vision screening and the voucher program · why screen young children children need to see well to...
TRANSCRIPT
1
Vision Screening and
the Voucher Program
Brenda Dunn
Program Manager
Bryson McCool
Secretary/Treasurer
NM Lions Operation KidSight, Inc.
Topics
Introduction
Why Screen Young Children?
What Is Amblyopia?
Vision Screening Program Background
Overview of NM Lions Operation KidSight Program
NMLOKS, Inc., Screening Programs
Screening Results to Date
Vision Screening Equipment and Procedures
Vision Screening Process
Vision Screening Referral Certificate
Referral Follow Up Reporting
The Voucher Program
The Save Our Children Sight Fund
Soliciting Eye Professionals & Glasses Providers For the Program
NMLOKS/SOCSF Voucher Process
NMLOKS/SOCSF Vouchers – English & Spanish
Voucher Program Results to Date
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Why Screen Young Children
Children need to see well to learn.
Refraction errors change as the child’s eye ball
grows/develops (birth to 7-8 years).
Vision disorders don't hurt.
Parents can't tell if their child has a vision disorder.
Vision disorders can lead to amblyopia if not addressed at an
early age.
Children with a vision disorder think their limited
vision is normal.
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Anything that interferes with clear vision in either eye (near sightedness, far
sightedness, astigmatism, strabismus and other eye problems) from birth to 7-
8 years can result in amblyopia.
If one eye sees a blur, the brain will inhibit vision with that eye resulting in
the pathways from the eye to the brain not maturing normally.
Since amblyopia usually occurs in one eye only, many parents and children
may be unaware of the condition.
The eye is completely developed by the age of seven or eight. Vision
deficiencies caused by amblyopia will be difficult to treat after vision
development is completed.
If not detected and treated early in life, amblyopia can cause a
permanent loss of vision with associated loss of two eyed depth
perception.
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What is Amblyopia?
5
Overview of NM Lions Operation KidSight Program
NMLOKS, Inc. 501c3 Organization
3 Executive Directors 9 Directors Sec./Treas.
Medical Advisors
NMLOKS, Inc., Central Office
Program Manager – Ms. Brenda Dunn
Las Cruces, NM
24 Lions Screening Teams
Save Our Children’s Sight Fund
Screen 3-7 year old children for amblyogenic risk factors
Currently servicing public schools, Head Starts, private/charter schools, child
care centers, and health fairs across NM
Provide eye exams/glasses for 3-7 year old students not covered by Medicaid
or insurance
Provide eye exams/glasses for 8-19 year old students not
covered by Medicaid or insurance
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NMLOKS, Inc., Screening Teams
Note that the NMLOKS Program Manager can conduct
screenings in rural communities not currently covered
by Lions screening teams.
- Future Program
Window Rock
Lions Club
Taos Lions ClubGreater Las Vegas Lions Club
Moriarty Lions Club
Ruidoso Noon Lions Club
Lea CountyLions Clubs
Carlsbad Downtown Lions ClubAlamogordo
Breakfast Lions Club
Dona Ana CountyLions Clubs
DemingLions Club
Silver City Lions Club & Women’s Club
SocorroLions Club
Alb. Rio Grande & NortheastLions Clubs
GallupLions Club
Santa Fe Capital City Lions Club
Los Alamos Lions Club
Farmington Evening Lions Club
Rio Rancho HostLions Club
Roswell
Lions
Clubs
Clovis EveningLions Club
Raton Lions Club
X
X
Artesia Downtown Lions Club
T or CLions Club
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NMLOKS, Inc., Screening Results 1 Aug 2015 – 31 Mar 2016
0
1000
2000
3000
4000
5000
6000
7000
# Screened # Referred
Total Screened 33,593
Total Referred 6,151
Referral Rate 18.3%
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Vision Screening Process
Both eyes are measured simultaneously.
Very quick - acquisition time is 0.8 seconds.
