Chuck Huss COMS Driver Rehabilitation Specialist chuckPhusswvgov 304 7607149 2 Objective Highlight major areas of consideration when developing and implementing a ID: 930286
Download Presentation The PPT/PDF document "HOW TO DEVELOP AND IMPLEMENT A BIOPTIC D..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
HOW TO DEVELOP AND IMPLEMENT A BIOPTIC DRIVER TRAINING PROGRAM
Chuck Huss, C.O.M.S.
Driver Rehabilitation Specialist
chuck.P.huss@wv.gov
(304) 760-7149
Slide22
Objective
Highlight “
major areas of consideration
”
*
when developing and implementing a
bioptic
driver training program from initial organizational meeting to program start
* Based on experiences of staff & consultants: WV Pilot Low Vision Driving Study, ‘85-’88;
its continuum of related services, ’89-’98; and the new WV Bioptic Driving Program, ’09-’17
Slide33
Major areas of consideration
Professional staff & consultants
Vision standards for driving
Existing services & equipment
Research of related literature
Lobbying & advocating
Roles of coordinator
Project proposal
Action plan
Slide4Professional staff & consultants
4
Slide55
Initial organizational meeting
Invite staff & consultants -
willing to make a commitment of time and energy
for project or program purposes.
Mission or goal:
contribute to knowledge and practice of enabling visually challenged individuals to drive using low vision aids
Staff introductions, survey experience and what each may contribute
to Program or project efforts
Create agenda and assignments for next meeting
Slide6Core staff & consultants
Optometrist or ophthalmologist (low vision)
Certified driving instructorCertified orientation and mobility specialistOccupational therapist6
Slide77
A critical link!
Critical link
between low vision clinician and driving instructor is a:
certified orientation and mobility specialist (C.O.M.S.)
- Visual characteristics that are important to
the driving task
- Sequence of instruction & visual skill
development (O&M vs. Driver Ed.)
- Distance optical low vision devices
Slide8IALVS members – NE USA
From left to right:
Errol Rummel, OD, PA (Philadelphia area), (732) 364-4111(o), egrumm2020@aol.comDora Sudarsky, OD, New England, NY (upstate eastern) (802) 651-0880, dsudarsky@msn.comSteven Schoenbart, OD, NY Metro/Long Island, (516) 794-0704 (o), smseye@aol.comLeslie Miller, OD, PA (Central & Eastern) (717) 625-4600 (o), lmillod@ptd.net
George Kornfield, OD, Upstate Western NY (585) 271-7320 (o), gkornfeld@gmail.comRandy Kinkade
, OD, Connecticut
(860) 567-3133 (o), rkinkade@optonline.net
8
Slide9Vision standards for driving privileges
9
Slide10Next organizational meeting
Need or problem with the status quo?
- Does your state’s current laws or rules re “vision standards” support low vision driving and/or bioptic driving?
10
Slide11Vision standards – non-restrictive driving privileges*
20/40 or better distant visual acuity in one or both eyes, with or without standard glasses or contact lenses (46/91% states)
20/50-20/60 (5 states)Visual field parameters (36 states, vary state to state) * Driving with Confidence: A Practical Guide to Driving with Low Vision (Peli, 2002) 11
Slide12Standards for restrictive driving privileges & licensure
Vary state to state
- Visual acuity - Visual field - Mandatory vs. optional use of bioptic lens system - Mandatory vs. optional driver’s training - Special testing for driver licensure
12
Slide1313
Slide14LIST OF STATES BY MINIMUM ACUITY LEVEL
FOR RESTRICTED DRIVING PRIVILEGES20/40 ….. HI, NE*, VT*
(3) 20/50 ….. DE, NJ
*
(2)
20/60 ….. AR, ID, SD
*
, (3)
20/70 ….. CO
*
, FL, MI
*
,
NH, OH
*
, TX
*
DC (7)
20/80 ..…. MN, NM (2)
20/100 …. AK, IL, MA, MD, ME
MT, NY, OK, PA,
RI,
UT
, WS, WY (13)
20/120 ……… NV, SC, WA (3)
20/130 ……… ND (1)
20/160 ……… MO (1)
20/180 ……… CA (1)
20/200 ……… AL, AZ,
CT
,
GA,
IN, IA, KS , KY
LA, MS, NC, OR,
TN, VA, WV (15)
14
Slide15Which part of bioptic
lens system is required for restrictive licensing privileges?
