also - missouri optometric association · following mrs. joyce baker’s resignation; and we have...

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May | June 2008 Dr. Carter Glass hosted the 2008 Spring CE trip at his property, The Turquoise Shell Inn, located in beautiful St. Maarten. Top notch continuing education was provided by Dr. Michael Cymbor of Pennsylvannia. During the MOA’s St. Maarten getaway, Dr. Cymbor not only taught a wonderful course, he worked on some continuing education of his own and became a certified scuba diver during the trip. The attendees from Missouri were joined again by the Meyers, our out of state members from the UP of Michigan, and Dr. Ken Purcell from Wisconsin. The scuba divers took the opportunity to go on a shark dive! We all came back with all our body parts intact and with a greater appreciation of shark behavior. A day trip to Saba, one of the top scuba diving sites in the world, provided another chance for a shark encounter and the opportunity to go hiking for the non-diver that made the trip. As we learned from our taxi driver/tour guide, Saba has a population of 1,574 people but many more goats! Saba is also known for having the shortest runway of any commercial airport in the world! We stayed on the Dutch side of St. Maarten, but took the opportunity to do some sightseeing and shopping on the French side as well. The seafood on the island was fantastic and the hospitality at the Inn was unmatched. Also Inside This Issue DMEPOS Update: AOA Builds on 2006 Regulatory Win to Secure Changes to Proposed Rule North Central States Optometric Society Meets In Memoriam: William “Bill” Scoggin New Members Calendar of Events Optometric Society Report Super Spring CE: MOA Members Travel to Beautiful St. Maarten

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Page 1: Also - Missouri Optometric Association · following Mrs. Joyce Baker’s resignation; and we have started the search for a permanent Executive Director. All of this activity, along

May | June 2008

Dr. Carter Glass hosted the 2008 Spring CE trip at his property, The Turquoise Shell Inn, located in beautiful St. Maarten.

Top notch continuing education was provided by Dr. Michael Cymbor of Pennsylvannia.

During the MOA’s St. Maarten getaway, Dr. Cymbor not only taught a wonderful course, he worked on some continuing education of his own and became a certified scuba diver during the trip.

The attendees from Missouri were joined again by the Meyers, our out of state members from the UP of Michigan, and Dr. Ken Purcell from Wisconsin.

The scuba divers took the opportunity to go on a shark dive! We all came back with all our body parts intact and with a greater appreciation of shark behavior.

A day trip to Saba, one of the top scuba diving sites in the world, provided another chance for a shark encounter and the opportunity to go hiking for the non-diver that made the trip.

As we learned from our taxi driver/tour guide, Saba has a population of 1,574 people but many more goats! Saba is also known for having the shortest runway of any commercial airport in the world!

We stayed on the Dutch side of St. Maarten, but took the opportunity to do some sightseeing and shopping on the French side as well. The seafood on the island was fantastic and the hospitality at the Inn was unmatched.

Also Ins ideTh isIssue

DMEPOS Update: AOA Builds on 2006 Regulatory Win to Secure Changes to Proposed Rule

North Central States Optometric Society Meets

In Memoriam: William “Bill” Scoggin

New Members

Calendar of Events

Optometric Society Report

Super Spring CE: MOA Members Travel to Beautiful St. Maarten

Page 2: Also - Missouri Optometric Association · following Mrs. Joyce Baker’s resignation; and we have started the search for a permanent Executive Director. All of this activity, along

May | June 2008

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Page 3: Also - Missouri Optometric Association · following Mrs. Joyce Baker’s resignation; and we have started the search for a permanent Executive Director. All of this activity, along

May | June 2008

President’s Message

We have had a very busy last couple of months at the MOA.

We concluded a successful legislative session on May 16th; we now have an interim Executive Director, following Mrs. Joyce Baker’s resignation; and we have started the search for a permanent Executive Director. All of this activity, along with the daily business of the association, continuing to highlight and promote the Children’s Vision Law and planning for the Leadership Retreat and the our Annual Convention.

Our legislative achievements this session include the following:• The successful addition of $300,000 to the budget for the planning of the new facility at the UMSL - College of Optometry.• With Reps. Tilley and Swinger’s lead, adding $10 per visit for adult Medicaid eye exams.• The General Assembly appropriating a $570,000 increase with a $1 million dollar federal match for optometrists.• Restoring the $99,000 allotted for SB 16 (Children’s Vision exams).• Freedom of Provider Choice legislation made significant progress this year and we need to continue working towards this goal with the growing coalition of supporters of this important legislation.

