New Year's Resolutions: - Michigan Optometric Association ...
New Year's Resolutions: - Michigan Optometric Association ...
New Year's Resolutions: - Michigan Optometric Association ...
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November/December, 2011 • Volume 91, Number 6 • www.themoa.org<br />
<strong>New</strong> Year’s <strong>Resolutions</strong>:<br />
Official Publication of the <strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong><br />
- Support optometry through<br />
MOAP AC, AOAP AC and GO!<br />
- Attend the MOA Winter<br />
Seminar and Annual Meeting.<br />
- Inf luence a colleague to join<br />
the MOA.
The <strong>Michigan</strong> Optometrist<br />
2<br />
November/December, 2011<br />
www.themoa.org
THANK YOU!<br />
The MOA board of trustees and staff thank you<br />
for your membership and support throughout the<br />
year. We wish you and your family a warm and<br />
happy holiday season!<br />
Contents<br />
November/December 2011 Vol. 91 No. 6<br />
4 - President’s Corner<br />
5 - MOA <strong>New</strong>s<br />
6 - MCO Fundraiser for AOAPAC<br />
8 - MOA 2012 Winter Seminar<br />
12 - Is Lead Paint or Asbestos Lurking<br />
in Your Office?<br />
14 - Historical Lookback<br />
15 - Version 5010 Update<br />
16 - MOA Voices<br />
17 - Book Recommendation<br />
19 - MOA November Press Release<br />
20 - Ask the Coding Experts<br />
22 - GCSI Article<br />
26 - Classified Ads<br />
27 - Advocacy Point Submission Form<br />
28 - Advocacy Point Board<br />
30 - Local Society Notebook<br />
31 - MOA Event Calendar<br />
The <strong>Michigan</strong> Optometrist (Issn 1071-1627)<br />
is the official publication of the <strong>Michigan</strong><br />
<strong>Optometric</strong> <strong>Association</strong> and is published<br />
bimonthly at 530 W. Ionia St., Suite A, Lansing,<br />
MI 48933, telephone (517) 482-0616,<br />
fax (517) 482-1611, e-mail Bryan@themoa.<br />
org, website www.themoa.org.<br />
Designed in-house by the <strong>Michigan</strong> <strong>Optometric</strong><br />
<strong>Association</strong>. Direct all editorial<br />
correspondence to the editor, Bryan Dahl.<br />
Advertising and all business correspondence<br />
should be addressed to Carrie Barton. Deadline<br />
for all material is the 5th of the month<br />
preceding the month of issue.<br />
Editorial Board: Drs. Matthew J. Maki and<br />
Mark Swan; MOA Executive Director Cindy<br />
Schnetzler; MOA Communication Coordinator<br />
Bryan Dahl.<br />
Postmaster: Send address changes to the<br />
<strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong>, 530 W.<br />
Ionia St., Suite A, Lansing, MI 48933.<br />
Opinions expressed in the various signed<br />
articles in this journal are those of each<br />
individual author and not neccessarily those<br />
of the editorial staff or the MOA board<br />
of directors. Advertising material accepted<br />
by the publicaiton is intended to conform<br />
with ethical optometric standards; however,<br />
advertising acceptance does not imply<br />
endorsement by the MOA.<br />
MICHIGAN OPTOMETRIC<br />
ASSOCIATION - 530 W. Ionia St., Suite A,<br />
Lansing, MI 48933,<br />
Phone: (517) 482-0616 Fax: (517) 482-1611<br />
Website: www.themoa.org<br />
E-mail: bryan@themoa.org<br />
3
The <strong>Michigan</strong> Optometrist<br />
OFFICERS AND TRUSTEES<br />
MICHIGAN OPTOMETRIC ASSOCIATION<br />
President: Matthew J. Maki, O.D., F.A.A.O.<br />
President-Elect: David S. Cook, O.D.<br />
Vice-President: J. Gregory Ford, O.D.<br />
Secretary/Treasurer: Paul A. Hodge, O.D., F.A.A.O.<br />
Immediate Past-President: Lillian T. Kalaczinski, O.D.<br />
Trustee: Elizabeth M. Becker, O.D.<br />
Trustee: Matthew A. Johnson, O.D.<br />
Trustee: Jennifer A. Lintz, O.D.<br />
Trustee: Mary E. Miller, O.D.<br />
OFFICERS AND TRUSTEES<br />
MICHIGAN FOUNDATION FOR VISION AWARENESS<br />
President: Michael S. Becker<br />
Immediate Past President: Mark P Williams, O.D.<br />
President Elect: Dr. Matthew Klein<br />
Secretary: Nancy Peterson-Klein, O.D.<br />
Treasurer: Kristine Williams<br />
Grants: Robert Nesom, O.D.<br />
<strong>New</strong>sletter Trustee: Cheryl Nametz<br />
Scholarship Trustee: Julia A. Holmes, O.D.<br />
Public Information: Robert A. Holmes, Jr.<br />
Membership Trustee: Mark Manders<br />
Trustee: Dan Wrubel, O.D.<br />
ASSOCIATION DISTRICT PRESIDENTS<br />
District No. 1: Michael J. Pack, O.D.<br />
District No. 2: Amy E. Dinardo, O.D.<br />
District No. 3: Julie L. McMullen, O.D. and<br />
Lynnette Blostica, O.D.<br />
District No. 4: Fredric D. Kapteyn, O.D.<br />
District No. 5: John W. Marohn O.D.<br />
District No. 6: Shelly D. Baker, O.D.<br />
District No. 7: Jana M. Fisher, O.D.<br />
District No. 8: Edward G. Stewart, O.D.<br />
MICHIGAN OPTOMETRIC ASSOCIATION STAFF<br />
Executive Director: Cindy A. Schnetzler<br />
Legal Counsel: Shoshie Levine; Miller, Canfield, Paddock & Stone<br />
Legislative Counsel: Steven E. Young, Erik C. Hingst<br />
Governmental Consultant Services, Inc.<br />
Office Staff: Carrie A. Barton, Bryan M. Dahl, Amy C. Possavino<br />
MICHIGAN BOARD OF OPTOMETRY<br />
Chair: D. William Lakin, O.D.<br />
Vice Chair: David C. McClintic, O.D.<br />
Members: Peter M. Agnone, O.D.; Gregory L. Patera, O.D.;<br />
Stephen P. Thompson, O.D.<br />
Public Members: William D. Dansby; Kays T. Zair.<br />
4<br />
President’s<br />
Corner<br />
A Message from MOA<br />
President<br />
Dr. Matthew J. Maki<br />
November/December, 2011<br />
www.themoa.org<br />
President’s Corner<br />
As I write this column on Thanksgiving weekend and<br />
think of the things I am personally thankful for, I am<br />
also reminded of the things I appreciate professionally.<br />
Even considering the numerous challenges we face as<br />
optometrists, there are many positive aspects that we<br />
can sometimes too easily forget.<br />
I am thankful for the nature of our profession.<br />
Optometry is consistently named as one of the most<br />
desirable occupations, based on compensation and<br />
workplace environment. The opportunity to help<br />
patients obtain the best vision possible in a pleasant and<br />
relatively low-stress (I did say relatively) setting is something<br />
most of us enjoy. Also, our patients appreciate the<br />
services we provide to enhance their vision and lives.<br />
We are currently able to practice at a level unprecedented<br />
in our profession and are being reimbursed<br />
accordingly. Considering population demographics,<br />
demand for eye care, and improving instrumentation<br />
technology, there is great optimism for this to continue.<br />
Optometry has also positioned itself as the primary<br />
provider of eye care. This will become increasingly important<br />
as forces in healthcare place more emphasis on<br />
primary care procedures. We have reached these points<br />
in large part thanks to the many volunteers in our<br />
national and state organizations. The AOA and MOA,<br />
including staff and volunteer doctors, work hard to<br />
advocate for optometry legislatively, on reimbursement<br />
issues, and public relations. We should be very grateful<br />
for the efforts these people give on our behalf.<br />
I try not to take for granted the things I am thankful<br />
for personally, knowing that circumstances can change<br />
and what is here today may be gone tomorrow. This is<br />
also true in our profession. We cannot assume the way<br />
we practice now will always continue. The best ways for<br />
each of us to ensure this continued level of practice is<br />
membership in the AOA/MOA, financially supporting<br />
AOAPAC, MOAPAC, and Grassroots Optometry<br />
(GO!), as well as volunteering for an AOA or MOA<br />
committee.<br />
My thanks to all of you and enjoy a safe and happy<br />
holiday season!
