Recommendation Summary

  • Mechanisms for incentives and funding need to be in place to ensure that data are entered within a specified time frame after screening, that data are entered consistently and completely, and that a quality assurance system is devised to verify data.
  • Developing an integrated child health information database will require state and/or federal funding.
  • “Meaningful use”  10 standards should be applied to the development of this data system.
  • Vision screening programs should be able to obtain reports from the system to demonstrate the effectiveness of their programs.
  • Special considerations should be taken to monitor homeless, undocumented or transient children, as well as children who reside in non-traditional family settings, such as foster care. 
  • Appropriate eye care services need to be accessible for children who lack adequate insurance (16). 
  • It should be possible to analyze data by sub-populations (e.g., uninsured, specific minorities), which will provide evidence regarding health disparity issues and facilitate the development of programs to decrease such disparities.