As was announced a couple of weeks ago, Joyce Baker resigned as Executive Director. Dr. LeeAnn Barrett accepted the position of Interim Executive Director. She will be working in the MOA office part time and is currently working hard on our Legislative Retreat and the Annual Convention, which is in Branson this October 9th-12th.

I am optimistic and look forward to finding the “right” person to fill our Executive Director position. It is imperative to find a person who can be the “face” of our association who understands optometry and our needs. We need to be willing to invest in the MOA’s future to find an Executive Director who will lend stability and progress to our association.

I attended the Midwest Eyecare Congress in Rosemont, IL, along with a handful of other dedicated Missouri optometrists. Dr. Scott Ream, MOA past president, was sworn in as NCSOC’s new President. The leadership retreat was June 6th and 7th at the Lake of the Ozarks and is followed by the AOA Congress June 25th-29th being held in Seattle, WA.

Continued on page 9

Dr. Gregory Goetzinger, MOA President

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May | June 2008

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DMEPOS Update: AOA Builds on 2006 Regulatory Win to Secure Changes to Proposed Rule

In 2003, in response to reports from across the nation concerning Medicare fraud and to address specific and widespread abuse by companies involved in the sale of power mobility scooters for seniors, Congress directed the Centers for Medicare and Medicaid Services (CMS) to develop new guidelines and quality standards for suppliers of durable medical equipment, prosthetics, orthotics, supplies (DMEPOS). Congress’s objective for the agency was to address fraud and waste in the program while preserving Medicare beneficiaries’ convenient access to DMEPOS supplies, and to maintain established provider/patient relationships.

Over the last 5 years, the AOA has actively monitored CMS’s development of new DMEPOS regulations and, as necessary, raised objections – both separately and as part of a large coalition of health provider groups – about unintended consequences that would harm ODs and their patients.

In 2006, after a sustained campaign led by AOA and other provider organizations, CMS officials reversed course and announced that physicians (including ODs) would not be required to participate in a new DMEPOS competitive bidding process that the agency had announced as a requirement 9 months earlier. This has meant that “prosthetic devices that aid vision (glasses and contacts) are not among the items and services subject to competitive bidding,” a major regulator victory for optometry.

In January 2008, CMS issued new proposed regulations concerning DMEPOS supplier enrollment. Although the AOA had earlier urged CMS officials to avoid a “one size fits all” approach to accreditation for DMEPOS suppliers and to fully recognize the unique role of licensed health providers like ODs, that’s just what the agency did. CMS’ plan would impose unrealistic and unworkable accreditation requirements on physician suppliers for whom DMEPOS products – while essential to patient care – are a relatively small share of services.

Since the January announcement, the AOA – joined by the American Medical Association and groups representing ophthalmologists, orthopedic surgeons, podiatrists, occupational therapists and physical therapists – have opposed the final implementation of this regulation based both on its substantive deficiencies and its unworkable timeframe. Following two joint statements to CMS officials and an initial meeting with them on April 16th, the AOA and the like-minded groups have pushed for a follow-up meeting at CMS headquarters that is now set for May 16th.

Continued on page 10

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May | June 2008

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The North Central States Optometric Society (NCSOC) met at the first Midwest Eyecare Congress held in Rosemont, IL.

Midwest Eyecare Congress (MEC) is produced by a partnership between NCSOC and the Illinois Optometric Association.

The debut meeting featured more than 125 hours of high quality continuing education for optometrists, opticians and paraoptometrics.

A sponsorship hall provided our sponsors with a chance to talk to the doctors and showcase some new equipment. A full scale exhibit hall will likely be in the works next year.

Alcon graciously hosted the North Central cabinet installation dinner.

New officers are:

• President – Scott Ream, Missouri• President Elect – Marshall Dorsett, South Dakota• Sec/Treasurer – Teri Geist, Nebraska• Past President – John Warren, Wisconsin

Dr. David Cockrell installs the 2008 officers

The Missouri delegation

Drs. Kyle Brost and LeeAnn Barrett receive appreciation placques from Dr.Scott Ream.

