Thursday, July 26, 2012

Where have all the members gone?

Has anyone else noticed that wherever you are – a Kiwanis Club meeting, a country club meeting, church vestry meetings, POA/AOA meetings, etcetera, – the discussion regarding the future of organizations resolves around increasing the membership. Members are getting older and newer members are not joining. How do we attract new members and ensure the financial viability of these programs?

Recently the AOA proposed changes in the membership classifications of the AOA. Whether you agree with these changes or not, the bottom line is that all members – including Life Members, Partial Practice and new graduate members – are receiving all the benefits of membership, but many are not paying full dues. Is it fair that 50% of the members pay 90% of the dues? These classifications had been created to encourage all optometrists to be members of the state and national association. We do not want to discourage anyone who desires membership. What is certainly unfair is that while all optometrists have benefited and prospered from the activities of the POA/AOA, many have not contributed to the efforts either financially or by volunteering time and effort.

What is the answer to this dilemma? Unfortunately there is not one simple answer. First we need to convey the benefits of membership to our colleagues who do not belong to the POA. Without organized optometry, we would not be able to use diagnostic or therapeutic drugs. We would not be able to treat diseases or glaucoma. It is likely that optometrists would not be paid the same as ophthalmologists for the same services without advocacy from organized optometry. Would optometrists be included in the health care reform efforts without organized optometry? Since you are reading this editorial, you already know the benefits of membership in the POA. Now we need to get this message out to others.

Much time and effort has been spent on conveying this message to the students in optometry schools around the country, and I have met many who have received the message. I would like to publicly say a few words regarding the students I have met at state and national meetings. They are doing an awesome job!! They are engaged in the future of their (our) profession. Over 300 students personally financed their expenses to attend the AOA Advocacy Meeting in Washington, D.C. in April. Members of the AOSA have contributed more to AOA-PAC than those at many state affiliates. Trustees of AOSA spoke in favor of changing the ascending dues schedule for newly graduated optometrists. They know the importance of membership and are committed to our profession. I commend these students and request all members to also congratulate these students when the opportunity arises.

No one agrees with every decision made by an organization, whether it is a church, service or professional organization. The answer is not to take your golf ball and go home. We need all members to be involved so optometry can continue to be a great career. I challenge every member to invite a non-member to lunch or to a local society meeting; better yet, do both. Sometimes it is difficult for someone to make that first move and attend a meeting on their own. Extend a welcoming hand. Educate him or her on the benefits of being a member.

All optometrists – male or female; full-time or partial practice; private, corporate or employed; established or new graduates – need to be a member of the POA. Be as involved as you are able, now or later. By recognizing the importance of membership and increasing our numbers, we can provide even more benefits. The benefits are not always visible, but they are vital.

Remember the thrill we felt at graduation and becoming a doctor. Let’s keep that feeling alive or, if necessary, let’s rejuvenate it. Be proud to be an optometrist and a member of the POA. Share that feeling with others. It is worth the effort. Thank you for being a member and sharing with others.








Donna M. Buraczewski, O.D.
President
Pennsylvania Optometric Association
http://www.poaeyes.org/

Friday, June 22, 2012

Democracy in Action


As promised, the POA 2012 Spring Congress was an exciting and fulfilling endeavor. The weather was great, the venue was awesome, the activities were fun and the education was top notch. Thank you to everyone who attended – I hope you enjoyed it as much as I did.

Of course the most important component was the House of Delegates meeting on Saturday, May 19. All but one local society was represented. It was very rewarding to see that most societies had more than one representative present. As previously communicated, the House of Delegates is the ruling body of the POA. The By-Laws state: “The House of Delegates shall establish, by resolution, the policies of the Association.” A presentation regarding the voting policy of the POA was previously presented at the 2011 House of Delegates and is available at www.poaeyes.org in “About the POA.”

During this year’s House of Delegates, the officers for 2013 were elected. Congratulations to President Dr. Robert Owens (Lancaster), President-Elect Dr. Marianne Boltz (Central), Secretary/Treasurer Dr. Steve Eiss (Bucks Montgomery), and trustees Dr. Richard Christoph (Berks), Dr. Mark Margolies (Philadelphia), Dr. Rebecca Wincek-Bateson (Southwestern) and Dr. Lori Gray (Bucks Montgomery). Remember these people give their time, dedication and devotion to our profession. I am sure an occasional small word of thanks would be appreciated by them.

The budget for 2013 was presented, discussed and passed. Secretary/Treasurer Dr. Rich Christoph gave a thorough financial update. A $20 dues increase was passed. The POA Board and staff are committed to preserving the financial health of our organization.

