Transforming and Supporting Patient Care - Health Professions ...

336Chapter 13 – Profession of OptometryThe designated drugs regulation should therefore include the followingclasses of drugs:ClassClass: Eye, Ear, Nose and Throat PreparationsSub-class: VasoconstrictorsClass: Eye, Ear, Nose and Throat PreparationsSub-class: Anti-glaucoma AgentsClass: Eye, Ear, Nose and Throat PreparationsSub-class: MiscellaneousnaphazolinephenylephrineSpecific AgentsIncludes alpha-adrenergic agonists,beta-adrenergic blocking agents,carbonic anhydrase inhibitors,miotics, osmotic agents,prostaglandin analogs and otheragents used in the treatment ofglaucomacyclosporine3: HPRAC recommends that the College of Physicians and Surgeons ofOntario and the COO immediately develop a joint protocol and standards ofpractice relating to the continuum of glaucoma management and theappropriate shared management of glaucoma patients. This should includematters relating to required education, training, continuing competence,initial diagnosis, record-keeping, and mandatory consultation and referralrequirements. Additional provisions concerning compliance with individualscope of practice, general terms, conditions and limitations should beincluded, comparable to the collaborative approach applied inrecommendations regarding midwifery, physiotherapy and pharmacy.4: HPRAC recommends that the Minister consider adjusting the PhysicianSchedule of Benefits and Fees to authorize payment for direct referrals forophthalmologist consultations from optometrists relating to glaucomapatients. This is a matter that could be referred to the Physician ServicesCommittee (PSC), which continues under the recent MOHLTC-OMAagreement to “provide a broad and structured process for regular liaisonand communication between the MOHLTC and the medical professionthrough its representation by the OMA”. 645: HPRAC recommends that the regulation made under the Optometry Act,1991 respecting prescribed diseases that is no longer relevant to the scopeof practice of optometry be repealed.Implementation ProposalsTo implement the HPRAC’s recommendations, the following changes tostatutes and regulations are proposed:1. That paragraph 2.1 of section 4 of the Optometry Act, 1991 berepealed and the following substituted:64OMA/MOHLTC Agreement, s.1.5. November 2008.HPRAC Critical Links January 2009