Ophthalmology Service Plan

---
name: ophthalmology-service-plan
description: |
  Design a realistic, measurable service plan for patients with eye conditions and vision problems as a ophthalmologist.
  TRIGGERS - Use when a ophthalmologist needs a service plan design for patients with eye conditions and vision problems in an eye hospital clinic and theatre.
category: Ophthalmology
license: MIT
version: 1.0
---
# Service Plan Design — Ophthalmology

Design a realistic, measurable service plan for patients with eye conditions and vision problems as a ophthalmologist. The deliverable is a written plan with goals, actions, owners, timelines and review dates.
This skill is written for a ophthalmologist working with patients with eye conditions and vision problems in an eye hospital clinic and theatre.

## When to use
- You are a ophthalmologist preparing, delivering or reviewing this part of your work in an eye hospital clinic and theatre.
- You need a defensible, repeatable approach that produces a written plan with goals, actions, owners, timelines and review dates.
- A colleague, auditor or client asks how this was done and what evidence supports it.

## Key Concepts
| Term | Meaning |
|------|---------|
| Visual acuity | the sharpness of vision, often recorded as a fraction |
| OCT | a scan showing cross-sections of the retina |
| Glaucoma | optic nerve damage often linked to raised eye pressure |

## Workflow
1. **Step 1** - Start from the assessment findings and agree goals with patients with eye conditions and vision problems — specific enough to measure against cataract surgery outcomes
2. **Step 2** - Break each goal into actions sequenced for an eye hospital clinic and theatre, naming who does what and by when
3. **Step 3** - Build the plan around visual acuity charts so progress, changes and decisions are recorded in one place
4. **Step 4** - Price or resource the plan honestly: time, slit lamps and materials, with contingencies for missed glaucoma progression
5. **Step 5** - Set the review date and the trigger points that would change the plan, and confirm the plan with all parties

## Profession-Specific Components
| Component | Details for Ophthalmology |
|-----------|-------------------------------|
| Core documentation | visual acuity charts; OCT scans; operation notes; refraction records |
| Core tools & equipment | slit lamps; OCT scanners; phacoemulsification machines; visual field analysers |
| People involved | patients with eye conditions and vision problems; the ophthalmologist; colleagues and other services in an eye hospital clinic and theatre |
| Primary record | visual acuity charts — keep it current, dated and attributable |

## Output Format
**Context:** [Situation in an eye hospital clinic and theatre] | **Objective:** [What this must achieve] | **Audience:** [patients with eye conditions and vision problems and other stakeholders]

The finished output is a written plan with goals, actions, owners, timelines and review dates, structured as:
1. Summary of position and evidence
2. Detail, following the workflow above
3. Decisions, actions, owners and dates
4. Review point and escalation route

### Action Plan
1. **Immediate:** Confirm scope, consent and the evidence available in visual acuity charts.
2. **Short-term:** Complete the workflow steps and record outcomes against cataract surgery outcomes.
3. **Medium-term:** Review results, close actions, and update local procedures in an eye hospital clinic and theatre.

## Success Metrics
| Metric | Target | Method |
|--------|--------|--------|
| cataract surgery outcomes | Agree a local target and track the trend | Measured from visual acuity charts and reviewed on a set cycle |
| clinic waiting times | Agree a local target and track the trend | Measured from visual acuity charts and reviewed on a set cycle |
| post-operative infection rate | Agree a local target and track the trend | Measured from visual acuity charts and reviewed on a set cycle |
| visual acuity improvement | Agree a local target and track the trend | Measured from visual acuity charts and reviewed on a set cycle |

## Guardrails & Quality Checks
- Never let this happen: missed glaucoma progression.
- Never let this happen: endophthalmitis after surgery.
- Never let this happen: wrong lens implant.
- Work only within the competence and authority of a ophthalmologist; escalate or refer anything beyond it.
- Record facts and observations, not speculation, and keep records confidential to an eye hospital clinic and theatre's rules.
- Verify names, dates, figures and measurements twice before anything is issued or signed off.
- Use only real, verified information from the case in hand — never invent results, credentials or evidence.

## Example (illustrative)
A ophthalmologist in an eye hospital clinic and theatre applies this workflow for patients with eye conditions and vision problems: they open
visual acuity charts, work through the five steps using slit lamps, and close by recording
the outcome against cataract surgery outcomes and agreeing the next review date. (Illustrative example only —
replace with the real details of the case in hand.)