HealthandWellnessDivisionBring Walmart`sMissiontoLife
Transcription
HealthandWellnessDivisionBring Walmart`sMissiontoLife
Foresight Fourth Quarter 2011 For professionals in the Health and Wellness Division Health andWellness Division Bring Walmart’s Mission to Life Save Money, Live Better takes on important meaning in health care matters P aul Beahm, senior vice president of operations for the Health and Wellness Division, recently spoke with Foresight about the impact the company is having, both in terms of the health care provided in communities and its influence nationally. Q: What has been the Health and Wellness Division’s most significant impact in 2011? scores have never been higher in either of the businesses. Our success, driven by the professionals and their staffs in the stores, has been reinforced by data from J.D. Power and Associates, the global marketing information services company, which conducts annual consumer surveys on health care. The surveys tell us the professionalism of our pharmacists caused us to gain more ground than anyone in the survey. These are record-setting results. A: Q: The most significant imTo what can you atpact we’ve had in our commutribute the increased cusnities and on a national scale tomer satisfaction ratings? is our contribution to improving access to affordable health As a result of the total care. Walmart rolled out the quality initiative of the Health Humana Walmart-Preferred Rx and Wellness Division, process Plan, the Medicare Part D enchanges have occurred inrollment plan. In one year, it side the pharmacies allowing has drawn more than 1 milthe pharmacist to spend Paul Beahm participated in a panel discussion lion enrollees, a remarkable more time with patients. Techat the 2011 Health andWellness Conference. accomplishment. The health nician upskilling has been fancare solutions team saw the opportunity, and tastic, and we’ve focused on the rerouting of the Health and Wellness Division has made it prescriptions back to the technicians. As the a reality. It provided patients with a drug plan technicians can support the pharmacist more, that had the lowest monthly premium of any it allows the pharmacist to spend more time incomparable plan and some of the lowest coteracting with patients. The rollout of the log pays on a very liberal formulary. copy and streamlining of the end-of-day labelWalmart customers have come to expect ing process has turned non-patient-facing time impressive incentives from our Health and into patient-facing time. In our Vision Centers, Wellness Division, and our $38 spectacle prothe focus on Best Patient Experience, delivered gram has been a huge success in bringing so well by our staffs, contributes to these ratings. quality products to so many new patients. Of course, the $4 prescriptions from our What are the top goals for 2012? Pharmacies remain an industry benchmark. How do ODs and pharmacists play a role? Secondly, we have been tracking the quality of service in our Pharmacies and Vision CenThe theme for 2012 is about clinical ters, and it’s on the rise. Our patient experience Continued on page 2 Meet the Associate OD Advisory Panel Erik Brendtro, OD Lori Glass, OD Jesse Blattstein, OD Thomas Sczepanski, OD Douglas O’Connor, OD A: Q: A: The Affiliated OD Advisory panel, whose members were introduced inthethirdquarterissueofForesight,metrecentlywithDr.Overman. Inside This Issue Glaucoma Awareness . . . . 3 Diabetes Expo . . . . . . . . . . . 4 Focus on Women . . . . . . . . 5 Training Updates . . . . . . . . 6 Educating Students . . . . . . 6 Pharmacist a Leader . . . . . 7 OD Creates Connections . . 8 Foresight Walmart’s Mission... Health Continued from page 1 WellnessMatters Listening and Leadership By Chad Overman, OD Director of Professional Relations, Health and Wellness Division T he dictionary defines a leader as someone who commands others so they follow or someone who is the first in a pack. The image conDr. Overman jures the leader in a race, but I tend to think of leadership more like a relay than an individual race. The baton of leadership is passed routinely from one runner to the next. That’s essential because no one person has the stamina to ensure the correct outcome all the time. To win, every member of the team needs to be on his or her toes, ready to accept the handoff and put forth all the effort possible. This subject of leadership arose recently at a November meeting with our Affiliated OD Advisory Panel. I call these meetings so that I can hear from affiliated and associate health care professionals to understand their concerns and focus my energy on topics of greatest priority. In our time together, we spoke about