MOA <strong>New</strong>s<br />
In Memorium<br />
Dr. Douglas Baltrip<br />
Dr. Douglas W. Baltrip, MOA<br />
member since 2008 and founder/<br />
owner of Eye Care One in<br />
Monroe, Mich., passed away the<br />
morning of Nov. 17 from injuries<br />
sustained in an automobile accident.<br />
He was 43 years old. Our<br />
thoughts are with his family during this time of<br />
grief, and we thank Dr. Baltrip for his irreplaceable<br />
years of service to his profession and patients.<br />
Dr. James Hilligan<br />
Dr. James J. Hilligan, a member<br />
of the MOA for 41 years, passed<br />
away suddenly on Nov. 12 at<br />
the age of 68. A 1969 graduate<br />
of Ohio State University, Dr.<br />
Hilligan practiced for 42 years<br />
in Vassar and Saginaw. We are<br />
grateful for his many years of<br />
service to optometry, and he will<br />
be missed.<br />
Dr. Stephen L. Kolarevic<br />
Dr. Stephen L. Kolarevic, a Life<br />
Member of the MOA (44 years),<br />
passed on the morning of Nov.<br />
18 at Mercy Hospital in Cadillac.<br />
He was 76. Dr. Kolarevic<br />
no doubt touched the lives of<br />
countless colleagues and patients<br />
during his many years of service, and we are saddened<br />
by his loss but thankful for all he gave us.<br />
Are You Receiving Emails<br />
From the MOA?<br />
One of the MOA’s primary methods of communicating<br />
with members is email, in the form of the<br />
LookAround e-newsletter and individual alerts with<br />
information relevant to O.D.s. The MOA typically<br />
sends two emails each month.<br />
WELCOME<br />
NEW MOA MEMBERS<br />
Dr. John Abdella<br />
Flint, MI<br />
District 4<br />
Dr. Shea Carney<br />
Livonia, MI<br />
District 1<br />
Dr. Christina Curtis<br />
Kingsford, MI<br />
District 6<br />
Dr. Mary Espy<br />
Burton, MI<br />
District 4<br />
Dr. Neha Gulati<br />
Detroit, MI<br />
District 1<br />
Dr. Tiffany Humes<br />
Ann Arbor, MI<br />
District 7<br />
Dr. Andres Lambaria<br />
Lapeer, MI<br />
District 4<br />
Dr. Jamie McKenzie<br />
Brighton, MI<br />
District 7<br />
Dr. Robert Nagy<br />
Ann Arbor, MI<br />
District 7<br />
Dr. Jennifer Simon<br />
Kentwood, MI<br />
District 2<br />
If you are not receiving MOA emails, first check your spam filter; if the emails are not there,<br />
contact MOA Communications Coordinator Bryan Dahl at bryan@themoa.org to ensure the MOA<br />
has your correct email address on file.<br />
The MOA works to keep members updated on news, events and other areas through email.<br />
Make sure you receive and read the MOA’s electronic communcations - please keep us updated<br />
with your preferred email address.<br />
5
The <strong>Michigan</strong> Optometrist<br />
MCO Students Show Support for<br />
AOAPAC Through Fundraiser<br />
<strong>Michigan</strong> College of Optometry (MCO) students held a well-attended Wine and<br />
Cheese Tasting Fundraiser for AOAPAC on Friday, Oct. 21 at the Blue Cow in Big<br />
Rapids.<br />
Kudos to Student AOAPAC Liaison Nicholas Czinder (MCO class of 2013)<br />
and his colleagues for their initiative in organizing the event - this includes AOA-<br />
PAC Liaison-Elect Nina Collins Glauch (MCO ‘14), AOSA Trustee Joshua<br />
Smith-Hanen (MCO ‘13) and MOSA President Katie Schleef (MCO ‘13).<br />
A big thank you to the MOA members who attended and supported the event,<br />
including Drs. John J. Pole and Frederick M. Nista, WMOA President Dr. Amy<br />
E. Dinardo, MOA Trustee Dr. Mary E. Miller, and MOA Past Presidents Drs.<br />
Mark Swan, Roger R. Seelye Joseph D. Czinder and Robert L. Carter.<br />
“Most students that enter into optometry school today<br />
are not aware enough of the importance of politics in<br />
our field. I wanted to put together a fun event where<br />
I could have students and OD’s meet and discuss the<br />
importance of being politically active. Along with<br />
getting more students politically active I also wanted to<br />
raise money for the MOAPAC and the AOAPAC.<br />
For the first annual event we had a wonderful turnout<br />
with 60 people in attendance from students, O.D.s<br />
and faculty from the area and a trustee from the<br />
MOA. I look forward to the event next year.”<br />
-Nicholas Czinder<br />
(From left) Class of 2015 students Jamie Bala, Allison Ezell, Christine Mekhayel, Chelsie<br />
Rupp, and Emily Emerson.<br />
6<br />
(From left) Dr. Nista, Dr. Pole, Joshua Smith-H<br />
Nicholas Czinder,<br />
“Nick and Nina independently<br />
organized the fundraiser in conjunction<br />
with the staff at the five star<br />
Blue Cow restaurant in downtown<br />
Big Rapids. They did an excellent<br />
job in spearheading this great event.<br />
Five different wines were sampled,<br />
each accompanied by delicious,<br />
wine-specific hors d’oeuvres. It was<br />
a very enjoyable evening benefiting a<br />
great cause.”<br />
-Dr. Robert L. Carter
Charmi Shiyarwala (‘13), Dr. Carla Gilbertson, and Katie Schleef.<br />
annen, Dr. Seelye, Dr. Carter, Dr. Czinder,<br />
and Nina Collins<br />
Above photo: Lynelle Edwards, Anne St. Louis (‘13), and S<br />
onja Iverson-Hill (‘13). Right photo: Brian Sklapsky (‘13) and<br />
Paul Kimbro (‘13).<br />
“I was very pleasantly surprised by the large turnout<br />
of students, faculty members and local O.D.s for the<br />
AOAPAC fundraiser. It is gratifying to see that<br />
so many students already realize the importance of<br />
political involvement in both maintaining and advancing<br />
their future profession. MCO student leaders<br />
Nick Czinder and Nina Collins Glauch need to be<br />
recognized for their outstanding work and foresight<br />
in organizing such a successful event. Optometry appears<br />
to be in good hands with the caliber of students<br />
that were represented there that evening.”<br />
-Dr. Roger R. Seelye<br />
Kim Reich (‘14), Allison Middleton (‘14), and Alana Herron (‘13).<br />
7
The 2012 MOA<br />
Winter Seminar<br />
February 1 - 2, Kellogg Hotel & Conference Center, East Lansing<br />
The MOA is pleased to invite you to the 2012 MOA Winter Seminar, taking place Wednesday and<br />
Thursay, Feb. 1 - 2 at the Kellogg Hotel & Conference Center in East Lansing, Mich.<br />
Registration forms must be faxed or postmarked by Jan. 18, 2012 to meet the early registration deadline.<br />
The deadline to make reservations at the Kellogg Hotel is Jan. 8. Submit your registration<br />
and arrange your accomodations as soon as possible! Download the registration form from the “Save<br />
the Date” area on the MOA homepage, www.themoa.org.<br />
We are excited to offer two tracks for the first time at our Winter Seminar on Thursday. In track one,<br />
Dr. Leonard Messner will give two classes on neuro-optometry; one explains new developments,<br />
while the other is an overview specifically designed as a board review class. His remaining lecture will<br />
cover utilization and interpretation of OCT. Track two is a continuation of the AOA EHR course,<br />
the first part of which was very well-received at the MOA Fall seminar in 2010. Anyone planning<br />
their implementation of EHR will find these classes indispensable. Seats are limited for the EHR<br />
lectures, giving you another reason to register early.<br />
We look forward to seeing you at this always-enjoyable winter educational!<br />
CE Courses on Wednesday, Feb. 1<br />
COPE # 31875-AS - Anterior Segment Challenges - Marc Bloomenstein, O.D. (AS—Treatment & Management<br />
of Ocular Disease: Anterior Segment)<br />
COPE # 31149-GO - House OD: Case Reports and Video Grand Rounds - Marc Bloomenstein, O.D.<br />
(GO—General Optometry)<br />
COPE # 23554-AS - Corneal Dystrophy/Degeneration: What Every Optometrist Should Know - Marc<br />
Bloomenstein, O.D. (AS—Treatment & Management of Ocular Disease: Anterior Segment)<br />
COPE # 27880-AS - The ABC’s of Ocular Surface Disease - Marc Bloomenstein, O.D. (AS—Treatment<br />
& Management of Ocular Disease: Anterior Segment)<br />
Total CE hours = 6<br />
TRACK ONE<br />
CE Courses on Thursday, February 2, 2012<br />
COPE # 31649-NO - The Eye in Neurologic Disease - Leonard Messner, O.D. (NO—Neuro-Optometry)<br />
**This course is suitable for board review.<br />
8
COPE # 31894-PD - Optical Coherence Tomography in Macular Disease - Leonard Messner, O.D.<br />
(PD—Principles of Diagnosis)<br />
COPE # 32049-NO - <strong>New</strong> Developments in Neuro-Ophthalmology: Neuro-Ophthalmic Characteristics<br />
of Traumatic Brain Injury and Multiple Sclerosis - Leonard Messner, O.D. (NO—Neuro-Optometry)<br />
Total CE hours = 6<br />
TRACK TWO<br />
COPE # Pending - EHR Part 2: EHR Software Selection and Implementation - Phil Gross, O.D. and<br />
Jay Henry, O.D.<br />
COPE # Pending - Meaningful Use and EHR Incentive Programs Update - Phil Gross, O.D. and Jay<br />
Henry, O.D.<br />
COPE # Pending - Physician Quality Reporting System (PQRS) and e-Prescribing Made Easy -<br />
Phil Gross, O.D. and Jay Henry, O.D.<br />
Total CE hours = 6<br />
Winter Seminar Speakers<br />
Dr. Marc R. Bloomenstein is the Director of <strong>Optometric</strong> Services at the Schwartz Laser<br />
Eye Center in Scottsdale, Arizona and President of MRB Eye Consultants. He is on the<br />
editorial board of Primary Care of Optometry <strong>New</strong>s, Review of Optometry, Optometry<br />
Times, Advanced Ocular Care and a frequent contributor to various optometric journals.<br />
Dr. Bloomenstein currently serves as a board member of the Ocular Surface Society of<br />
Optometry (OSSO) and on the OCRT as well as serving as a member of the AOA Continuing<br />
Education committee. Dr. Bloomenstein has served as the President of the Arizona<br />
<strong>Optometric</strong> <strong>Association</strong>. He has delivered over 300 invited lectures worldwide and serves<br />
as a consultant to numerous industry-leading pharmaceutical, biomedical and information<br />
technology companies.<br />
Dr. Leonard V. Messner is the Vice President for Patient Care Services of the Illinois<br />
College of Optometry and serves as the Executive Director of the Illinois Eye Institute<br />
and the Illinois Eye Institute Foundation. He is a professor at the Illinois College of<br />
Optometry, a fellow of the American Academy of Optometry, and currently serves as the<br />
chair of the Diplomate Section for Neuro-Ophthalmic Disorders of the American Academy<br />
of Optometry. He is the author and co-author of numerous professional articles and<br />
textbook chapters on retina-vitreous and neuro-ophthalmic disorders, and a frequent guest<br />
lecturer in the United States and abroad.<br />
Dr. Phil Gross is currently a partner in Vision Quest Eye Care Center, a group private<br />
practice in Dover, Delaware. He first started in the computer consulting industry in 1982.<br />
He speaks and publishes nationally on topics related to technology in eye care and Electronic<br />
Health Records. As Chair of the AOA Practice Advancement Committee and Chair<br />
of the AOA Health Information Technology subcommittee, he has also published many<br />
articles on technology, e-prescribing, electronic records, Federal incentive programs and<br />
Federal legislation relating to eye care.<br />
Dr. Jay Henry is a clinical assistant professor and primary care extern preceptor for The<br />
Ohio State University College of Optometry. He currently practices at Hermann and<br />
Henry Eyecare, a group private practice in Pickerington, OH. Dr. Henry speaks nationally<br />
and has published numerous articles on topics related to electronic health records, paperless<br />
practices, e-prescribing, and ocular disease. Dr. Henry was the first optometrist in the<br />
nation to use optometric specific software for e-prescribing.<br />
9
WMOA / GO! Annual Legislative Breakfast<br />
The West <strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong> (WMOA) and Grassroots Optometry (GO!) hosted<br />
their Annual Legislative Breakfast on Oct. 31, 2011, drawing 13 West <strong>Michigan</strong> legislators and 25<br />
O.D.s. A special thank you to event Co-Chairs Drs. Mark C. Davis and James R. Spears, and<br />
GO! Coordinator Tara Paksi. The breakfast, which has been held for more than 20 years, provides<br />
an opportunity for O.D.s to educate lawmakers about optometry. Thank you, WMOA O.D.s!<br />
Sen. Goeff Hansen (R-Hart) on left and<br />
Dr. Douglas L. Totten.<br />
(From left) Dr. Davis, Rep. Roy Schmidt (D-Grand Rapids),<br />
Dr. Daniel Arsulowicz, and Rep. Brandon Dillon (D-Grand Rapids).<br />
Dr. Paul France (left) and<br />
Rep. Thomas Hooker (R-Byron Center).<br />
Sen. Mark Jansen (R-Grand Rapids) in middle and<br />
Dr. Lee R. Goodfellow on right.<br />
MOA Vice President Dr. J. Gregory Ford (left) and<br />
Sen. Arlan Meekhof (R-West Olive).<br />
Rep. Marcia Hovey-<br />
Wright (D-Muskegon)<br />
on left and<br />
Drs.<br />
Douglas L. Totten and<br />
Mary Fisher.