Updates on critical issues were given, including legislative affairs, healthcare reform implementation, pediatric vision and the diabetes initiave. On June 7, 2008, in Pittsburgh, the POA House of Delegates passed 2008 Resolution A-1, which resulted in the formation of the Pennsylvania Diabetic Eye Health Alliance (PDEHA). Dr. Lori Gray, chair of the Diabetes Task Force, presented the current status of PDEHA and the plans for the future. A sign of democracy in action – the directive was given and the POA volunteer leaders followed the directive.

Dr. Hilary Hawthorne of California is the AOA liaison to Pennsylvania for the 2011-2012 term. Upon my request, Dr. Hawthorne, presented an update on the State of the AOA, including a discussion of the 2012 proposed By-Laws changes. Dr. David Cockrell, secretary/treasurer of the AOA, states that the primary objective of these changes is to “facilitate membership growth for the long-term health of the AOA and the affiliates.” (Check the AOA website for further information on these proposals). Heated discussion on these proposals arose during our (POA) House of Delegates. The result was a motion, which was passed, directing me, as Pennsylvania’s representative to the AOA, to oppose items H, L, and J in their current form. These items involve changes in the requirements for life membership; the introduction of $35 dues for students; and a change in the ascending dues schedule for recent graduates. I was also asked to vocalize my plan to discuss all possible resolutions with the Pennsylvania delegation attending Optometry’s Meeting in Chicago, June 27-July 1.

Since this is the first time in recent history our House of Delegates has directed a president how to vote on issues at the AOA level, I have mixed emotions. I applaud the POA House of Delegates for discussing the issues and letting your opinions be known. As presented last year, the only “power” I have is the power bestowed upon me by the House of Delegates. Each individual member has the opportunity to voice his or her opinion at their local society. The presidents of each local society represent each member at the POA House of Delegates and then I, as president, represent you at the AOA level. I have vowed to represent the members of the POA to the best of my ability and do what is best for the members and for the profession. Let me assure you I have no personal or hidden agenda. Hopefully, all the members of the Pennsylvania delegation can state the same. So be assured that I will be well-informed regarding the issues; I will listen to all the information presented during the AOA House of Delegates by the AOA and the other states; I will caucus with the delegates from Pennsylvania; I will review the discussions at the POA House of Delegates; and I and your other elected officials will vote for what is best for the optometrists of Pennsylvania. That is and will be democracy in action!!!










Donna M. Buraczewski, O.D.
President
Pennsylvania Optometric Association
http://www.poaeyes.org/

Thursday, April 12, 2012

Top 10 reasons why you should attend POA’s Congress

As my fellow Board members know, I am not a late night person so I rarely watch David Letterman.  But I decided to borrow his “Top 10” concept to convey the reasons why everyone should attend this year’s POA Congress in Bedford Springs on May 18 -20, 2012.

10. GREAT LOCATION! The Omni Bedford Springs Resort made Travel+Leisure’s 2012 World’s Best Values list for “Top 10 Hotels for Value Overall” at #7 and at #1 in the U.S. and Canada.

9. FAMILY ACTIVITIES are available at the resort including hiking, biking, tennis and fly-fishing.

8. There is a “fierce” GOLF competition on Friday morning. The Bedford Springs Golf Course was named Golfweek’s “Best Course in Pennsylvania.” Overlooking breathtaking views of the Allegheny Mountains and Cumberland Valley, this remarkable course has had three golf architectural masters work on it: Spencer Oldham, A.W. Tillinghast and Donald Ross. The Bedford Springs Old Course has undergone a total renovation overseen by noted classic golf course restoration architect Ron Forse, restoring it to its original course layout.  

7.  SUPPORT THE PARAOPTOMETRIC STAFF in your office and on the state level. PPA is offering ten hours of quality education for staff to help them be more productive for you and your patients. It is also a chance for doctors and staff to socialize and interact in a casual atmosphere.

6. CAMARADERIE.  Socialize with other optometrists from the state – old friends and new friends. Everyone can interact at the PPA’s Fiesta, POA’s BBQ & Outdoor Party, and the President’s Reception.

5. EDUCATION. POA is offering three free hours of non-credit education on electronic health records, meaningful use and health care reform. Eight additional hours of credit CE are available on a variety of topics. Remember, this is a license renewal year.

4. AWARDS CEREMONY.  Join in the celebration honoring our fellow optometrists. Congratulations to Dr. Scott Goldberg, Optometrist of the Year; Dr. Lori Gray, Young Optometrist of the Year; Dr. David Rule, Gottschalk Award; Dr. Paul Freeman, Merit Award; and Senator John Gordner, William Van Essen Award. These individuals, along with all the nominees, are dedicated to our profession and have provided notable service to the POA. It will be my pleasure to present them with these awards. We also honor members for their years of membership in the POA. How long have you been a member? Five, ten, fifteen, fifty years?

