his patient The entire family as well as friends are often patients and therefore the remainder of the practice may be at riskNo, Optometry is NOT Dead: No, Optometry is NOT Dead The optometrist is still is required to care for their patient Problem patients are costly in chair time Problem patients are costly in emotional stress Legal liability is still an issue for optometryNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: ODs already present vision options of glasses & contacts to their patients, refractive surgery is simply another option ODs must be part of the economic reality of refractive surgery to present this option ODs can cost-effectively provide services, pre-op, intra-op & post-opSlide 36: The information provided in this PowerPoint presentation is for your personal informational purposes only. It is not medical advice, medical diagnosis or treatment, or recommendation for medical care or treatment. All medical questions or concerns about a medical condition, care, diagnosis or treatment should be presented to a medical physician, health care provider, or health care professional. You acknowledge that your use of this information is at your sole risk, and that you assume and accept full responsibility for all risk associated with any reliance upon the information presented. You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Hallway Controversies Optometry is Not Dead, Dr. Jeff Machat brightgreenforester Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 67 Category: Science & Tech.. License: All Rights Reserved Like it (0) Dislike it (0) Added: July 03, 2011 This Presentation is Public Favorites: 0 Presentation Description Dr. Jeffery Machat on the lasik and optometry with regard to comanagement and working together in service to patients. Comments Posting comment... Premium member Presentation Transcript Hallway Controversies: The Business of Refractive Surgery 2004: Hallway Controversies: The Business of Refractive Surgery 2004 No, Optometry is NOT Dead Property of Dr. Jeffery J. Machat. All rights reserved. Unauthorized use is prohibited.No, Optometry is NOT Dead: No, Optometry is NOT Dead Optometry ’ s role will increase in the RS Historically Demographically Patient perspective Surgeon perspective Economic perspective Personal perspectiveNo, Optometry is NOT Dead: No, Optometry is NOT Dead HISTORICALLY: Shared Care is a natural complement to all facets of medicine Family MD > Cardiologist > Cardiac Surgeon ODs and MDs share this same relationship History shows fluctuating trends, this past year is not indicative of the next 5 yearsNo, Optometry is NOT Dead: No, Optometry is NOT Dead Optometry ’ s Role in Refractive surgery will increase as: More patients have refractive surgery More surgeons perform refractive surgery More refractive options introduced More technologies develop e.g. wavefront More price confusion continues More problems surface and appear in the pressNo, Optometry is NOT Dead: No, Optometry is NOT Dead DEMOGRAPHIC ARGUMENT: The majority of good refractive surgery candidates receive their primary eye care from an optometrist, estimated at 70% of the potential candidate pool Optometrists are trusted by their patients Optometrists will always be involved in vision care options for their patientsNo, Optometry is NOT Dead: No, Optometry is NOT Dead CLINICAL ARGUMENTS: Optometrists will always have greater knowledge and insight into the candidacy of their patients Stability of Rx & CL history Past ocular history Occupation & Hobbies etc... Personality & Expectations !!!!No, Optometry is NOT Dead: No, Optometry is NOT Dead Optometric Co-management provides certain essentials and unique benefits to refractive surgery candidates: Pre-op: Candidacy, Education, Refraction and Ocular evaluation confirmation, controversially help with Surgeon/Center/ Laser selection Intra-op: Reassurance, Continuity of care Post-op: Convenient and More frequent evaluationNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Candidates need to make sense of all the marketing hype: Centers, Lasers, Surgeons, Prices, Technologies They require access to unbiased information based upon their particular eye history and prescriptionNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Optometric co-management provides a vital quality control aspect By assessing patients post-operatively separately from the surgeon, patients feel reassured Patients desire an advocate and trust their optometrist to seek solutions for any problemsNo, Optometry is NOT Dead: No, Optometry is NOT Dead SURGEON ARGUMENT: the surgeon with a well selected candidate, clinical information, history and insight highly informed re: risks factors /presbyopia allows the surgeon to perform more surgery provides more convenient & frequent post-op care with continuity of care for Readers, Night Rx, Retinal evaluationsNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT & CLINICAL ARGUMENTS: Good surgeons may or may not co-manage Poor surgeons do not co-manage Patients ask their OD: Where would you go – they may not pick you, but they will always pick someone proficient in RSNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMICS ARGUMENT: Economics of competition has brought into question role of optometry As fees reduce– question is where to cut: Marketing vs. Optometric Care Marketing in major cities is not typically cost effective and can easily range from $100 for a typical patient lead to $1000 per patient acquisition or doubleNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMICS ARGUMENT: Concede that within the deep discount LASIK marketplace, ODs have been excluded Concede also that 90-98% of LASIK patients will do well with minimal post-op care Problem is which patients will not do well ? One poor outcome can negate 100 good ones!No, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMICS & PATIENT ARGUMENTS: Most marketing dollars do nothing to educate patients Most centers place similar messages despite differences: Everyone either invented or pioneered LASIK Or was the First at Something!No, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & CLINICAL ARGUMENTS: Optometry provides a vital link for most patients and high volume centers Information conduit Screening satellites