Carrier lens required (43/84%) Telescopic lens allowed (8/16%)
15
Slide16LIST OF STATES BY MINIMUM ACUITY LEVEL
FOR RESTRICTED DRIVING PRIVILEGES20/40 ….. HI, NE*, VT*
(3) 20/50 ….. DE, NJ
*
(2)
20/60 ….. AR, ID, SD
*
, (3)
20/70 ….. CO
*
, FL, MI
*
,
NH, OH
*
, TX
*
DC (7)
20/80 ..…. MN, NM (2)
20/100 …. AK, IL, MA, MD, ME
MT, NY, OK, PA,
RI,
UT
, WS, WY (13)
20/120 ……… NV, SC, WA (3)
20/130 ……… ND (1)
20/160 ……… MO (1)
20/180 ……… CA (1)
20/200 ……… AL, AZ,
CT
,
GA,
IN, IA, KS , KY
LA, MS, NC, OR,
TN, VA, WV (15)
16
Slide1717
States Allowing 20/200 Bioptic Driving (n=15)
States Allowing Bioptic Driving with No Carrier Lens Limits (n=8)
`
Slide18Do visually challenged residents have sufficient vision to learn to operate a motor vehicle safely?
18
Slide19Simulation of 20/20
Source: Randy Jose, O.D., 2011 SWOMA Conference
(photo by Katie Hiett)
19
Slide20Simulation of 20/70
Source: Randy Jose, O.D., 2011 SWOMA Conference
(photo by Katie Hiett)
20
Slide21Simulation of 20/20
Source: Randy Jose, O.D., 2011 SWOMA Conference
(photo by Katie Hiett)
21
Slide22Simulation of 20/200
Source: Randy Jose, O.D., 2011 SWOMA Conference
(photo by Katie Hiett)
Slide23Simulation of 20/200
Source: Randy Jose, O.D., 2011 SWOMA Conference
(photo by Katie Hiett)
Slide24Sources for vision standards & bioptic
driving laws:
Contact - state’s director of driver licensingRichard and Laura Windsor’s website: (www.BiopticDrivingUSA.com)International Academy of Low Vision Specialists (www.ialvs.com)Driving with Confidence: A Practical Guide to Driving with Low Vision (
www.worldscientific.com)
24
Slide25Existing services
& equipment
25
Slide26Next organizational meeting
Need or problem with the status quo?
- Do you have a program of adaptive driving services within a defined radius of your hospital or rehab. facility set up to screen & train bioptic drivers?Create agenda and assignments for next meeting
26
Slide27Discuss & review
Status of current adaptive driver evaluation and driver education training services
Available audio-visual materials, course curriculums and driver simulator(s)Proximity of facility to driving environments & roadwaysDual brake controlled driver education vehicleAccess to a “mobility dealer”
27
Slide28Classroom with large screen & overhead audio-video projection system
28
Slide29Audio-visual materials
Slide30Audio-visual materials
30
Slide31Audio-visual materials
Slide32Audio-visual materials
Slide33Access to driver simulation devices
33
Slide34NoIR
Flip-up, Clip-on Sun ware
NoIR Medical Technologies, P.O. Box 159, South Lyon, MI 48178, 1-800-521-9746, 734-769-5565, FAX: 734-769-1708, www.noir-medical.com, Attn: Jamie Hodges, Regional Sales Manager, jamie.hodges@noirlaser.com
Slide3535
Bi-level telescopic apparatus (BITA) vision enhancer
Source: Conforma Contact Lenses
Slide36Mobility dealer
Advise re:
- Driver educator’s vehicle replacement/addition - Instructor’s brake - Instructor mirror placement - Brake awareness light - Dash board control visibility - Seat & mirror controls - Blind spot awareness lights - Hand controls, spinner knob
- Back-up cameras and sensors
36
Slide37Instructor mirrors and brake awareness light
37
Slide38Seat & mirror controls
38
Slide39Back up cameras and sensors
39
Slide40Blind spot awareness lights
40
Slide41Dashboard controls or modifications
41
Slide42Mobile device holder
Bracketron, Inc.
