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Missouri OD Offers a Little Something Extra for Patients’ Eye Health

Doctor ‘supplements’ patient care with a focus on diet and nutrition.

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Dr. James Vann instructs a patient on matters of eye nutrition.

TALKING TO PATIENTS about the key role of nutrition in their health is something Dr. James Vann, OD, is more than comfortable doing. He’s done it from the early days of his practice, VisionArts Eyecare Center, which opened in Fulton, MO in 1992. Certified as a holistic health practicioner, Dr. Vann provides his patients with a unique approach to eye health and wellness that focuses on diet and nutritional supplements.

THE IDEA: “You protect your eyes from the outside with sunglasses but you can protect them from the inside with the foods and nutrients you eat,” says Vann. He started recommending macular degeneration prevention supplements 10-15 years ago but it wasn’t easy going at first. “What every doctor fears, we stepped right in it,” he says. “When we started, we were trying to help but we got a reputation for trying to sell supplements. We made that mistake and have really scaled it back.” Now, VisionArts focuses on this through testing and reviews those results in the exam. “If people want assistance after that, we help them,” explains Vann.

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Modern technology has helped support VisionArts’ approach. Several years ago they incorporated a Biophotonic scanner which tests patients’ dietary habits. With the results in front of them, they discuss and address a patient’s nutritional intake.

THE EXECUTION: “We offer a Blindness Prevention package,” Vann says. For $39 VisionArts offers Optomap and Biophotonic scanning.

“Over 85 percent of our patients choose the Prevention package. Then, I go over their score and things they can do and eat as part of a treatment plan. The goal is to detect and prevent early so we can really make a difference. Now, patients come in excited to see how they’ve faired over the last year, how their habits have improved.”

Dr. Vann tells patients it’s best if they eat their nutrients and which foods are best. “Then I lead into if you don’t think you can do that, you can always get it in a bottle and here’s how we can do that. We make supplements part of a nonchalant conversation,” he says.

He also constantly reassesses those supplements. “We try to use more natural, less synthetic products. We measure absorption and if it’s not working we change the product. We prescribe them out of the exam room, just like we do eyewear, then there is a more specific understanding of them,” he shares.

THE RESULTS: VisionArts’ focus on nutrition is less about profit and more about treating the whole patient; gaining their confidence and trust. “We want them to understand we genuinely care about them and the health of their eyes, and their nutrition is an integral part of that,” says Vann. “With that said, we do see a boost in profits because it sets us apart from the average optometry office. Patients are confident we want what’s best for them and refer their friends and family to us.”

Inside VisionArts Eye Center.

Some of the materials used with patients at VisionArts Eye Center.

 Do It Yourself: Focus On Nutrition

  • Educate yourself and stay on top of the latest eye health studies and products to provide patients with the most useful and up-to-date information.
  • Constantly reassess the supplements available. Some of Dr. Vann’s favorites; zinc-free MacuHealth, Nordic Natural fish oils and Longevinex.
  • Get over ‘selling.’ “Discuss how it affects patients clinically. I don’t feel bad prescribing high-end lenses. Treat supplements the same,” he says.
  • Like Dr. Vann at VisionArts, provide informative handouts so patients can review the information provided at home at their own pace.
  • Use suppliers who ship direct with a provider incentive program. “We give patients a code. It benefits our bottom line, while offering them the best price.”

Since launching in 2014, INVISION has won 21 international journalism awards for its publication and website. Contact INVISION's editors at editor@invisionmag.com.

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Best of the Best

An Iowa OD Who Developed an Industry-Leading Neuro Rehab Specialty

Offering glasses just wasn’t enough.

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DR. DEANN FITZGERALD STARTED practicing optometry in Cedar Rapids, IA, in 1984. In 2006, she founded the non-profit Spanda, Inc., which combines optometry with other healthcare specialties and took her as far afield as Kenya. Soon, she decided to expand Spanda’s activities to her own community. Spanda opened Cedar Rapids Vision In Motion (CRVIM), a vision wellness and rehab clinic, in 2007. What started as a 1,600-sq. ft location with an occupational therapist and a single employee now occupies 6,000 sq. ft and employs two athletic trainers, seven therapists and two ancillary staff.

