Browsing articles in "Recommendations"

Cataract Surgery Recommendations

Cataract surgery is the second most frequently performed ophthalmic procedure in the United States (following intravitreal injections), and remains the source of the majority of the medical malpractice claims reported to OMIC. Our Cataract surgery recommendations can help reduce your professional liability exposure.

Telephone Screening of Ophthalmic Problems: Sample Contact Forms and Screening Guideline

CLICK ON DOWNLOAD FOR THE TOOLKIT WITH ALL FORMS

Each day, countless patients call their ophthalmologist to report problems and seek advice. During the day, physicians rely upon their office staff to screen these calls and schedule appointments. After-hours, ophthalmologists themselves field many calls while providing coverage for their own and other physicians’ practices, as well as for the Emergency Departments of hospitals.

Making medical decisions on the basis of the limited information obtained over the telephone is, therefore, a risky—albeit necessary—aspect of ophthalmic practice. Indeed, OMIC’S claims experience confirms that inadequate telephone screening, improper decision-making, and lack of documentation all play a significant role in ophthalmic malpractice claims. Negligent telephone screening and treatment of postoperative patients is especially likely to result in malpractice claims. 

Our Telephone screening toolkit with forms provides a sample telephone screening form for staff, an appointment guideline, and a form for after-hours care.

OMIC policyholders may call our confidential Risk Management Hotline for assistance. Email us at riskmanagement@omic.com, or call us at 800-562-6642, option 4.

 

 

 

 

The Ophthalmologist’s Role in Emergency Care: On-Call and Follow-up Duties Under EMTALA

EMTALA

The Ophthalmologist’s Role in Emergency Care: On-Call and Follow-up Duties Under EMTALA

Anne M. Menke, R.N., Ph.D.

OMIC Patient Safety Manager

“The Ophthalmologist’s Role in Emergency Care” focuses on on-call and follow-up duties. It is designed as a companion piece for “EMTALA: An Overview for Ophthalmologists,” which provides information on the basic obligations hospitals and physicians have under EMTALA (available online in the “Risk Management Recommendations” section at www.omic.com). The EMTALA regulations contain many defined terms. Ophthalmologists should be careful to distinguish between their usual understanding of these terms (e.g., emergency medical condition) and the legal definition given in the EMTALA regulations. Words with special legal meaning are placed in italics and explained as necessary. For ease of use, this discussion is organized in a question and answer format and contains legal information from attorneys with special expertise in this arena. At times, the legal situation is not clear.  In those instances, ophthalmologists should exercise their medical judgment and prioritize patient safety.

Download the complete document.

Leaving practice toolkit

Ophthalmologists leave practices for many reasons, including illness, retirement, changes in employment status, and personal or family needs. Both the individual ophthalmologist and the practice need to take steps in order to promote continuity of care, prevent allegations of abandonment, and ensure that all involved ophthalmologists have access to the medical records in the event the care is ever called into question. At the same time, both parties will need to take into consideration the terms of their contracts and the requirements of state and federal law.

This Leaving Practice Toolkit addresses the risks posed when an ophthalmologist retires or leaves a practice. Both ophthalmologists and groups need to take steps to prevent patient harm and reduce their liability exposure in these scenarios. Prepare your exit strategy early. Planning well in advance of the departure date helps all involved. While nothing can completely eliminate the stress of practice changes, much can be done to limit the likelihood of lawsuits.

Click on the “Download” button to access the toolkit, which contains sample change of practice letters.

Revised 2024




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