our own leadership models. For me, I find direction from having a plan, being authentic in my efforts to achieve it and in asking for input from others to assess how well I’m accomplishing my goals. That strategy worked for me as a practicing optometrist, then while recruiting Walmart and Sam’s Club health care professionals, and now, in my newest role. Listening is a key factor in leadership, I believe. That’s why we have created these professional advisory committees. You’ll meet your colleagues who serve on the Associate OD Advisory Panel on page 1 of this issue. You’ll notice, too, that the theme of leadership appears several times in this issue. Renee Ford, from the Training Project Management Office, discusses leadership development in her training column. Individual optometrists and pharmacists featured in these pages share the strategies they’ve taken to become leaders in their stores and communities. I think of leadership like it’s the challenge of running a mile every day rather than running a marathon once a year. Each day presents new opportunities to lead and improve. Give it all you’ve got, and ask your colleagues for guidance. You might be surprised at how willing your teammates are to take the baton from you and run with it for a while. * Foresight VOLUME 2, ISSUE 4 Foresight is a quarterly publication for professionals in the Walmart and Sam’s Club Health and Wellness Division Sponsoredby: Foresight is developed and produced by Practice Advancement Associates, a division of Jobson Medical Information 2 Sam’s Club Donates to Hunger Relief A s part of the annual Holiday Taste of Sam’s Club event, Sam’s Club helped raise awareness about the issue of hunger in the U.S. and donated $1 million to support child hunger programs through Feeding America, the nation's leading domestic hunger relief charity. The donation will provide approximately 8 million meals to children and families in need during the holiday season and throughout the year. * quality and patient care. We hold fast to the idea that—whether in the independent optometrists’ offices, the Vision Centers or the Pharmacies—when we focus on the patient and build trust, the results will be increased trust and increased loyalty, and the patients end up living a healthier life. First and foremost, our goals focus on patient care and clinical quality. The Walmart tagline, Save Money, Live Better, is our mission. In the Health and Wellness Division, that truly resonates and comes to life, perhaps more so than in any other area. Health care services, including vision and pharmacy, are the point of the spear in bringing Save Money, Live Better to life in Walmart. By putting the patient first, it can help bring the larger mission to life. We want the store-level personnel to see that when the patients give us our high marks in patient satisfaction, it’s because we’re doing more to improve the quality of their lives. Paul Beahm One of the top five concerns for individuals for the past decades has been how they are going to pay for their health care. Our ability to lower costs and maintain a focus on the patient is something that not a lot of organizations can do. For example, very seldom can patients make a phone call to the hospital or doctor’s office and get the person they’re trying to reach on the phone. Every one of our pharmacists will do that for a patient. Walmart pharmacists are the front-facing triage level. Patients are recognizing that and rewarding Walmart through their increased loyalty and trust. Q: A: How is Walmart particularly well suited to achieve these goals? First of all, our mission lays it out. Walmart supports the mission, as evidenced by the field operations team that supports the professionals in the store. That team is aligned with the goals of the Health and Wellness Division, helping the professionals as a kind of support team. Finally, we can achieve these goals because of the health care professionals we have in our stores and affiliated with us. I’d put the quality and professionalism of our pharmacists and affiliated and associate optometrists up against any company in the U.S. They’re world-class people. Our goals are natural for us because we’re comprised of talented, dedicated people aligned with the broader mission of the company. * Foresight Focus on Glaucoma Large Number of Glaucoma Patients Seen atWalmart-affiliated Practice B insurance,” he says. These paefore Phillip K. Haiman, OD, began his tients often selected the Walmartpractice at a Walmart in Sunrise, Fla., 10 affiliated practice because the years ago, he completed a residency in pridoctor’s office and Walmart Vimary eye care and low vision at the Boston sion