ASCRS and AAO Release Updated Joint Co-Management Guidelines

Last week, ASCRS and the American Academy of Ophthalmology released updated joint Co-Management Guidelines. The update to the Position Paper on Postoperative Co-Management emphasizes a standards-driven approach to patient care. It states co-management of postoperative patients is appropriate in certain circumstances and when the arrangement follows the criteria laid out in the updated joint position paper.

In revising the position paper, ASCRS and the Academy felt it was important to emphasize the role of the patient as the ultimate decision-maker, with appropriate consideration for quality of care and patient safety. The revised guidance additionally focuses less on legal and ethical perils, while encouraging ophthalmologists to use professional judgment consistent with applicable ethics and law in interpreting and applying the guidelines to the particular circumstances of their individual practices.

The updated position paper:
• Acknowledges that sharing management can serve legitimate patient interests and can be done appropriately.
• Is more appropriate for integrated care systems.
• Improves and updates key definitions, such as “co-management” and “transfer,” and distinguishes between them.
• Removes most references to legal and ethical perils.
• Removes a prohibition of routine arrangements, instead emphasizing mutually agreed standards.
• Adds three categories of circumstances that justify co-management: barriers to patient travel, unavailability of operating ophthalmologist, patient prerogatives.
• Adds nine criteria for acceptable arrangements.
• Strikes an explicit requirement for written consent and allows verbal consent with documentation.

Click here to read the revised statement.

For more information, contact Nancey McCann, ASCRS Director of Government Relations, at 703-591-2220.

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About Arthur De Gennaro

My friends call me Art. Welcome to my blog. In this space you’ll find information and comments on the ophthalmology world, the optical industry, the hearing industry and medical practice management. My intent is to provide information you can use to improve your business and your own performance. Please visit often and feel free to join the discussions by leaving comments.

You can learn more about me and my consulting company, Arthur De Gennaro & Associates, LLC by visiting my web site www.adegennaro.com

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September 2015

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