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    What Ages Can Benefit From Our Screening Software?

    • The software is designed for children aged between 4 and 18, however adult software is also available.
    • The vision and hearing tests are suitable for older age groups as well. For vision select either a video or blank option. For hearing selecting the pictorial test interface.
    • Automated administration/audit is applicable for any age group.
    • Body Mass Index (BMI) is currently suitable only for ages 4-18 only.
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    Is It Possible To Screen Adults?

    Yes, it is.

    Although the software was developed for children, adult software is also available.

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    What Versions Of The Software Are Available?

    • SchoolScreener® - for vision, hearing and BMI screening. The software manages entire, area-wide screening processes (i.e. town/county/state). For vision screening this includes the measuring of visual acuity, performing a blur test for hypermetropia and tests for colour vision. In regards to hearing screening, the software generates customised letters for parents, manages the referral pathway and generates management and audit reports. It uses a combination of software loaded onto a laptop and a cloud-based back-end for co-ordinating screening across multiple sites. Additional tests can be added (stereopsis and fixation disparity, for example) as can additional data fields if required.

    • SchoolScreener EZ® - is a simplified version of SchoolScreener® for vision screening in individual schools. It also automates the administration required for a single school, including communication to parents. Data can also be uploaded to School Information Systems.  BMI screening can be added.

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    What Savings Can Be Made By Using SchoolScreener® To Manage Area-Wide Screening Programs?

    On average using the software will result in a c.75% saving, as many more children can be screened for the same budget.

    The main savings are derived from:

    • All administration, management reporting and audits are automated, area-wide ((i.e.Borough/Town/County/District etc).
    • The ability to use non-clinicians to deliver screening (which also enable clinical resources to be deployed for full Optometric or Audiological assessments).
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    Are These NEW Tests?

    There is no similar SchoolScreener® vision, hearing or BMI methods.

    For vision screening the software simply measures crowded LogMAR acuity by presenting a crowded LogMAR stimulus on a computer screen rather than a card. The software reports in either crowded LogMAR or Snellen (Snellen is more widely used in the United States; crowded LogMAR is more widely used outside the US). Screening criteria are set according to local requirements in any town/district/county/territory/state.

    The Hearing and BMI modules are set according to local requirements. For Hearing screening there are options for an on-screen game or manual testing. The advantage of the game is that it is impossible for the adult delivering the screening to lead the child’s responses.

    BMI measuring is carried out as per current practice and the height and weight measurements are entered into the laptop. The software does the rest, including administration.


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    Why Use A Computer Instead Of Traditional Card-Based Vision Tests?

    The advantage of using a computer screen rather than printed card is that the luminescence and contrast are not dependent on ambient illumination, which is very hard to control when screening in a school.

    Additionally, the screener simply has to record the number of correctly identified letters and at each size, which virtually eliminates scoring and transcription errors. The software includes an interface (cartoon animation – for younger children) with instructions that help you to engage the child, making the test more accessible. The software is available in a vast number of languages.

    Additional value is added by the software completely managing all back office administration, including:

    • Generating letters for parents,
    • Managing the referral pathway for each child, and
    • Management information and audits, according to local requirements.
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    How Can Non-Clinicians Deliver Screening Whilst Ensuring Quality Is Maintained?

    The software manages screening quality according to a locality’s screening criteria, and calculates/reports on the results. Clinicians and management remain in full control. if no local criteria are available the system defaults to the UK’s National Health Service’s requirements.

    There is no manual data input or output, thereby eliminating transcription errors.

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    Data Protection and Compliance

    SchoolScreener® and SchoolScreener EZ® conform to all national data compliance requirements including GDPR.

    For more information, click on the Privacy and Data Protection link at the bottom of this page.


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    What's The Difference Between Online And Offline?

    • Essentially the screening and functions are the same but they are delivered using different technology. Screening results (and some basic functions) are available without an internet connection but to maximise the effectiveness of the software, certain recommended functions are only available on-line.

    • Using SchoolScreener® to manage area-wide programs, screening can be delivered either off or on-line. Delivery of area-wide management/reporting/analysis requires screeners to periodically sync with servers.

