Thursday, November 6, 2014

My, How Times Does Fly…

It’s such a cliché, but certainly holds true in this case. It seems like just yesterday that I was talking to you about my New Year’s Resolutions for 2014. What a year it has been for both me and the POA!

For example, you may recall one of my personal resolutions was to strive to become healthier and hopefully trim my waistline a bit. Well, I can report that I’ve lost 10 pounds (it’s a start) and have become a pescatarian…OK, I’ll admit to an occasional moment of weakness when Wendy, one of those Five Guys or Mr. Fuddrucker draws me in like a moth to the flame! Leadership roles force one to come face-to-face with both personal strengths and weaknesses. I have definitely learned more about myself in the process.

I am proud to look back over the past 11 months and reflect on the good work that has been accomplished. The POA has moved forward in 2014, despite the barrage of challenges we face each year. What an honor it was to help host the AOA’s Optometry’s Meeting® in Philadelphia in June! Even though it presented extra work for our staff, deviation from our yearly meeting schedule and added responsibilities to our Board members, I believe it was well worth the effort. Our Legislative Affairs Committee continues to be steadfast and diligent in their oversight of our current scope of practice in Pennsylvania during the 2013-2014 legislative session. We strengthened the POA’s relationship with Salus University by working closely with its new president, Dr. Mittelman, and PCO’s new Dean of Students, Dr. Lori Grover. This also involved hosting our yearly September Board Meeting on campus with a student event, which provided a fun and educational way for students to learn about organized optometry.

As for the “Year of the Child,” one of my primary goals was to share my passion for pediatric optometry with you and work on specific initiatives to promote the ideals of Kids Welcome Here® that began in Pennsylvania many years ago. Back in May, things started off with a well-attended pediatric continuing education program in State College given by Dr. Jim Spangler, chair of the Pediatric Vision Care Committee, and Dr. Marla Moon. Dr. Spangler also helped gain nationwide exposure for the Kids Welcome Here program at Optometry’s Meeting in Philadelphia by staffing a POA-sponsored booth in the exhibit hall. In early September, the AOA InfantSEE® program featuring Dr. Glen Steele and Tom Sullivan made a stop at PCO. I had a wonderful opportunity to speak to the students as an InfantSEE provider, pediatric optometrist and organization leader. In honor of this event, a Pennsylvania Senate proclamation was introduced by Senator Mike Folmer recognizing the InfantSEE program. Coming up during this month, the POA is very excited to host a six-hour pediatric continuing education program featuring Dr. Christine Allison; Professor of Pediatrics and Binocular Vision at the Illinois College of Optometry, AAO Diplomate in Pediatrics, COVD Board member and nationally recognized speaker, as well as Pennsylvania’s own Drs. Spangler and Grover.

While it’s wonderful to extol our accomplishments, the reality is that some areas still need improvement. Despite the significant efforts of both Dr. Donna Buraczewski and Dr. Greg Caldwell reaching out to our members and working with the AOA staff this year, we were not able to see substantial increases in our AOA-PAC donations. I must pass this continued work on to Dr. Richard Christoph for 2015.

I could not complete my year as president without sending my heartfelt thanks to my fellow 2014 board members: Drs. Owens, Christoph, Margolies, Eiss, Wincek-Bateson, Gray and Evans. No president of any organization could ask for a better team. Despite the hard work and productivity, somehow we managed to enjoy ourselves in the process! A second round of gratitude goes to our amazing POA staff: Deb Blanchard, Ilene Sauertieg and our newest addition, Kelsey Rodkey. Very few states in the nation have such competent and dedicated staff members. Ever since I became an officer of the Central Pennsylvania Optometric Society many years ago, I knew they were wonderful individuals to work with, and my appreciation has only grown stronger with each passing year. This sentiment certainly holds true for Dr. Stuckey, our executive director, especially when one witnesses the significant respect and admiration he has earned from other optometric association executives around the country and the AOA leadership. We are so lucky to have him!

I cannot break the tradition of my editorials, so here is my final ask (I hear many sighs of relief): if at all possible, take a moment to thank any POA member you know who serves in a volunteer leadership position; whether they serve in a local, state or national role or as a committee member. The AOA and POA would not exist without the never-ending dedication of all involved; these individuals spend many evenings and weekends away from family and hours away from their optometric practices. They do what they do for the profession of optometry, the selfless sharing of talent, time and passion that benefits every practicing optometrist. Ultimately, my wish would be to start seeing many new association volunteers who are inspired by these individuals.