3. MEET AND INTERACT WITH  CURRENT POA BOARD MEMBERS as well as the new members elected at the House of Delegates. Know who is representing you at the state level. We are privileged to have Dr. Hilary Hawthorne, AOA Board of Trustees, spend some time with us during the weekend. She will present the latest information from the AOA during the House of Delegates. There is a lot of activity on the local, state and national levels regarding legislation affecting our profession as well as health care reform. Keep yourself informed and educated.

2.  The HOUSE OF DELEGATES is the ruling body of the POA – not the president, Board of Directors or the executive director. Resolutions and By-laws changes can only occur at the House of Delegates. Each local society has a number of votes determined by the number of dues-paying members in good standing in each society – that is, the members who have 25% of their dues paid by March 31. Ensure your society has as many votes as possible. Pay your dues now.

AND THE #1 REASON:  IT IS YOUR POA.  You are a member; you pay dues. Don’t you want to know what is occurring, why and how certain decisions are made? Take the time; I am sure you won’t regret it.

I look forward to meeting and visiting with each one of you at the 2012 POA Congress in Bedford Springs on May 18-20. See you then!

 
 
 
 
 
 
 
 
 
Donna M. Buraczewski, O.D.
President
Pennsylvania Optometric Association
http://www.poaeyes.org/

Thursday, March 8, 2012

Quality Optometry

I just returned from the Presidents Council meeting in New Orleans – minus my luggage. Many subjects were discussed and there was a presentation on EHRs. Oh no – not more on electronic records, health care reform and quality measurements! Well, yes – new information is continually available. There will be presentations on EHR and health care reform at Congress in Bedford Springs in May 2012. Without ruining the surprise elements, I want to share a few aspects with you.

Are you aware that CMS is now sending reports to patients informing them if their physicians are providing quality measures? We all know that reporting these PQRS measures doesn’t make us better optometrists, but it does improve the overall care a patient receives. So why aren’t we all reporting these measures? With or without incentive payments, if you are performing the measures, report them. But in case financial factors are of main concern to you, in 2015 those not reporting these measures will be penalized.

Regardless of how we feel about the health care reform movement, the big factor is the shift from “fee for service” to “payment for performance.” By removing the emphasis from the “procedure” to “patient care,” costs should be decreased while providing better comprehensive care for patients. We all know that optometrists provide quality care for their patients. By reporting the quality measures, we are educating others about that quality care. We will not have to worry about exclusion from health care information exchanges, medical home models or accountable care organizations because others will be aware of the meaningful information we have to contribute as well as the vital role we play in the care of our patients.

This brings me to another important aspect of “quality optometry.” I recently attended a quality management meeting of Blue Cross of Northeastern Pennsylvania. Emphasis was on how this health plan can improve and provide higher standards of care. One of the topics that arose was HEDIS scores for diabetic patients. HEDIS is a tool used by more than 90% of America’s health plans to measure performances on important dimensions of care and service.

Care of diabetic patients includes an annual dilated fundus evaluation. Who is better qualified to perform this service than optometry? And we are performing this service; now we need to report the findings to the PCPs in a timely fashion. These are our mutual patients, so we need to communicate our findings to assist in their total care. On a slightly selfish note, by reporting this information we are reiterating our value in the health care arena. We have proven our worth as primary eye care providers. As they become more aware of the care we are providing, other professionals will recognize the meaningful information we provide in the treatment of the entire person.

In 2009, the POA initiated the Pennsylvania Diabetic Eye Health Alliance (PDEHA) to encourage our members to take that extra step to manage diabetic patients, not simply diabetic eyes; emphasize correspondence with other professionals; and encourage patients to also seek other preventative steps, such as dental and podiatric services. We have many members signed up. The PDEHA section of the POA website includes a primer for care as well as sample letters for communication. If you have not signed up, please do so now by visiting http://www.poaeyes.org/ and clicking on the “More Information for Doctors” link in the PDEHA box on the right side of the page.

Remember to communicate with PCPs. Contact these physicians to confirm their preferred method of communication – fax, e-mail, snail mail etc. Open the doors of communication and demonstrate “quality optometry.” Share what we all know – optometrists are an important component of healthcare. We provide a vital service to our patients. We know it, now others will too.