    • For single schools or other organizations, SchoolScreener EZ® is fully online. It does not require any downloads and is supported by any browser. No data is stored on the machine once the screening session has finished but if a school has an information system the data can be uploaded or otherwise stored as an Excel file on the schools computer.

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    Children Changing Schools - Can This Be Managed By SchoolScreener®?

    Yes, if the information is retained it can be transferred between schools.

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    Is There A Limit For The Number Of Children That Can Be Managed By The System?

    No, there is no limit. 

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    How Long Does Screening Take?

    Visual acuity and distance vision screening takes a couple of minutes (less for passes). Colour vision screening takes roughly a minute.

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    How Do You Test For Colour Vision?

    We use the Neitz Test (University of Washington; Professor Jay Neitz). This consists of using the printed Neitz Test card with the screener clicking on the screen according to the child’s response. The software analyses the outcome and reports back. We chose the Neitz test because  no common standard for colour representation on computer screens exists. We have worked closely with Professor Neitz to deliver the testing within SchoolScreener®.

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    Is The Interface Only For Younger Children?

    Additional interfaces exist for older children. New interfaces and languages are being added regularly. If you have a particular requirements (age group, ethnicity or style) please email us and we are happy to consider adding any new ideas.

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    Can The Data Be Uploaded To Our EPR/Health/School Information System?

    The data is uploaded from an Excel or CSV file. This is suitable for most systems. If you require further integration, please contact us with your requirements.

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    Letters/Reports to Parents:

    • Can be set according to a localities requirements.
    • Can be in any language.
    • Can be emailed or printed
    • Can have different referral information
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    Where Was The Software Developed?

    Department of Optometry, City University, London (England)  by a team lead by Professor David Thomson, Life Fellow, The College of Optometrists.

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    Where Is The Software Used?

    • SchoolScreener® - extensively used since 2013 in the UK’s National Health Service to manage area wide screening (i.e. all schools in a county or town) – using administrative staff.
    • SchoolScreener EZ®’. This version is supported, in the UK, by the UK's largest eye wear retailer, Specsavers, and is now used in more than 2,400 schools through the Screening for Schools program (www.screeningforschools.com).
    • In Philadelphia since 2015: 18,000 children aged 4-14 (Philadelphia Eagles Community Foundation: http://www.philadelphiaeagles.com/community/org-vision.html). The Eagles use volunteers from their sponsors to deliver screening. Volunteers are managed by a School Nurse and the program is overseen  by an Optometrist.
    • In a number of developing countries
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    What Are The UK’s Vision Screening Requirements?

    In the UK, the primary target conditions are amblyopia, significant myopia, hypermetropia and astigmatism. Other conditions may be detected as part of the screening, but are not considered as target conditions by the UK’s National Health Service.

    Parents should receive clear and unequivocal instructions in the form of a written report. A clear pathway should be in place to ensure that those children who fail the screening receive a secondary examination and an appropriate intervention, if required.

    Mechanisms should be in place to audit the entire screening process including information about the number of children screened, the numbers who fail the screening, the proportion of fail positives who received a secondary examination and the positive predictive value.

    SchoolScreener® provides a series of tools to facilitate and manage the screening process so that the service is clinician led through the reporting from the software (as granular as outcome by screener) but screening need not be delivered by a clinician.

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    Body Mass Index (BMI) - What Database Variants Are Available In SchoolScreener®

    Any of:

    • The UK’s Department of Health HSCIC Database
    • The CDC BMI Database BMI Database
    • The World Health Organisation BMI database
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    What Is Included In SchoolScreener® Other Than The Software?

    Vision screening kit provided for use with SchoolScreener EZ®

    The screening kit consists of:

    • 2 x pairs of occluding glasses (sizes for younger and older children)
    • 2 x + 2.50 strength reading glasses (sizes for younger and older children) 
    • 3 metre tape measure
    • Match card
    • Neitz Color Vision test chart
    • Remote control

      For hearing you can either use our own screening kit (required for the hearing game) or your own audiometers.