Center had the reputation Veterans Administration and subsequently r. Phillip Haiman knows Saturdays are his busiest of being afworked as director of opdays. All those patients who have trouble schedfordable tometry at a large ophuling an appointment with other eye care providers and accomthalmology practice. So come in to see him. So he has coordinated with the modating. treating eye diseases, Vision Center manager for additional technician supHe still sees such as glaucoma, was port on these busy days to provide his patients the a number of nothing new to him. best experience possible and to “allow me to offer the uninsured However, it was a fairly best quality exam possible and continue my education patients, new idea to many of the without feeling hurried,” he says. and in many patients who were unDr. Haiman says his medical patients help build cases, he aware that glaucoma dihis own practice and can be a steady source for the may be the agnosis and management Dr. Haiman examines an OCT image of a patient’s eye. Vision Center, too. “These patients may be coming in first health were within the scope of two or three times a year. Each visit I can show them if care provider to suspect or dipractice for optometrists. To others, it was a their vision has changed and they need new eyewear, agnose a medical condition as surprise that a doctor affiliated with Walthe result of a thorough eye mart would offer those kinds of medical or I can mention different options on different visits. I exam. However, he is now also services. Yet Dr. Haiman’s practice has grown may not have talked about computer eyeglasses the a participating provider on in large part because of the range of servlast time they were here, but three months later, I most medical panels, including ices he provides. He estimates that about 35 have another chance to bring that up.” It’s a win-win Medicare. percent of his patients every week have situation. As the patient base has some underlying medical condition that grown, so has the stock of his needs treatment or monitoring. high-tech instrumentation that Dr. Haiman initially was not credenamong other technology, help him show enables him to follow up with these patialed on any medical plans when he started patients in the exam room whether their tients more confidently. An optical coherwith the Sunrise practice. “I was just taking ocular disease is progressing, which is very ence tomography unit and retinal camera, care of patients who didn’t have access to helpful in making patients understand why it’s important to stay with the medication regimen he prescribes. Dr. Haiman says he is grateful and enjoys practicing in a Walmart setting. He enjoys the challenge of educating the community ccording to Prevent Blindness America, it that optometrists within a corporate-affiliated is estimated that more than 4 million practice have the same skills as those who Americans have glaucoma, but only half of work in other settings. He points out that those know they have it. It is a leading cause most corporate-affiliated ODs receive no diof blindness in the U.S. for African-Americans rect benefits from products sold. “I do find over age 40. Older Hispanic-Americans, people over that I educate more and spend more time with my patients at Walmart to win their age 60 and anyone with a family history of glaucoma also may be trust. My Walmart patients have become at higher risk of developing the disease. very loyal once they know what we can do, Glaucoma can be detected by eye care providers conducting a and they provide my practice with a huge recomprehensive eye exam. Treatment for glaucoma includes eye drops or pills, and surgery ferral system.” Dr. Haiman continues to work might be an option if glaucoma cannot be controlled with medication. in a hospital setting as well as serves as adMedicare patients at high risk for glaucoma—those with diabetes mellitus, individuals junct clinical instructor and volunteers on with a family history of glaucoma, Hispanic-Americans age 65 and over and African-Americans the National Association of Veterans Affairs age 50 and over—can receive dilated eye examinations as a benefit of Medicare coverage. Optometrists newsletter committee. Learn more at glaucoma.org. Busy Saturdays D * January Is Glaucoma Awareness Month © Shchipkova Elena | Dreamstime.com A * * 3 Foresight Walmart and Sam’s Club Create Awareness at Annual American Diabetes Association Expo A s a Health and Wellness Division Market and our doctors are getting their names out Manager for Optical and Hearing Aid there, but we’re also driving home the imporCenters, Randy Lucas is responsible for tance of annual eye exams.” These