Document Detail

A yearly summary of quality assessment and improvement in the optometric pediatric clinics of the SUNY College of Optometry.
MedLine Citation:
PMID:  9610039     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Each clinic within the University Optometric Center (UOC) of the State University of New York (SUNY) College of Optometry develops a Quality Management (QM) Plan for each calendar year. The vehicle for implementation is a Quality Assessment and Improvement (QA&I) committee. The clinical adherence to the objectives are reviewed each year. The following article is a review of the QA&I reports of the Pediatric Vision Clinics within the College for the year 1996. METHODS: Clinical records were concurrently and retrospectively reviewed for completeness and appropriateness of care. One hundred percent of the records were concurrently reviewed, and 10% of each doctors' total records were retrospectively reviewed. In addition, records with specific diagnoses--chosen as clinical indicators--were reviewed for a specified period of time. RESULTS: Patient satisfaction exceeded predetermined threshold values. On general review, the clinical faculty performed at a 95% efficiency level. The pediatric population yielded only minimal major pathologies. In our strabismic sample, patients with esotropia exceeded those with exotropia (61% vs. 39%). Strabismic amblyopes were more prevalent than refractive amblyopes (80% vs. 20%). Preschool vision therapy appeared to be successful in most cases. CONCLUSION: Quality assessment and improvement is an ongoing process that can provide an overview of case management and type. The process serves to monitor quality of care, provide a modality for improvement, enhance outcomes, and guide future QM plans.
D E FitzGerald; R Mozlin; I Krumholtz; A P Thau; C F Gruning; I Chung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Optometric Association     Volume:  69     ISSN:  0003-0244     ISO Abbreviation:  J Am Optom Assoc     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-07-01     Completed Date:  1998-07-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505575     Medline TA:  J Am Optom Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  307-18     Citation Subset:  IM    
College of Optometry, State College of New York, New York, USA.
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MeSH Terms
Academic Medical Centers*
Ambulatory Care Facilities / standards*
New York
Optometry / education,  standards*
Pediatrics / standards*
Quality Assurance, Health Care / standards*
Schools, Health Occupations / standards*

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