[optimal] Re: optimal Digest V4 #230 (Out of Office Reply)
- From: "Mindy Cole" <ColeM@xxxxxxxxxxx>
- To: "FreeLists Mailing List Manager" <ecartis@xxxxxxxxxxxxx>, <optimal@xxxxxxxxxxxxx>
- Date: Thu, 05 Dec 2013 01:14:30 -0500
I am currently out of the office, returning on Monday 12-9-13. I will reply to
your message when I return. If you need immediate assistance please contact
the Department of Ophthalmology at 315-464-5253.
Mindy
>>> FreeLists Mailing List Manager <ecartis@xxxxxxxxxxxxx> 12/05/13 01:14 >>>
optimal Digest Wed, 04 Dec 2013 Volume: 04 Issue: 230
In This Issue:
[optimal] Salary Survey
[optimal] Re: Salary Survey
[optimal] Gonio lens
[optimal] From Denice re New York Times Article
[optimal] Re: From Denice re New York Times Article
[optimal] Re: From Denice re New York Times Article
[optimal] Re: From Denice re New York Times Article
[optimal] Choroidal Imaging
[optimal] Re: From Denice re New York Times Article
[optimal] Re: From Denice re New York Times Article
[optimal] Re: Gonio lens
[optimal] Re: Gonio lens
----------------------------------------------------------------------
Subject: [optimal] Salary Survey
From: Angiographics <angiolith@xxxxxxx>
Date: Wed, 4 Dec 2013 09:00:30 -0500 (EST)
Are the results ready from the salary survey? If not, when?
Marty Rothenberg
Angiographics, Inc.
------------------------------
From: "Bennett, Timothy" <tbennett1@xxxxxxxxxxx>
Subject: [optimal] Re: Salary Survey
Date: Wed, 4 Dec 2013 14:09:25 +0000
Hi Marty,
You might do better asking this question in the OPS member Forum. Members of
the appropriate boards & committees monitor the forum, and I'm sure someone
will answer you there.
Hope this helps,
Tim
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Angiographics
Sent: Wednesday, December 04, 2013 9:01 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Salary Survey
Are the results ready from the salary survey? If not, when?
Marty Rothenberg
Angiographics, Inc.
------------------------------
From: "Steffens, Timothy" <tjsteffe@xxxxxxxxxxxxx>
Subject: [optimal] Gonio lens
Date: Wed, 4 Dec 2013 15:57:26 +0000
Hi all,
I need to purchase a new 3 mirror Goldman lens and was wondering what the size
people use, 15, 16, 17 or 18mm. Obviously the smaller the size the easier it is
to put the lens on but the coverage my not be as wide. Here is what I'm looking
at:
http://www.ocularinc.com/ocular-three-mirror-universal-laser-17mm.html
Thanks,
Tim Steffens, CRA
Director of Ophthalmic Imaging
University of Michigan Kellogg Eye Center
1000 Wall Street
Ann Arbor, MI
P: 734-936-2283
tjsteffe@xxxxxxxxx
**********************************************************
Electronic Mail is not secure, may not be read every day, and should not be
used for urgent or sensitive issues
------------------------------
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
Date: Wed, 4 Dec 2013 08:35:32 -0800
Subject: [optimal] From Denice re New York Times Article
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------------------------------
Date: Wed, 4 Dec 2013 11:54:40 -0500 (EST)
Subject: [optimal] Re: From Denice re New York Times Article
From: copcphotography@xxxxxxxxxxxxxxxxx
Hate to say it, but you are preaching to the choir!!! Wish the government had
to live by the laws they make us live by, with the same benefits! And the
benefits should stop the day they are out of office.
I had a patient in my chairs today getting both OCT and photos (only the photos
will be partially reimbursed as the OCT can't be billed on the same visit) and
was being complained to about that costing being .... .
I can only compare it to the mandates on our education system - no child left
behind, foreign language as primary and requiring aids to translate, ....
These costs to the educational system are UNFUNDED by the government, but are
MANDATED. Same as healthcare. You have to give the same to everyone even
those not paying anything in taxes. Education is over 75% of our annual town
budget total - which everyone (property owners) pays whether they have kids in
the system or not.
