| 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 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 all Center patient care, educational and operational policies and protocols
- Compliance with Center HIPAA privacy and security standards
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
- Missouri Sex Offender registry check
- 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
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
- 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 or annual attendance at one approprite professional meeting
To be initially credentialed for the Primary Care Service demonstration of proficiency in primary care to independently examine, diagnose and manage visual and ocular conditions, diseases, and injuries. Proficiency can be demonstrated by written case reports, publication or presentation of contact lens related research, private practice experience or by endorsement of the Chief of the Primary Care Service or the Assisant Dean for Clinical Programs.
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) in a contact lens related area or contining education program
- Membership in one appropriate contact lens professional organization or annual attendance at one contact lens professional meeting
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 or presentation of contact lens related research, private practice experience or by endorsement of the Chief of the Contact Lens Service.
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 presentation (lecture, seminar or laboratory demonstration) in a pediatric/binocular vision related area or continuing education program
- Membership in or annual attendance at 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, publication or presentation of pediatrics/binocular vision related research, private practice experience or by endorsement of the Chief of Pediatrics/Binocular Vision Service.
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 presentation (lecture, seminar or laboratory demonstration) in a low vision related area or continuing education program
- Membership in one appropriate low vision professional organization (e.g., American Academy of Optometry/Section on Low Vision or annual attendance at an appropriate professional conference.
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, publication or presentation of pediatrics/binocular vision related research, private practice experience or by endorsement of the Assistant Dean for Clinical Programs.
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 presentation (lecture, seminar or laboratory demonstration) in an ocular disease related area or continuing education program
- Membership in one appropriate ocular disease professional organization (e.g., American Academy of Optometry/Section on Ocular Disease) or attendance at an appropriate professional meeting
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, publication or presentation of ocualr disease related research, private practice experience or by endorsement of the Chief of Eye Health Management Service.
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:
GENERAL PRIVILEGES
- diagnosis and management of vision disorders utilizing refractive, pharmaceutical and rehabilitation: low vision, contact lenses and binocular vision treatment modalities
- utilization and prescription of pharmaceutical agents for the examination of the eye and adnexa as well as treatment and management of vision disorders, diseases and conditions of the eye and adnexa
- utilization and prescription of ophthalmic devices, including spectacles, contact lenses and low vision devices, and training in their use
- health education to inform patients of potential ocular complications of disease processes and to prevent loss of sight or reduced visual performance as a result of environmental influences
- consultation with health care providers and others, when requested, to augment the care of patients
- referral to appropriate health care providers of patients with medical or surgical conditions
- supervision, education and clinical training of students and residents
- research/clinical trials in basic visual science and clinical optometry which address questions pertaining to anomalies of the human visual system, including epidemiological studies and the evaluation and development of treatment modalities
SPECIFIC PRIVILEGES
- primary care vision examination, including refraction and keratometry
- testing of accommodation
- testing of binocular vision and ocular motility function
- stereopsis testing
- color vision testing
- prescription and fitting of spectacles and related services
- ocular health assessment, slit lamp biomicroscopy, fundus biomicroscopy, direct and indirect ophthalmoscopy
- ocular pressure patching
- topical ophthalmic dye staining
- utilization of diagnostic pharmaceutical agents
- utilization of therapeutic pharmaceutical agents
- epilation of cilia
- expression of adnexal glands
- examination, testing, probing, dilation and irrigation of the lacrimal apparatus
- insertion of temporary or permanent punctual plugs
- gonioscopy
- tonometry
- interferometry, potential acuity testing and interpretation
- pre and post operative care for cataract and refractive surgery
- removal of non-perforating foreign bodies from the cornea/conjunctiva and adnexa
- urgent management of uncomplicated non-surgical ocular and adnexal conditions
- visual field examination and interpretation
- medical management of glaucoma
- co-management of refractive surgery
- contact lens evaluation, fitting and dispensing, including bandage lens
- ordering of diagnostic laboratory studies
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
- management of more difficult and complex ocular diseases and conditions
- co-management of more difficult and complex ocular diseases and conditions
Level II privileges are assigned and apporved by the Assistant Dean for Clinical Programs. Additional Level II privileges can be approved after the presentation of appropriate credentials. privileging form PDF