The <strong>Michigan</strong> Optometrist Legal Article<br />
Is Lead Paint or Asbestos Lurking in<br />
Your Office?<br />
by Attorneys Kelly Martorano, Eric Jamison 1 and Shoshie Levine<br />
Law Firm of Miller, Canfield<br />
In this article, we provide information<br />
and tips regarding lead paint and<br />
asbestos, two environmental concerns<br />
for your office that are subject<br />
to regulation and could be discovered<br />
during an office renovation or repair<br />
project.<br />
A Healthy Environment for Employees<br />
and Patients<br />
Asbestos and lead paint were both<br />
commonly used in building materials<br />
through much of the twentieth<br />
century. In 1976, Congress enacted<br />
the Toxic Substances Control Act<br />
(TSCA), 15 USC 2601 et seq. TSCA<br />
(which is pronounced Tosca, like the<br />
opera by Giovanni Puccini), granted<br />
the Environmental Protection<br />
Agency (EPA) authority to regulate<br />
chemicals and hazardous substances<br />
like lead and asbestos.<br />
Due to concerns about the neurological and<br />
developmental effects of exposure to lead in<br />
children, in 1978 the federal Consumer Product<br />
Safety Commission banned paint with a lead<br />
content exceeding 0.06% in consumer products.<br />
Congress strengthened the lead paint ban<br />
in 1992 by amending TSCA to allow EPA to<br />
regulate activities involving lead paint. Currently,<br />
EPA regulations generally focus on lead paint<br />
in residential buildings, schools, and child care<br />
facilities. Not only is lead paint prohibited from<br />
being used in those structures today, but contractors/workers<br />
for renovations, repairs, and painting<br />
where lead paint may exist are required to<br />
12<br />
be trained in a program accredited by EPA, and<br />
must take other steps, like following lead-safe<br />
practices to isolate and contain the lead paint and<br />
provide information regarding lead paint to the<br />
occupants of the structure.<br />
In 2010, EPA announced its intent to regulate<br />
the renovation, repair, and painting of other<br />
types of public and commercial buildings. What<br />
constitutes “commercial” and “public” buildings<br />
is left to be defined by EPA, but the agency<br />
is likely to define those terms broadly and to<br />
include the type of buildings that optometrists<br />
own or lease for their practices among them. In<br />
fact, EPA has indicated that its approach to lead<br />
paint in public and commercial buildings will<br />
1 Mr. Jamison is a recent graduate of Wayne State University Law School and is not yet licensed to practice.<br />
2 See 16 CFR 1303.<br />
3 See 15 USC 2681 et seq.<br />
4 See 16 CFR 1303.<br />
5 See 40 CFR 745.80 et seq.<br />
6 See 75 Federal Register 87 (May 6, 2010).
Legal Article<br />
be similar to the way it has treated lead paint<br />
in residential buildings, schools, and child care<br />
facilities. While it is unlikely that lead paint has<br />
been used recently in your building, it is possible<br />
that it may exist in older layers of paint on<br />
office walls, window sills, door jambs, and other<br />
places. As a consequence, ODs should expect<br />
in the future that if they are renovating an older<br />
office building or one known to have lead paint<br />
they are likely to have to implement many of<br />
the same practices used in residential and other<br />
child-occupied buildings when disturbing lead<br />
paint.<br />
Even if not known to exist in an office<br />
building, a contractor may also find unknown<br />
asbestos in hidden areas of office space repairs<br />
or renovations. Asbestos is a set of naturally<br />
occurring minerals that<br />
were commonly used in<br />
building materials such as<br />
insulation, floor tiles, and<br />
roofing coatings because<br />
of their fire retardant and<br />
strengthening properties.<br />
While there are health<br />
concerns associated with<br />
asbestos, they are most related<br />
to workers involved<br />
in mining, manufacturing, and demolition activities<br />
involving asbestos and not those who work<br />
in an office environment.<br />
In 1989, EPA relied on its authority in TSCA<br />
to ban the manufacture and importation of<br />
asbestos in many products. However, the ban<br />
did not require asbestos-containing materials to<br />
be removed from existing structures, like commercial<br />
office spaces. Therefore, it is not unusual<br />
to find older flooring that remained in place<br />
because it was so durable, boilers or pipes, or<br />
other areas of offices with some asbestos-containing<br />
materials. According to EPA, materials<br />
that contain asbestos that are in good condition<br />
can be left in place if it will remain undisturbed.<br />
However, if the renovations or repairs that are<br />
As healthcare practitioners and<br />
business owners, optometrists are<br />
already concerned about the<br />
wellbeing of their patients and<br />
employees. Looking into this safety<br />
issue may help meet that goal when<br />
planning repairs or renovations for<br />
your office.<br />
planned for an office will disturb asbestos or<br />
if the asbestos is in poor condition, i.e. easily<br />
pulverized to dust by hand pressure or “friable,”<br />
then EPA and occupational health and safety<br />
regulations require it to be handled by trained<br />
personnel who can identify, isolate and contain<br />
the asbestos, and use proper techniques for<br />
disposal.<br />
Tips<br />
As healthcare practitioners and business owners,<br />
optometrists are already concerned about<br />
the wellbeing of their patients and employees<br />
and following these tips may help meet that goal<br />
when planning repairs or renovations for your<br />
office:<br />
• If the building is older or there may be lead<br />
paint or asbestos in the<br />
building, hire a trained<br />
professional to identify<br />
any materials requiring<br />
worker protection or<br />
special precautions.<br />
• Ask your contractor<br />
whether there are plans<br />
in place to deal with lead<br />
paint and asbestos properly<br />
if it is discovered in<br />
the middle of the project and whether workers<br />
are provided the required personal protection<br />
equipment.<br />
• Do not ask your office staff to handle materials<br />
that could contain lead paint or asbestos and<br />
do not allow them to enter areas that are being<br />
isolated for lead paint or asbestos removal.<br />
• If you think that lead paint or asbestos is being<br />
mishandled or that there was improper exposure<br />
to those materials, consult an attorney regarding<br />
your obligations and options.<br />
For more information regarding lead paint and<br />
asbestos, EPA has websites dedicate to both<br />
topics that can be located by searching for “EPA<br />
asbestos” or “EPA lead paint.”<br />
7 Id.<br />
8 See Agency for Toxic Substance and Disease Registry, Tox FAQs for Asbestos (visited Nov. 4, 2011).<br />
9 See 40 CFR 763.160 et seq.<br />
10 See EPA Asbestos Website (visited Nov. 4, 2011).<br />
11 See 40 CFR 763.120 et seq.; 29 CFR 1926.1101 et seq.<br />
13
The <strong>Michigan</strong> Optometrist Historical Lookback<br />
The MOA Celebrates 115 Years<br />
Correction: In the September/October edition of the Historical Lookback, The <strong>Michigan</strong><br />
Optometrist erroneously listed State Sen. Joe Schwarz as an ardent supporter of optometry, when he<br />
was in fact a staunch opponent of optometric legislative initiatives, including the TPA bill mentioned in<br />
the article.<br />
This is the sixth and final installment in The <strong>Michigan</strong> Optometrist’s look back at the accomplishments<br />
that made optometry in <strong>Michigan</strong> what it is today and the work of volunteer optometrists. This information<br />
is taken from historical materials archived by the MOA, including the journal compiled by<br />
Dr. Owen R. Dueweke, a member of the MOA since 1956.<br />
<strong>New</strong> Millennium: 2000-2011<br />
2002: Effective Dec. 1, Blue Cross Blue Shield of <strong>Michigan</strong> begins reimbursing therapeutic<br />
pharmaceutical agent (TPA) certified <strong>Michigan</strong> optometrists for medical and surgical procedures<br />
within their scope of practice. The decision came as a result of negotiations between BCBSM and the<br />
MOA, including Drs. Michael G. Wallace, Peter M. Agnone, Dennis A. Olmstead, Elizabeth M.<br />
Becker, then-MOA Executive Vice President William Dansby, and then-Legal Counsel the late Kevin<br />
A. Moody. Optometrists in <strong>Michigan</strong> score a second major victory in 2002 as Governor John M Engler<br />
signs the optometric therapeutic care legislation (HB 5552) into law on Dec 13. Any topicallyapplied<br />
diagnostic pharmaceutical agent (DPA) may now be used by DPA and/or TPA certified <strong>Michigan</strong><br />
optometrists, and TPA-certified optometrists may prescribe oral pharmaceuticals as well as topical<br />
treatment drugs. Previous requirements for consultation with an ophthalmologist prior to initiation of<br />
treatment of glaucoma were removed.<br />
2007: William D. Dansby retires after 40 years<br />
as executive vice president of the MOA. On May 4, Dansby<br />
is bestowed the first Honorary Doctorate of Optometry<br />
from the <strong>Michigan</strong> College of Optometry (MCO) for<br />
the role he played in advancing pro-optometric legislation,<br />
his service on the MCO advisory committee, and his work<br />
with MCO administration, faculty and students. Then-<br />
MCO Dean Dr. Kevin L. Alexander called Dansby an<br />
“essential part of optometry in <strong>Michigan</strong> for the past 40<br />
years.” Following Dansby’s retirement, Cindy A. Schnetzler<br />
takes the reigns as MOA executive director, working to<br />
maintain the tradition and history Dansby implemented.<br />
2009-2011:<br />
Dr. Alexander (left) with William D. Dansby<br />
Groundbreaking for the new MCO building takes place in<br />
Spring, 2009 at Ferris State University (FSU), and the building opens in early 2011. The facility is the culmination<br />
of two decades of lobbying efforts, along with cooperation by the university, the MOA, GCSI,<br />
and key legislative partners to create a capital outlay from the state for construction. The funds were allocated<br />
from the state building authority through House Bill 4310 (signed into Public Act 64 ), along with a<br />
large share from FSU. The building was dedicated on June 8, during which then-AOA President Dr. Joe<br />
E. Ellis, FSU President David L. Eisler, MCO Dean Dr. Michael T. Cron, then-MOA President Dr.<br />
Lillian T. Kalaczinski, and former MCO Dean Dr. Kevin L. Alexander made remarks. The opening<br />
of the new MCO building is a fitting final entry in our Historical Lookback, as it represents a strong<br />
foundation for the future of optometry in <strong>Michigan</strong>.