are imcommunity outreach portant preventive and creating health measures, especially care awareness. For for patients with conthe past three years, ditions such as diaLucas has strengthbetes and macular ened a relationship degeneration, which between Sam’s Club require monitoring. “If and Walmart and the a patient has a deAmerican Diabetes tached retina, we want Association (ADA), that caught earlier, which led to a while it is still treattremendous presence able,” he says. An expo visitor prepares for a screening using the CenterVue by Sam’s Club and In 2009, Sam’s DRS system. Walmart at the ADA Club started exhibitEXPO in Minneapolis. ing at the ADA EXPO with a booth and pro“It’s a great way to give back to the commoted annual eye exams as well as the $4 munity,” Lucas says. “We are getting exposure, and $10 generic drug program. Sam’s Club ODsWho Participated in the ADA Event Roy Backus, OD, of Forest Lake and Wyoming, Minn.–Walmart Michelle Falk, OD, of Woodbury, Minn.–Sam’s Club Lance Gutfleisch, OD, of White Bear Lake, Minn.–Sam’s Club Scott Hadden, OD, of Bloomington, Minn.–Walmart Brad Hagemo, OD, of Maple Grove, Minn.–Sam’s Club Ai Soundra, OD, of Bloomington, Minn.–Sam’s Club Event Recap Walmart and Sam's Club participation grows T he recent American Diabetes Association EXPO allowed the participating optometrists to detect many cases of disease and potentially avert ocular emergencies. Doctors uncovered the following: ◆ More than 100 cases of evidence of diabetes based on “dot and blot” hemorrhages ◆ Several cases of advanced stage wet age-related macular degeneration (AMD) ◆ Several cases of dry AMD ◆ Several cases of advanced diabetic retinopathy among patients who were under a physician’s care ◆ Five cases of advanced diabetic retinopathy among patients who were not currently receiving medical attention ◆ Seven macular scars ◆ Two case of toxoplasmosis scar near the macula ◆ Two cases in which glaucoma was suspected ◆ Two retinal detachments, including one that had just occurred Thanks to the Partners R andy Lucas is thankful for those companies that partnered with Walmart and Sam’s Club at the American Diabetes Association EXPO in Minneapolis. Lucas says it was especially helpful to have CenterVue’s DRS and Nidek instrumentation on site to provide free vision screenings. He appreciates that these supporters share the Sam’s Club and Walmart philosophy of giving back to the community. * and Walmart became a co-sponsor of the expo last year, and a team of volunteers conducted 300 vision screenings. Lucas is pleased to report the great success of the 2011 expo that drew nearly 8,000 attendees. Six affiliated ODs conducted 900 retinal camera screenings in just six hours, triple the number that were conducted in 2010. “Participants come to the expo to learn how to live healthier and how to manage their diabetes better,” Lucas says. “Many of them can’t afford to go to the doctor or don’t have insurance, so they come there for their screenings.” He looks forward to his future involvement with this event. The Sam’s Club partnership with the ADA continues year-round beyond the expo, and Lucas and his team participate in other ADA fundraisers such as the Step Out: Walk to Stop Diabetes and the Tour for the Cure. * * The annual expo drew thousands of visitors who could undergo a variety of health and vision screenings. 4 Foresight Focus on Women Simplify the Process for BusyWomen B ritt Gustafson, OD, of Eden Prairie, Minn., knows that women today lead very busy lives and has found that she can make a significant contribution by simplifying the contact lens process for mothers and their children. “Contact lenses and the replacement schedules should fit into their lives as seamlessly as possible,” she says. “In my practice, I have observed the many benefits of fitting DAILIES® AquaComfort Plus® daily disposable Dr. Gustafson lenses, which provide patients with a convenient lens-wearing experience.” She adds that these patients enjoy great comfort and report fewer issues with their contact lenses, and they refer patients to see her based on their experience with their daily disposable lenses. “Busy women are great candidates for daily disposable lenses and are appreciative of their eye doctor who identifies with their lifestyle and tailors a lens modality to their needs,” she says. Not only are daily disposable lenses a tremendous convenience for busy women and mothers, but they can also alleviate are ideal for patients of any age who wear contact lenses only occasionally, such as children who wear contact lenses for sports, performances or weekends. With daily disposable lenses, a fresh, new lens is used every