Office Notes September 2018

Dr. C:  Good morning!

Very busy this summer – over 4300 patients seen last month. Thank you for doing a great job!

As you know the practice is based on many things from years ago. They told us “advanced eye care with a home-town touch” is up to us to make the patients feel at home and comfortable.

Equipment updated: Optos camera shows optomap of retina (wider area). Make sure we photograph all patients over 45 having a complete eye exam. Also patients who have flashes and floaters that are diabetic before seeing doctor.

Updated CustomVue with iDesign for Lasik. Everyone’s vision is a little bit different even if the prescription is same and with better data per individual’s eyes we can treat better. More updated information on cornea for better treatment. First practice with this updated technology.

Dry eye service – we now have BlephEx available. It is a device which deep cleans the eyelid margins for people with frequent blepharitis. We can take a picture of lids and show all stuff on lid and then clean with BlephEx and show how it’s better.

TrueTear, a drug-free and drop-free treatment device to make you produce more of your own tears. It stimulates the nerves in the nose and makes your tear glands produce more of your natural tears. The cost is $800 and disposal tips $50/month.

Would like to teach you all something. There are two true ocular emergencies. One is an alkaline burn when you get a strong base in your eye such as pool chemicals or concrete particles. They activate enzymes in your cornea to continue the burn and can melt your cornea. Treatment is to wash your eye out as soon as possible with whatever is available – any liquid the sooner the better. Central retinal artery occlusion is blockage in main artery to the eye. Probably have 45 minutes to treat. Treatment is massage or drops.

Open globe injury – have only treated 2 patients in these may years. Keep patient calm, if they strain everything in eye can blow out. If in the office, have them lie down and cover the eye with shield or cup until doctor arrives.

Congratulations to Brittany and Kellen on their COA.

Dr. BS: Patient said she has been coming to this office for 8-9 years and has never seen anyone having a bad day.

Amy: Did you get your Tshirt? Make sure you sign in for office meetings.

Everyone has a mail folder in cabinet by Lauren’s desk by your last name. Watch for approved PTO forms and office memos.

Humana Gold HMO – patient must have referral before we see them or they are seen somewhere else.

Do you all know there is a CarlinVision intranet page? Policies,PTO forms, office notes, etc. are on there. Should be home page on all computers. If not, let Amy know.

Techs – once done working up patient make sure the slide show is playing. Any issues let John or Donna know.

With Botox we must document where it is injected and how much is wasted.

Review from a patient was very happy with her cataract surgery but didn’t know how to apply patch. Instruct patients.

Kim has resigned and Marlyn has taken over in back office.

Oculoplastics: Has been doing well this year. $600 off for cosmetic ($150 per lid) through September.

Megan H: Back office remember to clean instruments.

Cataracts: Doing well. Testing please confirm the date of birth with patients.

Optical: Doing well, no issues.

Contacts: Brandi is on strict bed rest. Still hoping for September 27th delivery.

Marketing: $1000 off Lasik ($500 off per eye) through September. This is a better offer than Christmas. Follow us on Twitter.

Lasik: Thanks to everyone. Will be working late some Tuesdays and Thursdays for offers.

Office Notes August 2018

Dr. C.:
Good Morning!

Been busy, working hard, all doing a good job.

Problem patients – please note what the problem is.

Chronic issue with wait times. Think about ways we can improve.

Complicated patient problems – talk to doctor when scheduling patient so as to allow more time and not bog down schedule.

Thank you for only scheduling Lasik patients in the morning the day after Lasik.

MIPS: Glaucoma – document looking at optic nerve yearly, don’t just put number. Diabetic – comment on retinopathy/macula, etc. Report diagnosis in chart yearly. Tobacco – ask and document yearly.

Dr. Bennett- Sims:
TrueTear device to increase volume of your own tears for several hours.

BlephX lid cleaning device coming in the future.

Recommend LipiFlow for chronic blepharitis, chalazions also, as well as dry eye.

Amy:
Road work starting on 124. If issues around building on Sat., let road crew know we are open.

Aflac on Aug. 21st 11:30 to 1:30. Sign up in breakroom. If here 90 days, you are eligible.

IT – set times are 1st and 3rd Tuesday of month. Simple things can wait until then. Put on list in Donna’s office. PCs or printers down, let Amy know.

Don’t open email attachments from people you don’t know. Can cause a virus.

Patient portal – patients/family cannot share an email address.

Ask for email addresses again. Many opted out with Kiosk.

Keep volume down when exiting for lunch in business area. They may still be working or on phone. Keep down in pods also.

Breakroom – CLEAN UP AFTER YOURSELF! Load dishwasher, etc. Do your assigned coffee duty.

Technicians – if issue with scrubs such as tears/holes let Amy know. Replace shoes when worn.

COA/COT techs – Academy Chicago in Oct. – let Amy know if you want to go so she can purchase airline tickets.

Per Enisa – remove your extra dishes in the kitchen cabinets so there is more room.

CL trial lenses – return to contacts, do not leave in pods.

Megan H, Kathy, Diana, Megan M: All good. Oculoplastics doing very well this year.

Cataracts: Doing good. Gifts for premium patients have names on tags. Make sure you give to appropriate patient. When you put patient in consult room for cataracts let the counselors know.

Optical: A lot of patients asking for drops. Do not have them in optical. Patients paying online for glasses, will discuss with Cathy on how to know they did.

Kristen: Going well. Still waiting on façade construction. Has been approved with city.

Marketing: Bleph special $600 off cosmetic thru September. Rebates in contacts.