Thank you for allowing me to serve as your president for 2014; it has definitely been one of the most significant honors of my life. I also thank you for listening to me share so much with you through my editorials. My goal was to not only convey obligatory messages, but also to share a bit of myself in the process. As I pass the torch to Dr. Christoph, I know the association will be in extremely capable hands.

It’s not too early to start working on your New Year’s resolutions for 2015; that bedazzled ball will be dropping in Times Square before you know it!

Marianne Boltz, O.D., F.A.A.O.
POA President

Tuesday, September 2, 2014

InfantSEE®...then and now

So, what do you remember about June 8, 2005? I’d like to say I could remember what outfit I wore, what I had for dinner that evening or what was happening in local or national news that day, but in reality the only thing I remember was the official roll out of the InfantSEE® program! The launch was showcased that morning by a segment on The Today Show with Dr. Scott Jens, InfantSEE chair, and President Jimmy Carter, the “celebrity spokesperson” for the program. His words moved many viewers as he shared the personal story about his grandchild who was diagnosed with amblyopia around age eight and wished it had been detected sooner. Naturally, this prompted him to put his personal stamp of approval on the AOA program and help us spread the word about the importance of early detection of children’s vision and eye health problems.

Of course as a pediatric optometrist, I signed up to participate in the program immediately. It was only my ninth month working at Penn State Hershey Eye Center and I recall the excitement I felt peppered with a bit of anxiety and trepidation about the program. Namely, were the phones going to start ringing non-stop with every parent of a child between six to twelve months of age in the Hershey area calling to schedule an appointment? How was my already hectic schedule going to handle that? Was I going to have to restrict the number of InfantSEE patients I saw each week?

The entire year of 2005 was an exciting one for pediatric optometrists. Our special services were highlighted and so many of us were called upon to help teach our colleagues how to become more comfortable with a basic infant eye exam. I remember the comprehensive continuing education hands-on infant exam workshops that were offered at many colleges of optometry and during the Academy of Optometry meetings. The AOA also provided educational and promotional resources for its members regarding the InfantSEE program. On occasion, I still show the Windows to the World video that was distributed to program participants. Here in Pennsylvania, we were ahead of many states in helping and educating our members due to our long-standing Kids Welcome Here® program, which already promoted a first eye exam at age one.

I read a quote recently by Rachel Donadio, culture correspondent for The New York Times, which really struck a chord with me: “After all, what is life but a continuing negotiation between expectation and reality?” This concept certainly applied to my initial experience with the InfantSEE program. The reality was that I never became overwhelmed with the number of InfantSEE exams I performed and the phone never rang off the hook. I was pleased with the number of infants I was seeing through the program initially, but over time I began to see only a handful of program participants each month. I accept blame for this occurrence, as my motivation to promote InfantSEE lessened slowly over time, as is often the reality for extended programs like this. Unfortunately, I have a feeling that many of you reading this would admit experiencing the same, but it’s not all gloom and doom. In 2013, the national InfantSEE Committee was proud to announce the significant achievement of receiving eye assessment reports for more than 100,000 babies through InfantSEE since the program’s inception. I suspect that many optometrists do not consistently send assessment reports back to the AOA, potentially causing the statistics to be lower than what the reports showed.

Over the last few years, I have heard some fellow POA members question both the continued existence of the program as well as whether InfantSEE is still necessary given the children’s vision benefit becoming part of the Affordable Care Act. Let me set the record straight: yes, the program still exists and yes, it is still necessary! A simple explanation is that even though many more children have insurance coverage for an eye exam, it does not mean that the parents know their infants need to see an optometrist in those early months. I believe the purpose of the InfantSEE program is to emphasize educating the public, with the free exam as an incentive. Of course, a free exam was an important incentive when many did not have eye coverage for their children in 2005. Moving forward in 2014, we need to focus our effort on spreading the important message of early intervention and early detection of eye health and vision disorders in the infant and pre-school population.