time contact lenses are worn. Parents don’t have to worry about whether a lens was properly cleaned and stored or how long it may have been sitting in a contact lens case. Another selling point: “You won’t have any late-night runs to the pharmacy to pick up contact lens solution when your child hollers out that there’s none left,” she tells mothers. “Parents truly appreciate that their children can wear contact lenses without it creating another process about which they’ll need to nag their children. Prescribing daily disposable contact lenses is an easy thing to do.” many of the concerns parents have about their children taking care of their contact lenses properly. That can be especially true for parents who don’t wear contact lenses themselves, who sometimes have a higher level of anxiety about their children wearing contact lenses. “They’re not familiar with the cleaning and replacement process, and I see them exhale in relief when I explain that daily disposable contact lenses are so simple to use.” She recalls one recent patient whose case illustrates this. “I recently saw a teenage male patient who was not caring for his contact lenses properly, despite his mother’s repeated reminders to follow the doctor’s instructions. I asked him why he wasn’t following the care regimen prescribed by his previous eye care provider, and he confessed simply, ‘I’m too lazy.’ I refit him into a daily disposable lens and let him know that he needs only to throw away his lenses at the end of the day.” Dr. Gustafson also points out to parents that daily disposable contact lenses *See product instructions for complete wear, care and safety information. WomenHeart Provides Free Education forWomen Heart Disease Patients T here are 42 million American women currently living with or at-risk of heart disease, the leading cause of death in women. WomenHeart: The National Coalition for Women with Heart Disease is a great national and local resource for Walmart and Sam’s Club health care professionals, who can encourage women who are at risk or living with heart disease to visit womenheart.org, says WomenHeart Chief Operating Officer Mary E. McGowan. Today, more than 600 WomenHeart Champions, heart disease survivors who are trained volunteer community educators, can provide support through in-person, peerled, monthly WomenHeart support meetings held in conjunction with local hospitals; Sister Match, a direct connection with a volunteer for phone or email support; and HeartScarves. WomenHeart Champion volunteers deliver a Red Bag of Courage®, a small gift bag filled with heart health educational materials, information on WomenHeart services and a handmade red scarf to women in the hospital following a heart event. For more information or to register for the online support community, visit womenheart.org. * March 8, 2012, is International Women’s Day. For a listing of events and resources, visit internationalwomensday.com. Spread theWord T he WomenHeart speakers’ bureau can provide a WomenHeart Champion to exhibit in your store’s health area to distribute the Red Bag of Courage. WomenHeart offers patient education resources in English and Spanish for customers, patients or associates. Visit womenheart.org or call 202.728.7199 for more information. * WomenHeart educational materials are available. 5 Foresight Focus Training A Culture of Learning and Development But leadership is far more than a title. Rather, it is a characteristic that can propel any optical associate or technician forward, and we’ll encourage and provide leadership resources for every Walmart and Sam’s Club health care associate to cultivate his or her leadership skills. his year has gone by so quickly, and now we’re To date, the training team has focused on developing the very critiat the point where the Training Project Mancal foundational training. In the Vision Center, we still have progress to agement Office (PMO) begins to assess the trainmake in foundational training—particularly in the area of training ing and development needs for the new year. We for ABO certification. So, in the upcoming year, the Training PMO will are currently meeting with Sam’s Club and WalRenee Ford focus on how we roll out ABO training to Walmart and Sam’s Club assomart leaders to gain a sense of where the busiciates successfully. In the Pharmacy, we will continue to develop tools ness is going from an operational perspective. This knowledge for the that support the upskilling of technicians in the area of prescription training team is priceless because we strive to align training to the input and the many elements that are involved in that process. Founidentified business goals. dational