| credentialing | re-credentialing | privileging |
CREDENTIALING / PRIVILEGING POLICY
CENTER FOR EYE CARE
Definitions:
Credentialing: The process of reviewing, verifying, and evaluating a health care professional's credentials (i.e., professional education, clinical training, licensure, other certifications, clinical experience, other professional qualifications) to establish the presence of the specific professional background required for an attending position within the Center for Eye Care.
Privileging: The process of determining a health care professional’s current skill and competence to perform specific diagnostic or therapeutic procedures that the professional requests to perform as an attending within the Center for Eye Care. The result of privileging is that a faculty member is permitted by the Center to conduct those specific procedures.
All attending optometrists associated with the Center for Eye Care must demonstrate:
- Graduation from an accredited School or College of Optometry
- Valid Missouri and/or Illinois license to practice optometry with TPA certification
- Current adult (or child when appropriate) CPR certification
- Continuing education credits per year for Missouri and/or Illinois licensure
- Current evidence of competence and an adequate volume of clinical experience with acceptable results
- Compliance with quality assurance programs and all other Center patient care and educational policies and protocols
- Certification in infection control protocols
Each faculty member with practice privileges at the Center for Eye Care will have the following items in their credentialing file:
- copy of Missouri and/or Illinois optometry license
- current curriculum vitae
- professional references
- copy of Missouri and/or Illinois driver's License
- Social Security Number
- copy of School or College of Optometry diploma
- copy of Bureau of Narcotics and Dangerous Drugs registration certificate
- copy of Drug Enforcement Agency registration certificate
- statement of University self-insured medical liability insurance
- managed care provider numbers
- signed Compliance Plan statement
- training in Medicare compliance
- statement of continued knowledge, skill and proficiency in related patient services
All attending optometrists will provide a statement at the time of license renewal of their completion of the following re-credentialing activities:
The attending optometrist in the Primary Care Service must demonstrate current evidence of appropriate knowledge, skill and proficiency, and an adequate volume of clinical experience with acceptable results in related patient services.
- Accredited residency in family practice or primary care optometry or at least 2 years of experience in private practice or optometric education
- Within a 2 year period, at least one continuing education course in ocular disease, binocular vision, contact lenses and public health
- Every year, at least one: student presentation (lecture, seminar or laboratory demonstration), continuing education course, grand rounds or publication
- Membership in one appropriate optometric professional organization
These credentials allow the attending optometrist in primary care to independently examine, diagnose and manage visual and ocular conditions, diseases, and injuries. Appropriate consultation will be sought when needed.
The attending optometrist in the Contact Lens Service must demonstrate current evidence of appropriate knowledge, skill and proficiency, and an adequate volume of clinical experience with acceptable results in contact lenses related patient services.
- Accredited residency in Contact Lenses or at least 2 years of contact lens experience in a contact lens setting (practice, industry, optometric education)
- At least yearly, one student presentation (lecture, seminar or laboratory demonstration), continuing education course or publication in a contact lens related area
- Within a 2 year period, at least 12 hours of continuing education in a contact lens related area
- Within a 2 year period, at least one continuing education course in anterior segment eye disease
- Membership in one appropriate contact lens professional organization
To be initially credentialed for the Contact Lens Service demonstration of proficiency in specialty contact lens fitting will be required. These are: irregular cornea, post-surgical cornea, orthokeratology, etc.). Proficiency can be demonstrated by written case reports, publication of contact lens related research. Current Contact Lens faculty will not be required to submit case reports as previous experience has already been established.
Pediatric/Binocular Vision Service
The attending optometrist in the Pediatric/Binocular Vision Service must demonstrate current evidence of appropriate knowledge, skill and proficiency, and an adequate volume of clinical experience with acceptable results in pediatric/binocular vision related patient services.
- Accredited residency in pediatric optometry, binocular vision or vision therapy or at least 2 years of pediatric/binocular Vision experience in private practice or optometric education
- At least yearly, one student presentation (lecture, seminar or laboratory demonstration), continuing education course or publication in a pediatric/binocular vision related area
- Within a 2 year period, at least 12 hours of continuing education in a pediatric/binocular vision related area
- Within a 2 year period, at least one continuing education course in pediatric eye disease, neurology or education.