MDCH and BCBSM Urge Providers to<br />
Test HIPAA Version 5010 Transactions<br />
The <strong>Michigan</strong> Department of Community<br />
Health (MDCH) and Blue Cross Blue Shield of<br />
<strong>Michigan</strong> (BCBSM) are actively testing HIPAA<br />
version 5010 transactions with trading partners.<br />
Testing is essential to ensure that all transactions<br />
meet these federally required standards<br />
by Jan. 1, 2012. This article outlines the testing<br />
initiatives for each of these organizations and<br />
provides information to assist in testing efforts.<br />
If you have not begun testing, it is not too late<br />
to start now. Testing should be completed well<br />
before the January implementation date.<br />
MDCH<br />
MDCH is testing version 5010 transactions with<br />
Medicaid Fee for Service (FFS) providers and<br />
Managed Care Health Plans. Trading partners<br />
should first conduct Stage 1 transaction testing<br />
through the MDCH web-based, self-service testing<br />
tool, Ramp Manager. Once this is completed,<br />
trading partners are invited to send test transactions<br />
to the MDCH B2B test system for processing<br />
and reporting, Stage 2 testing.<br />
To date, just over 50 percent of MDCH trading<br />
partners have logged into the Ramp Manager<br />
web site and begun the process of B2B testing.<br />
Testing starts with downloading testing instructions<br />
and Companion Guides. About 21 percent<br />
of MDCH billing agents have started Stage 1<br />
testing of 837 transactions through Ramp Manager<br />
and 15 percent have completed Stage 1 837<br />
testing. Only about 7 percent have begun Stage 2<br />
testing by uploading test 837 transactions to the<br />
DEG, with only 1 percent having successfully<br />
completed B2B Testing with MDCH. MDCH<br />
will not use a phased in approach for accepting<br />
version 5010 transactions. All transactions<br />
received after January 1, 2012, must be in the<br />
version 5010 transaction format. All outbound<br />
transactions created by MDCH after January<br />
1, 2012, will be in the version 5010 transaction<br />
format. Trading partners should be testing with<br />
MDCH now.<br />
B2B Testing Instructions, Companion Guides,<br />
and other helpful information are published at<br />
www.<strong>Michigan</strong>.gov/5010ICD10. For any questions<br />
Remember to visit the CMS website<br />
for ICD-10: www.cms.gov/ICD10, for the<br />
latest news and resources to help you<br />
meet the Jan. 1, 2012<br />
implementation deadline!<br />
or additional B2B testing information, email<br />
MDCH-B2B-Testing@<strong>Michigan</strong>.gov.<br />
BCBSM<br />
Since January 2010, BCBSM has participated<br />
in forums, presentations and hosted webinars<br />
with providers, vendors and clearinghouses to<br />
give updates on implementation progress. Test<br />
dates have been actively scheduled with software<br />
vendors and clearinghouses to ensure they are<br />
on track to meet the January 1, 2012 version<br />
5010 compliance deadline. To date, 68 percent<br />
of BCBSM trading partners have started Phase 1<br />
testing with 37 percent successfully passing and<br />
proceeding to the second phase of B2B testing.<br />
BCBSM ranked their top vendors and software<br />
developers based on claim volume for a<br />
two-phased testing process. A trading partner<br />
must pass both testing phases before they can<br />
be promoted to production. Testing phases are<br />
Phase I, HIPAA Validator testing to check compliance<br />
and Phase II, Subsystem testing beginning<br />
in September 2011 for 837P and 835. Once<br />
a trading partner is approved they are deployed<br />
to production. Once deployed, all future transactions<br />
may be sent in the version 5010 format.<br />
BCBSM deployment to production will be<br />
done by transaction. BCBSM will operate in<br />
a dual environment accepting both version<br />
4010A1 and version 5010 transactions from<br />
September – December 31, 2011.<br />
Visit the BCBSM website,<br />
www.bcbsm.com/provider/hipaa_npi/index.shtml for<br />
a timeline, frequently asked questions and other<br />
resources.<br />
For any questions or additional BCBSM B2B<br />
Testing information, email<br />
ebigbusiness5010support@bcbsm.com.<br />
15
The <strong>Michigan</strong> Optometrist<br />
Will We Recognize the MOA<br />
10 Years from Now?<br />
by Dr. David S. Cook, MOA President-Elect<br />
The <strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong><br />
membership may be a shadow of our current<br />
level in ten years. 245 current MOA<br />
members are age 56 or older and will hit<br />
retirement age within the next 10 years.<br />
That is 27 percent of our membership that<br />
may no longer be with our association as<br />
full members by 2021! A loss of membership<br />
of that magnitude would surely effect<br />
how the MOA does business and how<br />
effective our association can be for our<br />
profession. It is imperative that the MOA<br />
grow its membership before we lose this<br />
large portion of our membership base.<br />
Let’s look at the numbers more closely. There<br />
are 1,495 licensed optometrists in <strong>Michigan</strong>. 900<br />
of those are members in our association which<br />
equates to a 60 percent membership rate. There<br />
are 913 doctors licensed in <strong>Michigan</strong> that are between<br />
the ages of 30 and 55. Only 53 percent or<br />
486 of these doctors are MOA members statewide.<br />
If we focus on the largest concentration of<br />
licensed optometrists in our state which is Wayne,<br />
Macomb, and Oakland counties, we find that<br />
just 31 percent or 143 of the 461 doctors in this<br />
region are MOA members. Of the 296 licensed<br />
doctors age 30-55 in this region, 109 are members<br />
for 37 percent membership rate. This region has<br />
great potential for MOA membership growth.<br />
The MOA and its members need to increase<br />
our efforts to reach out to non-member doctors<br />
and help them to see the value in what our association<br />
does for them. MOA Secretary/Treasurer<br />
Dr. Paul A. Hodge likens MOA membership to<br />
an insurance policy for our profession. He tells<br />
non-members that they would never practice optometry<br />
without malpractice insurance and they<br />
should look at MOA membership the same way.<br />
16<br />
November/December, 2011<br />
www.themoa.org<br />
MOA Voices<br />
Our state and national<br />
associations can work tirelessly to<br />
bolster our ranks, but ultimately it is<br />
the relationships that we have with<br />
one another that will bring<br />
non-member doctors into<br />
organized optometry.<br />
The MOA membership committee will be<br />
rolling out a program aimed to help employed<br />
doctors become members with the help of their<br />
employer, which should improve membership<br />
rates across the state, but especially in the greater<br />
Detroit area. The MOA also focuses heavily on<br />
new graduates while they are still in school to engrain<br />
the understanding that our profession needs<br />
them as MOA members. The MOA and AOA<br />
have many other programs aimed at membership<br />
development.<br />
Each of us know a colleague that is not a member<br />
of the MOA. Our state and national associations<br />
can work tirelessly to bolster our ranks, but<br />
ultimately it is the relationships that we have with<br />
one another that will bring those non-member<br />
doctors into organized optometry. Please reach<br />
out to that doctor that you know who is not an<br />
MOA member and let them know that our profession<br />
needs their involvement. The consequences<br />
for not increasing our membership rates could be<br />
dire and here in the blink of an eye.
MOA <strong>New</strong>s<br />
“The Power of Positivity” a Good Read<br />
for O.D.s<br />
by Dr. John R. Dunn, MOA Member, Farmington Hills<br />
I would like to recommend a new e-book written<br />
by a fellow optometrist, Dr. Fred Von<br />
Gunten, titled The Power of Positivity.<br />
Dr. Von Gunten is 69 and suffers from bipolar<br />
disorder. He retired from active practice<br />
more than 12 years ago. He specialized in developmental<br />
and behavioral vision for more<br />
than 33 years. He has been happily married to<br />
his wife Linda for 47 years, who has supported<br />
him during his bipolar episodes, and he feels<br />
that he owes his life to her. With so many years<br />
of experience living with bipolar disorder, his<br />
knowledge and experience helped him to write<br />
this book.<br />
After living with Bipolar I for 50 years, Dr.<br />
Von Gunten’s mission is to help others in<br />
achieving emotional stability without episodes.<br />
For the first 25 years he dealt with several episodes,<br />
and since then, he has transformed his<br />
life by changing his thoughts and committing<br />
to a consistent supply of the mood stabilitizer,<br />
Lithium. He is very proud that he has maintained<br />
years of “episode-free emotional stability.” Perhaps,<br />
some would classify this as “functional bipolar,”<br />
but he might classify it as “functionally<br />
cured.” He was one of the first to receive Lithium<br />
when the FDA approved it in 1971. It has kept<br />
him stable for the last 27 years, along with knowing<br />
the “power of positivity.”<br />
Learning to develop the power of positivity in<br />
his life, Dr. Von Gunten encountered many challenges<br />
while dealing with his bipolar disorder. His<br />
e-book explores these challenges and how he ultimately<br />
achieved episode-free stability. In Power of<br />
Positivity, he presents the numerous sources that<br />
were an inspiration to him and led him to a positive<br />
state of mind. After dealing with biopolar disorder<br />
for so long, he has written this book to help<br />
others achieve long-term stability.<br />
November/December, 2011<br />
www.themoa.org<br />
Anyone who would like to know how they can<br />
apply the “power of positivity” to their life may<br />
want to take a look.<br />
Download Power of Positivity from:<br />
www.smashwords.com<br />
www.amazon.com<br />
Compatibile with your<br />
• Kindle<br />
• iPhone<br />
• iPad<br />
• PC<br />
• Many other e-reading devices.<br />
17
The <strong>Michigan</strong> Optometrist MOA <strong>New</strong>s<br />
Optometrists Provide Eye Care for<br />
Low-Income Health Clinic<br />
Reprinted from Catherine’s Headlines, the<br />
newsletter of Grand Rapids-based Catherine’s<br />
Health Center, which provides medical<br />
services to people in need. Dr. Mark C.<br />
Davis is an MOA past president.<br />
Over the past nine months in the new<br />
clinic, Catherine’s Health Center has<br />
been bustling with new volunteers,<br />
expanding services and working hard<br />
to create new programs, partnerships<br />
and opportunities for patients.<br />
Since January 2011, Catherine’s has<br />
welcomed more than 100 new volunteers<br />
and logged more than 5,500 hours<br />
of volunteer service.<br />
Among the new programs, the clinic initiatied<br />
in August a new eye care program under the<br />
leadership of optometrist Dr. Mark C. Davis.<br />
Because essential eye services often are difficult<br />
for uninsured patients to access, the implemenation<br />
of in-house eye care allows Catherine’s to<br />
offer patients such critical services as routine<br />
diabetic eye exams and screening for glaucoma,<br />
macular degeneration and other chronic diseases<br />
affecting eye health.<br />
Dr. Davis has worked as a Grand Rapids optometrist<br />
for the past 30 years. Over the past<br />
18<br />
Dr. Mark Davis with patient Cynthia in the Catherine’s Health Center eye<br />
exam room.<br />
November/December, 2011<br />
www.themoa.org<br />
several months, he has worked extensively to<br />
help secure supplies, medicines, equipment and<br />
new volunteers at the health center. Advocating<br />
on Catherine’s behalf to local organizations and<br />
networking with local optometrists, he has played<br />
an instrumental role in forming partnerships<br />
with both the West <strong>Michigan</strong> <strong>Optometric</strong><br />
<strong>Association</strong> (WMOA) for volunteer recruitment<br />
and the <strong>Michigan</strong> Foundation for Vision<br />
Awareness (MFVA), which generously donated<br />
the state-of-the-art eye examination equipment.<br />
Catherine’s will be expanding patient eye care<br />
hours over the coming months as the program<br />
continues to grow.
