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Innovative Innovations for Optometric Practice - DISEASEDavid Kading, OD, FAAO, FCLSADescriptions:This course highlights a new age of eyecare practice. This is the age where technology makes a practitioner better and more connected to their patients. Retinal photography and OCT imaging have replaced pressures and CD rations as a standard and digital recalls have replaced Garfield post cards for patients making technology out mainstay. This course reviews these and other new innovations that are pressure our profession forward. These include but are not limited to: wide field retinal photography, outsourcing or billing and patient recalls, OCT for retinal and contact lens fitting, tear analysis for inflammation, Online patient access and communications, and others.Objectives: Following this course attendees will:Understand the progressions of eyecare as they are tied to innovationsBe better capable of assessing their technology innovation adoptionDecide if technology innovations are advantageous to their practice positioning or if they will be negative at this timeBe able to contemplate various newer technology systems to see if they might help aid them in their patient careComprehend the anterior segment innovationsComprehend the posterior segment innovationsBe able to understand eyecare advancements in phases and where we are entering with the next phase in order to be preparedOutlineTechnology to startWhat technology looked like over timeHow our profession has always used technology to better serve patients from its inceptionA look at the history of optometry and our desire for gadgetsTechnology of OldWhat has been advanced over the yearsEg. Topography from keratometryWhat has this type of technology advanced us toWhat has made minimal changesDoes it need to changeShould it stay the sameTechnology of NewAdvantagesThis new technology allows us to forsee areas of vision and eye health that were otherwise not visableDisadvantageshas to be adoptedThis timeTakes money. How do we review the ROI to decide if we can afford technology?How do we decide if it will increase our patient care?How do we decide if our practice is ready for new technologyImplementation StrategiesCalculate ROIEstimate the number of patients that you would need to do this on in order to pay for the machineEstimate the number of visits that you will do in order to make additional revenue or break evenCalculate patient volumeHow many patients will benefit from this serviceWhat will the benefit truly be to these patientsWill the benefit be more towards the doctor or will it bring a betterment to the patients physical or emotional healthCalculate improvement in patient careWill this new technology improve my patient quality of care Will this new technology bring about better speed for my visit and allow me to care for more patientsPreparing your teamDiscussing the disease state around the technologyMeeting to discuss the technologyBringing the equipment into the office for trainingSetting up a schedule around the new technologyPreparing and announcing to patientsProcess of how to use technology for announcingUse of new and old technology for announcementHow to share technology and improvements so they do not just sounds like a sales pitch for something new that you want to try out for the patient for your own benefitTechnological improvementsQuality and Wide Field photographyOptos ZeissDifferences and strengths of eachHarvard Study on Diabetic Retinopathy V. ObserverImaging allows us a longer view and less doctor time for the technological aspect so we can make better clinical decisionsWhere wide field fits into the officeAs a measurement of screeningAs a measurement of advanced imagingAuto-Fluorescence Anterior Segment for Dry EyeDry EyeTechnology with non-invasive tear break up timeHow TBUT and NITBUT are differentLess invasive to patientMore comfortableMore repeatabilityMore reliabilityInterferometry and ability to view lipid layer over the course of yearsWhat is a normal amountWhat does this tell us and how does it change treatmentsWhen should we consider doing thisHow do we expect it to changeRubbing eyesAfter treatmentInflammadry MeasurementsWhat is the testWhen should it be doneIs there a way to fool the testReliabilityrepeatabilityAbility to measure tear sample for inflammatory markersWhat markersTearLabAbility to measure for Osmolarity IssuesWhen the test is inaccurateWhat the test is telling youMeibomian Gland ExpresserHandheald instrumentUsed during slit lampExerts 1.25g/mm2 of pressureSame amount of blinkAbility to detect limited amounts of oil secretionsTells you if your MGD treatments workedOCT technology to measure corneal epithelial thicknessDetects amount of corneal edemaHelps detect dry eyeCan be used to gage type of treatmentsFreshcoatMiro 128Anterior Segment ImagingOCT imaging for detection of early KeratoconusOCT imaging for sagittal depth and how this will aid in special contact lens fittingCorneal thickness mappingAbility to look at thickness over various areas and detect disease earlierBenefit for kids with KCNMay help to stop the disease by the use of corneal cross linkingMeibographyVarious types of instruments bring about ability ot measureRetinal cameraTopographySpecific imaging systemsOCTHelps to understand how atrphy is occurring to the glandsSmart Phone Utilization for Eye Examination AdvancementsContact Lens SoftwareExam SoftwareSocial Media for educationOutsourcing tasks for better patient experienceHow does billing outsourcing workUnderstand your key areas of billingDo you do mostly examsHow does your products come into playHow does your medical come into playCan you use a company that understands your EMRRevCycle is attached to Revolution EHR for instanceBenefit of using NON-Optometry CompaniesBenefit of using optometry companiesWhat other things can be outsourcesPhone CallsUse of companies not in your office to answer the phoneUse of people that live close byUse of people that live far awayWhat special things do you need for thisPhone systemGood internet connectionMarketingSocial MediaUse of servicesUse of internal teamsPrint Campaigns Post cardsLettersEmail marketingWhat works What can bring an roiHow to use email marketing to introduce innovationsOutsourcing phone and recalls Brings better awareness to the team at hand and can aid in more pointed technology advancements for the team at hand. ................
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