Page 18 - 2015 Key Metrics-Assessing ECP Practice Performance
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Annual Medical Eye Care Visits per 1,000 Active Patients
         Another indicator of engagement with medical eye care is annual medical eye care visits per 1,000 active patients. The median medical visits
         per 1,000 active patients is 68 among independent optometric practices — or about 7% of active patients. Highly engaged practices report
         127 or more visits per 1,000 patients (13% of active patients), and the least engaged less than 40 visits (less than 4% of active patients).



                        Annual Medical Eye Care Visits per 1,000 Active Patients



                      Improvement                                               High
                      Opportunity                   Median                    Performance

                   3      19     37    53     59     68     80     101    127    152    236

                    5th              15th              25th             35th              45th             50th              55th             65th             75th              85th             95th
                                                  percentile ranking
                                                   AVERAGE=90




         Medical Eye Care Visits by Type
         The following tables show the typical distribution of medical eye care visits by treatment provided. Glaucoma and dry eye treatments
         are most prevalent overall. Many offices do not treat glaucoma, and most glaucoma visits occur in offices which specialize in glaucoma
         treatment. A comparison of estimates of the incidence of ocular conditions in the population to MBA data on medical eye care visits
         per thousand active patients indicated that the conditions of many patients of private optometrists remain undetected or untreated.


                          Medical Eye Care Visits by Type
                             (% of Total Medical Eye Care Visits)

             40%                                                 Adds to 100%
             30%
                     26%
             25%
                            23%
             20%                   18%
                                          17%
             15%
             10%                                  9%
                                                          3%       3%
              5%
                    Glaucoma      Dry eye   Ocular   Ocular   Cataract co-   Refractive    Foreign
                                  allergy  infection  management  surgery co-  body removal
                                                       management



            Annual Medical Eye Care Visits by Type per 1,000 Active Patients


                                                 Median  Average
                     Dry eye                     15      24
                     Ocular infection            13      21
                     Ocular allergy              12      18
                     Glaucoma                    8       24
                     Cataract co-management      3       9
                     Refractive surgery co-management  2  3
                     Foreign body removal        2       4

                     Total                       68      104




     16  Key Metrics: Assessing Optometric Practice Performance 2015
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