We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byWilliam Barnett
Modified over 3 years ago
Glaucoma Services Northern Ireland
NICE Glaucoma Diagnosis and management of chronic open angle glaucoma and ocular hypertension
Estimated 25 - 40% outpatient visits are glaucoma related The glaucoma problem Estimated % outpatient visits are glaucoma related Massive rising demand dictates that low complexity work be shifted into the community where it is more feasible
Diagnosis, OHT, Suspect, COAG
AOP, ABDO, FODO Strongly advised to refer all patients with IOP > 21 mmHg, regardless of instrument
Current Provision 2 glaucoma clinics per week in BelfastHospital shared care, optom & 2 nurse specialists Less than half visual field capacity One imaging device Reviews often one year behind
Current Equipment Expensive imaging requiring trained personnelInability to purchase equipment Not used appropriately as system too stressed
Interventional ProvisionAt least 2 surgical glaucoma cases per week Require 4 – 25 consults in 1st month Consultant intensive
Notes, records, reviews, RVHNo notes 90 % notes chronologically inaccurate Abysmal
Shared Care Team requiredLarge numbers patients seen by glaucoma capable personnel Access to consultant Appropriate visual fields and imaging immediately available Glaucoma lifelong
V Glaucoma Implementing NICE guidance 2009 NICE clinical guideline 85.
Clinical Guidance and Monitoring for Change Cecilia Fenerty MD FRCOphth.
Implementing NICE guidance
Glaucoma Care Project Team Members: Geoffrey T. Emerick, M.D. Erin Herlihy, B.S. Marilyn Hauser, M.B.A. Dianna Greening, R.N. Walter M. Jay, M.D Opportunity.
Optimising the Primary/Secondary Care Interface in Eye care Services Richard Best Belfast Health and Social Care Trust.
WHO Collaborating Centre for Public Health Palliative Care Programmes. BARCELONA. III/2011 Institut Clínic Malalties Hematològiques i Oncològiques Palliative.
IRFAN RAZVI BSc (Hons) MCOptom CLINICAL GOVERNANCE & PERFORMANCE LEAD(CGPL) FOR GLAUCOMA SERVICES DIRECTOR PRIMARY EYE CARE (SHROPSHIRE & STAFFORDSHIRE)
Building the House of Care for diabetes and respiratory conditions in Berkshire West CCGs TIPS January 28 th 2015 Richard Croft, diabetes and respiratory.
Providing the full range of Local Enhanced Services: The case of Manchester Karen O’Brien Associate Director Primary Care Commissioning.
Evaluation of the FDT perimeter for detection of glaucoma. eastMED Doctors
Assessment and Treatment of Hazardous and Harmful Alcohol Drinkers in Ireland: A Survey of Irish Gastroenterologists Audrey Dillon, Stephen Stewart Centre.
Older People’s Services The Single Assessment Process.
Post Registration Career Framework Northern Ireland Update.
The Health Roundtable Central Network Respiratory Coordinated Care Program Innovation Presenter: Benjamin Kwan Staff specialist respiratory and sleep medicine.
Clinical Effectiveness Of Contrast Sensitivity Function In Patients With Primary Open Angle Glaucoma (POAG) And Ocular Hypertension (OHT ) MOUSUMI SAIKIA.
HEAL HSYSTEMS SOLUTIONS UK health service update.
Transforming End of Life care in Surrey. Our team today David PerryChairman Nigel HardingChief Executive Dr Fiona BaileyMedical Director and Consultant.
Impact of: a specialist wound clinic on patients who develop complex wounds post cardiac surgery Presented by: Penny Gowland ANP Pascaline Njoki Thanks.
Jeannie Hayhurst Cardiovascular Specialist Nurse.
A one year audit of achieving patient driven performance targets in a locally provided memory clinic Dr C Crowe, St Patrick’s Hospital, Cashel & St Michael’s.
HICC An Infection Control Committee provides a forum for multidisciplinary input and cooperation, and information sharing This committee should include.
Dr G. Chandrasekhar LVP Eye Health Pyramid Glaucoma Care.
London cancer services: Implementing the model of care London Borough of Bromley Health Scrutiny Sub-Committee meeting Tuesday, November 15, 2011.
TUESDAY 05/04/2016 Professional English in Use, Medicine Hospitals.
Scale up TB/HIV activities in Asia Pacific 8-9Aug09 1 TB/HIV collaborative activities in Thailand Sriprapa Nateniyom, M.D. TB Bureau, Department of Disease.
TARIQ ALASBALI WHICH PATIENTS ARE AT RISK FOR THE PROGRESSION?
Acute Medicine Programme A clinician-led initiative of the Royal College of Physicians of Ireland (RCPI), the Irish Association of Directors of Nursing.
Meeting the standards Marisa Rose Acute Stroke Lead NEL Cardiac and stroke network Sue Winnall Head Occupational therapist – Rehabilitation.
Harshad Sanghvi Medical Director, JHPIEGO
American Cancer Society Patient Resource Navigation Program Brandon Costantino University of Maryland Medical Center.
Effects of the economic crisis on health and healthcare in Greece ANASTASIOS PETROVAS.
Component 1: Introduction to Health Care and Public Health in the U.S. Unit 3: Delivering Healthcare (Part 2) Organization Of Primary Care Clinics.
4 Dangerous Trends in Healthcare: What You Need To Know.
Acute Oncology Service (Insert relevant service name)
Creating an Extended Primary Care Team (EPCT) South Hampshire Vanguard Multi-specialty Community Provider.
Transition for medically fragile youth/young adults A Parents Perspective Kausha King.
OPEN ANGLE GLAUCOMA Frank J. Weinstock, MD, FACS Professor of Ophthalmology- NEOUCOM Canton, Ohio USA.
HEALH CARE DELIVERY SYSTEM General Hospital l Facility where patients are hospitalized a short time (few days to a few weeks) l Provide a wide range.
Clinical Information Resources Sandra A. Martin, M.L.I.S. Health Sciences Resource Coordinator Instructor of Library Services John Vaughan Library Room.
ELMBROOK MEMORIAL HOSPITAL PILOT START DATE 7/30/2012 – DAY SHIFT END DATE 8/29/2012- NIGHT SHIFT Fall Safety Huddles.
January is Glaucoma Awareness Month The information and recommendations appearing on these pages are informational only and is not intended to be a basis.
Mel Pickup, Chief Executive Warrington & Halton Hospitals NHS FT Andy Davies, Accountable Officer Warrington Clinical Commissioning Group Achieving the.
Coastal Hillside Family Medicine. “All team based care models require some level of change in the roles and responsibilities of individual professionals,
The Royal Victorian Eye and Ear Hospital 24-hour eye pressure and glaucoma Dr Simon Skalicky FRANZCO, MPhil, MMed (Ophthal Sci), MBBS (Hons 1) Visiting.
Cost-analysis and patient experience of a one-stop bariatric clinic David Bunting Ian Finlay.
Quality Improvement and Care Transitions in a Medical Home Maryland Learning Collaborative May 21, 2014 Stephanie Garrity, M.S., Cecil County Health Officer.
RN SYSTEM WIDE EDUCATION PRESENTED BY S. FERGUSON, T. DILLON, L. LOCK, J. HASBUN, S. SHAH & R. GAINES Shepherd’s Hope.
End-of-Life Services. How to get Hospice Care Talk with a local physician Call a local hospice provider Contact your nearest VA hospital or clinic to.
© 2017 SlidePlayer.com Inc. All rights reserved.