training will always remain important, but that’s the baseAs we have these discussions, the recurring theme that arises is line—not the endpoint—for where we want our associates. that as a business we will continue to look for standout leaders. These As Walmart and Sam’s Club exceptional associates are those step up to take on new business who execute quality patient care, challenges that fulfill the goal of develop colleagues, solve probhelping people save money so they lems and inspire confidence. Now can live better, we need each of you some of these leaders are easily hese three books on leadership are excellent primers on the to step up along with us. In order to identifiable—the managers, for characteristics of good leaders and the impact good leadercontinuetodeliverexcellentpatient example. And next year, a large ship can have on an organization and a workplace. service and create the best patient training initiative will focus on en◆ You Don’t Need a Title to Be a Leader by Mark Sanborn experience, we will need a team of suring that the necessary man◆ Monday Morning Leadership by David Cottrell leaders who are motivated, skilled agement and leadership tools are ◆ WhatGotYouHereWon’tGetYouThere by Marshall Goldsmith and confident health care profesavailable to support the Pharsionals,managersandassociates. macy and Vision Center managers. By Renee Ford Senior Manager, Training Project Management Office T Reading List T * * OD Educates Students on Importance of Healthy Eyes M aria Fragoulis, OD, who has three Walmart-affiliated practices in the Columbus, Ohio, area, has been participating with an educational outreach program of the Ohio Optometric Association (OOA) for years. Realeyes™ is an education program for children, with different 45-minute, interactive presentations for children in grades K-2, 3-5, 6-8 and high school. Dr. Fragoulis, who has been taking Realeyes programs into classrooms for years, enjoys the children’s enthusiasm and the outreach. “The OOA lets member doctors know when health or science teachers 6 have requested a program, and one of us goes to the school to present the program,” she says. Dr. Fragoulis, who was scheduled for two middle school presentations in December, is thankful that her Walmart Vision Center is trying to promote its services in the community. For the past year, a Vision Center optician has been accompanying her on these visits. “When we have a class of 30 firstgraders all asking questions, it’s very helpful,” Dr. Fragoulis says. The presentations are based on a DVD, which the Realeyes facilitator plays and stops periodically to encourage questions or an activity. For the youngest students, the program features two comical puppets, Tina and Rhet, and Rhet realizes he needs eyeglasses. The children learn about common vision problems. The Case of Vinny Dr. Fragoulis Vision allows students in third through fifth grade to solve mysteries and detect eye disorders. Vision Impossible, the program for students in grades 6-8, introduces more complex anatomy and introduces students to major eye diseases. The program for high school students, Government Operation Optics Development, is available to older students online. This program has led to a few invitations for Dr. Fragoulis to attend career days and explain what an optometrist does. * Foresight Pharmacist of theYear J amie Barnett, RPh, of Maryville, Mo., was honored as Walmart’s Pharmacist of the Year. “I met many of the candidates at the Walmart meeting, and there were lots of well-deserving pharmacists,” he says. Barnett, a pharmacist since 1993, joined Walmart in 2004, after a pharmacy school classmate mentioned an opening in her store. He moved from a small independent pharmacy to Walmart Jamie Barnett originally for the perk of working a little bit closer to home. Within two years, he became the pharmacy manager and has found many added benefits to partnering with Walmart. “Walmart stays ahead of the game, and its executives are frontrunners,” Barnett says. “Walmart keeps me updated on everything, from laws being passed to changes in the pharmacy business. In an independent pharmacy, we generally waited until everyone else in Missouri was doing something before we realized we should be, too.” Barnett appreciates the support that Walmart gives the pharmacy department in these ways. “It’s nice as a pharmacist to have Walmart and the Health and Wellness Division as a resource.” As Pharmacist of the Year, Barnett was recognized for setting a positive example. It’s a role with which he’s familiar. His pharmacy has been designated a regional TQ1 store and a model pharmacy in his market. His system of organization and a clutter-free setup is ideal for Walmart pharmacies because of the professional look. Outside of the store, Barnett participates in a local career fair to speak to high school juniors and seniors from several counties about their future. He wears his Walmart smock and name badge to represent Walmart and to discuss a career as a pharmacist. He also participates with Parents as Teachers, a group that provides education, assistance and testing for parents and their young children. He held a panel discussion with a nurse practitioner and school nurse, and he focused on the importance of proper dosing.