Very frustrating. I see the town financial burden as an elected Board of
Finance member - volunteer position. Trying to squeeze out more services with
less and less funding.
Lori
Lori Guerette, CRA COA
Consulting Ophthalmologists, PC
704 Hebron Ave, Ste 200
Glastonbury, CT 06030
860-368-2235 Glastonbury
860-304-4703 personal cell
[mailto:copcphotography@xxxxxxxxxxxxxxxxx] copcphotography@xxxxxxxxxxxxxxxxx
[mailto:justhitanykey@xxxxxxxxxxx] justhitanykey@xxxxxxxxxxx
-----Original Message-----
From: "CPMC Ophthalmic Diagnostic Center" <cpmceyelab@xxxxxxxxxxxxxxxx>
Sent: Wednesday, December 4, 2013 11:35am
To: "'James Gilman'" <jpgilman2001@xxxxxxxxx>
Cc: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>, "'sfdrmarc@xxxxxxxxx'"
<sfdrmarc@xxxxxxxxx>
Subject: [optimal] From Denice re New York Times Article
Re: Recent New York Times article on the “astronomical fees that CPMC
chargesâ€*
In all fairness, one of the reasons CPMC is being picked on is because most
states with large urban hospitals ( New York , Boston, Miami, Chicago, etc) do
not have sunshine laws. They are not required to divulge their charges, like
we are
SF was recently voted ( by New York Times!!!!) as THE most expensive city to
live. A studio one bedroom apartment in the right neighborhood costs nearly
2K. What do people expect. Snow cone prices in a Haagan Daaz city? The
square footage here alone is out of the solar system.
Couple this with our astronomically HIGH percentage of non paying immigrant
population. For every non insured non English speaking patient we see, we
write off close to a thousand bucks ( cause by ADA law, we have to
PAY for their interpreter even though they aren’t paying usâ€|) so our
patients end up COSTING us money. Someone has to make it up on the back end.
Do the math.
My center alone, and we are drop in the CPMC bucket, wrote off nearly a million
bucks last year to “charity careâ€*. Who pays my rent, my salary, my IT, etc
when we are LOSING money? CPMC writes it off and has to make up for it in other
ways.
Our fees are regionally driven. Our OCT charge is $76.00 for one eye. Out of
that, we are reimbursed $14.56. This entire center, to provide a service to a
patient, reimbursed 14.56, SPENT 200.00 for the interpreter and that doesn’t
even factor in overheadâ€|. Makes my head spinâ€|
If I were running the ODC as a private business, we would have been OUT of
business years ago. Luckily, we have CPMC and Sutter health to subsidize the
cost so that EVERYONE walking through the door gets the same level of care,
paying or not. 60% of the patients we saw yesterday we saw as charity care.
All were provided interpreters, transportation, and seen ON TIME.
To demonize CPMC as a Pacific Heights luxury hospital is inaccurate and unfair.
Respectfully,
Denice
FYI: the average salary for a Muni bus driver in this town is 76k!
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
From: Denice Barsness [mailto:DeniceBars@xxxxxxxxxxx]
Sent: Wednesday, December 04, 2013 7:37 AM
To: CPMC Ophthalmic Diagnostic Center
Subject: Fwd: Article on prices
Sent from my iPhone
Begin forwarded message:
From: <[mailto:jpgilman2001@xxxxxxxxx] jpgilman2001@xxxxxxxxx>
Date: December 4, 2013, 6:03:10 AM PST
To: Denice Barsness <[mailto:denicebars@xxxxxxxxxxx] denicebars@xxxxxxxxxxx>
Subject: Article on prices
[http://www.nytimes.com/2013/12/03/health/as-hospital-costs-soar-single-stitch-tops-500.html?_r=0]
http://www.nytimes.com/2013/12/03/health/as-hospital-costs-soar-single-stitch-tops-500.html?_r=0
Sent from Windows Mail
This article targets you guys for being the most expensive health care in the
US.
You probably charge $ 500.00 for an OCT ?