North Central States Optometric Society Meets

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May | June 2008

w w w. 2 0 2 0 i n s t i t u t e . c o m3 0 3 . 2 0 2 0 . N O W ( 6 6 9 )

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Please contact Randy Sego at 800-204-1989or [email protected]

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President’s Message, continued from page 3

Remember, it is not too early to mark your calendars for the MOA annual convention in Branson October 9th-12th. There will be important issues to discuss that will have an effect on all ODs in Missouri. Bring the family for the fun that awaits in Branson.

As always, if anyone has any concerns or comments, please contact me; I am always available for the members.

MOF Announces MOA Registration Changes

Due to the stagnant return of the stock market, the MOF Board of Directors decided at its May board meeting to suspend the $30.00/Life member payment to the MOA for convention registration this October.

“Unfortunately, with the flat to negative returns on our investments, we have decided to cut back on several areas of sponsorships,” said Rex A. Newcomb, OD, MOF President. “We are trying to be good stewards,” he added.

Becoming a Life Member of the MOF costs only $500.00. Annual dues for non-life members is only $50/year.

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DMEPOS Update: continued from page 5

In addition, the AOA has briefed concerned Members of Congress on the supplier enrollment issue and will provide testimony at two upcoming Capitol Hill hearings called to examine the disconnect between Congress’s directives to CMS and the impact of DMEPOS regulations on physicians.

The AOA’s message to CMS and concerned Members of Congress remains clear: With burdensome new supplier regulations, ODs – as well as a range of other health providers – could be faced with being unable to provide Medicare-cov-ered DMEPOS products to their patients at the point of care. As such an out-come would prove to be harmful to physicians and patients, it must be avoided through revised regulations.

AOA members with questions or concerns about this are asked to contact Kelly Hipp, AOA Director of Professional Relations, at 1-800-365-2219 x1346 / [email protected].

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May | June 2008

Society Reports

Greater Ozark Optometric SocietyTrustee: Scott M. Burks, O.D.

Our April meeting featured CE focusing on ocular allergies. Thanks to Alcon for sponsoring the CE, drinks, and the great dinner. Thanks to GOOS President Dr. Justin Hart for arranging the CE. We did not have a meeting in May. In June we will have a regular business meeting in which we will hold annual elections. Looking ahead, GOOS is in the early planning stages to sponsor an event to correspond with the start of the new school year and the Children’s Vision Bill.

Kansas City Optometric SocietyTrustee: John Gelvin, O.D., F.A.A.O.

The Kansas City Optometric Society met again in May. We had a great meeting up in the Northland. This meeting was a combined meeting with the Northwest Missouri Optometric Society.

Dr. Pier was the lecturer and the discussion was centered around Presbyopic Contact Lenses in today’s practice of Optometry. We then worked hard to prepare for our Legislative Thank You Barbeque at Longview Lake. The MOA Central Office personally delivered invitations to all Senators and Representatives in the Kansas City region while they were still in session. Additionally, members of the Kansas City Optometric Society called these Legislators to thank them and to personally invite them as well. Even with a risk of a rainout, this years’ barbeque was the best attended BBQ event by Society members in recent years! The number of Legislators were down this year due to this being an active election year. We were glad that some of the Legislators and their families were able to attend.

We will have a number of Kansas City Society members attend the MOA June Planning meeting down at Lake of the Ozarks. In July, the KCOS Board of Directors will meet to solidify the agenda for this upcoming Society year. Society meetings will ramp up again in September.

Continued on page 13

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of a Potentially Life-Threatening

Genetic Disorder

• Fabry disease is a progressive genetic disorder that can lead to life-threatening renal, cardiac, and cerebrovascular complications

• Up to 90% of Fabry disease patients exhibit corneal verticillata1 (whorl-like radial lines emanating from a single vortex), which are detectable by slit lamp examination and typically do not affect vision

• Other early signs and symptoms include pain in the extremities, impaired sweating, skin rash or angiokeratomas, and hearing and gastrointestinal problems

A geneticist can help establish a definitive diagnosis and provide information on intervention. Learn more at www.fabrycommunity.com and www.lysosomallearning.com or contact Genzyme Medical Information at 617-768-9000 or 800-745-4447 (option 2).

References1 Franceschetti A. Fabry’s disease: ocular manifestations. In: Bergsma D, Bron AJ, Cotlier E (eds). The Eye and Inborn Errors in Metabolism. Vol. 12, No. 3. New York: AR Liss Co., 1976: 195-208.