Can refract through glasses to check present
prescriptions.
Can facilitate vision screening in children who are difficult to deal with.
Children who do not pass the screening are referred for a comprehensive eye examination.
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Vision Screening Referral Certificate
Specifies possible vision problem(s).
Printed on site.
Provided to the school nurse or Head Start administrator after screening session.
A copy of the measurement report is given to the parents when school nurse notifies them their child should get a complete eye exam.
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Referral Follow Up Reporting
Worksheet below shows referral follow-up information required by NMLOKS and NMDOH.
After a screening, the screening team fills in the site and date of the screening, the name of the referred child, the child’s age, and the reason(s) the camera specified why the child was referred. The sheet is then given to the school nurse.
Once the school nurse has filled in whether the referred child saw an eye professional and if they did, whether glasses or other treatment were needed on the worksheet, she/he sends it to the NMLOKS Program Manager.
Information from the worksheet will be used to develop required statistics such as the % of children screened that were referred, the % of referred children who saw an eye professional, the false positive rate (i.e., % of referred children who saw an eye professional and did not need any treatment).
Vision Problem Code: A – Astigmatism M – Myopia H - Hyperopia AN – Anisometropia AC – AnisocoriaS – Corneal Reflex (Strabismus) NM – No measurement
(Please print legibly)
PLEASE RETURN TO:
BRENDA DUNN, Program ManagerNM Lions Operation KidSight, Inc. 1501 N. Solano Dr. Las Cruces, NM 88001
[email protected] FAX: 575-524-1699
To be filled out by screening team
School & Date of
Screening Referred Child's Name or ID Age
Vision
Problem
Identified
by Camera
(See code
below)
Seen by
Eye
Doctor.
(Yes/No)
If child saw Eye
Doctor, did child
receive glasses or other
treatment? (Yes/No)
To be filled out by School Nurse
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Save Our Children Sight Fund
Began 1 Jan 2008 based on New Mexico Statute Authority 666.3. Save Our Children's
Sight Fund (SOCSF) option.
NM residents can donate $1 or $5 to the Fund when renewing vehicle registration.
Money in the fund is appropriated to NMDOH, which shall administer the fund for the purpose of
development and implementation of a vision screening program making vision screenings and follow-up
comprehensive examinations available to New Mexico children regardless of family income.
Contract between NMDOH and NMLOKS, Inc., initially signed January 2015 to administer the SOCSF. A
follow up contract was issued for 2015-16 fiscal year. NMDOH will go out with an RFP for 2016-17 which
will expenses to exceed $50K if needed.
NM Save
Our Children’s
Sight Fund
NMLOKS, Inc., Program Manager coordinates with school
nurses to identify 3-18 year students who have been
referred by nurse’s or KidSight screenings and who are not
covered by Medicaid or other insurance.
NMLOKS will cover 3-7 year old students while SOCSF will
cover 8-19 year olds.
NMLOKS, Inc., Program Manager will coordinate with school
nurse to set up exam and provide glasses, if needed.
NM Save
Our Children’s
Sight Fund
Please make a donation to the Save Our
Children Sight Fund when paying for
your vehicle registration renewals.
Your $1 or $5 donation will help pay for
an eye exam and glasses (if needed) for
any student, age 3 – 19 years old, who is
not covered by Medicaid or insurance.
Save Our Children Sight Fund/NM Lions Operation KidSight
Central Office
The Lions Club Community Center
1501 N. Solano
Las Cruces, NM 88001
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Solicit Process for NMLOKS/SOCSF Eye Doctor & Glasses Providers
The State of New Mexico has been listening to our community and school representatives who are concerned about access to vision services for children. We know many students lack vision care. We are partnering with NM Lions Operation KidSight (NMLOKS), Inc., to assist you in ensuring that each student with less than optimal vision in the state of New Mexico is afforded an opportunity to take full advantage of their schools academic programs.
