Ophthalmology Business

MAR 2018

Ophthalmology Business is focused on business topics relevant to the entrepreneurial ophthalmologist. It offers editorial, opinion, and practical tips for physicians running an ophthalmic practice. It is a companion publication of EyeWorld.

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TM From the publisher E lectronic health records (EHRs) have been widely adopted in re- cent years; in fact, the adoption rate in ophthalmology doubled from 2011 to 2016. 1 Despite the benefits an EHR can provide, some doctors think they take away valuable time from their patients. One study sought to quantify just how much time ophthalmologists spend using EHR. On average, ophthalmologists spent 11.2 minutes with the patient during an examination, 3 minutes of which were spent using the EHR. "What we found striking is that it's a significant percentage of what's not a lot of time," said Michael Chiang, MD. Read more about how much time ophthalmologists in the study spent using EHR and how to improve efficiency in "How much time are you spending on your EHR?" In "Software and specialist: A comprehensive approach to HIPAA compli- ance confidence," Brendan Gallagher, Brock Fick, and William Rabourn III discuss the importance of maintaining one's HIPAA compliance program in an era of increased enforcement, penalties, and technological threats. The authors share the requirements that ophthalmic businesses must address to be fully compliant, and they suggest a dual approach to compliance, utilizing both HIPAA software tools and an outsourced compliance specialist. Younger doctors are more likely to receive unsolicited complaints from patients—and sooner—compared to their older counterparts, according to a study described in "Why do patients complain and who do they complain about?" The study authors speculated that many factors could contribute to this, including being new to clinical systems, having less support staff, receiving more difficult referrals, and insufficient training for certain medical situations or emotional conversations. With the healthcare sector contributing to 10% of the country's green- house gas emissions, medicine could be "harming the public's health through its emissions—even if we are helping it in other ways," said Cassandra Thiel, PhD. Dr. Thiel coauthored a study that evaluated the environmental footprint of cataract surgery in a setting where some supplies were allowed to be reus- able; it resulted in 96% fewer carbon emissions than cataract surgery in the U.K. Dr. Thiel and Todd Sack, MD, editor of the nonprofit My Green Doctor, provide their thoughts on medical practices going green. Find these articles and more in this issue of Ophthalmology Business. Let us know how you apply these tips and ideas to your practice, and contact us with any questions or ideas for future articles. Thank you for reading! Donald Long Publisher Reference 1. Lim MC, et al. Adoption of electronic health records and perceptions of financial and clinical outcomes among ophthalmologists in the United States. JAMA Ophthalmol. 2018;136: 164–170. digital.OphthalmologyBusiness.org Vol. 9, No. 1 An ASCRS Publication March 2018 digital.OphthalmologyBusiness.org GOING GREEN IN MEDICINE P. 20 Survey finds fewer residents are entering ophthalmology P. 6 TM WHY PATIENTS COMPLAIN P. 12 SUPPLEMENTARY SERVICES P. 23 OB Cover_March 2018-DL.qxp_Layout 1 2/13/18 8:45 AM Page 1 March 2018 • Ophthalmology Business 3 March 2018 Donald Long Publisher don@eyeworld.org Stacy Jablonski Editor stacy@eyeworld.org Julio Guerrero Graphic design julio@eyeworld.org Susan Steury Graphic design assistant susan@eyeworld.org Carly Peterson Production assistant carly@eyeworld.org Paul Zelin Sales paul@eyeworld.org Monica Frishman Sales monica@eyeworld.org ASCRS Publisher: Ophthalmology Business is published quarterly by ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033- 4055; telephone 703-591-2220; fax 703-273-2963. Printed in the U.S. Editorial Offices: Ophthalmology Business, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4055; 703-591-2220; fax 703-273-2963; email: stacy@eyeworld.org Advertising Offices: ASCRSMedia, 4000 Legato Road, Suite 700, Fairfax, VA 22033-4055; toll-free 800-451-1339, 703-591-2220; fax 703-273-2963; email: cathy@eyeworld.org Copyright 2018, ASCRS Ophthalmic Services Corp., 4000 Legato Road, Suite 700, Fairfax, VA 22033- 4055. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. Letters to the editor and other unsolicited material are assumed intended for publication and are subject to editorial review and acceptance.

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