5249 West 732rd StreetSuite GEdina, MN 55439Toll Free: 1.866.237.4443$20./unit
42
Slide43Mobile device holder
43
Bracketron, Inc.
5249 West 732rd Street
Suite G
Edina, MN 55439
Toll Free: 1.866.237.4443
$20./unit
Radio Shack
Slide44Mobility dealer
Frank Edwards, Owner/operator *
- RR 12, Box 283, Rt.60 E. - Hurricane, WV 25526 * Insured, Bonded, Licensed44
Slide4545
Discuss, review and consider
Availability of support services
- housing, meals, transportation
State driver training and advisory committee
:
- Set state requirements & standards
- Review and approve process to develop
and implement
bioptic
driving programs
- Review and approve program applications
Slide46Ohio’s
bioptic
driver training & advisory committeeDiane Lahue, O.D. - Vision Rehabilitation Services - Columbus, OH - (614) -336-7676 Robyn Darden, OH DPS - Manager Field Operations - (614) 995-227946
Slide47Research the related literature
47
Slide48Next organizational meeting
Assigned members will provide a short summary of different aspects of intended program researched:
- Clinical equipment (examination chairs, equipment, charts, devices, etc.) - Optical low vision aid evaluation kits - States with existing driver training programs, curriculums and forms -
Standardized driver assessment tools
48
Slide4949
Major
bioptic lens system vendorsDesigns For Vision, Inc., (DVI) - Jody Klager, jody@dvimail.com - 1-800-345-4009
Ocutech, Inc. (VES)
- Dawn Jarvis,
clinical@ocutech.com
- 1-800-326-6460,
info@ocutech.com
Conforma
contact lens (BITA)
- Teri S. Mackley,
tmackley@conforma.com
- 1-757-321-0186
Slide50WV bioptic
driving survey, 2012
Disseminated Feb. - Mar., 201225 written questions“Bioptic driver training issues”Response: 25/51 return rate (49%)23/48 states offer bioptic driver services
50
Slide5123 States with bioptic
driver services:
Alabama Michigan OregonArizona Mississippi South Dakota Georgia Missouri Tennessee Illinois Nevada TexasIndiana New Hampshire VirginiaKentucky New York Washington Louisiana North Carolina West VirginiaMaryland Ohio
51
Slide5252
Slide53Bioptic Driving Survey (cont’d)
Sampling of survey results
- 2:1 (individual vs. 3rd party pays for device and/or training) - 4:1 (States with private vs. public training programs)
- 3:1 (States offer training services
sequentially vs. concurrently)
-
2:1
(States with required driving restrictions)
53
Slide54Bioptic Driving Survey (cont’d)
Sampling of survey results
- 3:1 (States with vs. without an appeal process) - 1:1 (States split on the issue of special on-road testing) - 3:1 (States with vs. without safeguards)
- 2:1 (States that do not vs. do provide
maintenance funds)
54
Slide55www.aded.net
Click on “Directory & Services”
Click on “driver rehabilitation specialists”Insert “United States” , “West Virginia” and then click “continue”Scroll down and click on “Chuck Huss”, and then after Program Services, click “bioptic driving” Takes you to a list and contact information of bioptic driving service providers, who are members of ADED (128/31 states)
55
Slide5656
Slide57LIST OF STATES BY MINIMUM ACUITY LEVEL
FOR RESTRICTED DRIVING PRIVILEGES20/40 ….. HI, NE*
, VT* (3)
20/50 ….. DE,
NJ
*
(2)
20/60 …..