On May 18, I attended a pediatric continuing education event in State College cosponsored by Mid-Counties and Northwestern Optometric Societies. While there, I had the pleasure of meeting fellow POA member Dr. Daniel Schott who has a practice site at Cole Memorial Hospital. He shared his story of how pediatricians at this Potter County hospital send their patients to him for an exam as part of their nine-month well-child visits. Dr. Schott’s belief in and dedication to the InfantSEE program provided the incentive to forge this strong relationship with the pediatric physician group. This is the exact type of relationship that the InfantSEE program was intended to develop. What an inspiring story! This arrangement not only promotes quality eye and vision care for infants in his area, but places an optometrist as an important member of the pediatric medical team. Dr. Schott’s story motivated me to create the Keystoner’s InfantSEE success stories section, which features stories from members around the state. You can read about his InfantSEE experience by clicking here. I encourage you to share your InfantSEE success stories with the POA by emailing

Finally, I’d like to share exciting news regarding the InfantSEE program. About two years ago, Allergan Foundation generously donated grant funds to Optometry Cares® - The AOA Foundation to increase awareness and promote education of the InfantSEE program within the schools and colleges of optometry. A two-part program was developed; one part focused on educating students at optometry schools around the country and the second part focused on educating community members and leaders. Both programs feature Tom Sullivan, the well-known author, actor, singer, composer and motivational speaker. His personal story serves as not only an inspiring tale about how an individual can overcome physical challenges, but also demonstrates the importance of early eye care for all children. This program will be coming to Salus University (PCO) on September 5-6 and I’m excited to have an opportunity to speak to the students during the event as an InfantSEE provider, pediatric specialist and POA leader. 

As is my editorial tradition, I will leave you with one final ask: if you are one of the 7,500 nationwide optometrists that signed up and participated in the InfantSEE over the past 9 years, I ask that you continue to spread the message and challenge yourself to see a few more babies each month. Remember, this is not only a benefit to each infant and his or her family, but you can also reap the benefits of adding at least one life-long patient, as well as the rest of the family, to your practice! If you are a recent grad, new member of the AOA/POA or just never got around to signing up for the program in the past, this is your opportunity. Visit to sign up. Carpe diem. It’s one more way that you can help our goal of making 2014 the “Year of the Child!”

Marianne Boltz, O.D., F.A.A.O.
POA President

Friday, July 11, 2014

With clarity and vision for all: Optometry’s Meeting 2014

Optometry’s Meeting 2014 in Philadelphia: we came, we saw, we learned...and had a fantastic time doing so! Like any major event one tirelessly prepares for, now that it is but a memory, we can thankfully take pleasure in the immense relief and satisfaction that comes with a successful outcome and job well done. 

Pennsylvania had not hosted an AOA meeting for over 50 years. What an opportunity! When the POA first learned that Optometry’s Meeting was to be held in Philadelphia in 2014, we knew there was much work ahead of us. I personally understood that this event would also be a major defining element of my presidential year. What an exciting honor it was to address my colleagues at the beginning of President’s Council, and later that day, officially welcome everyone to Philadelphia at the Opening General Session. I offered not only sincere greetings on behalf of the POA members, Board and staff, but also provided those in attendance a history lesson about the famous Philadelphian, John McAllister: the father of American Optometry. You can learn more about the “first family of American Optometry” in a short history written by Dr. Robert Owens at

There are several highlights I would like to share from the meeting. At the Opening Ceremony, I was thrilled to share the stage with “one of our own,” Roberta Beers. I have often said that the PA Paraoptometric Association and the paraoptometric profession in this country would not be what it is today without Roberta, specifically due to her enthusiastic dedication and perpetual volunteerism. The American Optometric Association obviously felt the same and selected her as the 2014 AOA Paraoptometric of the Year. Little known fact: Roberta is the fifth paraoptometric professional from Pennsylvania to receive this award! The ceremony concluded with a keynote presentation from Olympic gold medal winner, ice skating commentator, and cancer survivor Scott Hamilton. 

Bright and early Thursday morning the House of Delegates began with the traditional procession of state flags, each one being carried by the president of each respective state affiliate. I proudly waved our state coat of arms walking beside the president of Hawaii, whom I have gotten to know through the past several President’s Council meetings. If you read my first editorial, you will recall my passion for the 50th state! Pennsylvania was well-represented by 18 delegates that were made up of POA Board members, past POA presidents and local society presidents. To hear more about the House of Delegates – what topics were discussed, resolutions voted on and who was elected as the new AOA Board trustee – look for the article written by Dr. Richard Christoph, to be published in the next Keystoner

