Recommendation Summary

The National Expert Panel identified three separate types of vision health data that should be integrated into the health data system: 

1. Vision Screening Process Data

2. NOT Screened Data

3. Screening Outcome Data

Vision Screening Process

1. The “Vision Screening Process” column lists data that will verify that a valid vision screening process has been completed.

  • Unique Identifiers
  • Date of screening
  • Site of screening (e.g., medical, community, educational, child care/Head Start)
  • Specific location of screening (e.g. name of school or clinic)
  • Zip code of screening location
  • ob title of screener (physician, nurse, volunteer, eye care provider)
  • Provider’s ID Code (if appropriate)
  • Visual acuity test used (selected from accepted list in Cotter, et al,)13
  • Testing Distance
  • Stereopsis
  • Instrument based photoscreening:  Device used

NOT Screened

2. The “NOT Screened” column details fields that should be reported when a vision screening is not completed

--AUTOMATIC REFERRAL* based on

DIAGNOSIS**

  • known neurodevelopmental disorder
  • systemic diseases requiring eye surveillance
  • medication side effect profile
  • prematurity <32 weeks gestation

OBSERVATION OR HISTORY

  • recognized eye abnormality
  • relevant family history
  • parental request
  • prior eye examination requiring follow up

--no consent from parent(s) available

Screening Outcome

3. The “Screening Outcome” column details data fields which should be captured following a completed screening. 

 --PASS:  completed screening; No follow up needed

--REFER*:  completed screening

--UNTESTABLE  and

--LIKELY to complete screening later:  RESCREEN as soon as possible, at least within 6 months

--UNLIKELY to complete screening later:  REFER*

* Any referral must be validated by date of appointment and name of optometrist or ophthalmologist providing initial eye exam.

Additional Data Collection Recommendations for Vision Screening

  • Individual states may choose to collect additional data points that can allow for increased surveillance of screening program quality.
  • The system should have a mechanism to provide feedback to the educational-, community-, or public health-based vision screening programs that the primary care provider or medical home has accessed the information from the vision screening.
  • The integrated vision data system should contain a component that summarizes the outcome and treatment recommendations from a comprehensive eye exam. The minimal information that should be entered would allow the effectiveness of the screening program to be evaluated in regard to the accuracy of children who fail the screening and follow up with a comprehensive eye examination.

Data From Eye Care Provider

DATA FROM INITIAL EYE EXAMINATION

Date of Eye Examination
Provider’s ID Code
Visual Acuity OD:
Visual Acuity OS

Were any of the following diagnoses determined:

Yes / No amblyopia
Yes/ No strabismus
Yes / No other diagnosis
If “Other”, please define:

Were glasses prescribed? Yes / No

If yes, please indicate:
Refractive Error: OD
Refractive Error: OS
Correction Prescribed OD:
Correction Prescribed OS:
Time to next follow-up in months

Was an additional referral to another specialist required? Yes / No

If yes, what kind of specialist?

DATA FROM FOLLOW-UP EYE EXAMINATION

Date of follow-up eye examination
Provider’s ID Code
If glasses were prescribed at initial visit, did the child obtain them Yes / No
If previously diagnosed with amblyopia, is this diagnosis confirmed? Yes / No