An analysis of the current state of children's vision care in Massachusetts - Massachusetts (MA) Pilot: National Center for Children's Vision and Eye Health at Prevent Blindness America

The Massachusetts' (MA) 2004 legislative mandate for Preschool Vision Programs, evidence-based screening protocols, universal health care coverage, and a multidisciplinary coalition dedicated to advancing practice around children's vision have provided MA with the opportunity to protect children from preventable visual impairment and the lifelong challenges that it creates. However, it is recognized that additional systems, mandates, collaborations, as well as new performance measures, are needed to ensure that all children receive the full spectrum of vision care. The MA Pilot is a multidisciplinary, multi-affiliated initiative dedicated to developing new state-wide systems, standards and practices to support the universal delivery of comprehensive children's vision services. Currently in phase 2 of a five phase strategic plan, a detailed analysis of the state's children's vision delivery system is being conducted in order to understand the resources, gaps and challenges that will guide effective solution development and implementation of new programs and strategies. Evaluation of the current system has included development of a detailed map of the vision service delivery process. This map includes education, screening, eye exams, treatment and support services, and captures inputs such as tools, protocols, processes, stakeholders and educational materials. Interviews have been used to collect descriptive and quantitative data regarding the process. Preliminary analysis suggests the need for: systematic monitoring of vision screening and follow-up care, improved access to comprehensive care and treatment, educational campaigns, and improved coordination and communication among families, eye care providers and the medical and educational homes. Phase II evaluation is ongoing.