The POA member reception was held on Thursday evening in the Marriott hotel. Thanks to the generous support of the Philadelphia County Optometric Society, we had a very special guest at our reception: Benjamin Franklin! In addition to enjoying dessert, coffee and photo-ops with the iconic inventor of bifocals, another historic figure “worked” the room: John McAllister (rather, Dr. Robert Owens donning his finest colonial attire as the father of American optometry). During the reception we recognized the 2014 POA award winners and Roberta Beers for her AOA award. Attendees left with a special souvenir to commemorate Optometry’s Meeting 2014: a unique lapel pin designed for the event displaying the POA logo surrounded by a liberty bell. Dr. Richard Christoph did the major design of the pin’s logo, but production was made possible by the support of the Berks County, Lehigh Valley and Northeastern Pennsylvania Optometric Societies, as well as Dr. Barbara Yanak. 

On Friday morning, Dr. Charles Stuckey, Dr. Richard Christoph and I hosted the Northeast Optometric Forum breakfast meeting. These meetings are attended by the President, President-Elect and Executive Director of each northeast state affiliate and Ohio. Due to POA’s proficiency in the area of third party issues, this was the primary meeting agenda topic and triggered lively discussion. We also had the opportunity to interview Dr. James DeVleming, an optometrist from eastern Washington state running for the open one-year AOA trustee position. To end the meeting, attendees were challenged with a short Philadelphia trivia contest whose questions were developed by yours truly! 

I cannot help mentioning a unique opportunity that was bestowed upon me and fellow POA Board members Dr. Steven Eiss and Dr. Rebecca Wincek-Bateson. We were asked by the AOA Board to act as local ambassadors to dignitaries from Canada (Dr. Paul Geneau, president of the Canadian Association of Optometrists, and Dr. Barry Thienes, president-elect of the CAO and Dr. Susan Cooper, president of the World Council of Optometry) on Thursday evening; and from China (Mr. Cui Yi, chairman of the China Optometric and Optical Association, and fellow Chinese optical colleagues and optometric educators) on Friday evening. It was truly a testament to how respect, camaraderie and laughter know no language or cultural barrier!

After sitting in continuing education lectures or the House of Delegates all day, there were thankfully events that helped us end Friday and Saturday with some collegiality and entertainment. Many POA members attended the Pennsylvania College of Optometry reception and student outreach program fundraiser on Friday evening at the National Constitution Center. The Celebration of Optometry was held on Saturday evening in the ballroom of the Convention Center. Sponsored yearly by Hoya, this year’s event featured famous actor and comedian Martin Short. He sang, danced and showcased some of his beloved characters from Saturday Night Live and the movie Father of the Bride. It was a fitting way to end a spectacular conference!

Finally, I must take this opportunity to thank the POA staff; especially Ilene Sauertieg, Deb Blanchard and Kelsey Rodkey for the months of hard work preparing for Optometry’s Meeting in Philadelphia, but also for their support and oversight during the event. Of note, I received very positive feedback from President’s Council attendees regarding the Philadelphia Finder emails (listing must-see attractions, where to eat, shop, etcetera) developed by our POA staff from member suggestions, and sent out to all state affiliates prior to the meeting. 

For those of you who attended Optometry’s Meeting this year, I hope you left Philadelphia with additional knowledge and many good memories. It was wonderful to personally hear from many out-of-state optometrists who enjoyed their time in the “city of brotherly love.” I know it was a week that the POA staff and Board will not soon forget. So, on to Optometry’s Meeting 2015: Seattle…the Pennsylvania Optometric Association certainly set the “state host” bar high. Good luck, Optometric Physicians of Washington!

Marianne Boltz, O.D., F.A.A.O.
POA President

Tuesday, May 6, 2014

Membership has its privileges

So, why did you join the POA? Yes, I am asking you. Tough question? It might not be so easy to provide a concrete answer. Having given this question some serious thought, allow me to share two reasons why I became active in our professional state organization as soon as I started my first optometry position in Harrisburg 17 years ago.

First, I must take you on a journey back to my childhood. My father was a physical therapist; someone who taught me not only the trials and tribulations of being an extremely dedicated medical professional, but also the importance of supporting one’s professional organization. I always remembered my father as a member of both the Pennsylvania Physical Therapy Association (PPTA) and the American Physical Therapy Association (APTA). Our family had the opportunity to visit many interesting places throughout the country and Canada, attending various APTA meetings with him to places like Anaheim (Disneyland!), Kansas City, Baltimore, New Orleans and Montreal. I also vividly recall his consternation regarding legislative issues that arose in the state, particularly those involving those “diabolical” chiropractors who wanted to perform physical therapy-type services in their offices! (Yes, this was their turf-war battle many years ago – sound familiar?) I remember him writing checks to support these PPTA legislative initiatives, to what I did not know at the time was their political action committee. I believe it was from these childhood experiences that I came to understand by osmosis the importance of professional association membership – that joining and supporting these organizations at the state and national level was something “you just did” as a successful medical professional.

