• Save
ASCRS Hallway Controversies, "Otometry is NOT Dead" by Dr. Jeff Machat
 

ASCRS Hallway Controversies, "Otometry is NOT Dead" by Dr. Jeff Machat

on

  • 605 views

The Business of Refractive Surgery 2004 (Hallway Controversies- American Society of Cataract & Refractive Surgery) by Dr. Jeff Machat

The Business of Refractive Surgery 2004 (Hallway Controversies- American Society of Cataract & Refractive Surgery) by Dr. Jeff Machat

Statistics

Views

Total Views
605
Views on SlideShare
604
Embed Views
1

Actions

Likes
1
Downloads
0
Comments
0

1 Embed 1

http://www.linkedin.com 1

Accessibility

Categories

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    ASCRS Hallway Controversies, "Otometry is NOT Dead" by Dr. Jeff Machat ASCRS Hallway Controversies, "Otometry is NOT Dead" by Dr. Jeff Machat Presentation Transcript

    • Hallway Controversies: The Business of Refractive Surgery 2004No, Optometry is NOT DeadProperty  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadOptometry s role will increase in the RS1.  Historically2.  Demographically3.  Patient perspective4.  Surgeon perspective5.  Economic perspective6.  Personal perspective Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadHISTORICALLY:•  Shared Care is a natural complement to all facets of medicineFamily MD > Cardiologist > Cardiac Surgeon•  ODs and MDs share this same relationship•  History shows fluctuating trends, this past year is not indicative of the next 5 years Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadOptometry s Role in Refractive surgery will increase as:•  More patients have refractive surgery•  More surgeons perform refractive surgery•  More refractive options introduced•  More technologies develop e.g. wavefront•  More price confusion continues•  More problems surface and appear in the press Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadDEMOGRAPHIC ARGUMENT:•  The majority of good refractive surgery candidates receive their primary eye care from an optometrist, estimated at 70% of the potential candidate pool•  Optometrists are trusted by their patients•  Optometrists will always be involved in vision care options for their patients Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadCLINICAL ARGUMENTS:•  Optometrists will always have greater knowledge and insight into the candidacy of their patients –  Stability of Rx & CL history –  Past ocular history –  Occupation & Hobbies etc... –  Personality & Expectations !!!! Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead•  Optometric Co-management provides certain essentials and unique benefits to refractive surgery candidates: –  Pre-op: Candidacy, Education, Refraction and Ocular evaluation confirmation, controversially help with Surgeon/Center/ Laser selection –  Intra-op: Reassurance, Continuity of care –  Post-op: Convenient and More frequent evaluation Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadPATIENT ARGUMENTS:•  Candidates need to make sense of all the marketing hype: –  Centers, Lasers, Surgeons, Prices, Technologies•  They require access to unbiased information based upon their particular eye history and prescription Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadPATIENT ARGUMENTS:•  Optometric co-management provides a vital quality control aspect –  By assessing patients post-operatively separately from the surgeon, patients feel reassured –  Patients desire an advocate and trust their optometrist to seek solutions for any problems Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadSURGEON ARGUMENT:•  the surgeon with a well selected candidate,•  clinical information, history and insight•  highly informed re: risks factors /presbyopia•  allows the surgeon to perform more surgery•  provides more convenient & frequent post- op care with continuity of care for Readers, Night Rx, Retinal evaluations Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadPATIENT & CLINICAL ARGUMENTS:•  Good surgeons may or may not co-manage•  Poor surgeons do not co-manage•  Patients ask their OD: Where would you go – they may not pick you, but they will always pick someone proficient in RS Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMICS ARGUMENT:•  Economics of competition has brought into question role of optometry•  As fees reduce– question is where to cut: Marketing vs. Optometric Care•  Marketing in major cities is not typically cost effective and can easily range from $100 for a typical patient lead to $1000 per patient acquisition or double Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMICS ARGUMENT:•  Concede that within the deep discount LASIK marketplace, ODs have been excluded•  Concede also that 90-98% of LASIK patients will do well with minimal post-op care•  Problem is which patients will not do well ?•  One poor outcome can negate 100 good ones! Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMICS & PATIENT ARGUMENTS:•  Most marketing dollars do nothing to educate patients•  Most centers place similar messages despite differences: – Everyone either invented or pioneered LASIK – Or was the First at Something! Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMIC & CLINICAL ARGUMENTS:•  Optometry provides a vital link for most patients and high volume centers – Information conduit – Screening satellites – Post-operative care satellites – Continued eye care centers Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMIC & BUSINESS ARGUMENTS:•  Most candidates see an OD•  Most candidates trust their OD•  ODs are ideally suited to provide clinical history & information on their patients•  ODs are ideally suited to educate their patients on RS Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMIC & BUSINESS ARGUMENTS:•  By having optometry provide much of the pre-operative and post-operative care, surgeons are able to:•  perform more surgeries•  dedicate more time to care for more complex and problem cases Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMIC & BUSINESS ARGUMENTS:•  While in-house