“If a medication is labeled for children ages 6 and up, you can’t split the dose in half and give it to a 3-year-old child,” Barnett says. He provided parents with Walmart dosing spoons, pointing out the difference in dosage if a household spoon was used.“It really is quite a big difference, and the parents were surprised and glad to know,” he says. Barnett spends time volunteering with his A leader inside and outside of the store local Lion’s Club, where he is a past president, and he is very involved in his community’s elementary school basketball program. For the past three years, he has organized and coordinated teams and coaches, and he has nearly a decade of experience as a coach himself. Active in the schools his children attend, Barnett is an 11-year member of the board of education and currently is its vice president. He enjoys the busy schedules and the opportunities available through Walmart to reach out to customers, other pharmacists, the community or the other health care professionals in the store for special assignments. * Teamwork StrengthensWorking Relationship N ichole Rioux, OD, of Salem, Ore., was featured in the November 2011 issue of Women In Optometry, discussing her plans for practice growth in 2012. She plans to add some diagnostic equipment, an electronic medical records system and some vision therapy services. She credits much of her success from the past two years to her Dr. Rioux working relationship with the Vision Center staff. Dr. Rioux says the Walmart staff does a great job of following through on the care she wants her patients to have, and they are willing to put in the extra work when she needs help. She escorts her patients who want to purchase their eyewear at the Vision Center to the dispensary, and she’ll answer any questions the Vision Center staff may have. “It shows when we all work together well,” she says. “They know that if I do a good job and they do a good job with eyeglasses, patients will come back to both of us.” To keep everyone up to speed, Dr. Rioux and the Vision Center manager and staff find time to meet once a week to go over concerns and talk about questions that anyone may have. Dr. Rioux knows that associates feels comfortable coming to her any other time throughout the week when an issue may arise. Since they’ve started having the meetings a few months ago, Dr. Rioux has seen even more improvement in their working relationship. “I’ve seen a difference, and we are all more connected.” * Vision CenterTeam Gives the Gift of Vision to People in Need I n support of Optometry Giving Sight, Stephanie White, OD, of Harahan, La., donated her eye exam fees to help provide eye exams and eyeglasses to children in developing countries who can’t see well enough to learn at school, as well as adults who cannot see to provide for their families. Optometry Giving Sight, the organizer of the World Sight Day Challenge, funds programs that provide eye exams and eyeglasses, trains local eye care professionals and develops vision centers that deliver long-term care to people in desperate need. There are 670 million people who are blind or vision impaired simply because they don’t have access to an eye examination and eyeglasses. * Dr. White, far right, shown with the Harahan Vision Center team: Penny, Linda, Michael and Veronica 7 Foresight OD of theYear S Personal connection contributes to growth everal thousands of patients have passed through the Walmart Vision Center in Marion, Ind., since Walter Scase, OD, began practicing there in 1998. Because of the effort Dr. Scase makes to connect with patients, they usually leave the practice feeling like family. Dr. Scase’s Dr. Scase friendly approach was one of the reasons he was named Walmart’s Optometrist of the Year. He’s been recognized on a regional and district level in the past and appreciates the acknowledgement from the corporation. “I’m honored to be chosen among all of the great doctors working with Walmart,” he says. Dr. Scase says patients like returning to see familiar faces each year. In addition to his long-term commitment to