Starting with the Encounter_Data.xlsx [A] (the data elements of a non-ophthalmologic encounter), isolate data elements relevant to glaucoma screening (Prum, Lim et al; p P120-122) that are missing from [A] and add them to the appropriate sections in [A]. Again, keep in mind that generalists will not be performing ophthalmologic tests or examinations other than basic visual-acuity testing (therefore, these are NOT to be included in your modifications to [A]. Summarizing:
1. Highlight those items that are already in [A] that are relevant to POAG screening (mark by changing background color to yellow) 2. Add relevant items to [A] that are not ophthalmology-specific (ie. that require examination by special ophthalmologic diagnostic tools) data items and highlight them (mark by changing background color to green). 3. If there are specific rules that identify a value within a field that as a risk factor in screening, put the rule into the “Ruler column: a. Example: IF AGE GT 40, THEN b. NB: There is no “AGE” datum in the Encounter Form. How would this be addressed? (Use the DF if you are confused)
Part 2:
Answer the following questions:
1. What is the clinical purpose of making the changes in [A]? 2. What are specific risk factors associated with POAG NOT related to ophthalmologic-specific measures or tests? 3. What are specific items that will be highlighted in [A] associated with POAG that are part of: a. History b. Physical Examination 4. Given the discussion by Lim and Goldberg, what are other interventions that the collective practices can undertake to improve timely detection of glaucoma within their patient population/community and how might they implement these interventions?