Optometric Management Tip # 14   -   Wednesday, April 24, 2002
An idea to increase delegation

There is wide variation among optometrists about what parts of an eye exam - if any - should be delegated to a technician. In my opinion, delegating some of the testing is extremely important to practice success and profitability - and it can be done without decreasing the quality of care or the perception of thoroughness by the patient.

Many optometrists have designed their clinical operations so that technicians perform certain pre-tests, usually with automated instruments like an air-puff tonometer or an autorefractor. This approach works great in our practice. No matter where you are on the scale of delegation, however, I encourage you to keep analyzing your procedures to find more ways to save doctor time - which will allow you to see more patients per day or consolidate time to spend on other important projects.

Here is a quick question to challenge yourself on how well you delegate… who takes visual acuity measurements during routine eye exams in your practice? A doctor or a tech? If the doctor is doing it - consider training some staff members to do it for you. Change is always hard - but be open-minded, it could save you 5 minutes per patient - and that can save over an hour per day! Remember there is aided, unaided, far, near, OD, OS, OU… it adds up!

Are there obstacles to implementing this? Of course! But anything good is usually some trouble, and the obstacles can be overcome.

This tip can lead to the delegation of more tests in the future - but this one is an easy step because it does not require a big financial investment (as with automated instruments).

A bonus of your quest to delegate more is that your staff will generally like the opportunity to accept more responsibilities - if presented properly. Many optometric staff feel that there is no way to grow in their job - but this can provide that and increase their job satisfaction. Be aware that change can be threatening to some - so keep communication lines open and provide reassurances as needed.

Nothing has a bigger impact on success than delegation!


Best wishes for continued success,

Neil B. Gailmard, OD, MBA, FAAO
Chief Optometric Editor, Optometric Management