Through two outreach initiatives, NMLOKS’ goal to provide vision screenings to NM students and the "Save Our Children's Sight Fund" Program, a comprehensive eye examination and eyeglasses will be provided to any Pre-K through 12th grade student in need who does not have vision insurance.
We are currently seeking the assistance of all eye care providers and eyeglasses providers to be a part of this statewide program and to complete the following registration form and fax it back to the NMLOK central office to begin receiving referrals.
Compensation for your services will be as follows:
Reimbursement for Dilated Comprehensive Eye Exam…$100.00
Reimbursement for 1 Pair of Polycarbonate Lenses & Frames…$75.00
Please submit all invoices and visit notes via fax or US Mail upon completion of services and when the product becomes available for the patient pick up. Please send the documents to the NMLOKS Central Office at fax number 575-524-1699 or 1501 North Solano Drive, Las Cruces, New Mexico 88001. Payments will be mailed within a maximum of 30 days upon submission. Our goal is to issue payment much faster though.
An added value when joining the network is also that each student’s parent will be getting a list of our network preferred providers whether or not they qualify for the assistance program or not so additional business may come your way just by joining.
Thank you in advance for your participation in the New Mexico Lions Operation Kidsight and the Save Our Children’s Sight Fund initiatives.
NM Lions Operation Kidsight, Inc./Save Our Children’s Sight Fund Central Office
Registration Form
Save Our Children’s Sight Fund
Eye Care & Eyeglasses Referral Network For New Mexico Students (Pre-K – up to 19 years of age)
Business Name: _________________________________________________________
Business Address: ______________________________________________________
Mailing Address: _______________________________________________________
City: _____________________________ State: _________ Zip Code: ____________
Phone number: ____________________________ Fax: _______________________
Email address: __________________________________________________________
Business Hours of Operation: _________________________________________
Business License Number: ____________________________________________
Name(s) of Practitioner(s) who will see our referrals:
1. _______________________________________________________________
2. _______________________________________________________________
3. _______________________________________________________________
4. _______________________________________________________________
Services Provided:
Dilated Eye Exams: __________ Glasses: __________
Other: ______________________________________________
Please sign and date below as acknowledgment and understanding of the process:
⇨ We agree to follow the guidelines set forth by the American Association for Pediatric
Ophthalmology and Strabismus (AAPOS) when conducting an eye examination on a student
referred by the New Mexico Lions Operation Kidsight, Inc. (NMLOKS) program.
⇨ We agree to provide the eye examination results and treatment plan of each student referred
by NMLOKS via fax or mail within 48 hours of the referral appointment.
Note: The parents of the referred student have signed a waiver for you to release the above
information to NMLOKS.
________________________________________ __________________________________________ ________________________ Signature Printed Name Date
Please return this form to: Brenda Dunn, Program Manager 1501 North Solano Drive New Mexico Lions Operation KidSight Las Cruces, New Mexico 88001 www.NMLionsKidSight.com Phone: 575-525-5631 / Fax: 575-524-1699
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NMLOKS/SOCSF Voucher Process
Referral from school nurse’s acuity screening
School nurse notes whether referred student got to see an eye doctor or not and if they did, what was the prognosis and treatment if needed.
NMLOKS Program Manager initiates a voucher for the referred student and determines nearest eye exam and glasses providers who are alerted the student will be coming in.
School nurse contacts referred student’s parents to inform them their child has a vision problem and needs an eye exam. She determines if they have Medicaid or other means to pay for eye exam and glasses, if needed.
School nurse contacts NMLOKS Program Manager to provide referred student’s information.
Follow up information on referred student submitted to NMLOKS Central Office
Referral from KidSight screening
Has Medicaid/Insurance Does Not Have Medicaid/Insurance
Referral from school nurse for student
identified with a vision problem
NMLOKS Program Manager enters referral follow up information into database NMLOKS Program Manager arranges
payment to eye doctor and glasses provider. Eye Doctor provides eye exam report to NMLOKS Program Manager.