THE IDEA

A Door Opens

Vision therapy was on Fitzgerald’s radar screen from her earliest days in optometry, but it took some time for her to embrace it. “I originally went to school with the thought of providing therapy but Cedar Rapids was very medically oriented, with the University of Iowa just 20 minutes away. Which made it very difficult at first to want to do therapy.” But by the 1990s — the “decade of the brain” — she sensed a door opening.

THE EXECUTION

Bridging the Gap

Dr. DeAnn Fitzgerald

CRVIM deals with a larger variety of diagnoses and issues than we can list. The services Fitzgerald’s team have developed bridge “the gap between assessment and treatment” for patients of all ages who experience visual processing dysfunction. In other words, “It’s a brain thing,” as the practice’s mantra states. Since 2010, CRVIM has also been teaching, offering instruction to OTs, PTs, ATs and others, passing on Fitzgerald’s “Train your brain to see again” gospel.

Patients find CRVIM in a variety of ways. “We have the general practice so sometimes people come in for routine care and find out that we do other services to help with various problems.” Of course, there’s word of mouth, as well as the training conferences to which the CRVIM team are now often invited as experts. “I have patients come from a nine-state area for our services. With the training conferences, we try to collaborate with other OTs and PTs.” Among the many hats Fitzgerald wears, she is vice president of the Neuro-Optometric Rehabilitation Association (NORA), an inter-disciplinary industry group whose mission is to see that patients with physical or cognitive disabilities as a result of an acquired brain injury get full ocular health evaluation and optimum visual rehab services.
Fitzgerald doesn’t have the luxury of patterning CRVIM after anything in the industry, “because it doesn’t exist. But I look at what’s possibly working and couple it with things that work — multi layered therapy or integrated therapy for quicker recovery — so we combine vision vestibular and auditory and proprioception all together for a more intense and passive therapy that works well.”

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THE REWARDS

‘The Last Resort’

Fitzgerald finds working with neurologically challenged patients — “giving them back their life,” as she puts it — hugely rewarding, but along with the highs there are tough moments. “These patients have a lot of depression and emotional issues that you have to cut through to get them better.”
Fitzgerald established baseline testing for 1,400 metro youth football players over a period of three years. At first many parents didn’t see the need, but by year three every one of the players came in to get tested. She eventually donated seven laptops so these schools could do their own testing. The Pop Warner youth football league last year rated these schools’ testing system as the best it had seen.
It’s an anecdote that illustrates the complexity, and the importance, of CRVIM’s activities. “We do get very complex patients,” says Fitzgerald, “because sometimes we are the last resort.”

Do It Yourself: Develop a Niche Rehab Practice

  • BONE UP. Be prepared to learn on the fly. Says Fitzgerald: “Optometric education provides the avenues to do rehab, but I have logged countless hours in classes and reading … on … concussion and brain injury.”
  • LOOK AROUND. Fitzgerald advises finding someone who is doing what you want to do­—and learning. “It’s the quickest way to get where you want to go…We have a lot of doctors visit our clinic.”
  • BE USEFUL. Get into the community, says Fitzgerald, and “instead of telling people what you do — ask them what they need. Then help make it happen — often that is the ‘in’ to getting partnered with them.”
  • HIRE CAREFULLY. Fitzgerald says one of her biggest challenges has been finding staff that are competent but also compassionate.
  • PREPARE YOURSELF. Rehab can be taxing for both patient and therapist. Fitzgerald says of her patients: “They have a brain injury. We have to gently get them out of their own way so they can recover.”

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Best of the Best

How This Colorado Practice’s ‘Office Culture Blueprint’ is Boosting Referrals

And how they persuaded their team to embrace a new mindset.

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EYE CARE CENTER of Colorado Springs, CO, has a large specialty contact lens practice that owes its success in part to the referrals it receives from ODs and MDs in Colorado Springs, Denver, Pueblo and as far away as California. You don’t maintain a referral-driven practice without top-level service, and with so much on the line, sometimes it pays to codify what’s expected of staff. But no one responds to a laundry list of rules. “We have found we have to re-educate ourselves and any new team members we hire,” says co-owner Sara Whitney, OD, and this realization recently led the practice to develop its own “office culture blueprint.”