 
 
 
 
 
 
Donna M. Buraczewski, O.D.
President
Pennsylvania Optometric Association
http://www.poaeyes.org/

Friday, January 20, 2012

2012 POA Board of Trustees and You

Is it just me or did 2011 seem to fly right by? I remember my older relatives and instructors telling me that it only gets faster as you get older. I can’t imagine time going by any faster.

It seems like yesterday that Dr. Daniel Russell was beginning the year 2011 as president of the POA and I was president-elect. Well, we recently held the passing of the gavel and it is now my turn to lead this great organization. I am excited about what the year may bring and what we can accomplish. 2011 was a memorable year in POA’s history – not all necessarily positive. I would like this opportunity to publicly thank Dr. Russell for his unending dedication to the POA and optometry this past year. I look forward to working with him in 2012.

Dr. Greg Caldwell has completed his stint on the POA Board. Fortunately, for the profession, I know it will not be the last we see of him. I know he will be available to assist anyone who may need his help.

The members of the POA are fortunate to have a dynamite Board working on their behalf. We put a lot of time, work and effort into shaping the POA to be a leader in the nation on behalf of optometry. They are passionate for the profession of optometry and are dedicated to the POA.

Dr. Robert Owens of Lancaster is president-elect for 2012. Many of you know Dr. Owens for his years of relentless dedication to the Motorists Vision Committee. I am very excited to have him as my "sidekick" for this year.

Dr. Marianne Boltz has served on the Diabetic Task Force and Pediatric Vision Care Committee. She is also active with the American Academy of Optometry.

Dr. Rich Christoph, Board secretary/treasurer this year, has served on the Corporate Affiliated Task Force and exemplifies the POA’s dedication to all its members in all modes of practice.

Dr. Mark Margolies of Philadelphia is in private practice as is our newest trustee, Dr. Steve Eiss. Both doctors have served numerous roles in their local societies as well as on the state level.

All of these members of the Pennsylvania Optometric Association Board of Directors are available for discussion on any issues or questions you may have. Please get acquainted with all of us and be assured we are working for the betterment of optometry in Pennsylvania.

Now, what can you do for us? Consider serving on committees at your local society level and the state level. Let us know what areas of optometry you are most passionate about and we will get you involved. I know it’s much easier to sit back, let others do the work, and then comment about the way it is done. It is your profession – your career. Optometry is not a career that can be a 9-5 job. It is a dynamic, ever-changing profession that can be altered by outside influences. Do not let others determine our role in vision care or health care.

Be INVOLVED!! Volunteer your time, experience and finances. Attend local society meetings – get involved. If there is a request from Legislative Affairs for you to see your legislator and/or contribute to POPAC – get involved. If the Health Care Reform Committee asks for information regarding third party payers or health information exchanges – get involved. When the POA sponsors educational seminars and meetings – get involved. Do it now, before you know it 2012 will be over. Call us now and let us know how you can help your profession. I know you will not regret it.

I look forward to serving as president for 2012 and being involved with the POA for the rest of my career. I am passionate for optometry.









Donna M. Buraczewski, O.D.
President
Pennsylvania Optometric Association
http://www.poaeyes.org/

Wednesday, December 14, 2011

Winding Down

I will begin by restating what an honor and a pleasure it has been to be elected and serve as your POA president during 2011. I had the good fortune of learning about this association by watching and befriending the very best leaders we have ever had. We have weathered national issues such as health care reform, board certification and Medicaid parity, and many state issues such as changing technology, managed care organizations, and several versions of anti-optometry legislation.

I do need to draw your attention to a bill that is pro-optometry in the Pennsylvania Senate right now. Senators Pippy, Rafferty and Don White introduced this session’s Unfair Insurance Practice Act (SB 939). Other sponsors include Senators Fontana, Ferlo, Brewster and Farnese. This bill, although it has been amended from its original form, is still very positive for optometry and our patients. If passed, it would eliminate a benefit plan mandating the use of a specific lab for ophthalmic products and services. It would stop any assessment of a fee or copayment if a non-required lab is used. It would prevent the creation of preferred classes of providers not held to uniform conditions of participation. Finally, the amended version still contains a prohibition on requiring a provider to participate in a vision benefit plan as a condition of participation in a health care plan. SB 939 passed out of the Senate Banking and Insurance Committee 14-0 and has been referred to the Senate Appropriations Committee. Incidentally, Representative Harry Readshaw introduced the same bill in the House of Representatives, but HB 929 has gotten less attention so far. Please get behind these bills and contact your legislators regarding SB 939 and HB 929. Explain to them how these bills benefit our patients (their constituents) and our profession.