optometric care is cheaper, it fails to provide the other essential aspects of quality care:•  unbiased information,•  continuity of care and trust,•  independent quality control Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMIC & BUSINESS ARGUMENTS:•  Negative rumors & Negative press can only be effectively dealt with through education which optometry can provide•  Each of these points will become increasingly important as refractive surgery continues to evolve Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMIC & BUSINESS ARGUMENTS:•  Low price corporate centers did exclude optometry but they have failed to stand the test of time•  Marketing is too expensive and impossible to differentiate the players at the high end•  Optometry will always have influence on this segment of the candidate pool Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead My Refractive Surgery Experience with Optometry:•  High quality patient experience provided which always stands the test of time•  Increased role as I introduced Wavefront Guided LASIK last year in Toronto•  My competition has once again shifted back toward co-management this past month Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead THANK YOUFOR THE OPPORTUNITY, Jeffery J. Machat MD Toronto, CanadaProperty  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • The Business of Refractive Surgery Oh Yeah !Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead•  The closing of low cost LASIK centers promotes the role of optometry•  The increase in LASIK advertising promotes the role of optometry•  The introduction of Wavefront actually promotes the role of optometry again Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead•  Wavefront Technology will be marketed at a premium•  Optometry influences most at the high end•  ATMs did not eliminate bank tellers•  Autorefractors and similarly, aberrometers will not replace the role of optometry•  Most expensive cars come standard with best options, comanagement is high end Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead•  Everyone will have their own opinion based upon their personal experience & competitor positioning with ODs•  Nevertheless, Optometry will once again increase in importance with: – the decline of low cost LASIK centers – introduction of Wavefront Technology Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead My Refractive Surgery Experience with Optometry:•  Cautious, Conservative as a whole•  Spend more chair time pre & post-op•  High index of clinical suspicion: Over-refer•  No safety difference in follow-up problems observed with ODs & MDs Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadPATIENT ARGUMENTS:•  Optometry in general provides each patient with far more unbiased information regarding surgical risks and clinical results•  Optometry as a whole is far more conservative than ophthalmology with respect to elective refractive surgery Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadPATIENT ARGUMENTS:•  Patients need post-operative care and most feel most comfortable with their own OD•  Visiting their OD is less time consuming: often both for travel & office time•  Patients post-operatively need continued care for: – Readers, Night Rx, Retinal evaluations Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadPATIENT & CLINICAL ARGUMENTS:•  If a patient sees their own optometrist and has a poor result: –  striae, loss of bcva, or severe night glare•  ODs will not refer again despite any real or perceived economic benefit•  Only excellent clinical results promote referrals•  Marketing however ignores past results Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead•  Poor quality surgeons will not receive optometric support,•  We Concede: Not all high quality surgeons comanage•  However: Extremely rare for less proficient surgeons to receive referrals•  Fee amounts are another issue Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead•  To imply that Optometrists are incapable of providing high quality post-operative care is insulting to optometrists and other non- surgical professionals•  Just as most surgeons are excellent caring professionals, so are most optometrists•  Proper refractive surgery training can be for anyone Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead•  To imply that an optometrist would refer a patient to a substandard surgeon for a few hundred dollars is ludicrous –  The optometrist has a longstanding relationship with his patient –  The entire family as well as friends are often patients and therefore the remainder of the practice may be at risk Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT Dead– The optometrist is still is required to care for their patient– Problem patients are costly in chair time– Problem patients are costly in emotional stress– Legal liability is still an issue for optometry Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • No, Optometry is NOT DeadECONOMIC & BUSINESS ARGUMENTS:•  ODs already present vision options of glasses & contacts to their patients, refractive surgery is simply another option•  ODs must be part of the economic reality of refractive surgery to present this option•  ODs can cost-effectively provide services, pre-op, intra-op & post-op Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.  
    • The information provided in this PowerPoint presentation isfor your personal informational purposes only. It is notmedical advice, medical diagnosis or treatment, orrecommendation for medical care or treatment. All medicalquestions or concerns about a medical condition, care,diagnosis or treatment should be presented to a medicalphysician, health care provider, or health care professional.You acknowledge that your use of this information is at yoursole risk, and that you assume and accept full responsibilityfor all risk associated with any reliance upon the informationpresented. Property  of    Dr.  Jeffery  J.  Machat.  All  rights  reserved.  Unauthorized  use  is  prohibited.