MOA November Press Release<br />
Majority of Americans Lack<br />
Awareness of Diabetic<br />
Eye Disease<br />
The MOA utilized National Diabetes Awareness<br />
Month to urge Americans living with diabetes to<br />
schedule yearly comprehensive eye exams to help<br />
detect diabetic eye disease.<br />
Since diabetes is the leading cause of new cases<br />
of blindness in adults 20-74 years of age, early<br />
detection is critical. Each year, 12,000 – 24,000<br />
people lose their sight because diabetic eye disease<br />
rarely has early warning signs. Detection begins<br />
with having a dilated eye examination every<br />
year to check for signs of diabetic eye disease and<br />
following a course of action recommended by an<br />
optometrist.<br />
Results from the AOA’s 2011 American Eye-<br />
Q® consumer survey revealed that 55 percent of<br />
people are unaware that diabetic eye disease often<br />
has no visual signs or symptoms. Additionally, 44<br />
percent of Americans don’t know that a person<br />
with diabetes should have a comprehensive eye<br />
exam once a year.<br />
“When optometrists dilate a patient’s eyes during<br />
an eye exam, they have a clear view of the<br />
retina and can look for indications of diabetic eye<br />
disease, such as leaking blood vessels, swelling<br />
and deposits within the retina,” said Dr. Matthew<br />
Johnson an MOA trustee and practicing optometrist<br />
at the Battle Creek VA Medical Center. “Optometrists<br />
often serve as the first line of detection<br />
for diabetes, since the eye is the only place in<br />
the body that blood vessels can be seen in their<br />
natural condition without having to surgically cut<br />
through skin.”<br />
Without yearly comprehensive eye exams, conditions<br />
such as diabetic retinopathy can go unnoticed<br />
by patients until the disease has further pro-<br />
November/December, 2011<br />
www.themoa.org<br />
gressed towards blindness. Diabetic retinopathy is<br />
also linked to increased risk of kidney, heart and<br />
nerve disease, making its earlier detection even<br />
more important.<br />
“A patient with diabetes can help prevent or<br />
slow the development of diabetic retinopathy by<br />
taking prescribed medication as directed, sticking<br />
to a healthy diet, exercising regularly, controlling<br />
high blood pressure and abnormal blood cholesterol<br />
levels, and avoiding alcohol and smoking,”<br />
Dr. Johnson said. “Once the disease develops,<br />
the potential for significant vision loss can be<br />
dramatically reduced by more aggressive blood<br />
sugar, pressure and cholesterol control and timely<br />
referral for laser treatment, when appropriate. In<br />
addition, newer medications for retinopathy have<br />
recently been shown to be very effective for preserving,<br />
and sometimes improving vision. The key<br />
is to detect the problem early so that the chances<br />
of maintaining good eyesight are maximized.”<br />
Several factors influence whether someone with<br />
diabetes develops diabetic retinopathy. These<br />
include poor blood sugar, blood pressure, and<br />
blood lipid control, the length of time with diabetes,<br />
race and family history. However, the majority<br />
of people diagnosed with diabetes will have<br />
some degree of retinopathy within twenty years<br />
of diagnosis.<br />
“By the year 2020, the number of people suffering<br />
from diabetic eye disease is expected to<br />
nearly double,” Dr. Johnson said. “To that end,<br />
the fact that eye diseases like diabetic retinopathy<br />
often progress silently, without symptoms, must<br />
become common knowledge.”<br />
Image: graur codrin / FreeDigitalPhotos.net<br />
ABOUT MOA PUBLIC RELATIONS:<br />
The MOA issues a press release to <strong>Michigan</strong> media each month. The releases are based on national<br />
campaigns conducted by the AOA and their public relations firm, Hill & Knowlton, which are customized<br />
for <strong>Michigan</strong> and feature in-state MOA members as spokespeople. Visit the Media Center at www.<br />
themoa.org and watch MOA email communications for copies of the releases.<br />
If you are interested in becoming a media-trained spokesperson for the MOA, please contact MOA<br />
Communications Coordinator Bryan Dahl at bryan@themoa.org for more information.<br />
19
The <strong>Michigan</strong> Optometrist<br />
<strong>New</strong> Year’s <strong>Resolutions</strong> for<br />
Health Care Providers<br />
by Drs. Ryan P. Ames and Charles B. Brownlow<br />
It’s time for health care providers to make some<br />
<strong>New</strong> Year’s resolutions and, unlike most other<br />
people most other years, it’s time for you to actually<br />
follow through on those resolutions. I’ll bet all<br />
or most of you have made the following pledges<br />
to yourselves in previous years. Make 2012 the<br />
first year where you not only keep your resolutions,<br />
you actually complete them before the year<br />
begins! Fat chance? No chance unless you try.<br />
Here are our suggested resolutions; PMI’s Four-<br />
Step Plan for each of you. Thanks for asking...<br />
1. First, it’s time to take a look at your current<br />
fee schedule and decide<br />
whether your current fees<br />
match your feelings of the<br />
values of your services. It<br />
will be difficult, if not impossible,<br />
to negotiate with<br />
an insurance company for<br />
better fees if you are not<br />
confident that your fees<br />
are appropriate to their<br />
value to your patients. Believe me, based on PMI’s<br />
fee surveys, ODs’ averages are way below the averages<br />
for surveys of OMDs’ fees.<br />
2. Second, it’s time to review your internal protocols<br />
for providing care, including the way you<br />
collect data, how you decide which tests to do for<br />
each patient, how you keep records of each visit<br />
and each procedure, and how you record the diagnoses<br />
and management options you choose for<br />
each case. Obviously, if you haven’t already created<br />
such guidelines for doctors and staff in your<br />
practice, now is the time to do it.<br />
3. Third, it’s time to realize that many doctors<br />
are being audited and you probably will be, too.<br />
An audit consists of a review of a doctor’s compliance<br />
with the national rules relative to medical<br />
record keeping and the rules of the payer doing<br />
20<br />
November/December, 2011<br />
www.themoa.org<br />
Ask the Coding Experts<br />
the audit. Each of you should be reviewing the<br />
definitions for the twenty or so CPT codes you<br />
use most frequently, as well as the Documentation<br />
Guidelines for the Evaluation and Management<br />
Services, 1997. You might even want to do<br />
an internal audit of your charts and choices of<br />
codes. PMI can provide you with the tools you<br />
need (free, brownlowod@aol.com) or PMI can do<br />
the audit for you (Not free, but certainly affordable,<br />
www.pmi-eyes.com). Good medical records begin<br />
with good patient care and enhance that care.<br />
Consider adopting these caveats for every patient<br />
encounter:<br />
• Carefully interview the patient to learn why she/<br />
he is in the office (chief<br />
None of these activities is<br />
painful, but every one of them<br />
depends upon you to take the<br />
first steps to ensure that 2012<br />
represents the light at the end of<br />
the tunnel.<br />
complaint/reason for<br />
visit). Many audits<br />
come out badly because<br />
no reason for visit is<br />
recorded or what’s recorded<br />
doesn’t match<br />
the complexity of the<br />
record<br />
• Customize questions<br />
in the case history and elements of the physical<br />
examination to match the needs of the patient,<br />
adjusting each as you gain more information<br />
throughout the history and examination<br />
• Provide the care the patient needs that day, no<br />
more, no less<br />
• Keep a detailed, accurate record of all that is<br />
done during the visit, being careful to do only the<br />
tests that are necessary for that patient, that day,<br />
and to record only data that was actually done that<br />
day…Don’t automatically populate fields of the<br />
medical record from data gathered at an earlier<br />
visit<br />
• Record only the diagnosis codes that are germane<br />
to the visit; not a list of all diagnoses the<br />
patient has ever had<br />
• Choose office visit and procedure codes according<br />
to the rules and definitions in Current Procedural<br />
Terminology (CPT) and the Documenta-
Ask the Coding Experts<br />
tion Guidelines.<br />
4. Fourth, it’s time to pull out the your<br />
provider agreements for all the insurers<br />
that you are contracted with. Review them<br />
with all the doctors and key staff in your<br />
practice to see which you want to renew,<br />
which ones you want to cancel, and which<br />
may be worth the effort to negotiate improvements.<br />
Don’t wait for a neighboring<br />
O.D. to tell you about the results of her/<br />
his negotiations. Take action on your own<br />
and see how good it feels to tell a crappy<br />
insurance plan that you won’t accept their<br />
meager payments any more, and/or how<br />
good it feels when they actually offer favorable<br />
changes to keep you as a provider.<br />
None of these activities is painful. They<br />
don’t require that you lose weight, give up<br />
your favorite foods or beverages, or take<br />
night classes at the local tech college. However,<br />
every one of them depends upon the<br />
person in the mirror; you; to take the first<br />
steps to ensure that 2012 truly does represent<br />
the light at the end of the tunnel and<br />
not the headlight of a fast-approaching<br />
diesel locomotive! Who knows, the light<br />
may even represent the dawn of a new day<br />
for your practice; peaceful and tranquil;<br />
free from any unpleasant challenges or<br />
threats…Nah! They’ll be there, but you’ll<br />
be able to handle them better, assuming<br />
you’ve completed steps 1-4 above! Bring<br />
on the <strong>New</strong> Year!<br />
Dr. Brownlow is a Wisconsin-licensed optometrist<br />
with 20 years experience in private eye care practices,<br />
working with both optometrists and ophthalmologists.<br />
He has presented over 400 lectures on<br />
medical record keeping and other practice management<br />
issues in 50 states and has served as a consultant<br />
for several major health care manufacturers,<br />
consulting groups, and insurers. He is the founder<br />
of PMI, LLC.<br />
Dr. Ames is the managing owner of Northshore<br />