In addition to our legislative issues, we have a lot of other activity at the POA.  Dr. Donna Buraczewski, your POA president for 2012, recently held her planning session for next year. It was very productive and set the stage for the final year of our current three-year Strategic Plan. All uncompleted objectives were given action plans in this final year. I am very excited and looking forward to serving under Dr. Buraczewski and President-elect Dr. Bob Owens.

As I look forward, I also want to take a moment to look back. I want to thank three people directly responsible for my professional success – the two POA presidents before me and our executive director. Dr. Bob Bittel, Dr. Greg Caldwell and Dr. Charlie Stuckey have given me the support and friendship I needed to lead this association this year. We had a bumpy road at times and were dealt some bad hands, but we always acted with the best interest of our membership first in our minds.

I want to thank the unmentioned remainder of the POA Board of Directors: Dr. Marianne Boltz, Dr. Rich Christoph, Dr. Mark Margolies and incoming Board member Dr. Steve Eiss. Remember these names, as they will continue the tradition of great leadership in the years to come. I will join in supporting every one of them. These are all good, smart people and dedicated volunteer leaders! They will all learn how valuable the POA staff can be. I know, but if I mention them each by name they will edit that out before printing this. (Editor’s note: true.) They are great people who work tirelessly to support us and make us look good. To the rest of my colleagues – thank you again for lending me your ear this year with this forum and for all of the support and willingness to help when called upon.

Finally, I want to thank my wife, Danielle, and our three children – Sarah, Jake and Tommy who range in age from twelve to five.  I have either missed (or dragged you along to) many things in the past six years to do this job effectively, and I appreciate that it has been hardest on you!  I love you all!







Daniel F. Russell, O.D.
President
Pennsylvania Optometric Association
http://www.poaeyes.org/

Wednesday, October 19, 2011

Optometry at the Capitol Day a Success

It is amazing what can be accomplished when we all work together. A collaboration of 170 optometrists and students, in addition to several paraoptometrics and POA staff, helped make Optometry at the Capitol Day a big success.

We kicked off the day with a grassroots advocacy program focused on visiting with legislators and raising money for PAC. Presenting were Brian Reuwer (AOA legislative staff, Washington office), Dr. Bobby Jarrell (AOA State Government Relations Committee chair, from New Mexico) and Dr. Bill Reynolds (Legislative Affairs Committee chair, Kentucky Optometric Association). They presented information on the “dos and don’ts” of interacting with legislators. In addition, they provided strategies for getting more comfortable with your legislator and how to grow and maximize that relationship.

I addressed the group with our new Legislative Affairs Committee chair, Dr. Bob Bittel, to provide some history on HB 838 and its predecessors in the Pennsylvania House of Representatives. We were able to introduce the newest members of our lobbying team, the firm of Long, Nyquist & Associates. They have already proven effective in strengthening relationships with Senate leadership.

We also featured a guest speaker – Senator John Gordner, vice chair of the Senate Consumer Protection and Professional Licensure Committee. He has been a supporter of organized optometry and our issues for many years. He shared some personal stories as he looked out into the audience and located his optometrist, Dr. Bob Albertson. Senator Gordner also made some remarks about how we can most effectively support our legislators as we oppose HB 838.

Another focus of the day was expanding our grassroots efforts by strengthening our keyperson system. Definition of ophthalmic surgery legislation has gotten further this session in the legislative process and has begun to awaken the sleeping giant that is our keyperson system. We spent a great deal of time pairing experienced optometrists with both new graduates and PCO students in an effort to develop our keyperson mentorship program. We even saw a number of constituent optometrists step up in the absence of some keypeople and lead these group visits in Senators’ offices. It was great to see some established and newly-developing leaders advocating on behalf of optometry and the citizens of Pennsylvania.

We also had a number of presentations regarding POPAC. We had several new POPAC contributors in addition to having many people increase their level of giving. I would encourage you to review your current level of PAC giving and to increase to the next level as you are able. I would also like to thank our immediate past president, Dr. Greg Caldwell, for leading the POPAC push among the members of the audience. He was able to raise a very significant amount of money in that room in only two hours.

Finally, I would like to thank everyone involved in Optometry at the Capitol Day: the POA Board of Directors, each of whom had a role; the POA staff, who put an enormous amount of effort into coordinating each visit for the optometrists and students; PCO and its administrators, for transporting 85 students to Harrisburg and excusing them from clinic and other educational activities so they could participate in this critically important event; our lobbying team, for everything they are doing on behalf of optometry; and last but not least, all of the optometrists who closed their offices and came to Harrisburg to join together to advocate on our behalf.

Thanks again for the honor of being your POA president and for lending me your ear.







Daniel F. Russell, O.D.
President
Pennsylvania Optometric Association

http://www.poaeyes.org/