School nurses are surveyed to evaluate performance of NMLOKS Program Manager
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NMLOKS/SOCSF Voucher
VOUCHER #: ________________
DATE ISSUED: _______________
TO BE FILLED OUT BY SCHOOL NURSE (please print)
Student’s Name: _______________________________________________Sex (Circle): M F D.O.B._______________
Address: _________________________________________ City: _________________________ Zip Code: __________
Home Phone #: ______________________________________ Cell #: _______________________________________
School Name: __________________________________________ School District: _____________________________
School Nurse’s Name: ___________________________________ Phone #: __________________________________
It has been verified from a vision screening that the student needs an eye exam.
It has been verified that student is not covered by Medicaid or insurance.
I have contacted and sent this completed voucher to the student’s parent/guardian for signature.
I have coordinated with the NM Lions Operation KidSight Central Office Program Manager
The phone number to activate this voucher is 575-525-5631 and fax number 575-524-1699 or scan to email
[email protected] for submission of completed form
__________________________________ _____________________________________________ _______________
School Nurse’s Signature Email Address Date
Parents/Guardians
1. Once this voucher form is complete and returned to the school nurse she/he will send us the form and request
the eye care providers contact information from the NM Lions Operation KidSight Program Manager. This
information will be given to you in writing to call and schedule an appointment for your child.
2. If the eye exam results show the need for glasses, NM Lions Operation KidSight/Save Our Children’s Sight Fund
will provide the medically necessary eye glasses for your child which will include a fashion frame and a basic pair of
polycarbonate lenses. Any options, upgrades, add-on, or treatments will not be covered.
3. The voucher should be surrendered at the time of service. Note that this voucher is non-transferable and only
valid for the person whose name is written above. Copies or Facsimiles cannot be combined with any other offer or
promotion.
4. Please read and sign the agreement below:
By signing this form you understand and consent to the following:
I, the parent or legal guardian, acknowledge that my child is not covered by Medicaid or private insurance that would
cover the cost of an eye exam and treatment if needed.
Initial here if covered by Medicaid but funds are unavailable____ Medicaid Number: ___________________________
I, the parent or legal guardian, give my permission for the attending eye professional and treatment provider to
furnish the NM Lions Operation KidSight Central Office with the eye exam results to facilitate the payment for the
eye exam and treatment. I understand all HIPPA privacy regulations will be followed.
I understand this voucher expires 60 days from the date of issued.
______________________________ ______________________________________________ _______________
Print Parent/Guardian Name Parent’s/Guardian’s Signature Date
TO BE FILLED OUT BY SCHOOL NURSE (please print) VOUCHER #: ________________
DATE ISSUED: _______________
Student’s Name: ___________________________________________ Sex (Circle): M F D.O.B._____________
Address: _______________________________________ City: ______________________ Zip Code: __________
Home Phone #: _____________________________ Cell #: ____________________________________________
School Name: ______________________________________ School District: _____________________________
School Nurse’s Name: ________________________________________ Phone #: _________________________
It has been verified from a vision screening that the student needs an eye exam.
It has been verified that student is not covered by Medicaid or insurance.
I have contacted and sent this completed voucher to the student’s parent/guardian for signature.
I have coordinated with the NM Lions Operation KidSight Central Office Program Manager
The phone number to activate this voucher is 575-525-5631 and fax number 575-524-1699 or scan to email
[email protected] for submission of completed form
__________________________________ __________________________________ _________________
School Nurse’s Signature Email Address Date
Padres/Tutores
1) El/la enfermera de la escuela rellena esta forma que indica que su hijo necesita un examen completo de los ojos
provisto de un optometrista u oftamólogo. El/la enfermera le da a Usted (padres/tutor) una lista de
proveedores de cuidado ocular. Usted necesita llamar a una de esas oficinas para hacer una cita para un
examen de los ojos para su hijo. Dile a la oficina que el examen estará pagado por NM Lions Operation KidSight.