Jimbalaya
------------------------------
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
Date: Wed, 4 Dec 2013 08:58:53 -0800
Subject: [optimal] Re: From Denice re New York Times Article
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------------------------------
Subject: [optimal] Re: From Denice re New York Times Article
From: Lori Guerette <justhitanykey@xxxxxxxxxxx>
Date: Wed, 4 Dec 2013 12:55:05 -0500
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------------------------------
From: Stephen Travers <Stephen.Travers@xxxxxxxxxxxxxxxxxxxxxxxxx>
Subject: [optimal] Choroidal Imaging
Date: Wed, 4 Dec 2013 18:55:21 +0000
Hi all
Does anyone know of any reading center, worldwide, that has a specific interest
in OCT Choroidal evaluations ?
Many thanks
Stephen Travers
------------------------------
From: "Ron Zielinski" <ronzielinski@xxxxxxx>
Subject: [optimal] Re: From Denice re New York Times Article
Date: Wed, 4 Dec 2013 13:17:44 -0800
I’m sure you realize with economics being what they are your description,
though true, is not sustainable. Eventually the system has to collapse of its
own weight as it did in Detroitâ€|â€|.
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of CPMC Ophthalmic Diagnostic Center
Sent: Wednesday, December 04, 2013 8:36 AM
To: 'James Gilman'
Cc: optimal@xxxxxxxxxxxxx; 'sfdrmarc@xxxxxxxxx'
Subject: [optimal] From Denice re New York Times Article
Re: Recent New York Times article on the “astronomical fees that CPMC
chargesâ€*
In all fairness, one of the reasons CPMC is being picked on is because most
states with large urban hospitals ( New York , Boston, Miami, Chicago, etc) do
not have sunshine laws. They are not required to divulge their charges, like
we are
SF was recently voted ( by New York Times!!!!) as THE most expensive city to
live. A studio one bedroom apartment in the right neighborhood costs nearly
2K. What do people expect. Snow cone prices in a Haagan Daaz city? The
square footage here alone is out of the solar system.
Couple this with our astronomically HIGH percentage of non paying immigrant
population. For every non insured non English speaking patient we see, we
write off close to a thousand bucks ( cause by ADA law, we have to
PAY for their interpreter even though they aren’t paying usâ€|) so our
patients end up COSTING us money. Someone has to make it up on the back end.
Do the math.
My center alone, and we are drop in the CPMC bucket, wrote off nearly a million
bucks last year to “charity careâ€*. Who pays my rent, my salary, my IT, etc
when we are LOSING money? CPMC writes it off and has to make up for it in other
ways.
Our fees are regionally driven. Our OCT charge is $76.00 for one eye. Out of
that, we are reimbursed $14.56. This entire center, to provide a service to a
patient, reimbursed 14.56, SPENT 200.00 for the interpreter and that doesn’t
even factor in overheadâ€|. Makes my head spinâ€|
If I were running the ODC as a private business, we would have been OUT of
business years ago. Luckily, we have CPMC and Sutter health to subsidize the
cost so that EVERYONE walking through the door gets the same level of care,
paying or not. 60% of the patients we saw yesterday we saw as charity care.
All were provided interpreters, transportation, and seen ON TIME.
To demonize CPMC as a Pacific Heights luxury hospital is inaccurate and unfair.
Respectfully,
Denice
FYI: the average salary for a Muni bus driver in this town is 76k!
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
From: Denice Barsness [mailto:DeniceBars@xxxxxxxxxxx]
Sent: Wednesday, December 04, 2013 7:37 AM
To: CPMC Ophthalmic Diagnostic Center
Subject: Fwd: Article on prices
Sent from my iPhone
Begin forwarded message:
From: <jpgilman2001@xxxxxxxxx>
Date: December 4, 2013, 6:03:10 AM PST
To: Denice Barsness <denicebars@xxxxxxxxxxx>
Subject: Article on prices
http://www.nytimes.com/2013/12/03/health/as-hospital-costs-soar-single-stitch-tops-500.html?_r=0
Sent from Windows Mail
This article targets you guys for being the most expensive health care in the
US.
You probably charge $ 500.00 for an OCT ?
Jimbalaya
------------------------------
From: "Ron Zielinski" <ronzielinski@xxxxxxx>
Subject: [optimal] Re: From Denice re New York Times Article
Date: Wed, 4 Dec 2013 13:19:47 -0800
Correct. There is a new bill in congress to raise the Federal gasoline tax –
double – from 18¢ to 33¢ while they live like kings in D. C.
