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PubMed1988

Hospitals and optometry: an evolving relationship.

Most hospital-based optometrists practice at government hospitals or HMOs that provide comprehensive care. But most U.S. hospitals are private, provide episodic acute care, and limit admitting, staff and clinical privileges to physicians. Most patients that private optometrists treat do not require hospital admission, but many do require laboratory tests or procedures (ultrasonography, radiographic studies, CAT and NMR studies, clinical laboratory blood/serology studies and glucose tolerance tests) that can be provided by hospitals. Hospital admitting, staff, or clinical privileges are not needed for optometrists to order these studies for their patients on an outpatient basis. This type of hospital affiliation may initially be more useful to more optometrists than staff membership, admitting, or clinical privileges and would improve patient care and quality of referrals. This paper reviews hospital organization, the Joint Commission on Accreditation of Health Care Organizations (JCAHO) Standards and how they apply to optometrists wishing to affiliate with private hospitals.

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PubMed1988

Why should optometry become involved in the hospital setting?

Our nation's hospitals are no longer the private domain of the medical physician. Other "independent" health care providers are justified in applying for clinical privileges. The expanding scope of practice has served to make optometrists more aware of their rights to practice in the hospital environment. Recent changes in the guidelines of the Joint Commission for Accreditation in Health Care Organizations (JCAHO) has further reinforced the concept that no independent health care providers should be denied clinical privileges based solely on the fact that an applicant is not an "MD."

Joint Commission on Accreditation of Healthcare Or↗