2) Si el examen de optometrista u oftamólogo indica que necesita espejuelos el fondo de NM Operation
KidSight/Operation Save Our Children’s Sight paga por una montura de moda y también lentes básicos hecho de
policarbonata (lo que usa para todos los niños bajo de 19 años). Cualquier mejora, como lentes transiciones o
ahumados NO está incluído.
3) Tiene que dar esta forma al optometrista que hace el examen de los ojos en el momento del examen. Esta
forma no se puede transferar o usar por otra persona sino cuyo nombre está escrito encima. Copias o fax no se
puede combinar con otra oferta o promoción.
4) Por favor, lea y firma el acuerdo abajo:
___ Yo, el padre o tutor legal, admito que mi hijo no está cubierto por Medicaid ni seguro privado que cubriría el
precio de un examen ocular y el tratamiento (como espejuelos) si sea necesario.
Firmar con las iniciales si tiene seguro pero ya lo usó para este año y no hay fondos en este momento. _____
Numero Medicaid: ___________________________________________________________________________
___ Yo, el padre o tutor legal, doy permisión al/a la optometrista para dar los resultados del examen ocular a
NM Lions Operation KidSight Central Office para facilitar el pago del examen y espejuelos. Entiendo que las
regulaciones de la privacidad de HIPPA estará seguido.
___ Entiendo que este cupón expira 60 días de la fecha emitido.
Nombre o padre/tutor Firma de padre/tutor Fecha
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NMLOKS/SOCSF Voucher Approval Form
VOUCHER #: _______________
Save Our Children’s Sight Fund
New Mexico Lions Operation Kidsight, Inc.
Brenda Dunn, Program Manager
1501 North Solano Drive, Las Cruces, NM 88001
575-525-5631 Fax: 575-524-1699
www.nmlionskidsight.com
Approval for Eye Exam/Glasses
To:
This is to notify you that _______________________ has been
recommended for a dilated eye exam and glasses based on a
previous screening. SOCSF/NMLOKS has approved this
request. Please bill us accordingly.
Thank you.
Program Manager, NMLOKS, Inc.
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NMLOKS/SOCSF Voucher Program Results
- 1 Jul 2015 To Date -
33%
34%
26%
7%
Distribution of Students Serviced By Age Group
3-7 Years 8-12 Years 13-16 Years 17-19 Years
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NMLOKS/SOCSF Voucher Program Results
- # of Students Who Received an Eye Exam and/or Glasses by Community -
0
10
20
30
40
50
60
70
13
5
9
1
53
30
39
4 4
26
10
52
4
11
15
1
69
40
2
7
1
Total # Students 351
Covered by SOCSF 236
Covered by KidSight 115
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NMLOKS/SOCSF Voucher Program Results
- # of Students by Age Group Who Received an
Eye Exam and/or Glasses by Community -
0
5
10
15
20
25
30
35
3-7 Years 8-12 Years 13-16 Years 17-19 Years
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NMLOKS/SOCSF Voucher Program Results
- SOCSF and KidSight Funds Expended For Eye
Exams and Glasses by Community -
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
$10,000
KidSight SOCSF
$ for Total # Students $51,834
SOCSF $ $35,602
KidSight $ $16,232
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NMLOKS, Inc., Contact Information
Brenda Dunn, Program Manager
NMLOKS, Inc., Central Office
1501 North Solano Drive
Las Cruces, New Mexico 88001
Phone: 575-525-5631
Fax: 575-524-1699
email: [email protected]
Bryson McCool, Secretary/Treasurer
5557 Red Fox Rd.
Las Cruces, NM 88007
Phone: 575-652-4029 575-973-0732 (c)
Fax: 575-571-4165
email: [email protected]