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of copcphotography@xxxxxxxxxxxxxxxxx
Sent: Wednesday, December 04, 2013 8:55 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: From Denice re New York Times Article
Hate to say it, but you are preaching to the choir!!! Wish the government had
to live by the laws they make us live by, with the same benefits! And the
benefits should stop the day they are out of office.
I had a patient in my chairs today getting both OCT and photos (only the photos
will be partially reimbursed as the OCT can't be billed on the same visit) and
was being complained to about that costing being .... .
I can only compare it to the mandates on our education system - no child left
behind, foreign language as primary and requiring aids to translate, ....
These costs to the educational system are UNFUNDED by the government, but are
MANDATED. Same as healthcare. You have to give the same to everyone even
those not paying anything in taxes. Education is over 75% of our annual town
budget total - which everyone (property owners) pays whether they have kids in
the system or not.
Very frustrating. I see the town financial burden as an elected Board of
Finance member - volunteer position. Trying to squeeze out more services with
less and less funding.
Lori
Lori Guerette, CRA COA
Consulting Ophthalmologists, PC
704 Hebron Ave, Ste 200
Glastonbury, CT 06030
860-368-2235 Glastonbury
860-304-4703 personal cell
copcphotography@xxxxxxxxxxxxxxxxx
justhitanykey@xxxxxxxxxxx
-----Original Message-----
From: "CPMC Ophthalmic Diagnostic Center" <cpmceyelab@xxxxxxxxxxxxxxxx>
Sent: Wednesday, December 4, 2013 11:35am
To: "'James Gilman'" <jpgilman2001@xxxxxxxxx>
Cc: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>, "'sfdrmarc@xxxxxxxxx'"
<sfdrmarc@xxxxxxxxx>
Subject: [optimal] From Denice re New York Times Article
Re: Recent New York Times article on the “astronomical fees that CPMC
chargesâ€*
In all fairness, one of the reasons CPMC is being picked on is because most
states with large urban hospitals ( New York , Boston, Miami, Chicago, etc) do
not have sunshine laws. They are not required to divulge their charges, like
we are
SF was recently voted ( by New York Times!!!!) as THE most expensive city to
live. A studio one bedroom apartment in the right neighborhood costs nearly
2K. What do people expect. Snow cone prices in a Haagan Daaz city? The
square footage here alone is out of the solar system.
Couple this with our astronomically HIGH percentage of non paying immigrant
population. For every non insured non English speaking patient we see, we
write off close to a thousand bucks ( cause by ADA law, we have to
PAY for their interpreter even though they aren’t paying usâ€|) so our
patients end up COSTING us money. Someone has to make it up on the back end.
Do the math.
My center alone, and we are drop in the CPMC bucket, wrote off nearly a million
bucks last year to “charity careâ€*. Who pays my rent, my salary, my IT, etc
when we are LOSING money? CPMC writes it off and has to make up for it in other
ways.
Our fees are regionally driven. Our OCT charge is $76.00 for one eye. Out of
that, we are reimbursed $14.56. This entire center, to provide a service to a
patient, reimbursed 14.56, SPENT 200.00 for the interpreter and that doesn’t
even factor in overheadâ€|. Makes my head spinâ€|
If I were running the ODC as a private business, we would have been OUT of
business years ago. Luckily, we have CPMC and Sutter health to subsidize the
cost so that EVERYONE walking through the door gets the same level of care,
paying or not. 60% of the patients we saw yesterday we saw as charity care.
All were provided interpreters, transportation, and seen ON TIME.
To demonize CPMC as a Pacific Heights luxury hospital is inaccurate and unfair.
Respectfully,
Denice
FYI: the average salary for a Muni bus driver in this town is 76k!
