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Admin Tribe Selection Last updated: 09/11/2015 This is my Form. Page 1 Please select to which tribe this Organization has applied to: Salt River 1 of 1 Created: 09/13/2015 Last updated: 09/16/2015 Page 1 General information Organization VisionQuest 20/20 Contact First name Richard Contact Last name Tirendi Contact e-mail info@visionquest2020.org Contact phone number 602-791-7140 Address Street 1594 E. Locust Pl. City Chandler State AZ ZIP Code 85286 What is the name of the program or project for which your organization is requesting grant funds? EyeSpy 20/20 Vision Screening For what grant amount does the organization wish to request? 75000 1 of 1 SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY 10005 E. Osborn Road, Scottsdale, Arizona 85256 / Phone 480-362-7520 / Fax 480-362-7593 12% Gaming Contributions Application Date of Application: August 6th, 2015 Organization Name: VisionQuest 20/20 Organization/Municipal Government Street & Mailing Address: 2211 N. 7th St. Phoenix, AZ 85006 Contact Person and Project Manager if different from Contact Person: Contact Person Name: Richard Tirendi Contact Person Title: CEO & Co-founder Contact Address: 2211 N. 7th St. Phoenix, AZ 85006 Contact Person Phone: 602-791-7140 Contact Person Fax: 480-336-2855 Contact Person Email Address: rtirendi@visionquest2020.org Project Manager Name: Monica Hecker Project Manager Title: Director of Operations Project Manager Address: 2211 N. 7th St. Phoenix, AZ 85006 Project Manager Phone: 480-329-3459 Project Manager Fax: 480-336-2855 Project Manager Email Address: mhecker@visionquest2020.org Project Name: Protecting children’s vision with EyeSpy 20/20 Please provide a brief description of the project submitted to the 12% SRPMIC Grant program. VisionQuest 20/20 is thankful for this opportunity to apply for funding to bring the state-of-the-art EyeSpy 20/20™ vision screening program to Arizona school children in 10 districts supporting a total of 50 schools. Vision health is fundamental to all aspects of a child’s quality of life. Lack of detection poses a significant educational and health risk. VisionQuest 20/20, a 501(c) (3) non-profit organization, is thoughtfully requesting a grant in the amount of $75,000 to support our mission to protect children and their families from the devastating academic, psychosocial, and lifelong economic consequences of undetected vision disorders and preventable blindness. Our innovative approach to vision screening uses computerized and standardized protocols to evaluate a child’s entire visual system, eliminates the need for proctor certification, and increases accuracy and availability of vision screenings while significantly reducing cost. “Consistent access to vision screening in Arizona is almost non-existent in the healthcare continuum. The VisionQuest 20/20 state-of-the-art solution enables schools to take advantage of a low cost and highly efficient and reliable technology without an intensive implementation and sustainability process.” - Mary Thomson, MSW V.P. Program Development, BHHS Legacy Foundation VisionQuest 20/20 Overview VisionQuest 20/20 is a 501(c) (3) non-profit organization, founded in 2003 by James W. O’Neil, M.D., a nationally renowned pediatric ophthalmologist, and Richard Tirendi, an accomplished technology developer. Recognizing that, far too often, children needlessly struggle with undetected vision disorders that ultimately affect their quality of life, Dr. O’Neil and Mr. Tirendi contributed their medical and technical expertise to develop a technological solution to dramatically improve the accuracy of large-scale vision screenings for school children. The result is EyeSpy 20/20 - a state-of-the-art vision screening system providing an accurate, reliable, and cost-effective method of identifying children with vision problems that would have otherwise gone undetected. To date, more than 250,000 EyeSpy 20/20 vision screenings have been conducted across the United States. EyeSpy 20/20 Program Overview EyeSpy 20/20 accurately assesses threshold visual acuity, depth perception and color vision while a child “plays” a 3-minute video game. Independently and scientifically validated, EyeSpy 20/20 provides results comparable to those achieved by a certified ophthalmic technician and does not require certification or specialized training to administer. The vision screening software is downloaded via Internet allowing school children in remote locations access to accurate and reliable vision screenings previously unavailable. Results are immediately reported and