Photo on right used with permission. RL Abbott, MD

©2006 Genzyme Corporation. All rights reserved. Fabr/US/P320/09/06

YOU’RE LOOKINGINTO THE EYES

Corneal verticillata are commonly seen in Fabry disease, a progressive, often life-threatening genetic disorder.

YOU ARE IN A UNIQUE POSITION TO IDENTIFY FABRY DISEASE

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Society Reports, continued from page 11

Southeast Optometric SocietyTrustee: James Hunt, O.D.

During our most recent meeting of the SEOS, we were honored to have as our special guest MOA President, Dr. Greg Goetzinger. This meeting was devoted to his presidential visit and his report updating the membership of the southeast optometric society. The meeting was well attended, and there was an informative report given by Dr. Goetzinger. Following the report the guests enjoyed a BBQ dinner in an informal setting.

SLOS MeetingsThe Saint Louis Optometric Society continues to meet monthly, the second Tuesday of the month. The recent move of the meeting site to the St. Louis Marriott West (since January) has been a success. Attendance has increased due to the more convenient location for a majority of our membership, as well as a venue that has provided improved food and beverage at a similar cost to the Society. Each of our meetings begins with a social/dinner hour from 6:00-7:00 PM followed by a business meeting from 7:00-7:30 PM, then one to two hours of sponsored continuing education. We welcome our colleagues from other societies to visit at any time—please call (314) 725-2020 one week in advance so we can be accurate with our reservation numbers.

The SLOS Annual Installation and Awards Banquet will be held Tuesday, June 10, 2008, at the Missouri Botanical Gardens. Dr. Eric Polk will be installed as President.

SLOS Trustee IssueMuch discussion has occurred in recent months discussing our intent to make permanent our second trustee on the MOA Board of Directors. The SLOS Board will make the final decision, and a letter will be sent to all MOA members at least 30 days in advance of the meeting stating our intent to amend the MOA Bylaws and Articles of Agreement, as well as the proposed wording.

Participation in AOA Congressional Advocacy ConferenceSLOS was well represented in Washington, DC, at the AOA Congressional Advocacy Conference, April 7-9, 2008. Drs. Tom Cullinane, Larry Davis, Carol Merritt, Jeff Weaver, Tim Wingert, and UMSL Students Brad Borello, Whitney Coleman, Hannah Kim, Kimberly Mark, Brett Sobieralski, and Alicia Triplett attended the meeting that provided updates on federal legislative issues, and allowed opportunity to visit U.S. Senators and Congress members. Spotted by SLOS attendees were the elusive Senators seeking higher office: Senators Clinton, McCain and Obama.

Continued on page 1413

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Society Reports, continued from page 13

St. Louis Optometric Society ReportFundraiser for Representative Neal St. OngeSLOS members recently participated in a fundraiser for Representative Neal St. Onge. We raised $950 for the campaign of this strong supporter of Missouri Optometry.

Clay Jr. For CongressOn February 1, 2008, SLOS participated in an AOA-PAC sponsored fundraiser for Representative William Lacy Clay of Missouri’s 1st Congressional District. Rep. Clay has been a strong supporter of optometry on Capitol Hill, as well as to the University of Missouri—St. Louis, home of Missouri’s College of Optometry. Thank you to those of you who generously sent a check towards this effort.

Para-Optometric ReportBernadette Mimms

Once again convention draws near and the paras are getting organized for Branson. We plan to have some great education this year for all staff members, and we hope to have more paras attending than did last year. The paras had record attendance at last year’s convention, so our goal is to make the 2008 convention even better.

We are busy putting together our fundraiser for the convention and making sure our business meeting is successful. We are also in the stages of putting together a Para mixer for the Thursday evening before convention starts. We hope paras will come early to convention and have some time to relax before classes start.

We are pleased to have six of our society trustee positions filled, and we are continuing to work on filling the remaining three; SEOS, NEOS, and the NWOS. If any Para has interest in becoming a trustee, please feel free to contact me at 417-359-0600 or email me at [email protected].

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May | June 2008

Welcome New Members

The Missouri Optometric Association is pleased to welcome the following new members. Please introduce yourself the next time you see them at an MOA sponsored event!

Jimmy H. Elam, O.D.Richard D. G’Sell, O.D.Gary J. Giesler, O.D.Robert M. Palmer, O.D.James R. Hoekel, O.D.

