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 By Neil B. Gailmard, OD, MBA, FAAO, Editor November 10, 2004 - Tip #147 
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Many Reasons for Exam Efficiency


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Additional Information

Many doctors have a goal to delegate more clinical procedures, hire and train more staff, and buy automated instrumentation - as soon as their practice gets busy enough to warrant it. In my opinion, waiting is a mistake. The patient volume will come if the doctor makes the first move. Making your clinical procedures efficient has more benefits than you may realize, and those benefits have nothing to do with handling lots of patients.

Consider these valuable, but often-overlooked reasons to be efficient at all times:
  1. The less time spent in the exam area... the more time (and money) spent in the optical

    Patients have busy lives and allocate just so-much time to spend at the eye doctor's office, and they often underestimate this time. If you make the patient wait a bit, then take an hour for the exam, chances are he won't spend much time in your optical. He may get started in the optical, but not have time to select a second pair, or listen to the various lens options that are available. He may just ask for his Rx. There is a lot to cover in optical - and if the patient is tired or rushed, he will cut it short. That can have a huge effect on your bottom line. Your exam actually can be thorough and quick at the same time. I don't buy into the belief that you must spend a lot of time to charge a high exam fee. Who says patients want eye exams to take long time? They actually don't. It's boring and they'd like to get it over with.

  2. The reputation-building effect of a busy office

    A busy practice just looks successful! If you arrange your existing patient load into fewer days, and design your practice to handle the busier volume efficiently, your patients will think you must be the best optometrist in the area! That appearance of success just breeds more success.

  3. High-tech instruments are great practice builders

    People judge quality of service by what they can see. If they see cool looking technology, they are impressed. They also tell others about it. If patients only see the same things they've seen before in eye care, they tell no one and they may look around for something better next time.

  4. Organizing your work week to allow some non-patient days allows you to focus on practice management tasks and staff training

    An optometric practice is a business, even though most ODs spend very little time on that side of it. Scheduling specific time to work on the business will pay big dividends. Successful businesses don't run themselves and doctors must wear two hats. You can and should have an office manager, but the doctor plays a key leadership role in the business also.

  5. You are ready to move into higher volume as it builds

    Maintaining high quality service while managing a high volume of patients takes a lot of effort. It doesn't happen overnight. You'll make mistakes and you'll learn from them. Fine tune your clinical and administrative procedures before the demand is really big.

  6. No-shows are not a big inconvenience if the appointment slots are shorter

    A no-show in many practices can ruin the day. Not so if you place your appointment slots closer together. You and your staff may actually welcome an occasional no show.

Best wishes for continued success,

Read Past Tips Neil B. Gailmard, OD, MBA, FAAO
Editor, Optometric Management Tip of the Week


A Proud Supporter of

Send questions and comments to neil@gailmard.com.

Dr. Gailmard offers consulting services to eye care professionals through Prima Eye Group; information is available at www.primaeyegroup.com.
Advertiser Disclaimer: ACUVUE® 2 COLOURS TM is a registered trademark of Johnson & Johnson Vision Care, Inc. © JJVCI 2003. All Rights Reserved.

Please Note: The views expressed in Management Tip of the Week do not necessarily reflect those of the sponsor.

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