automated data collection, storage, and reporting with lifetime access to data in a HIPAA-compliant repository allows for real-time and longitudinal assessment. Screening reports can be printed in Spanish and English or customized for any language. Integration with school health information systems saves time, money, and ensures data integrity. Undetected vision disorders are associated with poor reading and degraded academic performance. It is estimated that up to 1 in 4 school aged children have a vision disorder. In fact, vision problems are the 4th leading childhood health issue in the United States. The Healthy People 2010 Progress Review documented that no progress had been made in the early detection of vision disorders or preventable blindness in children under the age of 17 years. Further, The Vision Council of America estimates that a quarter of school age children suffer from vision problems that could have been addressed or eliminated if appropriate screening and follow-up had been in place upon entry to school. Sadly, it is estimated that 80% of children with a learning disability have an undiagnosed vision problem (Vision Council of America), Seventy percent of juvenile delinquents cannot read due to vision deficits (CA Youth Authority) and 90% of prison inmates cannot read due to vision deficits (Folsom Prison Study). Despite these statistics, schools across the country continue to use the wall chart vision screening method developed over 150 years ago because it appears inexpensive. However, when a child is missed, many thousands of dollars are spent managing the devastating consequences of the missed problem and, in some cases, managing permanent vision loss. Poor vision is often easily treated with corrective lenses but the challenge is detecting the vision deficit. Both the American Academy of Pediatrics and American Academy of Pediatric Ophthalmology recommend vision screening to protect children's vision. Arizona’s children are at particular risk of undetected vision disorders because Arizona is one of only seven states that do not require screening children to identify potential vision problems. The Salt River Pima Maricopa Indian Community 12% grant will provide expansion of the EyeSpy 20/20 vision screening program and supplies into 10 Arizona school districts and support 5 schools in each of those districts. Implementation will include training, follow-up reporting and continual optimization of the program and process. An estimated 23,750 screenings will be performed on individual children in elementary and middle schools each and every year. This investment will allow districts and schools to screen children in subsequent years, thus allowing any changes in a child’s vision to be detected as they advance through school. Within just a few years of implementing this project, more than 100,000 children will be impacted and it is estimated that hundreds of lives could be changed through the screening, detection and referral efforts of this innovative program. Beginning Date of Project: January 1st, 2016 End Date of Project: December 31st, 2016* * - use of EyeSpy 20/20 continues in perpetuity Geographic Area to be served: Maricopa County. VisionQuest 20/20 will make every reasonable effort to ensure placement of EyeSpy 20/20 in districts that the Salt River Pima Maricopa Indian Community optionally chooses to identify. ** Attach Detailed Budget** Amount of Total Project: $75,000 Amount of 12% Request: $75,000 (No Multi-Year Request will be accepted) If the Amount of funding received is less than the amount needed for the project, do you have other funds to complete the project? (Please Explain): No, however if we are funded less than the amount requested, we would decrease the number of districts and schools served in proportion to the funding received. If you receive SRPMIC 12 % funding, will it be spent (Check One): Monthly Quarterly Lump Sum List of SRPMIC 12% funds you have received in the past. None List any other 12 % grant funds your organization may be seeking from other Tribal Governments in 2015-2016. We have submitted a similar proposal to the Tohono O’odham Nation. List any other funds you have received from the Salt River Pima-Maricopa Indian Community (Enterprises Included) and identify the amount and the source: None Funding for project/programs may be based on available funding. As such, if funding were not available for the full the amount of request how would you prioritize funding. A.) We would decrease the number of districts and schools served in proportion to the funding received. Which municipal governmental