Optometric Management Tip # 156 - Wednesday, January 12, 2005
Practice Resolutions: The Year of Customer Service
In my last tip, I described the 5 top management topics for building a successful
practice. To re-cap, they are practice investment, customer service, delegation,
fees/collections/managed care, and staff training. If you dedicate yourself to these
areas for the coming year, there is no doubt your practice will be on its way to
achieving great rewards. This week, letís look into customer service.
What is customer service?
First, letís define customer service and why I use the word customer. Like most
optometrists, I generally refer to the people that I serve in my practice as patients.
But when we wear our business hat, itís helpful to think of them as customers. It gets
our priorities straight and it prevents us from hiding behind any pre-conceived excuses
about why we canít do things, or why we must say no to the customer, when we probably
donít really have to. Customers go by many names, including patient, client, guest,
passenger, diner, subscriber, and many more, but shake up your thinking by accepting
that they are all customers in the truest sense.
Secondly, we all know excellent customer service when we see it. You know it when
youíve been the customer and you received it. Itís the most commonly understood of all
the business terms that have been used for it. Itís something a company provides.
Providing it creates customer satisfaction and customer loyalty and word of mouth
referrals. Customer service is identifying and satisfying the customerís wants and
needs, and the more you do that, the more successful youíll become.
Customer satisfaction is actually the lowest acceptable level of service that a company
can provide, so we must condition ourselves to realize that a satisfied customer is not
the goal. Thatís way too low of a response. Satisfied customers donít refer their
friends Ė enthusiastic ones do!! Customer loyalty is many steps above customer
satisfaction, and loyalty is what we should strive for.
Why customer service is important
I would hate to pick just one factor that breeds success and growth in optometric
practice, but if I had to, it would be customer service. Every successful optometric
practice that Iíve ever seen was primarily built on word of mouth recommendations. If
we all agree thatís where the new patients come from, then letís go after that source!
Excellent service (and Iím talking way above and beyond the expected) breeds referrals
because it makes people talk. They just canít help but share their eye care experience
with others because it blew them away. That talk is so valuable to the practice that
itís worth considerable time, training, effort and financial investment. Because that
talk is not directly visible to the practice owner, many ODs are not even aware of it.
If you knew how to buy that kind of favorable patient talk, you would order it by the
Most optometrists are not as good at it as they think
Most ODs that I speak to feel like they are already doing a good job with customer
service issues, so they tend to dismiss this category of management as if they already
have it covered. Most of these docs are mistaken and they donít get it. You may be so
close to the daily routine that you and your staff have developed, that you may not be
objective. To properly analyze the service aspect of your practice, break down and list
each office process that occurs every day. This starts with a phone call and goes
through reception, office forms, pre-testing, exam, specialty care, optical dispensing,
billing and recall. Those are very broad headings, so go back and break all of them
down much further.
Itís obvious that your staff is responsible for much of the customer service in your
practice. But many doctors and practice owners have become somewhat removed from that
service. Many donít really know what is truly happening in other parts of the office,
and many are so busy with their own world that they canít know. This brings up the
importance of a unified team approach and a mutual philosophy on the importance of
customer service. To achieve the legendary service that is needed, service excellence
must be ingrained in each staff member; it must become part of the office culture. It
takes leadership to foster this, but it can be done. Just become obsessed with it.
How much customer service is needed?
My answer to that is: how profitable do you want your practice to be? My friend Bob
Levoy, O.D. (consultant, writer and lecturer) once said: ďGood enough is no longer good
enough.Ē How wise that is. We all see problems in our offices every day if we just
look, but many of us adopt an attitude that overlooks them, as if to say its ďgood
enoughĒ. The market for eye care today is such that an approach like that is not good
enough to build great success. We must make time to tackle those weak areas.
If practice building is the goal, it makes no difference if the doctor thinks the
service is adequate. All that matters is the perception of the customer. The
customerís judgment of the level of service trumps all others. Unless youíre getting
praise and thank you notes and lots of word of mouth referrals, your service may be
Other health care specialties
To drive my point home, letís step outside of your practice and look at a practice of an
average family practice MD. Customer service is generally terrible in health care. I
wonít delve into why that is, but what has been your experience? There are the good
exceptions, but patients today have come to expect the worst. A typical visit might be
as follows: you walk into the office and there is no one at the front desk. Or, if
there is a receptionist, sheís busy on the phone and does not look up from her work.
You sign your name on a steno notebook, and sit down in a full waiting room, hoping that
there is some system of fairness. There are numerous hand-made signs taped on the
walls, stating all kinds of things the office canít do, and that the patient shouldnít
do. You wait a long time, and then you are called in Ė only to wait a long time again
in a small exam room. You get the picture.
Some medical specialties are fortunate to be immediately busy without needing to provide
excellent customer service. Reality check: optometry is not one of them.
Best wishes for continued success,
Neil B. Gailmard, OD, MBA, FAAO
Chief Optometric Editor, Optometric Management