Eye Care, a three doctor, two location practice<br />
in Oshkosh & Omro, Wisconsin. He is the<br />
Medical Records Consultant for PMI, LLC.<br />
November/December, 2011<br />
www.themoa.org<br />
21
The <strong>Michigan</strong> Optometrist GCSI Article<br />
A Look at Key Events from<br />
the Past Year<br />
by Erik Hingst and Steve Young<br />
Governmental Consultant Services, Inc.<br />
The 2011 portion of the current legislative session<br />
is winding down. The nine session days scheduled<br />
for December will have been completed when<br />
this article appears. But it is worth noting some<br />
key events that took place during 2011.<br />
RECALLS<br />
After a flurry of activity early in the year involving<br />
education reform, local government reform<br />
and tax reform, some were happy, others were<br />
not. Most notably the public sector unions (read:<br />
<strong>Michigan</strong> Education <strong>Association</strong>) were very upset<br />
with the significant reforms pushed through<br />
in the education and local government area. This<br />
resulted in a bevy of re-<br />
call efforts across the state<br />
aimed primarily at Republicans<br />
in the House and<br />
Senate who supported<br />
Gov. Rick Snyder’s agenda<br />
in these areas.<br />
Over 50 recall efforts<br />
were started in Republican House and Senate districts<br />
across the state. This is an unprecedented<br />
number of recalls. Republicans, not to be outdone,<br />
started some recall efforts of their own in a<br />
handfull of Democratic districts across the state<br />
as well. Bottom line: mass confusion as legislators<br />
waited to see if signature gathering efforts in their<br />
respective districts would be successful.<br />
Ultimately, the only recall effort that was actually<br />
on the ballot involved Rep. Paul Scott (R-51,<br />
Grand Blanc), the Chair of the House Education<br />
committee, through which many of the education<br />
reform measures passed. He was obviously<br />
a prime target for the MEA. His recall was scheduled<br />
for the Nov. 8 ballot. A vigorous campaign<br />
ensued, some say over a million dollars was spent,<br />
and the recall was billed as a referendum on the<br />
Governors (and hence the Republican House and<br />
Senate) reform agenda. Others dismissed the recall<br />
as public sector unions trying to protect their<br />
turf.<br />
On Nov. 8, the deeply divided voters of the 51st<br />
House district recalled Rep. Scott by a vote of<br />
12,284 to 12,087. In other words, out of close to<br />
25,000 votes cast, he was recalled by a mere 197<br />
votes.<br />
At this point an uneasy truce has settled over<br />
the Capitol. It is still unclear what the successful<br />
recall means or the impact it will have. But<br />
a couple observations are in order. First, the recall<br />
did not change the balance of power in the<br />
House. Republicans remain very much in control<br />
by a margin of 66-42 (two vacancies now exist).<br />
Second, Republicans seem more committed than<br />
ever to pushing a tough reform agenda that includes<br />
significant struc-<br />
More than 50 recall efforts were<br />
started in Republican House and<br />
Senate districts across the state this<br />
year; an unprecedented number.<br />
Stay tuned.<br />
tural changes to state<br />
government.<br />
Was this a tempest<br />
in a teapot? Time will<br />
tell as we move forward<br />
into the 2012 part of<br />
this two year session.<br />
HEALTH EXCHANGES<br />
As expected, the Senate passed their version of<br />
the Health Care exchange (SB 693) required by<br />
the Patient Protection and Affordable Care Act<br />
(PPACA), the federal health care legislation. SB<br />
693 is called the MiHealth Marketplace Act. Chairman<br />
of the Senate Health Policy Committee, Jim<br />
Marleau (R-12, Lake Orion) has admonished us<br />
many times to forever ban health exchange from<br />
our lexicon!<br />
In any event, SB 693 provides for the establishment<br />
of the MiHealth Marketplace, a nonexclusive<br />
clearinghouse for health benefit plans. Specifically,<br />
the bill would do the following:<br />
• Require the Marketplace to foster a competitive<br />
market for health insurance in <strong>Michigan</strong>,<br />
and serve as a market facilitator to promote<br />
the purchase and sale of qualified health<br />
plans and to disseminate information regard-
GCSI Article<br />
ing those plans to consumers.<br />
• Create the MiHealth Marketplace Board to<br />
organize and govern the Marketplace, and<br />
require a majority of the Board members<br />
to represent the interests of health care<br />
consumers.<br />
• Require the Board to establish the Marketplace<br />
as a nonprofit corporation.<br />
• Require the Board to appoint an executive<br />
director to manage the Marketplace.<br />
• Require the Marketplace to make “qualified<br />
health plans” available for purchase<br />
and enrollment by qualified individuals<br />
and employers by January 1, 2014.<br />
• Require the Marketplace to establish a<br />
small business health options program<br />
(SHOP) through which qualified employers<br />
could provide coverage for their employees<br />
and federally recognized Indian<br />
tribes could provide coverage for their<br />
tribal members.<br />
• Prescribe financial integrity requirements<br />
for the Marketplace.<br />
• Require the Marketplace to contract with<br />
the Office of Financial and Insurance<br />
Regulation (OFIR) to certify health benefit<br />
plans as qualified health plans that could<br />
be offered through the Marketplace.<br />
• Specify that the Act would not authorize<br />
the Marketplace to spend State funds.<br />
• Authorize the Marketplace to charge assessments<br />
or user fees to participating<br />
health carriers to support its operations.<br />
• Require the Marketplace to submit to the<br />
OFIR Commissioner and the Legislature a<br />
proposed rate increase and its justification<br />
for the proposal, and allow the Commissioner<br />
to reject it as unnecessary within 60<br />
days.<br />
Continued on page 26...<br />
Steve Young is a<br />
GCSI director with<br />
extensive experience<br />
in the lobbying and<br />
political realms.<br />
Erik Hingst is<br />
a GCSI lobbyist<br />
and expert on<br />
tax policy.<br />
Local action.<br />
Statewide Impact.<br />
GO! is a network of volunteer optometrists<br />
that strengthens our profession’s relationship<br />
with <strong>Michigan</strong> legislators through interaction<br />
and financial support at the community level.<br />
Volunteer for GO! and you will support prooptometric<br />
legislators and candidates in your<br />
district when called upon by your GO! Team<br />
Leader.<br />
The MOA is counting on you!<br />
Please have the Team Leader from my<br />
district contact me about how I can help.<br />
I will make a pledge of $________ to<br />
support pro-optometric legislators and<br />
candidates for 2012.<br />
Name: ___________________________________<br />
Signature: ________________________________<br />
Home Address: ____________________________<br />
_________________________________________<br />
Home Phone: _____________________________<br />
Email: ___________________________________<br />
Business Address: _________________________<br />
_________________________________________<br />
Business Phone: ___________________________<br />
Your Senator’s Name (if known):<br />
_________________________________________<br />
Your Representative’s Name (if known):<br />
_________________________________________<br />
Thank you for your commitment!<br />
PLEASE COMPLETE AND RETURN TO THE GO!<br />
OFFICE: FAX 517-371-1170.<br />
23
The <strong>Michigan</strong> Optometrist<br />
24<br />
November/December, 2011<br />
www.themoa.org<br />
MOA <strong>New</strong>s<br />
Utilize AOA’s EyeLearn Site to Find<br />
Board Certification Review Courses<br />
MOA members looking for classes that will help them prepare<br />
for the American Board of Optometry’s certification exam may<br />
find opportunities through the AOA’s online portal EyeLearn.<br />
AOA launched EyeLearn earlier this year to serve as an easy-touse<br />
tool for O.D.s to find CE and other courses.<br />
Visit the EyeLearn site at www.aoa.org/x18361.xml, or click the banner on the MOA homepage,<br />
www.themoa.org. On the EyeLearn site under “Quick Links” is a link to a listing of Board Certification<br />
Review Courses.<br />
MCO Dean Dr. Michael Cron Announces<br />
Retirement<br />
Dr. Michael T. Cron, dean of the <strong>Michigan</strong> College of Optometry<br />
(MCO), has announced his retirement effective Aug. 23, 2012.<br />
In a university-wide email issued Nov. 14 from Fritz J. Erickson, provost<br />
and vice president for academic affairs at Ferris State University,<br />
Erickson thanked Dr. Cron for his “passion for working with students<br />
and his leadership, [which] will surely be missed at Ferris.”<br />
During his 34 years with MCO, beginning as an adjunct clinical<br />
professor to his service as dean, Dr. Cron had the opportunity to work<br />
with every class that has graduated from the college, and was responsible<br />
for overseeing and helping coordinate the construction of and<br />
move into MCO’s new $26.7 million state-of-the-art facility.<br />
The MOA thanks Dr. Cron for his many years of service to optometry<br />
in <strong>Michigan</strong>, and to ensuring that new generations of optometrists<br />
are well-prepared for their profession.<br />
Diabetes Awareness Event Held<br />
at State Capitol<br />
A diabetes awareness event was held Nov. 9 at the Capitol Building in Lansing, organized by the<br />
National Kidney Foundation. MOA member Dr. Krystal K. Kempf was present at the MOA booth<br />
to share information about diabetic eye disease and the importance of regular visits to an eye care<br />
professional for people living with diabetes. The event was held in tandem with National Diabetes<br />
Awareness Month.<br />
The event featured a program during which legislators, veterans, health professionals and families<br />
share information about learning to live with diabetes, risk factors, and other items.<br />
The MOA issued a press release on the topic of diabetic eye disease on Nov. 1 (see page 19).<br />
AOA Increasing Dues for 2012<br />
In a memo from the AOA dated Sept. 30, the AOA board of trustees approved a dues increase of<br />
$35 effective Jan. 1. The special dues assessment of $85 will remain in effect for the 2012 membership<br />
year. There will be no increase for MOA dues in 2012.