My second reason for joining the POA was undoubtedly related to an early encounter with our executive director, Dr. Charlie Stuckey. I had the lucky coincidence to be an optometry extern in the fall of 1995 at Kilmore Eye Associates, where Dr. Stuckey was the managing partner at the time. I recall sitting in his office and being so impressed upon seeing his Master’s Degree in Health Planning and Management from Penn State hanging on the wall! (But please don’t ask me what I had for dinner two nights ago.) He made get-togethers with each of the externs a priority to discuss issues related to practice management and membership in the POA and AOA. I believe I even attended a Central PA Optometric Society meeting upon his recommendation during my externship at the practice. Ultimately, this experience with Dr. Stuckey further solidified the importance for me to continue on with my membership of the POA and AOA long after my new-graduate scale dues reduction was no more.

As I had mentioned briefly in my first editorial, the POA (and most other state affiliates) has continued to struggle with growing membership as long as I can remember. Our membership numbers have been stable over the years. Not surprisingly, this issue of membership sustainability and growth was the topic of the keynote addresses at our last two President Council meetings. In San Diego last June, Mary Byers, author of Race for Relevance: 5 Radical Changes for Associations, spoke about the similar challenges that face all professional organizations today in terms of membership. Younger potential members from Generation X look at membership differently than their parents did. There is also the challenge in meeting the needs of a greater number of part-time, female and ethnically-diverse potential members. In San Antonio this past January, Sheri Jacobs, CAE, the author of the book, The Art of Membership spoke about how organizations must market themselves “like Lady Gaga” to help new potential members more easily see and understand the benefits of being part of an organization. For example, just like Lady Gaga is very accessible to her fans, we need to make sure the POA is accessible to new members. We should be sure to make connections so people feel engaged and want to return to events like CE conferences and maintain membership. Ms. Jacobs also discussed how there are big shifts underway in how people spend their money; for example, people are more careful in deciding to spend money on membership dues. They are also more careful on how they spend their time. She also raised the point that younger generations won’t automatically join organizations as in previous generations – they want to see greater tangible rewards to do so.

I truly feel the solution to not only adding new members but also keeping the ones we have is for each person to understand the ways in which the privileges of membership in the POA outweigh the cost of dues. No, not an easy task when bills and expenses are bombarding us each day from every direction: student loans, child-related costs, buying new equipment for your practice, etcetera. While I could ramble on and on about the numerous tangible benefits (like the Keystoner keeping you informed with what is happening with our profession), let me just share with you the three membership benefits that I personally feel are the most significant to me: advocacy, continuing education and social/networking opportunities. As POA members, I know you are familiar with the high quality CE programs and webinars offered throughout the year at conferences and online. You may also understand the social and networking opportunities that are provided by attending both local society and state meetings, like our recent Spring Congress in State College. What you may not be as aware of is the difficult work of advocacy that often goes on behind closed doors, especially by our most active committees such as the Third Party Center and the Legislative Affairs Committee. Dr. Stuckey and the Third Party Center are continually addressing issue after issue for our members, such as unequal reimbursement, coding/billing challenges and insurance panel credentialing/re-credentialing. The Legislative Affairs Committee works diligently to stay on the offensive with any statewide “turf-war battle,” as well as keeping abreast of what legislative initiatives are being fought and won around the country. In addition, our keyperson system within the Legislative Affairs Committee perpetuates close relationships with our state senators and representatives. A timely example of the significance of our keyperson system and lobbying team: the solid friendship they have nurtured over the years with legislative leadership led to optometric services being reinstated as part of the Healthy Pennsylvania Medicaid waiver proposal. The initial proposal eliminated all optometric, podiatric and chiropractic services from coverage.

