SEC Contracting and Benchmarking Workshop:
(SEC Practice Managers Program & AAPOS attendees)
Lisa Bohra, MD; Shira L. Robbins, MD; Robert Gold, MD; Rebecca Sands-Braverman, MD; Denise Chamblee, MD; Michael Bartiss, OD, MD; Robert Wiggins, MD
Children’s Eye Care, P.C.
West Bloomfield, MI
Purpose/Relevance: Retinopathy of prematurity (ROP) screening and treatment require a high level of specialized care, can involve a significant investment of time and travel to neonatal intensive care units, and incur a high amount of liability. As such, ophthalmologists involved in ROP care are increasingly looking to creation of contracts with hospitals to provide appropriate financial remuneration, adequate liability coverage, and strong safety nets to ensure improved patient care.
Target Audience: This workshop will benefit all AAPOS members interested in developing or revising contracts with hospitals for their retinopathy of prematurity services.
Current Practice: Currently, physicians are not always adequately reimbursed for their ROP services when compared to similar time investments in their clinical practices. In addition, they may not be sufficiently covered for the large claims historically associated with ROP litigation. Lastly, there may not be adequate protocols in place by both the physician’s office and the hospital to ensure all babies are screened and followed appropriately.
Best Practice: Educating physicians regarding the basic elements of ROP contract development and negotiation will help them to make the provision of these services more medically, financially, and legally viable.
Expected Outcomes: Following this presentation, attendees will be better informed about the benefits of contracting for ROP services.
Format: This workshop will be presented via a panel discussion with open question and answer forum. In addition, there will be a brief presentation of the 2016 Benchmarking Survey results.
Summary: This workshop aims to educate physicians regarding the basics of contracting and safety issues for the rewarding yet risk laden disease of ROP. Information will be presented through panelists and an open question and answer forum. Results from the 2016 Benchmarking Survey will also be presented.
References: Braverman, RS, Enzenauer RW. Socioeconomics of retinopathy of prematurity in-hospital care. Arch Ophthalmol. 2010 Aug;128(8):1055-8.
Braverman, RS, Enzenauer RW. Socioeconomics of prematurity care in the United States. Am Orthopt J. 2013;63:92-6.
Day S, Menke AM, Abbott RL. Retinopathy of prematurity malpractice claims: the Ophthalmic Mutual Insurance Company experience. Arch Ophthalmol. 2009 Jun;127(6):794-8.