- Membership in one appropriate pediatric/binocular vision professional organization (e.g., American Academy of Optometry/Section on Binocular Vision and Perception, College of Optometrists in Vision Development, Optometric Extension Program Foundation)
To be initially credentialed in the Pediatric/Binocular Vision Service demonstration of proficiency in the management of specialty cases will be required. These are: amblyopia, strabismus, office based vision therapy, learning related vision problems, etc.). Proficiency can be demonstrated by written case reports. Current Pediatric/Binocular Vision faculty will not be required to submit case reports as previous experience has already been established.
The attending optometrist in the Low Vision Service must demonstrate current evidence of appropriate knowledge, skill and proficiency, and an adequate volume of clinical experience with acceptable results in pediatric/binocular vision related patient services.
- Accredited residency in Low Vision / Vision Rehabilitation or at least 2 years of low vision experience in private practice or optometric education
- At least yearly, one student presentation (lecture, seminar or laboratory demonstration), continuing education course or publication in a low vision related area
- Within a 2 year period, at least 12 hours of continuing education in a low vision related area
- Within a 2 year period, at least one continuing education course in ocular disease.
- Membership in one appropriate low vision professional organization (e.g., American Academy of Optometry/Section on Low Vision.
To be initially credentialed in the Low Vision Service demonstration of proficiency in the management of specialty cases will be required. Proficiency can be demonstrated by written case reports. Current Low Vision Service faculty will not be required to submit case reports as previous experience has already been established.
The attending optometrist in the Eye Health Management Service must demonstrate current evidence of appropriate knowledge, skill and proficiency, and an adequate volume of clinical experience with acceptable results in eye health management related patient services.
- Accredited residency in Ocular Disease (or Veterans Administration Hospital based residency) or at least 2 years of relevant experience in private practice or optometric education
- At least yearly, one student presentation (lecture, seminar or laboratory demonstration), continuing education course or publication in an ocular disease related area
- Within a 2 year period, at least 12 hours of continuing education in ocular disease related areas
- Within a 2 year period, at least one continuing education course in low vision or electrodiagnosis.
- Membership in one appropriate ocular disease professional organization (e.g., American Academy of Optometry/Section on Ocular Disease)
To be initially credentialed in the Eye Health Management Service, demonstration of proficiency in the management of specialty cases will be required. Proficiency can be demonstrated by written case reports. Current Eye Health Management Service faculty will not be required to submit case reports as previous experience has already been established.
For privileging, the Center for Eye Care uses a combination of the category and procedure approaches. All Center faculty are required to have state license with license and TPA certification. With these credentials, Center faculty have a Category I level of privilege. Privileges in this category allow the faculty member to independently examine, diagnose, treat and manage uncomplicated ocular conditions, diseases and injuries. Level I privileges include:
- primary care examination, including refraction
- accommodative testing
- binocular function testing
- color vision testing
- ocular health assessment, slit lamp biomicroscopy, fundus biomicroscopy, direct and indirect ophthalmoscopy
- ocular motility testing
- ocular pressure patching
- prescription and fitting of spectacles and related services
- topical ophthalmic dye staining
- utilization of diagnostic pharmaceutical agents
- utilization of therapeutic pharmaceutical agents
- epilation of cilia
- gonioscopy
- keratometry
- tonometry
- interferometry, potential acuity testing
- stereopsis testing
- color vision testing
- urgent and emergent management of uncomplicated nonsurgical ocular conditions
- visual field examination
- contact lens evaluation
- management of glaucoma
- contact lens fitting and dispensing
Level II privileges are permitted for faculty that provide patient care services that require additional specific credentials, training and/or experience, depending on the services provided. These include:
- sensory motor evaluation
- vision therapy/orthoptics
- developmental and perceptual assessment
- eikonometry
- ocular photography
- electrodiagnosis
- low vision evaluation and related services
- ultrasonography
- scanning laser polarimetry
- urgent and emergent management of complicated nonsurgical ocular conditions
- management of more difficult and complex ocular diseases and conditions
- co-management of more difficult and complex ocular diseases and conditions
- co-management of refractive surgery
Level II privileges must be requested and approved. Additional Level II privileges will be approved after the presentation of appropriate credentials. privileging form PDF