Resource Library
The Resource Library is a compendium of consent forms, risk management recommendations, sample documents, articles, and other risk management materials to promote ophthalmic patient safety and reduce liability. Contact riskmanagement@omic.com with questions.
Found
21
resources.
Mar 9, 2023
| Consent Form
...abnormal blood vessels stop growing, the retina stays attached, and the central vision is preserved. Laser surgery works for most babies. Laser surgery is recommended for one of two reasons in ROP. Type I ROP (acute, high-risk ROP): This is the stage of ROP where prompt treatment is required to...
Mar 9, 2023
| Consent Form
...of injection · The injection might not stop the ROP. · The ROP can come back. The baby may need another injection or laser surgery to treat the ROP. · The baby could lose vision or go blind. · When ROP is treated with laser surgery, the ophthalmologist knows in...
Mar 8, 2022
| Consent Form
...perform remote digital fundus imaging (RDFI-TM) to conduct ROP screening on my baby. _______________________________________ ______________________ Parent (or person authorized to sign for parent) Date [bookmark: _GoBack]Relationship to child if other than parent: _______________________________ Consent for ROP Remote Digital Fundus Imaging ExaminationThis form is intended as a sample. It does not...
Apr 1, 2022
| Recommendation
...2. The neonatologist instructs the hospital ROP coordinator (H-ROPC) to add the infant’s name and date of initial exam to the Master Hospital ROP Tracking List. 3. The H-ROPC contacts the office ROPC (O-ROPC) to schedule the initial exam. 4. The O-ROPC adds the infant to the Hospital ROP Tracking...
Apr 1, 2022
| Recommendation
...The hospital ROP coordinator (H-ROPC) AND b. The office ROP coordinator (O-ROPC) for each ophthalmologist or practice currently providing care. 4. [bookmark: ROP_tracking_list]There is only one Master Hospital ROP Tracking List of hospitalized infants who need ROP care, and it is kept by the H-ROPC, who sends a copy to...
Apr 1, 2022
| Recommendation
...ROP exams Table 4. When to treat ROP Table 5. When to stop ROP screening References This ROP Safety Net Toolkit addresses ROP care provided on an outpatient basis. It contains sample protocols, which may need to be customized, and refers to ROP clinical care guidelines. [bookmark: _GoBack][image: C:UsersrwidiDesktopRMR Banner.png]...
Aug 15, 2018
| Recommendation
By Anne M. Menke, RN, PhD, OMIC Patient Safety Manager Reviewed by Daniel M. Berinstein, MD; Denise R. Chamblee, MD; Robert S. Gold, MD; and Christie L. Morse, MD
...on behalf of 21 infants with ROP. ROP claims are thus low frequency events ( 1 © 2024 Ophthalmic Mutual Insurance Company (A Risk Retention Group) ROP Safety Net: Risk Analysis OMIC policyholders who provide care must comply with the ROP Safety Net. OMIC’s ROP Safety Net is based on...
Jan 1, 2023
| Recommendation
...Risk Analysis Recommendations and Protocols: ROP Hospital Toolkit Treat at Hospital ROP Hospital Toolkit Transfer to Treat ROP Office Toolkit ROP Protocol and Recommendations for Telemedicine Sample forms and letters: ROP tracking list ROP discharge letter ROP outpatient screening letter ROP missed appointment letter ROP transfer to treat letter ROP...
Mar 10, 2022
| Recommendation
...laser and anti-VEGF injection. To further reduce the risk and severity of ROP malpractice claims, OMIC conducts an underwriting review on a regular basis of all insured physicians who provide ROP care, and has mandated certain loss prevention actions that are summarized in “ROP conditions of coverage.” Treatment of ROP...
Jun 18, 2024
| Sample Letter/Form/Protocol
...ROP after pupillary dilation using binocular indirect ophthalmoscopy 2. Use the International Classification of Retinopathy of Prematurity (ICROP) Revisited to classify, diagram, and record the retinal findings [ICROP]. 3. Maintain an outpatient ROP coordinator (O-ROPC) who works with the hospital ROP coordinator (H- ROPC) to track infants. B. Hospital agreement...
Apr 11, 2026
| Article
...AAP/AAO/AAPOS Policy Statement (PS)1 and use it to review the appropriateness of follow-up intervals. · · The H-ROPC tracks ROP appointments in the hospital and contacts the O-ROPC to schedule the first outpatient appointment. The O-ROPC tracks ROP appointments in the hospital, and schedules, tracks, and follows up on ROP...
Apr 1, 2022
| Sample Letter/Form/Protocol
...Next exam due: interval & date ROP status: Date, age Next exam due: interval & date ROP status: Date, age Next exam due: interval & date ROP status: Date, age Next exam due: interval & date ROP status: Date, age Next exam due: interval & date Treatment: Type and date...
Aug 1, 2024
| Bulletin
...status. Until such data become available, biosimilar drugs should NOT be used to treat ROP. Download OMIC’s revised consent for treating ROP with injection which reflects this update on the use of biosimilars. We would like to provide you with an update on the use of biosimilars to treat ROP....
Apr 1, 2022
| Sample Letter/Form/Protocol
If the infant needs to be transferred to another hospital for non-ROP care, use this letter to notify parents of the importance of further ROP exams. Transfer for other care letter Ophthalmologist: Place on your letterhead. Revise the letter as needed if the infant will not return to the original...
Apr 1, 2022
| Sample Letter/Form/Protocol
...see if treatment is needed. The next ROP exam should take place by _________________ (date) in _____ weeks. · _____Your baby’s blood vessels are abnormal but the baby does not need treatment right now. An ophthalmologist will examine the baby again to see if treatment is needed. The next ROP...
Apr 1, 2022
| Sample Letter/Form/Protocol
...next ROP exam should take place by _________________ (date) in _____ weeks. · Your baby’s blood vessels are abnormal but the baby does not need treatment right now. I will examine the baby again to see if treatment is needed. The next ROP exam should take place by_________________ (date) in...
Apr 1, 2022
| Sample Letter/Form/Protocol
Follow up on all missed, cancelled, or rescheduled ROP appointments, including no-shows, and send this letter if unable to reach the parents to schedule the exam. Missed appointment letter This sample letter is provided as a guideline only and should be modified according to the situation. If the baby’s condition...
Apr 1, 2022
| Sample Letter/Form/Protocol
Notify parents/caregivers that their baby is being transferred to another hospital for treatment of ROP. Letter to parent: Transfer to treat Ophthalmologist: Place on your letterhead Dear _________ I am an ophthalmologist (eye physician and surgeon). Your baby’s doctor asked me to examine the baby’s eyes. Your baby may have...
Jun 14, 2023
| Bulletin
By Michael C. Tigani, MD Chair, OMIC Risk Management Committee
...Bevacizumab (Avastin®) biosimilars OMIC’s position is that they should not be used to treat ROP at this time. b. Ranibizumab (Lucentis®) biosimilars These are FDA-approved drugs for the treatment of multiple retinal diseases. The experience with these compounds for the off-label treatment for ROP is limited, with recent small series studies showing potential...
Jun 2, 2026
| Recommendation
This Risk Management Practice Handbook is designed as a practical, quick‑reference resource to help practices identify and address common operational, clinical, and regulatory risks encountered in day‑to‑day operations. It includes 40 focused tip sheets covering frequent risk management issues, each outlining key considerations and best practice recommendations intended to support...