[optimal] Decrease in angiography

  • From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
  • To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
  • Date: Fri, 19 Jan 2018 16:35:12 +0000

Thanks everyone, perhaps a time for an update from 2005?
I know with my internal stats here, it’s about 40%
On the other hand, we are an academic setting and the local private retinal 
group siphons off most of the really interesting stuff

Denice

Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 250
San Francisco CA 94109
415-600-5781
FAX 415-558-7011

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On ;
Behalf Of Bennett, Timothy
Sent: Friday, January 19, 2018 6:59 AM
To: 'optimal@xxxxxxxxxxxxx' <optimal@xxxxxxxxxxxxx>
Subject: [**External**] [optimal] Re: Decrease in angiography


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In 2005 I did an OPS Scientific Session paper on this subject after recruiting 
census data here on Optimal. Six major centers provided data on utilization of 
FA for a four year period (two years pre & post introduction of Stratus OCT).

Interestingly everyone’s subjective impression was that FA use was dropping 
like crazy after the rapid adoption of Stratus. The data didn’t really support 
our perception however. Our facility had a drop of 16% (we guessed about 40%) 
Combined data from all center showed a decrease of 9% at that time. Two of the 
six actually had an increase in that time period, while one center had a drop 
of 54%. The widespread adoption of OCT was the only factor we looked at. The 
rise and fall of PDT treatments likely had a very big effect on the long-term 
utilization numbers as well.

I think the biggest value of this study was showing that photographers could 
pool data and resources for scientific papers. It was really cool using Optimal 
to solicit combined data this way. We gathered data retrospectively, but there 
may be opportunities to do projects like this prospectively by combining forces…

CMS data is probably the most accurate snapshot of what’s going on.

Tim

Timothy J. Bennett, CRA, FOPS, OCT-C
Penn State Hershey Eye Center
Milton S. Hershey Medical Center
500 University Drive, Suite 800 UPC
Hershey, PA 17033
Office: 717 531-5516
Cell: 717 381-5595
tbennett1@xxxxxxxxxxxxxxxxxxxxxxx<mailto:tbennett1@xxxxxxxxxxxxxxxxxxxxxxx>
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From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Sandor Ferenczy
Sent: Friday, January 19, 2018 9:03 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Decrease in angiography

If i am reading the data correctly, it looks like Medicare shows this:
2012: 1.187 million FAs
2015: 1.056 million


https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html<https://na01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cms.gov%2FResearch-Statistics-Data-and-Systems%2FStatistics-Trends-and-Reports%2FMedicare-Provider-Charge-Data%2FPhysician-and-Other-Supplier.html&data=02%7C01%7Ccpmceyelab%40SUTTERHEALTH.ORG%7C0796a3b0453d477ea6fc08d55f4d3a30%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C636519707677867266&sdata=wM%2FW3ttn9cF23EYcfdVRsJK7Jg%2FpuUxAuKNij%2Bo2f%2BU%3D&reserved=0>

so an 11% drop in the three years.

-sandor


On Thu, Jan 18, 2018 at 8:44 PM, Barsness, Denice 
<BarsneD@xxxxxxxxxxxxxxxx<mailto:BarsneD@xxxxxxxxxxxxxxxx>> wrote:
I’ve noticed, empirically, about a 40% decrease in angiography here at the ODS
Cannot find any literature on metrics, a study? To show nationwide the decrease?
Anyone know of that?

Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 
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