I absolutely realize that I am “preaching to the choir” regarding this membership theme. If you are reading this editorial, you are most likely a POA member already and realize that membership has its privileges. So, here is my “ask” of you: I ask you to help us spread the word and reach out to non-members you know (former classmates, doctors practicing down the road from you, etcetera) and encourage them to attend a local society meeting to “test the waters” or just take the plunge and join. I even suggest that you share this editorial with them. For that matter, if it’s been a long time since you have attended a local society meeting – make it a priority and go. Help us to keep the organization alive and growing. No matter what reason motivated you to join organized optometry, the future of our profession is up to you!

Marianne Boltz, O.D., F.A.A.O.
Pennsylvania Optometric Association

Friday, March 14, 2014

Passion for what you love

Passion. The Merriam-Webster Dictionary defines passion as “a strong feeling of enthusiasm or excitement for something or about doing something.” I think my family and closest friends would agree that, in general, I am a passionate person. Those who know me best will tell you that the things I’m most passionate about are travel (especially international destinations I’ve visited or hope to visit, like the city of Chicago and the Hawaiian islands); being a “foodie” (trying new restaurants and seeking out various ethnic cuisines); our recently-rescued kitten named Coco; and most importantly, pediatric optometry. 

I became a pediatric optometrist for many different reasons. The main one involved my early discovery of enjoying working with children. In fact, my freshman year of college I was an elementary education major! I later switched to biology/pre-med due to my equally-significant interest in pursuing a career in the medical field. Ironically, my Lebanon Valley College psychology professor was good friends with a local optometrist, Dr. James Bouquet, and knew a bit about developmental optometry and vision therapy. A psychology research project he helped me design involved subjects doing convergence exercises with an antique stereoscope to investigate its use in decreasing near point fatigue. Planets aligned and interests were meshed, thus solidifying my desire to apply to optometry school the following year. While at PCO, I joined the COVD student organization and eventually went on to become the national student liaison to the COVD Board of Directors. Not surprisingly, my interests drove me to complete a pediatric optometry and binocular vision residency at Illinois College of Optometry. 

After almost 17 years of practice, my passion for pediatric optometry is unwavering. I still get excited to see the smiling faces of the children under my care, to make a life-changing diagnosis of accommodative esotropia and prescribe a first pair of +6.00 glasses, and to be able to reassure a teenager suffering from daily headaches due to convergence insufficiency that a program of vision therapy will provide relief to his or her problem. Beyond this day-to-day practice, I also love sharing my passion with fellow optometrists and medical professionals by speaking locally and nationally about general pediatric vision care and pediatric low vision. 

One of the primary goals I have for the POA in 2014 is to promote children’s vision. The timing could not be more perfect, matching the rollout of the Affordable Care Act with the pediatric essential benefit in place. The AOA, as a result of your membership dues, fought diligently to make this pediatric essential benefit a reality, a prime example of how the AOA makes sure that optometry is not forgotten or left behind in the legislative or third party arena. With this coverage for comprehensive eye exams, medical visits and materials for ages 0-18 years, it is very likely that most of us will see an increased number of children in our practices over the next year.

To this end, I have unofficially named 2014 “The Year of the Child.” Watch for the re-introduction of the Kids Welcome Here ® Program – a public education and patient recruitment program that is highly recognized around the country. We especially hope to highlight this program at Optometry’s Meeting in Philadelphia. Plans are also being finalized for a six-hour pediatric continuing education program on November 23 in Hershey, featuring a nationally-recognized pediatric optometrist from the ICO, well-respected members of our Pediatric Vision Care Committee (PVCC), and even a developmental pediatrician discussing autism spectrum disorders (how to work best with these children in our exam chairs and associated vision concerns). I am also working closely with the AOA in facilitating an InfantSEE event to be held at PCO. This program has been making its way around the country at several schools of optometry and features both a student program with motivational speaker Tom Sullivan and a COPE-approved continuing education program for optometrists. Lastly, the PVCC will be working towards the long-anticipated goal of a Children’s Vision Day at the Capitol.  We are fortunate that the PVCC chairperson, Dr. James Spangler, has a solid relationship with a local state representative who we hope to recruit for support of this project. 

The noted speaker and author on leadership John Maxwell said it best: “A leader’s courage to fulfill his vision comes from passion, not position.” It is my vision that over the next year, through increased exposure to and education about pediatric optometry, you, too, will come to share a bit of my passion for taking care of our youngest and most precious patients.  