entity will serve as your pass through or accept 12% funds on your behalf? Maricopa County By execution of the 12% Gaming Contribution Grant Application the undersigned agrees that the information contained in the Application is true to the best of the Applicants knowledge. The Applicant shall notify the SRPMIC if any information in this Application changes. Digitally signed by Richard Tirendi DN: cn=Richard Tirendi, o=VisionQuest 20/20, ou=Corporate Headquarters, email=rtirendi@visionquest2020.org, c=US August 6, 2015 Date: 2015.08.06 08:59:47 -07'00' Signature for the Applicant Date Richard S. Tirendi CEO & Co-founder Name and Title The Application shall be signed by the senior elected official of the local government, or in the case of a non-profit entity, the Chief Executive Officer authorizes to commit the non-profit entity to apply for, accept, and implement an award from the SRPMIC utilizing 12% Gaming Contributions. The future of vi si on screeni ng has arri ved! Because Every Child Deserves To See AAP & AAPOS Policy Statement Visual acuity screening is preferred in children 5 years and older. Instrument based screening is recommended as an alternative to visual acuity screening in children younger than 5 years. 5 Things You Need to Know About Children’ s Vision Every 6. 5 mi nutes a chi l d i s di agnosed wi th i rreversi bl e vi si on l oss that coul d have been prevented wi th earl y detecti on. Up to 1 i n 4 chi l dren have a vi si on probl em and many parents, teachers and chi l dren themsel ves are unaware. 80% of l earni ng occurs vi sual l y. Undetected vi si on probl ems i mpact a chi l d’ s l earni ng, soci al growth, and l i fel ong heal th. The The t tradi ti onal method of vi si on screeni ng has changed l i ttl e over the past 100 years. Undetected vi si on di sorders are the 4 th EyeSpy 20/20 i ntegrates wi th El ectroni l eadi ng heal th i ssue faci ng chi l dren today. obj ecti ve screeni ng devi ces Record Innovatively Better Vision Screening Accuratel y screens for exact vi sual acui ty, col or vi si on and depth percepti on. Provi des resul ts comparabl e to those achi eved by a certi fi ed ophthal mi c techni ci an and does not requi re trai ni ng to admi ni ster. Sci enti fi cal l y val i dated by the worl d renowned Storm Eye Insti tute. Vi deo game format makes screeni ng fun for ki ds and great for non-verbal and speci al popul ati ons. Compute Computeri zed, automated data col l ecti on, storage and reporti ng wi th l i feti me access to data i n a HIPAA-compl i ant reposi tory. Automati cal l y sel ects age-appropri ate optotypes and randomi zes them to prevent memori zati on. Imports student rosters and exports screeni ng resul ts to student i nformati on systems to mi ni mi ze errors and ti me. Reporti ng i n both Engl i sh and Spani sh. Bui l t-i n school fundrai si ng opportuni ty wi th sponsorshi p recogni ti on on every screeni ng report. One license = Unlimited vision screening devices i c Heal th 24/7 Access to I ndi vi dual System Screeni ngs and Summary Reports We are a 501(c)(3) non-profi t organi zati on sol el y dedi cated to el i mi nati ng undetected vi si on di sorders and preventabl e bl i ndness i n chi l dren through state-of-the-art vi si on screeni ng technol ogy, educati on and awareness. We have revol uti oni zed the detecti on of vi si on di sorders wi th the EyeSpy 20/20 TM vi si on screeni ng program and data management system. We acti vel y col l aborate wi th other technol ogy provi ders and non-profi t organi zati ons to advance the accuracy and rel i abi l i ty of vi si on screeni ngs Because Every Child Deserves To See. “Vi si onQuest 20/20 i s demonstrati ng that advancements i n computer, i nternet and vi si on screeni ng technol ogy can overcome the barri ers to l arge scal e vi si on screeni ngs, and hel p sol ve thi s seri ous publ i c heal th i ssue. I strongl y encourage anyone i nvol ved wi th chi l dren’s vi si on heal th to l earn more about Vi si onQuest 20/20.” Richard Carmona, M.D., M.P.H., FACS 17th Surgeon General of the United States “My daughter had been gi ven gl asses i n 2005 for use onl y when readi ng. When she was screened at school usi ng EyeSpy 20/20 wi th her gl asses on, she fai l ed. We went back agai n to see the eye doctor and my daughter was di agnosed wi th ambl yopi a. She now wears gl asses al l the ti me and i s doi ng wonderful i n school school . . Headache Headache free, free, and and her her nose nose i i s s al al ways ways i i n n a a book. book. Thi s program saved my daughter from goi ng bl i nd i n her weak eye.” Parent, Washington School