The Missouri Optometric Association--Paraoptometric Section is pleased to see their ranks continue to grow with the addition of the following new members.

Judy A. HaleMyra J. HuserDebby A. MullinsKaren A Myers

•••••

••••

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2008

June 25-29Optometry’s Meeting™Seattle, Washington

October 9-12MOA Annual ConventionChateau on the LakeBranson, Missouri

2009

January 25-26MOA Legislative ConferenceJefferson City, Missouri

February 13 - 15Heart of America Contact Lens SocietyKansas City, Missouri

June 24-28Optometry’s Meeting™Washington, D.C.

October 1-4MOA Annual ConventionLodge of the Four SeasonsLake Ozark, Missouri

Calendar of Upcoming Events

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May | June 2008

StaffInterim Executive DirectorLeeAnn Barrett, [email protected]

Finance ManagerLinda [email protected]

Executive AssistantJay [email protected]

Governmental Relations ConsultantsJerry W. BurchP: 573/[email protected]

J. Scott Marrs P: 573/[email protected]

Legal CounselMarc H. EllingerP: 573/[email protected]

OfficersPresidentGregory J. Goetzinger, O.D.P: 417/[email protected]

President-ElectWesley D. Kemp, O.D.P: 417/[email protected]

TreasurerRyan H. Powell, O.D.P: 816/[email protected]

SecretaryDuane A. Thompson, O.D.P: 660/[email protected]

Immediate Past PresidentThomas F. Greene, O.D. P: 573/[email protected]

Leadership & Staff

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Southeast Society (9)James M. Hunt, O.D.P: 573/[email protected]

Southwest Society (7)Erica S. Burton, O.D.P: 417/[email protected]

St. Louis Society (6)Jeffrey L. Weaver, O.D.P: 314/[email protected]

St. Louis Society - Associate TrusteeThomas J. Cullinane, O.D.P: 314/[email protected]

West Central Society (4)Jason S. Lake, O.D.P: 660/[email protected]

Trustees

Central Society (5)Debbie Hettler-Arbeitman, O.D.P: 573/[email protected]

Greater Ozark Society (8)Scott M. Burks, O.DP: 417/[email protected]

Kansas City Society (3)John B. Gelvin, O.DP: 816/[email protected]

Northeast Society (2)Mindy M. Blackford, O.D.P: 660/[email protected]

Northwest Society (1)Steven W. Roseknak, O.D.P: 816/[email protected]

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May | June 2008

Committees

Administrative ServicesRob Bernskoetter, O.D.P: 573/[email protected]

Affiliated OrganizationsKenneth C. Detring, O.D.P: 573/[email protected]

Clinical/EducationalBradley C. Lewis, O.D.P: 417/[email protected]

Coordinating CommitteeGregory J. Goetzinger, O.D.P: 417/[email protected]

Convention PlanningDuane A. Thompson, O.D.P: 660/[email protected]

Affiliated Organizations

Paraoptometric ChairBernadette MimmsP: 417/[email protected]

MOAA PresidentAmy PowellP: 816/[email protected]

Governmental AffairsTom CulllinaneP: 314/[email protected]

Timothy A. Wingert, O.DP: 314/516-6058 [email protected]

Membership ServicesScott Ream, O.D.P: 417/[email protected]

Public RelationsKyle Brost, O.D.P: 573/[email protected]

Third Party PaymentsRich Wilson, O.D.P: 816/[email protected]

MOF PresidentRex Newcomb, O.D.P: 417/[email protected]

State Board PresidentMichael L. Nichols, O.D.P: 573/[email protected]

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Hannibal800-325-4676

Lenexa800-397-2020

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May | June 2008

About VISION

VISION is published bimonthly by the Missouri Optometric Association.100 East High Street, Suite 301Jefferson City, Missouri 65101P: 573/635-6151

Editors of Publications:

Lee Ann Barrett, O.D. 1201 West BroadwayColumbia, Missouri 65203P: 573/445-8636F: 573/[email protected]

James M. Hunt, O.D.204 Washington StDoniphan, Missouri 63935P: 573/996-3937F: 573/[email protected]

Send all unsolicited articles, news, and advertising to the MOA Central Office. All opinions and statements of supposed fact in signed articles do not necessarily reflect the views and policies of the Missouri Optometric Association.

Deadlines are the first of January, March, May, July, September, and November.

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