For the love of children,

Marianne E. Boltz, O.D., F.A.A.O.
Pennsylvania Optometric Association

Thursday, January 23, 2014

New year; old resolutions

The clock strikes twelve on New Year’s Eve - 2014 is here! The crystal ball just dropped in Times Square, and a large Hershey’s kiss just descended in Hershey. Auld Lang Syne lyrics echo from the TV, while fireworks pierce the quiet and light up the sky of downtown Hershey. I begin to reminisce about the highlights of 2013 and think about what may lay ahead for 2014. Resolutions ... ugh, the obligatory New Year resolutions … for me and for the Pennsylvania Optometric Association.

Personally, my New Year resolutions don’t change too much year to year. They usually involve losing weight (20 pounds would be really great!) and getting to work a bit earlier each day (which means not hitting the snooze alarm each morning at least three times). But, alas, I’ve come to the realization as to why these same issues plague me each year: I need to address the big picture. For instance, rather than focusing on just what my scale says each morning or what clothes fit me, realize that the more important issue is my general health – providing for a good quality of life now and for the future. Also, I must realize how lucky I am to have a career as a pediatric optometrist that gives me so much personal satisfaction, and a position at Penn State Hershey Eye Center that provides me so many unique patient care and teaching opportunities. So what’s the big deal about getting a half-hour less sleep in the morning?

Likewise, the POA each year has resolutions that continue to challenge the organization. Two of these repetitive goals are increasing active membership numbers and increasing member contributions to both POPAC and AOA-PAC. It is my hope that more Pennsylvania optometrists will, as I did, step back and look at the big picture in regards to these issues. I want the statewide non-members to look past the cost of yearly dues and realize the value of the numerous tangible and intangible benefits of membership in the POA and AOA. I also hope that you, as POA members, will be a bit more generous with PAC donations, realizing how extremely important they are to the future of optometry in this state and nationwide. Contributing to one or the other is also not acceptable - we need to support efforts of both PACs to move the profession forward locally and throughout the country. Optometry is a legislated profession, and maintaining the practice privileges we have today and any hope for scope of practice expansion in the future bluntly costs money. I wish I could say that we can advance our profession just because what we want is right and best for our patients; but that is, sadly, just not enough. It is one compelling lesson I learned over the last six years as a POA Board member. 

I am both humbled and excited by the honor of representing each of you as the 2014 POA president. We have much to look forward to this year! For example, we are planning to roll out several pediatric initiatives (making 2014 the unofficial “Year of the Child”) and have the privilege of hosting the AOA Optometry’s Meeting in Philadelphia this June – we hope to see you there. Dr. Rich Christoph (POA president-elect) and I represented Pennsylvania earlier this month at the AOA President’s Council in San Antonio. Stay posted for the next issue of the Keystoner for our report on the hot topics and highlights of this interesting conference – it’s always a unique opportunity to learn what is happening with the profession of optometry around the country. 

In the meantime, I wish you and your family a happy, healthy New Year. Good luck making those resolutions ... just don’t forget to make the POA a part of them!

Marianne E. Boltz, O.D., F.A.A.O.
Pennsylvania Optometric Association

Wednesday, December 18, 2013

POA and AOA at work for you: 2013 and beyond

As I prepare my last Presidential Editorial, I’m haunted by the lyrics of an early Billy Joel song: “Well, so here I am at the end of the road, where do I go from here? I always figured it would be like this, still nothin’ seems to be quite clear.”

Okay, the relevance of the lyrics: Has there ever been a time with more ambiguity with health care and our government? The Affordable Care Act (a.k.a. Obamacare) passed as a law and its constitutionality verified by a Supreme Court decision, yet some legislators attempted to shut down our democratic process in defiance – somewhat akin to secession – which racked up an estimated $24 billion tab.

A recent AP survey reported an approval rating of our Congress at 5%; a further decline from my Spring editorial on sequestration when there was a 14-18% approval rating of Congress. Yet, our Congress seems to be either oblivious or immune to this expressed disapproval rating. Could anyone run a business that only pleased or appeased 5% of their clients/customers? “Nothin’ seems to be quite clear.”

The Affordable Care Act is moving ahead and the insurance exchanges are finally open for business (though still with problems) after a decidedly rocky start despite approximately $400 million spent on developing the programming. To access the state exchange, Google insurance exchange PA or visit The Pennsylvania Insurance Department has also set up a website to help Pennsylvanians navigate the process at Obviously, there will be additional problems and challenges that will need to be rectified during implementation. Regardless, the issue of health care in this country needs to be addressed. We will spend about $3 trillion on health care this year in the US; that’s 17.6% of our GDP, more than two-and-a-half times that of most developed countries. That’s about $8,233 per capita. Yet, the quality of the health care being provided in the US ranges between 32nd and 46th when compared globally, depending on the scale being used (32 [reported on NPR], 37 [WHO] and 46 [Bloomberg]).

