Why is vision care needed in nursing homes? Studies have found that fewer than 20% of nursing home residents receive proper vision health services. Thus, there is a compelling need for consistent, comprehensive optometric care in the nursing home setting. Nursing home residents have a high incidence of sight-threatening conditions that result in limited activity, loss of independence, reduced self-esteem, lower morale, diminished emotional security, social isolation and depression. Vision impairment also contributes to increased incidence of falls and injuries.
These vision-threatening conditions include but are not limited to:
- Age-related Macular Degeneration
- Diabetic Retinopathy
- Retinal Detachment
Our Services Include: Comprehensive eye examinations and eye care with the latest, most up-to-date, portable ophthalmic equipment available in your natural surroundings.
Our Katy Eye Care Team
Dr. Jaffer and his staff have the education, experience and training to meet the special needs of geriatric patients in nursing homes. Regularly scheduled visits as well as 24 hour emergency care are provided.
The following services are provided by our staff and consultants:
- Eye Health Examination, diagnosis and treatment of ocular disease
- Vision examination (refraction) and prescription
- Low vision examination and rehabilitation
- Surgical consultation
- Surgical co-management with ophthalmologists
- Fitting and maintenance of eyeglasses, contact lenses and low vision aids
- Patient education
- In-service presentations for nursing home staff at no charge to facility
- Development of eye care protocols
- Assisting nursing home staff with development of eye care plans
- Diagnosis-driven computerized recall system in order to conform with standard of care guidelines
- 24-hour emergency eye care
- Professional courtesy discount to all employees
Those patients who require eye surgery will be referred to the appropriate ophthalmology specialty.
Vision Care for the Elderly
Far too often, elderly individuals have been told by eye care professionals that their vision could not be improved, leaving the patient frustrated and dismayed. Older patients may forego eye and vision care for many years thinking nothing can be done while vision gradually worsens. No patient should be considered beyond help and given an opinion until a careful optometric examination has been performed.
With a consultation referral, vision might be restored to a level where the patient could enjoy many hours of visual activity, such as reading, which may in turn enhance the disabled patient’s self-esteem and quality of life.
In order to provide comprehensive visual care and appropriate treatment, it is recommended that all current residents who have not been examined during the past twelve (12) months and all new residents upon admission into the nursing home facility be provided with a Visual Health Examination.
The Visual Health Examination includes the following:
- Visual Activity – test for clearness of vision
- Refractions – determination of eyeglass prescription
- External Eye Evaluation – screening for external eye health conditions
- Ophthalmoscopy – evaluation for internal eye health conditions, such as cataracts, macular degeneration and diabetic retinal disease
- Tonometry- testing for glaucoma
Those residents demonstrating eye health conditions will be managed appropriately on-site or referred for a surgical consultation.
Following the Visual Health Evaluation, appropriate eyeglasses will be prescribed by the doctor if needed. Our optometric technician will measure the resident for frames at the time of the initial visit. The completed eyeglasses will be brought to the resident for final fitting upon the doctor’s next monthly visit.
Low Vision Care
Following a Low Vision Examination, special aids and devices may be recommended by the eye doctor. If necessary, the devices will be ordered from one of several low vision aid distributors and delivered to the resident within two to four weeks. Upon delivery, the doctor will explain the appropriate use to the patient and spend time training them in the use and care of the special aid or device.
Arranging a Home Visit
Scheduling of routine services is done on an individual basis, depending upon the requirements of the nursing home facility. Urgent and emergency eye health services are available on a 24-hour basis.
In order to allow adequate time to examine each resident and to utilize the time most efficiently, there should be a minimum of five (15) and a maximum of ten (30) residents scheduled for visual health examinations. ) Follow-up visits may be scheduled during the same time period as the visual health examinations. Follow-up visits for patients currently being treated for eye health conditions will be given priority over routine eye exams.
Our office will contact the nursing home facility a week before and the day prior to the regularly scheduled visit to determine the residents who need to be seen for routine services. At that time, our office will notify the facility of the names of the residents who require follow-up care. Every attempt will be made to see all routine and follow-up problems during regularly scheduled visits. On occasion, it will be necessary to make evening rounds to follow-up on residents being treated for health conditions or to see residents who require urgent or emergency care.
We accepts 100% assignment for Medicare, Medicaid and major medical insurance programs.
Services are billed on a fee-for-service basis.
The patient is responsible for all deductibles, co-insurance (unless supplementary insurance is available), and non-coverage charges. If the patient is a member of an HMO or other restrictive plan, all fees are the responsibility of the patient.
Charges for eyeglasses, contact lenses and low vision aids not covered by insurance will be billed to the patient and must be paid for in full prior to delivery.
Example of Insurance Benefits for Nursing Home Residents:
Type of Coverage: Insurance Pays:
Medicare only 80% of all covered charges
Medicare with Supplemental Insurance 100% of all covered charges
Medicare with Medicaid 100% of all covered charges