AR
, ID,
SD
*
,
(3)
20/70 …..
CO
*
,
FL
,
MI
*
,
NH
,
OH
*
,
TX
*
DC (7)
20/80 ..…. MN,
NM
(2)
20/100 …. AK,
IL
,
MA
,
MD
, ME
MT,
NY
,
OK, PA,
RI,
UT
, WS, WY (13)
* States that employ ADED members who have received training to work with low vision/
bioptic
driver candidates
20/120 ………
NV
,
SC
,
WA
(3)
20/130 ……… ND (1)
20/160 ………
MO
(1)
20/180 ………
CA
(1)
20/200 ………
AL
,
AZ
,
CT
,
GA
,
IN
, IA, KS
,
KY
LA
,
MS
,
NC
,
OR
,
TN
,
VA
,
WV
(15)
57
Slide58Legislative lobbying & advocacy efforts
(i.e. to expand vision standards for driving, continued allowance of
bioptics, and initiate bioptic driver training)58
Slide59Next organizational meeting
Be sure you know what you are permitted to do re:
- Lobbying efforts - to conduct activities aimed at influencing public officials, member of the legislature re legislation or other policy decisions; - Advocacy efforts - to plead, support, defend or maintain re a cause or proposal 59
Slide60Resource list and available information*
Disability advocacy suggestions: how & where to start
Anyone can lobbyGina’s tips for organizing advocacy groupsGrass roots advocacy - Part twoHow to get news coverageHow to talk to a legislatorTestifying at a public committee meeting * Obtained via attendance at 2000 Disability Caucus. For copies, contact: chuck.P.huss@wv.gov60
Slide61Roles of coordinator
61
Slide62Daily responsibilities
First point of contact re information & referrals for professionals and consumers
Housing, maintenance funds & transportationDMV related servicesClass schedules Course curriculumsClient progress staffingsOrder supplies and equipment as neededLiaison to funding and referral sourcesDevelop fee schedule & brochureLiaison & consult with out-of-state service providers & licensing authoritiesSupervise staff (optional)
62
Slide63Project or Program proposal
63
Slide6464
Key inclusions:
Mission statement
Hypothesis
Statement of the problem
Objectives
Proposed action plan
Slide65Mission statement
To make a significant contribution to the knowledge and practice of enabling visually challenged individuals to drive using low vision aids.
65
Slide66Hypothesis
Selected individuals whose vision falls below the legal limits can drive safely with appropriate low vision aids
and training.
66
Slide67Statement of the problem
No program is currently available in the state of West Virginia to enable persons below the legal limits to be screened, trained, assessed and licensed to drive utilizing appropriate low vision aids.
67
Slide68Objectives
To
determine the feasibility of screening, training, and assessing low vision individuals relative to safe operation of a vehicle - Conduct a literature review in the field - Review current practice in the field - Review legal aspects in the field - Screen individuals for low vision aids to be used in the driving task
68
Slide69Objectives (cont’d)
To
develop, if feasible, an efficient and comprehensive program service –including the establishment of screening procedures, training strategies and assessment techniquesTo disseminate information generated through project efforts on the national level.
