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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

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