IMPLICATIONS OF OPTO-EMR
Opto-EMR can be conceived as the last frontier or the first primary eye care service delivery system design around both the patient and or clinician.
Through the CDM program, MOH aims to achieve better health outcomes for patients with the targeted chronic diseases and avoid, delay or reduce the development of complications which otherwise would lead to hospitalization and costly inpatient treatments.
The primary eye care and health of the future are to transform vision disorder by forming an effective partnership between optometrists, medical specialists, and patients through high-quality information flow within the partnership throughout the healthcare continuum.
When primary eye and vision care providers are connected to an integrated Opto-EMR system, they can generate clear, effective, and respectful clinical oculo-visual data of the patient and have its treatment progress up-to-date through electronic health records.
This, in turn, expedites accurate and meaningful treatment decisions at reduced costs and high-quality services.
Its architecture enables flexible customization of eye examination formats. Primary eye and vision care providers can configure clinical test procedures that are relevant to the patient’s problem.
Finding, measurement, and assessment results determined in the evidence-based test procedure templates form the EMR. It serves to justify the EHR's diagnoses and treatment plans, which is auto-transcript to eliminate the legibility of hand-written records.
When such information is extracted & consolidated into one record, it bring about "Professionalism". It paves the way for coordination of patient-centered care across the eye and vision healthcare delivery settings.
In conclusion, the highest value of Opto-EMR is the daily sharpening of optometrists and opticians' various clinical techniques and technical competence when they perform eye examination in an EMR/ EHR oriented environment.
When clinical tests data becomes transparent to the patients, whether the optometrist is a fresh graduate or an experienced clinician, the stage is on to attest one’s expertise and true stewardship of eye and vision health care.
THE ONE PATIENT ONE RECORD CONCEPT
Connecting Health Institutions, Organizations, Ophthalmologists, Optometrists & Opticians, and Patients
Meaning of Primary, Secondary, and Tertiary care and touch points & Community Eye Screening
PRIMARY CARE is the care generally accessible to patients by way of the first contact with a practitioner within a system of health care.
This contact is made directly by the patient without going through a 'gatekeeper', screen, or referring party.
Primary care is usually delivered within a community and consists of basic services that a population of patients needs to sustain health.
Examples of primary care within the practice of Optometry, which include comprehensive eye examination, counseling, and education about eye health, prescribing and dispensing eyeglasses, and prescribing medication.
SECONDARY CARE is also known as acute healthcare.
It can be elective care, which consists of more specialized and expert diagnostic and treatment methods.
Such care is usually accessed upon referral from a primary care provider.
Example like when the primary care provider detected certain abnormalities and eed a specialized opinion, they will then refer within the secondary service provider.
Treatment plan with the specialist patient care and or surgery is SECONDARY CARE.
TERTIARY CARE consists of that care applied when general and specialized diagnostic and treatment methods have been exhausted.
Tertiary care consists of specialized and expert methods in sustaining, palliating, and rehabilitating patients to their optimal visual function in spite of complex, intransigent, or debilitating conditions.
An example of tertiary care in optometry includes LOW VISION services.
COMMUNITY EYE SCREENING is an important service function to act as the bridge between medical, rehabilitative, and educational program.
The Ministries (Health and Education) has a major responsibility in making eye screening compulsory.
Optometrists and Ophthalmologists has a major role to contribute in the detection, assessment, and management of ocular anomalies for the community of young, as well as senior citizens.
The purpose of eye screening is to pick out those with evidence-based for refractive error, amblyopic, binocular vision, and colour vision.
This includes those who have impairment of visual functioning even after treatment and or standard refractive correction, and has a visual acuity of less than 6/18 to light perception, or a visual field less than 10 degrees from the point of fixation.
Once affirmed, the afflicted is expected to proceed for a comprehensive primary care examination.