Home > ASCRS and AAO Release Updated Joint Co-Management Guidelines: Update to Position Paper on Postoperative Co-Management Emphasizes Standards-Driven Approach to Patient Care
Co-management of postoperative patients is appropriate in certain circumstances and when the arrangement follows criteria laid out in an updated joint position paper from the American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery. The revised statement is the result of two years of discussion between the organizations to modify original guidance first issued in 2000. The updated document reflects the standards-driven approach in which patients are managed in the current health care environment.
In revising the position paper, ASCRS and the Academy felt it was important to emphasize the role of the patient as the ultimate decision-maker, with appropriate consideration for quality of care and patient safety. The revised guidance additionally focuses less on legal and ethical perils, while encouraging ophthalmologists to use professional judgment consistent with applicable ethics and law in interpreting and applying the guidelines to the particular circumstances of their individual practices.
The updated position paper:
Acknowledges that sharing management can serve legitimate patient interests and can be done appropriately.
Is more appropriate for integrated care systems.
Improves and updates key definitions, such as “co-management” and “transfer,” and distinguishes between them.
Removes most references to legal and ethical perils.
Removes a prohibition of routine arrangements, instead emphasizing mutually agreed standards.
Adds three categories of circumstances that justify co-management: barriers to patient travel, unavailability of operating ophthalmologist, patient prerogatives.
Adds nine criteria for acceptable arrangements.
Strikes an explicit requirement for written consent and allows verbal consent with documentation.