MOA <strong>New</strong>s<br />
Division Corner:<br />
Administrative Division<br />
Each issue, The <strong>Michigan</strong> Optometrist provides an update<br />
from a different MOA Division. For this edition, we check<br />
in with the Administrative Division. <strong>New</strong> committee members<br />
are always needed! Contact MOA Trustee<br />
Dr. Jennifer A. Lintz (lintzjen@yahoo.com) if you are<br />
interested in participating.<br />
Awards Committee: The Awards Committee<br />
bumped the deadline for MOA Award nominations<br />
up to Nov. 1 this year, and received several nominations<br />
across the award categories. The Committee is<br />
working to determine the recipients, and the awards will be presented during the MOA Winter Seminar,<br />
Feb. 1-2 at the Kellogg Center in East Lansing. Registration forms for this event are available on<br />
the MOA website, www.themoa.org.<br />
Practice Standards & Professional Ethics Committee: This committee met on Nov. 29, and<br />
voted unanimously to adopt the AOA’s recently revised Standards of Professional Conduct. The<br />
committee is now drafting a Resolution on which the MOA House of Delegates will vote during its<br />
annual Business Meeting, which if passed will adopt the AOA conduct standards for the MOA. The<br />
MOA Annual Meeting and Spring Seminar will take place May 9 - 10 at the MOA Annual Meeting<br />
and Spring Seminar in Grand Rapids.<br />
Professional Development Committee: This committee will work over the course of the year to<br />
promote and maintain relationships with other health care professionals, and to foster communication<br />
and cooperation between groups.<br />
November/December, 2011<br />
www.themoa.org<br />
25<br />
N<br />
Th<br />
M<br />
pa<br />
of<br />
an
The <strong>Michigan</strong> Optometrist<br />
Classifieds<br />
BUYING OR SELLING A PRACTICE?<br />
- Allow an attorney experienced in the sale and<br />
acquisition of optometric practices to assist you.<br />
Tax, estate planning, collection work and other<br />
legal services also available. Services offered<br />
statewide. Currently seeking new listings for<br />
practices for sale. Contact Norman L. Sandles,<br />
Attorney/Broker at (248) 540-2741.<br />
FOR SALE: Medical hydraulic table, holds<br />
three instruments. $3000. Please call Lori at<br />
(734) 429-4885 or email information@cvcicare.<br />
com.<br />
INCREASE REVENUE FROM WITHIN<br />
YOUR OFFICE WITHOUT COSTLY AD-<br />
VERTISING:<br />
*The Program is entitled “Back to Basics –<br />
How to Increase Revenue”;<br />
*The Program works well for OD’s, MD’s &<br />
Opticians;<br />
*It is a 6-hour to 10-hour Program that takes<br />
place in your office & includes the doctor & the<br />
entire staff; and<br />
*The cost is very reasonable.<br />
Please call Donald M. Borsand, O.D., Professional<br />
Consultant for a free one hour telephone<br />
discussion (your issues-your potential needs) at<br />
(248) 423-0731 or cell at (248) 379-3232.<br />
PRACTICE FOR SALE: Well established<br />
optometric practice in southwest MI. Over 100<br />
November/December, 2011<br />
www.themoa.org<br />
Classifieds<br />
years of service to the community. Loyal patient<br />
base, fully equipped; turn-key operation. Excellent<br />
opportunity for someone looking to start a<br />
practice or expand an existing practice. Owners<br />
anxious to sell. Interested parties may contact<br />
Dr. Gregory Dotson for more information.<br />
Send email inquiries to gdotsonod@sbcglobal.<br />
net.<br />
FOR SALE: Thriving private practice in<br />
“Thumb”, Sandusky, <strong>Michigan</strong>. Decades solid<br />
and increasingly growing patient base. Perfect<br />
downtown location includes building. Contact:<br />
(810) 404-7891.<br />
OPTOMETRIST: Western <strong>Michigan</strong> University.<br />
The Unified Clinics at Western <strong>Michigan</strong><br />
University is seeking an optometrist to practice<br />
in its Vision Clinic. This is a term position that<br />
is benefits eligible and the hours would be established<br />
by the optometrist. Qualifications: The<br />
candidate must possess an optometric degree<br />
from an accredited program and must either be<br />
certified in low vision optometry or be in the<br />
process of having low vision certification within<br />
90 days of hire. Primary responsibilities will be<br />
general optometric exams. WMU offers competitive<br />
pay and a good working environment.<br />
Please send resume to: Coordinator, WMU<br />
Vision Clinic, 1000 Oakland Drive, Kalamazoo,<br />
MI 49008, or email resume to Charles.adams@<br />
wmich.edu. WMU is an EO/AA employer.<br />
Classified ads are a service for O.D.s or companies seeking help at a practice, looking to sell a practice or equipment, or offering<br />
other optomety-related services. MOA members receive a discount on the cost of submitting classified ads. Those interested in<br />
submitting a classified ad must complete the agreement form which may be downloaded from the MOA website (www.themoa.org).<br />
Contact MOA Member Services Coordinator Carrie Barton of the MOA with questions at 517-482-0616, or carrie@themoa.org.<br />
Continued from page 23...<br />
The <strong>Michigan</strong> House is taking a different approach. It has put the brakes on passing anything related<br />
to PPACA until the US Supreme Court rules this coming summer on the constitutionality of the whole<br />
act. It looks like it will be a waiting game in the House for the time being.<br />
ELECTIONS-<br />
Just when you thought it was safe to go outside, we face elections in 2012. The state House will be up<br />
as will members of congress and of course the president. These elections will have a definite impact<br />
on implementation of PPACA as well. <br />
26
2011 MOA Legislative Advocacy<br />
There are several ways for O.D.s to support MOA and AOA legislative advocacy efforts and get personally<br />
involved in these activities. MOA member participation is crucial for the protection of optometry in <strong>Michigan</strong><br />
and nationwide, as well for the patients who visit optometrists for high-quality eye care.<br />
<strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong> Political Action Committee (MOA-<br />
PAC): Contributions to MOAPAC support pro-optometric legislators in the<br />
<strong>Michigan</strong>. Building relationships with these legislators helps give optometry a<br />
voice in issues that affect optometry, such as changes to health care laws.<br />
Contact: Dr. Lillian T. Kalaczinski, 616-776-2103 or lilliank@cherryhealth.com.<br />
Grassroots Optometry (GO!): This program enables O.D.s to more effectively interact with<br />
and contribute to pro-optometric legislators at a community level. GO! is a catalyst for building<br />
the face-to-face bonds with legislators that are essential to protecting and advancing optometry<br />
and its scope of practice. Contact: Tara Paksi at GO! 517-371-1590 or paksi.t@gcsionline.com.<br />
American <strong>Optometric</strong> <strong>Association</strong> Political Action Committee (AOAPAC): AOA’s fund that supports<br />
pro-optometric legislators at the federal level. AOAPAC has helped the AOA<br />
build strong Congressional relationships, resulting in many successfull lobbying<br />
efforts that protect and promote optometry, and eductate legislators about<br />
the fight for patient access. Contact: State AOAPAC Committee Chair Dr. Mark<br />
Cook, 810-227-2004 or mcook@cookandhayden.com.<br />
Keyperson Program: The goal of this AOA/MOA program is to assign an optometrist Keyperson to every<br />
member of Congress. This O.D. works as a frontline representative of optometry and its issues to federal lawmakers.<br />
AOA/MOA Keyperson Coordinator Dr. Gregory Dotson at 269-963-9202 or gdotsonod@sbcglobal.net.<br />
MOA ADVOCACY POINT SUBMISSION FORM<br />
Please check all applicable boxes and return to the MOA office. Fax: 517-482-1611.<br />
Name: ________________________________________________________________________<br />
Address: ______________________________________________________________________<br />
1 point for every dollar contributed to: MOAPAC AOAPAC Amount: $______Date:______<br />
1 point for every dollar contributed to a pro-optometric legislator (state or federal level).<br />
Sen./Rep./Gov./Lt.Gov Name: ______________________________________________<br />
Amount: $____________ Date:__________________<br />
300 points for personally sponsoring a fundraiser (i.e. coffee hour, tour of your practice) for a<br />
pro-optometric legislator with local O.D.s.<br />
Name of legislator:_______________________________Date:________________________<br />
250 points for volunteering to work on the campaign (i.e. phone bank, yard signs, door-to-door) of a<br />
pro-optometric legislator.<br />
Name of legislator:______________________________ Date:________________________<br />
200 points for serving as a GO! Regional Director, Team Leader or AOA/MOA Keyperson.<br />
Name of legislator(s) worked with:________________________________________________<br />
100 points for attending a fundraiser or meeting with a pro-optometric legislator (state or federal level).<br />
Legislator name:________________________________ Date:_________________________<br />
100 points for completing and submitting your 2011 GO! pledge form (visit www.themoa.org for more<br />
information).<br />
Date:_______________________<br />
November/December, 2011<br />
www.themoa.org<br />
27
The <strong>Michigan</strong> Optometrist Advocacy Points<br />
Thank you!<br />
A tremendous thank you to MOA members who contributed to<br />
MOAPAC and AOAPAC this year, and to those who responded to the call<br />
of their GO! Team Leader to meet with and contribute to legislators in<br />
their district.<br />
The MOA thanks all members who responded to statewide calls of<br />
support for key legislative friends of optometry. Your contributions are invaluable.<br />
It is through your efforts that optometry makes strides in <strong>Michigan</strong>, and protects the ground it has<br />
gained. We look forward to another year of strong advocacy for optometry and our patients!<br />
Advocacy Point Board<br />