Post-operative care satellites Continued eye care centersNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: Most candidates see an OD Most candidates trust their OD ODs are ideally suited to provide clinical history & information on their patients ODs are ideally suited to educate their patients on RSNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: By having optometry provide much of the pre-operative and post-operative care, surgeons are able to: perform more surgeries dedicate more time to care for more complex and problem casesNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: While in-house optometric care is cheaper, it fails to provide the other essential aspects of quality care: unbiased information, continuity of care and trust, independent quality controlNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: Negative rumors & Negative press can only be effectively dealt with through education which optometry can provide Each of these points will become increasingly important as refractive surgery continues to evolveNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: Low price corporate centers did exclude optometry but they have failed to stand the test of time Marketing is too expensive and impossible to differentiate the players at the high end Optometry will always have influence on this segment of the candidate poolNo, Optometry is NOT Dead: No, Optometry is NOT Dead My Refractive Surgery Experience with Optometry: High quality patient experience provided which always stands the test of time Increased role as I introduced Wavefront Guided LASIK last year in Toronto My competition has once again shifted back toward co-management this past monthNo, Optometry is NOT Dead: No, Optometry is NOT Dead T HANK Y OU FOR THE OPPORTUNITY, Jeffery J. Machat MD Toronto, CanadaThe Business of Refractive Surgery: The Business of Refractive Surgery Oh Yeah ! Property of Dr. Jeffery J. Machat. All rights reserved. Unauthorized use is prohibited.No, Optometry is NOT Dead: No, Optometry is NOT Dead The closing of low cost LASIK centers promotes the role of optometry The increase in LASIK advertising promotes the role of optometry The introduction of Wavefront actually promotes the role of optometry againNo, Optometry is NOT Dead: No, Optometry is NOT Dead Wavefront Technology will be marketed at a premium Optometry influences most at the high end ATMs did not eliminate bank tellers Autorefractors and similarly, aberrometers will not replace the role of optometry Most expensive cars come standard with best options, comanagement is high endNo, Optometry is NOT Dead: No, Optometry is NOT Dead Everyone will have their own opinion based upon their personal experience & competitor positioning with ODs Nevertheless, Optometry will once again increase in importance with: the decline of low cost LASIK centers introduction of Wavefront TechnologyNo, Optometry is NOT Dead: No, Optometry is NOT Dead My Refractive Surgery Experience with Optometry: Cautious, Conservative as a whole Spend more chair time pre & post-op High index of clinical suspicion: Over-refer No safety difference in follow-up problems observed with ODs & MDsNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Optometry in general provides each patient with far more unbiased information regarding surgical risks and clinical results Optometry as a whole is far more conservative than ophthalmology with respect to elective refractive surgeryNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT ARGUMENTS: Patients need post-operative care and most feel most comfortable with their own OD Visiting their OD is less time consuming: often both for travel & office time Patients post-operatively need continued care for: Readers, Night Rx, Retinal evaluationsNo, Optometry is NOT Dead: No, Optometry is NOT Dead PATIENT & CLINICAL ARGUMENTS: If a patient sees their own optometrist and has a poor result: striae, loss of bcva, or severe night glare ODs will not refer again despite any real or perceived economic benefit Only excellent clinical results promote referrals Marketing however ignores past resultsNo, Optometry is NOT Dead: No, Optometry is NOT Dead Poor quality surgeons will not receive optometric support, We Concede: Not all high quality surgeons comanage However: Extremely rare for less proficient surgeons to receive referrals Fee amounts are another issueNo, Optometry is NOT Dead: No, Optometry is NOT Dead To imply that Optometrists are incapable of providing high quality post-operative care is insulting to optometrists and other non-surgical professionals Just as most surgeons are excellent caring professionals, so are most optometrists Proper refractive surgery training can be for anyoneNo, Optometry is NOT Dead: No, Optometry is NOT Dead To imply that an optometrist would refer a patient to a substandard surgeon for a few hundred dollars is ludicrous The optometrist has a longstanding relationship with his patient The entire family as well as friends are often patients and therefore the remainder of the practice may be at riskNo, Optometry is NOT Dead: No, Optometry is NOT Dead The optometrist is still is required to care for their patient Problem patients are costly in chair time Problem patients are costly in emotional stress Legal liability is still an issue for optometryNo, Optometry is NOT Dead: No, Optometry is NOT Dead ECONOMIC & BUSINESS ARGUMENTS: ODs already present vision options of glasses & contacts to their patients, refractive surgery is simply another option ODs must be part of the economic reality of refractive surgery to present this option ODs can cost-effectively provide services, pre-op, intra-op & post-opSlide 36: The information provided in this PowerPoint presentation is for your personal informational purposes only. It is not medical advice, medical diagnosis or treatment, or recommendation for medical care or treatment. All medical questions or concerns about a medical condition, care, diagnosis or treatment should be presented to a medical physician, health care provider, or health care professional. You acknowledge that your use of this information is at your sole risk, and that you assume and accept full responsibility for all risk associated with any reliance upon the information presented.