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
From: Denice Barsness [mailto:DeniceBars@xxxxxxxxxxx]
Sent: Wednesday, December 04, 2013 7:37 AM
To: CPMC Ophthalmic Diagnostic Center
Subject: Fwd: Article on prices
Sent from my iPhone
Begin forwarded message:
From: < <mailto:jpgilman2001@xxxxxxxxx> jpgilman2001@xxxxxxxxx>
Date: December 4, 2013, 6:03:10 AM PST
To: Denice Barsness < <mailto:denicebars@xxxxxxxxxxx> denicebars@xxxxxxxxxxx>
Subject: Article on prices
<http://www.nytimes.com/2013/12/03/health/as-hospital-costs-soar-single-stitch-tops-500.html?_r=0>
http://www.nytimes.com/2013/12/03/health/as-hospital-costs-soar-single-stitch-tops-500.html?_r=0
Sent from Windows Mail
This article targets you guys for being the most expensive health care in the
US.
You probably charge $ 500.00 for an OCT ?
Jimbalaya
------------------------------
From: Kenneth Boyd <kennethmboyd@xxxxxxxxx>
Subject: [optimal] Re: Gonio lens
Date: Wed, 4 Dec 2013 20:32:05 -0500
Tim,
I have both a 15mm & a 18mm 3 mirror gonio lens. Personally, like the 18mm the
best. I find it easier to hold in my hand and it's easier to maneuver as well.
I also find it more challenging to achieve good gonio photos with the smaller
lens. I would choose either the 17mm or the 18mm, especially if you have large
hand.
Good Luck!
Ken Boyd, CRA
-----Original Message-----
From: "Steffens, Timothy" <tjsteffe@xxxxxxxxxxxxx>
Sent: â€*12/â€*4/â€*2013 10:57 AM
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Subject: [optimal] Gonio lens
Hi all,
I need to purchase a new 3 mirror Goldman lens and was wondering what the size
people use, 15, 16, 17 or 18mm. Obviously the smaller the size the easier it is
to put the lens on but the coverage my not be as wide. Here is what I'm looking
at:
http://www.ocularinc.com/ocular-three-mirror-universal-laser-17mm.html
Thanks,
Tim Steffens, CRA
Director of Ophthalmic Imaging
University of Michigan Kellogg Eye Center
1000 Wall Street
Ann Arbor, MI
P: 734-936-2283
tjsteffe@xxxxxxxxx
**********************************************************
Electronic Mail is not secure, may not be read every day, and should not be
used for urgent or sensitive issues
------------------------------
Date: Wed, 4 Dec 2013 21:13:26 -0500
Subject: [optimal] Re: Gonio lens
From: Dan Rosberger <drosberger@xxxxxxxxxx>
Hi Ken
Please give my best regards to Wanda.
Dan Rosberger
On Dec 4, 2013 8:32 PM, "Kenneth Boyd" <kennethmboyd@xxxxxxxxx> wrote:
> Tim,
> I have both a 15mm & a 18mm 3 mirror gonio lens. Personally, like the 18mm
> the best. I find it easier to hold in my hand and it's easier to maneuver
> as well. I also find it more challenging to achieve good gonio photos with
> the smaller lens. I would choose either the 17mm or the 18mm, especially if
> you have large hand.
>
> Good Luck!
>
> Ken Boyd, CRA
> ------------------------------
> From: Steffens, Timothy <tjsteffe@xxxxxxxxxxxxx>
> Sent: 12/4/2013 10:57 AM
> To: optimal@xxxxxxxxxxxxx
> Subject: [optimal] Gonio lens
>
> Hi all,
>
> I need to purchase a new 3 mirror Goldman lens and was wondering what the
> size people use, 15, 16, 17 or 18mm. Obviously the smaller the size the
> easier it is to put the lens on but the coverage my not be as wide. Here is
> what I'm looking at:
>
> http://www.ocularinc.com/ocular-three-mirror-universal-laser-17mm.html
>
> Thanks,
>
> Tim Steffens, CRA
> Director of Ophthalmic Imaging
> University of Michigan Kellogg Eye Center
> 1000 Wall Street
> Ann Arbor, MI
> P: 734-936-2283
> tjsteffe@xxxxxxxxx
>
> **********************************************************
> Electronic Mail is not secure, may not be read every day, and should not
> be used for urgent or sensitive issues
>
------------------------------
End of optimal Digest V4 #230
*****************************
Other related posts:
- » [optimal] Re: optimal Digest V4 #230 (Out of Office Reply) - Mindy Cole