Advocacy points are earned through contributions to the <strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong> Political<br />
Action Committee (MOAPAC) and American <strong>Optometric</strong> <strong>Association</strong> Political Action Committee<br />
(AOAPAC), contributions to pro-optometric legislators, and involvement in Grassroots Optometry<br />
(GO!). Details regarding advocacy points are found on the point submission form (page 27). This<br />
point board will be updated each issue, with points restarting at zero in the first issue of each year.<br />
Platinum (1,000 Points<br />
and Above)<br />
Dr. Peter Agnone*<br />
Dr. Mark Cook<br />
Dr. Frederick Darin**<br />
Dr. J. Gregory Ford**#<br />
Dr. Lee Goodfellow*<br />
Dr. Paul Hodge*<br />
Dr. Barbara Horn*#<br />
Dr. Matthew Maki*<br />
Saginaw Valley <strong>Optometric</strong> Society<br />
Dr. Heidi Schefferly*<br />
Dr. Dirk Schrotenboer*<br />
Dr. Roger Seelye #<br />
Dr. Michael Wallace*<br />
Dr. Daniel Wrubel<br />
Gold (500 - 999 Points)<br />
Dr. Richard Ball<br />
Dr. David Burnett*<br />
Dr. Richard Choryan<br />
Dr. Thomas Cunningham<br />
Dr. Mark Davis<br />
Dr. David Durkee*<br />
Dr. Gregory Ferman**#<br />
Dr. Bill Fortney<br />
Dr. Paul France<br />
Dr. Robert Hass<br />
Dr. Jeff Hayden<br />
Dr. Douglas Heinze<br />
Dr. John Hemming<br />
Dr. Robert Huizenga<br />
Dr. Matthew Johnson*<br />
Dr. T.K. Johnson<br />
Dr. Lillian Kalaczinski*<br />
Dr. Jeffrey Kenyon<br />
Dr. Timothy Kirk<br />
Dr. Ann LaCroix-Fredal*<br />
Dr. D. William Lakin<br />
Dr. Robert Layman*<br />
Dr. Lee Lemon<br />
Dr. Jennifer Lintz*<br />
Dr. Carol Marston-Foucher*<br />
Dr. Julie Marvin-Manders<br />
Dr. Gregory Patera*<br />
Dr. Andrew Roubos<br />
Dr. Frederick Scarpace<br />
Dr. John Schmitz*<br />
Dr. Brenda Smoke<br />
Dr. Rebecca Snippe<br />
Dr. James Spears<br />
Dr. Edward Stein #<br />
Dr. Christopher Theodoroff*<br />
Dr. Douglas Totten<br />
Dr. Michael Weisgerber<br />
Dr. Wayne Wilde<br />
Silver (250 - 499 Points)<br />
Dr. Daniel Arsulowicz<br />
Dr. Alice Bacak*<br />
Dr. Elizabeth Becker*<br />
Dr. Michael Biddle<br />
Dr. Steven Bierlein<br />
Dr. Scott Bloom<br />
Dr. Michael Brewer*<br />
Dr. William Buckingham<br />
Dr. James Burton<br />
Dr. Robert Carter<br />
Dr. David Cook*<br />
Dr. Michael Cron<br />
Dr. Russel Curtis<br />
Dr. Robert Deck*<br />
Dr. Ellen Dohr<br />
Dr. Thomas Doyle*<br />
Dr. David Duryea<br />
Dr. Scott Ecenbarger<br />
Dr. Ken Feinauer<br />
Dr. Mary Fisher*<br />
Dr. Gene Fonger<br />
Dr. Gary Fowle<br />
Dr. Susan Gormezano<br />
Dr. Lorne Gottesman
Advocacy Points<br />
Dr. Max Gottesman<br />
Dr. Martin Guinta<br />
Dr. Danna Haba<br />
Dr. Brad Habermehl<br />
Dr. Charlene Hamilton<br />
Dr. David Harkema<br />
Dr. Jim Hilligan<br />
Dr. Robert Hohendorf*<br />
Dr. Philip Irion*<br />
Dr. Dennis Johnson<br />
Dr. Ann Kautz-Markley<br />
Dr. Patrick Kiella<br />
Dr. Steven Kocks*<br />
Dr. Christopher Kramer<br />
Dr. Paul Kropf<br />
Dr. Daniel Markley<br />
Dr. John Marohn*<br />
Dr. Ronald Meyer<br />
Dr. Aaron Miller<br />
Dr. Steve Morris*<br />
Dr. A. Dennis Olmstead<br />
Dr. David Oosting*<br />
Dr. Harriet Pelton<br />
Dr. Edward Peters<br />
Dr. Edward Scarbrough<br />
Dr. Douglas Schneider*<br />
Dr. Gordon Schultze<br />
Dr. Teresa Seim*<br />
Dr. James Serino<br />
Dr. Allen Smith<br />
Dr. James Smith<br />
Dr. Lloyd Snider<br />
Dr. Gary Sokol<br />
Dr. Richard St. Louis<br />
Dr. Ferris Standiford*<br />
Dr. Peter Tacia<br />
Dr. Michelle Valella<br />
Dr. Robert Walt<br />
Dr. Mark Williams<br />
Dr. Terri Wolf<br />
Bronze (1 - 249 Points)<br />
Dr. Richard Abbott<br />
Dr. Terry Adkins<br />
Dr. Carol Allen<br />
Dr. Krista Anderson<br />
Dr. Richard Annis<br />
Dr. Rodney Bellows<br />
Dr. Theodore Billy<br />
Dr. Kyle Booher<br />
Dr. Jeannine Brake-Norder<br />
Dr. Marsha Brandon<br />
Dr. Danny Brikho<br />
Dr. Aimee Bronson<br />
Dr. Aileen Brouwer-Schinderle<br />
Dr. Scott Buckingham<br />
Dr. Robert Buckingham<br />
Dr. Joseph Budge<br />
Dr. David Bush<br />
Dr. Cliff Carter<br />
Dr. Kiersten Coon<br />
Dr. Richard Conflitti<br />
Dr. Amy Crissman Head<br />
Mr. Bryan Dahl<br />
Mr. William Dansby<br />
Dr. William Dean*<br />
Dr. Leslie Delemeester<br />
Dr. Mitchell Dobrzelewski<br />
Dr. Brian Dolphin<br />
Dr. Gregory Dotson*<br />
Dr. Paul Douglas<br />
Dr. Terry Draeger<br />
Dr. Kyle Fairless<br />
Dr. James Flynn<br />
Dr. Kevin Flynn<br />
Dr. Robert Foote<br />
Dr. Marie Fox<br />
Dr. Paul Gammage<br />
Dr. James Hardie<br />
Dr. William Hass<br />
Dr. Matt Haubert<br />
Mr. Erik Hingst<br />
Dr. Sarah Hinkley<br />
Dr. Amanda Hodge<br />
Dr. James Holdgreve<br />
Dr. Sarah Knapp<br />
Dr. Robert Kocembo<br />
Dr. Gerald Kolk<br />
Dr. August Krymis<br />
Dr. Joseph Lawless<br />
Dr. Johnny Leung<br />
Dr. Jeffrey Lozen<br />
Dr. Kenneth Marton<br />
Dr. Deanna Mayo<br />
Dr. Suzanne Maystead<br />
Dr. Julie McMullen<br />
Dr. George McNiven<br />
Dr. Scott Miller<br />
Dr. Thomas Moleski<br />
Dr. Gary Moss<br />
Dr. Dale Muth<br />
Dr. Randall Myers<br />
Dr. Stephen Near<br />
Dr. Richard Neuenfeldt<br />
Ms. Tara Paksi<br />
Dr. James Pascavis<br />
Dr. Susan Perdue<br />
Dr. David Peters<br />
Dr. Audry Poquette<br />
Dr. Beau Poquette<br />
Dr. Katherine Potter<br />
Dr. Henry Racki
Dr. Robert Reed, Jr.<br />
Continued Next Page...<br />
Dr. Jeffrey Ritsema<br />
Dr. Patricia Roslund<br />
Dr. Richard Rule<br />
Ms. Cindy Schnetzler<br />
Dr. Jeffrey Schrauben<br />
Dr. James Seals<br />
Dr. Gary Spencer<br />
Dr. Dan Stein<br />
Dr. Francis Stone<br />
Dr. Mark Swan<br />
GO! / AOA Keyperson Points:<br />
Dr. Robert Aubry<br />
Dr. Thomas Bock<br />
Dr. John Compton<br />
Dr. Samual Estes<br />
Dr. Albert Fath<br />
Dr. Paul Gayeff<br />
Dr. Michael Jonassen<br />
District 1<br />
Metro Detroit <strong>Optometric</strong> Society<br />
President: Dr. Michael Pack (mjpack@comcast.net)<br />
District 2<br />
West <strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong><br />
President: Dr. Amy Dinardo (thewmoa@gmail.com)<br />
District 3<br />
South-West <strong>Michigan</strong> <strong>Optometric</strong> Society<br />
Co-Presidents: Dr. Julie L. McMullen<br />
(eyedoc29@hotmail.com), Dr. Lynne Blostica<br />
(lynne_blostica@yahoo.com)<br />
District 4<br />
Saginaw Valley <strong>Optometric</strong> Society<br />
President: Dr. Fredric D. Kapteyn<br />
(deankapteyn@yahoo.com)<br />
30<br />
Dr. Jeffrey Varanelli<br />
Dr. Daniel Vargovick<br />
Dr. Theodore Walton<br />
Dr. Samuel Wapner<br />
Dr. Michael Weishaus<br />
Dr. Harper Wildern<br />
Dr. Ross Williams<br />
Dr. Elizabeth Yates<br />
Mr. Steve Young<br />
*GO! Team Leader<br />
**GO! Regional Director<br />
#AOA Keyperson<br />
November/December, 2011<br />
www.themoa.org<br />
Local Society Notebook<br />
Dr. David Levenson<br />
Dr. William Lindahl<br />
Dr. Janet Lomasney<br />
Dr. Michael McGrath<br />
Dr. Susan Mithoff-Quade<br />
Dr. Gary Moss<br />
Dr. Jeffrey Rautio<br />
Dr. Kirk Schott<br />
Dr. Allison Schulte<br />
Dr. Carol Starling<br />
Local Society<br />
Notebook<br />
District 5<br />
The Southwest <strong>Michigan</strong> <strong>Optometric</strong><br />
<strong>Association</strong><br />
President: Dr. John W. Marohn<br />
(jmarohn@greateyecare.com)<br />
District 6<br />
Upper Penninsula <strong>Optometric</strong> Physicians Society<br />
President: Dr. Shelly D. Baker<br />
(eyedoc7@drshellybaker.com)<br />
District 7<br />
Central <strong>Michigan</strong> <strong>Optometric</strong> Society<br />
President: Dr. Jana M. Fisher (eyedrx2@comcast.net)<br />
District 8<br />
Northwestern Lower <strong>Michigan</strong> <strong>Optometric</strong><br />
Society<br />
President: Dr. Edward G. Stewart<br />
(drstewart@hotmail.com)<br />
Upcoming meeting dates: 1/6/11, 2/7/11,<br />
4/23/11.
Calendar of Events<br />
<strong>Michigan</strong> <strong>Optometric</strong> <strong>Association</strong><br />
2011-2012 Calendar of Events<br />
Board of Directors Meetings<br />
Jan. 11, 2012, 9 a.m.<br />
MOA Office, Lansing, MI<br />
March 14, 2012, 9 a.m.<br />
MOA Office, Lansing, MI<br />
*April 24, 2012, 12 p.m.<br />
MOA Office, Lansing, MI<br />
May 10, 2012<br />
Grand Rapids (Annual Meeting<br />
Advisory Council<br />
(Past Presidents)<br />
April 24, 2012, 9 a.m.<br />
MOA Office, Lansing, MI<br />
Conventions/Meetings<br />
May 9-10, 2012<br />
MOA 116th Annual Meeting and Spring Seminar<br />
Amway Grand Plaza Hotel / DeVos Place<br />
June 26-July 1, 2012<br />
AOA Optometry’s Meeting<br />
Chicago, IL<br />
Contribute to The <strong>Michigan</strong> Optometrist!<br />
The MOA welcomes articles, photos or small announcements for inclusion in The <strong>Michigan</strong> Optometrist from MOA members.<br />
Topics covered may include practice management issues, optometry-related community outreach, meetings with lawmakers<br />
about legislative issues impacting optometry, and others. Articles submitted are subject to review by the magazine’s editorial<br />
committee. To be eligible, material must be provided electronically via e-mail by the submission deadline to MOA Communication<br />
Coordinator Bryan Dahl at Bryan@themoa.org. Photos and other images must be high-resolution for inclusion in<br />
The <strong>Michigan</strong> Optometrist. A resolution of 300 ppi is required for images to appear properly when professionally printed.<br />
When submitting photos, please provide credit for the photographer as well as photo captions (including names).<br />
Upcoming Article Submission Deadlines for 2012:<br />
Jan./Feb. (2012) issue: Jan. 13, March/April (2012) issue: March 9<br />
November/December, 2011<br />
www.themoa.org<br />
Special Events<br />
April 1 - 3, 2012<br />
AOA State Legislative, Third Party, Advocacy<br />
Conference<br />
Washington, D.C.<br />
May 31 - June 2, 2012<br />
Opening Eyes Vision Screening Project (held<br />
during Special Olympics Summer Games)<br />
Central <strong>Michigan</strong> University<br />
Mt. Pleasant, MI<br />
Feb. 1-2, 2012<br />
MOA Winter Seminar<br />
Kellogg Center<br />
East Lansing, MI<br />
Educationals<br />
May 9-10, 2012<br />
MOA 116th Annual Meeting and Spring Seminar<br />
Amway Grand Plaza Hotel / DeVos Place<br />
Oct. 10-11, 2012<br />
MOA Fall Seminar<br />
Lansing Center<br />
Lansing, MI<br />
31