Presentation on theme: "Children’s Vision Screening"— Presentation transcript:
1 Children’s Vision Screening Lions Clubs InternationalChildren’s Vision ScreeningDevelopment of a Lions KidSight USA Program
2 What is KidSight?A Lions Program that uses a hand- held camera vision screening device (several options) for pre-literate children age 6 mos. to 6 yearsDetects risk factors for amblyopia, refractive error, etc., before a child starts primary school. About 14% are referred.These visions problems after age 7 are much, much harder to treat.Screening results are instantaneousCameras can be used by volunteers; cost about $6,000 to $7,500
3 BackgroundPrograms in several states started in the late 1990s with the MTI Photoscreening camera.Major programs started in TN, IA, IN, and CO – with three of them coordinated with help of eye departments at major universities – Vanderbilt, U of Colorado, and U of Iowa (major Lions eye centers at Vanderbilt U and U of Colorado).University partners added credibility and did much of the photo interpretation for the Polaroid images from the MTI camera.
4 BackgroundProgram was given LCIF Core 4 Program “Priority Status” in the late 1990s, which resulted in $2 million+ in grant funding to start statewide programs.Grants went to NJ, NY, WY, CO, MI, VA, LA, and several others as a result.Programs now screen upwards of 500,000 kids under 7 each year. University partners not needed today to interpret results of photos; referral criteria built into the device’s software.LCIF provides matching grants for cameras – expansion of programs or to replace older cameras.
5 Lions KidSight USA Created A National Survey of USA Lions conducted in the spring 2014 to identify need and direction for a national program.90%+ of respondents favored children’s vision screening.National planning committee established by Lions top leadership in the USA, headed by PID Dr. Ed Cordes (Optometrist from NY) and supported by Dr. Hauser Weiler (Ophthalmologist from VA).A national coalition founders committee meeting was held Aug 16, 2014 representing NY, NJ, VA, IA, IN, CO, CT, TN, KS, and GA to determine next steps.The official roll out of the program took place at the USA/Canada Lions Leadership Forum in Puerto Rico in September, 2014.
6 Lions KidSight USA Created LCIF provided a seed grant for founders meeting and to support program launch.National website is being created.The committee created suggested models suitable for all program sizes to promote best practice standards.Name Lions KidSight USA was approved. Logo developed.Goal of national program is to build the capacity to screen all kids under age 7 by 2018.
7 Funding Of Program2 equipment companies became partners at $50,000 each over 3-5 years.Opportunity potentially to raise funds nationwide from non-Lions in the USA, but would be restricted to the program.LCIF will need to invest some modest funds in the next two years, but this may not be significant if corporate funding happens as expected.
8 Goals of Children’s Vision Screening Primary Goal – Detection of Amblyopia and its Risk FactorsSecondary Goal – Need for EyeglassesDetect Abnormal VisionRisk factors to visual developmentTimely treatment with greatest benefit
9 Effects of Poor Vision In The Young Poor literacyBehavioral DisordersNo participation in sportsPoor socializationOther social/behavioral issues
10 HISTORY of Screening Methods Tumbling “E” and Snellen ChartsTitmus Binocular ScreenerMTI PhotoScreenerAuto RefractorsModern Binocular Automated ScreenersiScreenPlusOptixWelch Allyn SPOT
11 AMBLYOPIA Decreased vision in one eye relative to the other Caused by Congenital CataractCrossed eyes – strabismusUnequal refractive error – one strong & one weakDetect early, treat before age 6Little benefit of treatment after age 8
12 When Should We Screen Where Should We Screen Lions should screen children beginning at 6 monthsBiggest benefit: 6 months to 6 years of ageDay care centers/nursery schoolsSchool screeningsDo NOT screen adults – does not detect adult eye disease like Glaucoma, Macular Degeneration, etc.
13 What Should We Use Strive for the best devices available Lions KidSight USA Suggests The Following CharacteristicsEase of useDurableBinocular testingResults on site provided by the unitNon threatening to the childUsable from 6 months of age onProven high level of reliable results
14 Screeners From Our Partners Plusoptix S-12Welch Allyn Spot
15 Administrative Details FORMS:Parental Consent to ScreenPass/Refer noticeScreening Report“Opt Out” check box for permission to follow upSTRUCTUREDistrict Childhood Screening ChairpersonData Tracking and Reporting
16 Referrals -- Have a Plan! MOTTO: Don’t start something you can’t finishDevelop a referral system for your Club or DistrictPartner with the eye care providers for examinationsPartner with the surgical centersPartner with eyeglass providersExplore the state prison system for fabrication labsConsider recycled eyeglasses if legal but consider liability issues
17 SUMMARY Screen Children to find conditions we can help correct Be certain that you have a path parents can follow for assistance if neededAttract new members through this amazing service project – young members who have limited timeBuild a legacy
19 Beginner – Getting Started Club (or zone on a sharing basis) has a screening deviceClub(s) has a HIPAA compliant system to screen children at places such as pre-k institutions, head-start programs, community health clinics and community organizations, health fairs, etc.A HIPAA-compliant permission form parents need to sign with “Opt Out” follow up check boxA HIPAA-compliant document detailing screening results that the kids or organizations hosting the screening can share with parents or guardiansThe ability to provide/fund follow-up exams and care for the medically indigent, or at least a list of resources/agencies that can helpMaintain a list of screening information including the number of children screened and percentage referred for an exam.
20 Intermediate – Take It To The Next Level All the aboveCoordinate program at the district level or by a district foundationNetwork of eye care professionals supporting the programA coordinator, either a Lion volunteer or a paid staff person, to schedule/coordinate screenings and support clubs with the program (parental permissions, referral and follow-up care coordination, etc.)Pursue regional partnershipsMaintain a central database of the number of children screened, referral rates, and if possible outcome data of eye exams
21 Advanced – Go For The Gold Standard All the aboveCoordinate program at the multiple district level and may have a university or hospital partner with paid staff to coordinate programPursue state-level partnerships with professional eye care bodies, education associations, and seek state government funding or program collaborations
22 All USA Lions Clubs Screening All Kids 6 Months to 6 years Website:Lions Making A Difference for the next generation