Fortunately, the AOA has proactively positioned us into an alert posture. The AOA has unveiled AOAExcel to help ensure our information connectivity within the health care community. The AOA has also developed and the Accountable Care Organization (ACO) Resource Toolbox; additional resources that will help ensure our seat at the table. With these proper tools in hand, our profession can make a strong argument for optometry being an integral component of this health care reform. Optometry offers accessibility with over 36,000 optometrists serving over 6,500 communities (the only eye care provider in perhaps half of these) as compared to approximately 18,000 ophthalmologists. Optometry offers cost effectiveness; last year the inflation rate was 1.7% while health insurance costs had an increase of 9.9% and overall health care rose 3.2%. Eyewear and eye care increased 0.3%! Optometry offers quality care with the lowest malpractice rate as compared to all other health care providers.

The AOA has evidenced a strong presence and direction in Washington, D.C., by organizing over 600 optometrists and students to meet with their legislators in September and continuing legislative meetings into October with our AOA Board. Our national lobbying team, led by Jon Hymes, has been acknowledged as one of the best lobbying forces in DC, and has helped get our message across and ensure many of our recent victories. Yes, the best ensurance of our profession’s inclusion results from the diligence of our professional organizations (POA and AOA).

One of POA’s stellar successes over this past year is our gaining direct representation on the AOA Board with the election of Dr. Greg Caldwell. Dr. Caldwell has evidenced his tireless dedication to our profession at the state level and now extends his leadership on to the national level … “for the Love of Optometry.” It’s noteworthy that now the Northeast contingency has four AOA Trustees. In addition to Dr. Caldwell, we have Drs. Andrea Thau (NY), Chris Quinn (NJ) and Bob Layman (OH). That is more than one quarter of our 11-member AOA Board of Trustees.

At the state level, our executive director, in addition to his normal administrative duties, is serving on the Board of the PA eHealth Initiative (PAeHI), a public/private advocacy organization promoting electronic health records and health information exchanges – a critical seat in our informational networking. Our president-elect, Dr. Marianne Boltz, will be serving as our state’s ambassador and hostess for our national meeting POA and AOA at work for you: 2013 and beyond(Optometry’s Meeting) to be held in Philadelphia this upcoming spring. Dr. Boltz is ideally positioned in launching a campaign for pediatric eye care, which is one of the Essential Benefits granted under the ACA. While forging ahead for our eventful upcoming year, our Immediate Past President Dr. Donna Buraczewski has been overseeing internal housekeeping by coordinating our three-year strategic planning sessions and staffing transitions.

Your remaining Board trustees, Drs. Rich Christoph, Mark Margolies, Steve Eiss, Becca Wincek-Bateson and Lori Gray, have demonstrated a strong presence with their diligent engagement with third party payer negotiations and inclusion issues; diabetic initiatives, including the Pennsylvania Diabetic Eye Health Alliance (PDEHA); and legislative activities. Dr. Dave Evans is the incoming new member to our Board and offers additional clinical experience and legislative seasoning. Of course, this is just the frontline and administrative branch for our army of volunteers and our POA staff who serve as the unheralded force behind all the POA accomplishments.

I have shared some of the resources at hand that will help ensure our profession’s forward momentum. Certainly, you should make frequent stops to both the AOA and POA websites and read the AOA News, AOA First Look and the Keystoner, POA Today and the POAeyes Post to keep abreast of the rapid changes that are occurring. Better yet, if you are not directly involved at this point, become involved and volunteer for the advancement of your profession…we can all use additional hands with this workload.

Finally, on a personal note, I view this year as the pinnacle of my 30+ years of POA volunteerism. I am not a political animal, which I’m sure has been evidenced during this year’s tenure, but when you observe the hard work of the “20% who do 80% of the work,” there comes a time “to step up to the plate.” I sincerely admire the colleagues I have worked with; you can be proud of your team, they serve you well. I have appreciated their assistance, patience and support as we have forged ahead during this “roller coaster” year.

Robert L. Owens, O.D., F.A.A.O.
Pennsylvania Optometric Association