the practice and store, associate doctor Allison McPhearson, OD, has been with Dr. Scase for almost a decade, and many Vision Center associates have been working there for years. “Our patients come back and see the same people who have the skills to help them,” he says. In the exam room, Dr. Scase starts up a conversation with patients while providing Dr. Scase has traveled on education. “I get involved by talking about several mission trips to provide eye care, protheir lives during their exam, and my pavides school screenings and has sponsored tients see that I care. That brings loyalty,” Dr. local sports teams. Dr. Scase’s involvement in Scase says. That loyalty has contributed to his local church also makes connections for the growth the practice saw each year. “Last his practice. year, even while the economy was down, A Walmart practice setting is ideal for our numbers were up the care Dr. Scase likes 7 percent on exams,” to provide his patients. he says. Dr. Scase and “I have no pressure to Dr. McPhearson saw sell or promote any4,800 patients last thing, so my patients year. know I am telling them In 2009, Dr. Scase honestly whether they picked up a second need something or Walmart store locanot,” he says. He retion in nearby Huntcently added a retinal ington. The store’s camera to the pracDr. Scase participates in volunteer activities far and near, inVision Center and tice, and he looks forcluding mission trips like this one to Mexico. doctor’s office had ward to expanding the not been performing as well as they could medical services he provides. While his have been.“I organize and run that office, and practice is separate from the Vision Center now it’s making a profit,” he says. While he isn’t in his one-door state, he works closely with in the location very often, he involves doctors the Vision Center manager, Jill Dennis. “We who follow his personal approach and who share the same goals to increase our profit are invested in producing a good profit for the and maintain the integrity of store, so we practice and enabling a good flow of patients will do whatever it takes to make our busito the Vision Center. nesses successful.” * OD Responsive to Ocular Emergency Saves Vision A t the end of August, Christa McPeek, OD, celebrated her one-year anniversary of practicing inside the Walmart store in Georgetown, Ky. Another memorable experience occurred during that same week, when a new patient in her mid-20s came into her office, complaining of blurred vision. “After asking some questions, I found out she had been experiencDr. McPeek ing ongoing headaches, which can be a red flag with vision issues,” Dr. McPeek says. Dr. McPeek determined that the patient did not have great correctable vision in her left eye. After a dilated exam, she made her diagnosis of papilledema, citing the patient’s swollen optic nerves.“We needed to send her to the emergency room,” Dr. McPeek says. Dr. McPeek knew she needed to keep 8 her patient calm while still instilling a sense of urgency. The patient had come alone to the visit but could locate a companion to accompany her. “There is swelling in a structure that is important in your eye, and it’s the standard of care that I refer you to an ER or neurologist,” Dr. McPeek told the patient. “This is very important for your vision, and we must rule out other conditions that could affect your vision that go beyond what we could fix with eyeglasses.” The practice has a good relationship with the ER at the University of Kentucky, where an ophthalmology resident and a neuro-ophthalmologist took a closer look at the situation. “Peripheral vision loss was progressing quickly,” she says, citing the report she received from the ER. In mild cases of papilledema, Dr. McPeek says that an oral medication often helps. But this situation was more urgent, and the patient would require surgical intervention. The optic nerve sheath fenestration would allow an incision to be placed in the meninges surrounding the optic nerve in order to relieve elevated intracranial pressure. The potential crisis was averted. The emergency surgery was successful, and the patient is continuing to be monitored. The patient’s mother has been to the Walmart store to thank those who acted quickly. While she did not talk with Dr. McPeek directly, she was able to speak with Vision Center Manager, Tesha McCarty. “This really makes us appreciate what we do and the relationships we build with our patients and the community,” McCarty says. “We may lose focus at times being bogged down with the small stuff. This kind of situation puts me back on track with what is really important, and that is our patients’ well-being and sight.” *