69
Slide70Action plan
70
Slide7171
Sequence of steps to initiate & complete:
To secure administration approval for developing a program plan
To establish a committee to develop the plan
To secure cooperation of: Dept. of Motor Vehicles and Dept. of Public Safety
Slide7272
Sequence of steps (cont’d)
To formulate a projected cost list of needed instructional materials and aids or devices
To secure funding for program
To cross train staff in areas needed
To develop a course curriculum
To develop a descriptive brochure
Slide73Sequence of steps (cont’d)
To formulate screening and referral guidelines for field staff
To formulate an approved and standardized “Release of Information” formTo provide internal and external staff in-services as neededTo establish and utilize an advisory committeeTo implement the study or program73
Slide74Other areas for consideration:
Survey need and number of potential clients
Impact on staff’s current workloadArrangement of proposed servicesPayment of services and biopticUse of more than one staff for screening & training purposesClient scheduling and preference due to age, time restrictions and limited availability74
Slide75Sampling of Action Plan clarifications or outcomes
75
Slide76Curriculum - Week No. 1
Monday
CLSRM - New Student Orientation (staff introductions, class schedule, course outline, tour) - A Better Way - Smith System Introduction (DVD-S) - Signs, Signals & Markings (DVD-AAA) - In and Out of Turns (DVD-D)PIC
- Golf Mtn. – Rock Branch Route - Rock Branch – Golf Mtn. Route
BTW
- Vehicle Familiarization (in-car demo.)
- Nitro/Institute Route
SS
- Using Your Eyes effectively (DVD-AAA)
- Starting Right (DVD-D)
76
Slide77WV Bioptic Driving Brochure
77
Slide78Bioptic Driving Brochure (cont’d)
78
Slide79Bioptic Driving Brochure (cont’d)
79
Slide8080
Screening guidelines for field staff
Eligible for voc. rehab. services
Meet and maintain vision requirements
Receive a complete eye exam within a specified time period prior to arrival
Sign release of information
Be apprised that participation and completion of services does not guarantee driver licensure
Slide8181
Release of information form
Don’t start your project or program without an approved and standardized release of information form
- Specifies and protects person(s) to whom
information is to be released
- Specifies what information is to be released
and for what purpose
- Encourages review of student credentials
- Requires client, witness, staff and counselor
signatures
Slide8282
Impact on current workload of clients being served
Pertinent if new project or program is less than full time
Keep in mind novice
bioptic
driver applicants, who never expected to drive, will require more intensive type of driver training programs
If project or program is to be a full-time work activity, class size should be limited to a maximum of 3-4 students
Slide8383
Arrangement of proposed services
If law permits and all related services are available through professionals employed by the same agency, a “
concurrent approach
” is highly recommended.
If law requires completion of a services by professionals of separate agencies in a specific order, then a “
sequential approach
” may be most appropriate.
Slide8484
Implementation process (cont’d)
Ideally provide
concurrent instruction
on a daily basis, 5 days a week, for 6 weeks (pending client’s availability)
If deficits in pre-driver readiness are discovered, refer to appropriate professional for services before enrollment in
bioptic
driver education training.
Slide8585
Payment of services and
bioptic
Public agency sponsorship or payment for services and
bioptic
in part or full
Other third party funding for payment of services and
bioptic
(fee-for-service basis)
Self-pay for services and
bioptic
(fee-for-service basis)
Slide8686
Survey need & number of clients
Number of active clients that meet the visual requirements for participation in project or program
Number of active clients interested and willing to participate in proposed services
Number of clients within a specified geographical area in need of such services (pending support services)
Slide8787
Implement proposed service delivery system
Schedule and enroll two (2) persons per training class (part-time programming, preference to high school and college students during summer months)
Use of more than one training instructor and/or evaluator
Intensive vs. individualized, competency- based programs of instruction
Slide88In conclusion:
Be sure you understand how a
bioptic lens system is used during the driving taskOperate within the legal parameters of state laws (if laws need to be amended, keep efforts consumer driven)Develop & use a multi-disciplinary approach to screening and training bioptic driversInclude and implement multiple program safeguards 88
Slide89Happy Motoring!
For more information:
Chuck Huss, C.O.M.S.Driver Rehabilitation Specialist WV Bioptic Driving ProgramWV Division of RehabilitationServices (WVDRS)#10 McJunkin Road, Nitro, WV 25143TEL: 304-760-7149FAX: 304-759-2264E-MAIL: chuck.P.huss@wv.gov
89