Optometry in Public Health Today

Question 1

Lecture Objectives

Answer 1

1) To be familiar with prominent national vision/eye related public health programs to include Community Health Centers, InfantSEE, Healthy Eyes Healthy Children and VISION 2020
2) To be familiear with prominent national general health public health programs to include Healthy People 2010/2020/2030
3) To have an understanding of the role optometry plays organization AOA, AAO, APHA

Question 2

Public health involvement of AOA

Answer 2

community health centers, infantSEE, healthy eyes healthy people (children), vision USA, optometric disaster relief fund

Question 3

Community health centers quote from AOA website

Answer 3

partnering with the National Association of Community Health Centers, the AOA is working to improve access in CHCs to eye and vision care services

Question 4

What percent of CHCs provide eye care?

Answer 4

18%

Question 5

T/F National Health Service Corps currently excludes optometry

Answer 5

true

Question 6

Mission of National Health Service Corp

Answer 6

builds healthy communities by supporting qualified health care providers dedicated to working in areas of the US with limited access to care; formed in 1972

Question 7

What disciplines are allowed in the National Health Service Corp?

Answer 7

medicine, dentistry, nurse practitioner, certified nurse-midwife, physician assistant

Question 8

InfantSEE quote from AOA website

Answer 8

affords a one-time, comprehensive eye assessment at no cost for infants in their first years of life

Question 9

Healthy Eyes Healthy Children quote from AOA website

Answer 9

healthy eyes healthy children community grants program offers an opportunity for optometrists to collaborate with other community resources so that vision care, including hardware, is provided to children, and optometry is recognized as a vital component of the health care system

Question 10

Healthy Eyes Healthy People (old program) quote from AOA website

Answer 10

an ambitious public-private initiative to improve the eye and visual health of the American public

Question 11

Healthy Eyes Healthy People SCO events

Answer 11

2014 see to read vision awareness program; 2013 project homeless connect:focus on vision care; 2012 eye spy… a day at the zoo vision awareness; 2011 head start vision initiative

Question 12

Healthy People 2020

Answer 12

US Department of Health and Human Services health promotion and disease prevention initiative; health goals broken into 600 health objectives; fully 8 of the health objectives address eye and vision conditions; goals were to be met by 2020

Question 13

Healthy People Timeline

Answer 13

2008 Analyze data and develop HP 2020 objectives and goals –> 2010 report HP2010 results and HP2020 begins –> 2018 analyze data and develop HP1020 objectives and goals etc

Question 14

Healthy People 2010 successes

Answer 14

major decrease in CVA and heart disease (reducing cholesterol levels, reducing smoking rates); life expectancy rise; several mental health goals and objectives met

Question 15

Healthy People 2010 shortcomings

Answer 15

obesity rates continue to rise and health disparities continue to worsen

Question 16

Healthy People 2020 new topic areas

Answer 16

adolescent health, blood disorders and blood safety, dementias, early/middle childhood, genomics, global health, health related quality of life and well-being, healthcare associated infections, LGBT health, older adult preparedness, sleep health, social determinants of health

Question 17

Healthy People 2020 data source organizations

Answer 17

CDC, Department of Labor, Consumer Product Safety Commission, Census Bureau, Health Resources and Services Administration

Question 18

Healthy People 2020 data source instruments

Answer 18

national health interview survey– conducted by US Census Bureau (others: survey of occupational injuries and illnesses, national electronic injury surveillance, current population survey, national health and nutrition examination, uniform data systems)

Question 19

Healthy People 2020 V-1

Answer 19

increase the proportion of preschool children aged 5 years and under who receive vision screening

Question 20

Healthy People 2020 V-2

Answer 20

reduce blindness and visual impairment in children and adolescents aged 17 years and under

Question 21

Healthy People 2020 V-3.1 and 3.2

Answer 21

3.1 reduce occupational eye injuries resulting in lost work days; 3.2 reduce occupational eye injuries treated in emergency departments

Question 22

Healthy People 2020 V-4

Answer 22

increase the proportion of adults who have a comprehensive eye examination, including dilation, within the past 2 years

Question 23

How should an objective data change?

Answer 23

change by 10%

Question 24

Healthy People 2020 V-5

Answer 24

reduce visual impairment; 5 sub categories: uncorrected refractive error, diabetic ret, glaucoma, cataract, AMD

Question 25

Healthy People 2020 V-6

Answer 25

increase use of personal protective eyewear in recreational activities and hazardous situations around the home; 2 categories children 6-17 and adults 18+

Question 26

Healthy People 2020 V-7

Answer 26

7.1 increase the use of vision rehabilitation services by persons with visual impairment and 7.2 increase the use of assistive and adaptive devices by persons with visual impairment

Question 27

Healthy People 2020 V-8

Answer 27

Developmental– increase the proportion of FQHCs that provide comprehensive health services

Question 28

How many objectives were met for Healthy People 2020?

Answer 28

50% target met