District Sources referenced: Instrument-Based Pediatric Vision Screening Policy Statement AMERICAN ACADEMY OF PEDIATRICS Section on Ophthalmology and, Committee on Practice and Ambulatory Medicine, AMERICAN ACADEMY OF OPHTHALMOLOGY, AMERICAN ASSOCIATION FOR PEDIATRIC OPHTHALMOLOGY AND STRABISMUS and AMERICAN ASSOCIATION OF CERTIFIED ORTHOPTISTS Pediatrics 2012;130;983; originally published online October 29, 2012; DOI: 10.1542/peds.2012-2548 A pilot study evaluating the use of EyeSpy video game software to perform vision screening in school-aged children Rupal Rupal H. H. Trivedi, M. Edward Wilson, M. Millicent Peterseim, Kali B. Cole, Ronald G.W. Teed Journal of AAPOS - August 2010 (Vol. 14, Issue 4, Pages 311-316, DOI: 10.1016/j.jaapos.2010.03.008) http://www.aoa.org/childrens-vision.xml Welch Allyn SureSight™, Pediavision ® spot, and plusoptiX devices are the property of their respective companies. 888-MY-VQ2020 Vi si onQuest2020. org © 2014 Vi si onQuest 20/20 Al l Ri ghts Reserved, Ver. ESVQ01 !!! A Vision for Na,ve ! American and Alaskan Na,ve Youth ! Vision health is fundamental to all aspects of a child’s quality of life including their academic achievement, physical and psychosocial well being. Lack of detec>on poses a significant educa>onal and health risk. The Healthy People 2010 Progress Review documented that no progress had been made in the early detec>on of vision disorders or reduc>on in preventable blindness in children under the age of 17 years.1 The Vision Council of America es>mates that a quarter of school-‐age children suffer from vision problems that could have been addressed or eliminated if appropriate screening and follow-‐up had been in place upon entry to school.2 A solu>on now exists to iden>fy children with vision problems that would have otherwise gone undetected. A HIPAA compliant vision database automa>cally collects vision screening and other health screening data, providing an unprecedented objec>ve data collec>on (with NO personally iden>fiable informa>on) to iden>fy areas of need and direct funding and resources where they are most cri>cally needed. ! Undetected Vision Disorders Linked to ! Poor Academic Success & Misdiagnosed ! ADD/ADHD ! • 80% of learning occurs visually. • Undetected and untreated eye disorders are associated with poor reading and degraded academic performance.3 • Correctable vision issues are omen misdiagnosed as learning disabili>es, ADHD, or dyslexia.4 • Children with ADHD are 3 >mes as likely to have a convergence insufficiency vision issue. • Approximately 20% of school-‐aged children suffer from eye teaming or focusing deficits which ! make remaining on task for long periods of >me difficult.5 Undetected Vision Disorders Linked !!!!!!!!!!! to ! Obesity, Poor Health and Diabetes • Children 10–17 years of age with vision disorders are at increased risk for obesity.6 • AI/AN popula>ons face higher rates of type 2 diabetes at 2.8 >mes the na>onal average with eye and vision problems the 2nd leading cause of impairment.7 • By the >me some Na>ve American children reach preschool, about 1 in 3 (33%) require eyeglasses for as>gma>sm and by the >me they reach elementary school, about 1 in 2 (50%) require eyeglasses.8 !! ! References ! 1Healthy People 2010 Progress Review U.S. Department of Health and Human Services Centers for Disease Control and Preven>on, Na>onal Center for Health Sta>s>cs hVp://www.cdc.gov/nchs/data/hpdata2010/hp2010_final_review.pdf 2Vision Council of America (2004). A Summary of Medical Literature on Vision Screenings and Eye Exams, 2004. hVp://www.2020advocacy.com/s_2020/images/PDFs/ StudiesSummary2004.pdf (Accessed February 26, 2008) 3Building a Comprehensive Child Vision Care System Na>onal Commission on Vision and Health 2009 hVp://visionandhealth.org/documents/CHild_Vision_Report.pdf 4AZ: Uncorrected Vision Issues Misdiagnosed as Learning Disabili>es in Children, June 2012, Midwestern University. 5Vision 6Prevalence and ADD/ADHD-‐ EyeStrain Can Make Classroom AVen>on Impossible. College of Optometrists in Vision Development. www.childrensvision.com/ADD.htm of Obesity Among Children With Chronic Condi>ons, Chen et al., Obesityjournal.org, January 2010, Vol. 18, No. 1 7House Approves One-‐Year Reauthoriza>on of Special Diabetes Program, Indian Country Today March 2014, hVp://indiancountrytodaymedianetwork.com/2014/03/27/house-‐approves-‐one-‐ year-‐reauthoriza>on-‐special-‐diabetes-‐program-‐154206 8Miller JM, Dobson V, Harvey EM, Sherrill DL. Cost-‐efficient vision screening for as>gma>sm in na>ve american preschool children. Invest Ophthalmol Vis Sci 2003;44:3756-‐3763.