THE IDEA

Translating a vague desire to get the best out of your team into a set of tangible principles is harder than it sounds. “We made a feeble attempt to create a culture statement a few years ago,” recalls Whitney, “and we never finished it because we didn’t really know how to implement it.” Practice founder and co-owner Dr. Reed Bro eventually came across the concept of “above the line behavior,” an approach based on personal responsibility. Whitney says the beauty of this concept is that it encourages “behaviors that create a positive event for the next person in the chain.” The goal is to “resist the temptation to blame…to complain for the sake of complaining, or become defensive.”

Dr. Reed Bro and Dr. Sara Whitney

THE EXECUTION

Whitney, Bro and office manager Mindi Andrade developed what would become the office’s cultural blueprint over several months. It takes its starting point from a few core beliefs. These are matched with a set of encouraged behaviors and desired outcomes. Your core beliefs, Whitney says, “are the reasons you decided to start practicing optometry or open a business.”

Once these basic elements were finalized, the managers initiated a transitional phase in which they used the vocabulary that forms the core of the blueprint in day-to-day interactions with one another and with staff. “We did not present the blueprint to the team until we were comfortable that we were able to personally apply the core beliefs to any situation,” Whitney says. They launched it at the beginning of January, when people are making resolutions and personal improvements. “We printed up the culture matrix on a card for each member of the team.”

Whitney says you can tell right away which staff will be on board and who will resist. “We lost three team members around the time the blueprint was rolled out. It may have just been a personal decision for the employee, but it can cause you to momentarily doubt your decision to demand these behaviors.” It’s important to be strong and stick to your guns at this stage, she says. Remember that the key beliefs you identified as the basis for your blueprint are important. “They are the reason you get up in the morning and come to work,” she says. “Expectations … make some people uncomfortable. They will resist change, and you have to let them move on.”

THE REWARDS

Whitney says the blueprint has delivered its targeted outcomes: an enhanced sense of community, patient satisfaction, trust, loyalty, adherence to treatment plans, and referrals. But there are personal benefits too. “I think those who have embraced this new mindset will be able to see it spilling over into their personal lives.”

Ultimately, Eye Care Center of Colorado Springs’ aim with the blueprint was to cultivate behaviors that grow the business, and so far, that aim is being met. Says Whitney: “We have developed the mindset that being presented with a challenge is our opportunity to get ahead of the problem and to possibly even be someone’s hero.”

Do It Yourself: Develop an Office Culture

  • DON’T RUSH IT. “Take time to define your beliefs over a period of weeks or months,” says Whitney.
  • WALK THE WALK. “Live out behaviors that support your beliefs,” Whitney advises. “You are the biggest example of your practice culture.”
  • TWO-WAY STREET. An office culture doesn’t have to be static: Survey your team periodically and ask for feedback.
  • COMMUNICATE. If you don’t, a blueprint is just a list tacked to a wall.
  • STAY STRONG. A change like this might cost you an employee. But stay the course or it’s not worth the paper it’s written on.

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Best of the Best

Maryland Optician Makes the Most of Its Expansive Front Window Space

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Visions Extraordinary Eyewear
frederick, md

WITH 60 YEARS of experience between them, Meline Baron and Phil Bromwell of Visions Extraordinary Eyewear know a thing or two about attracting clients. Lesson No. 1? Wow them with windows.

THE IDEA

The two, who’ve been a couple for 21 years, started Visionary Opticians 18 years ago, rebranded to Visions Extraordinary Eyewear in 1999, and  moved to their current location in downtown Frederick in 2003. With their tony new shop, a former shoe store, came more than 10 feet of glass windows facing the street. Time to get creative! Visions, which only carries one of each frame, prides itself on offering brands from around the world — Studio3 Occhiali, Ptolemy48, Wissing, Roger and Rain City, among others — collections not available at chains, and once they’re gone, they’re gone. “We don’t duplicate or repeat,” says Baron. In addition to an exclusive frame experience, they offer a wide selection of premium lenses from Varilux, Zeiss, Hoya, Seiko, Transitions, and more, with an expedient turnaround time thanks to an in-house lab manned by Bromwell. What’s more, they don’t do advertising or social media; those windows tell their story.

THE EXECUTION

“I change out the large window seasonally, although not necessarily with season-specific themes,” says Baron. “My current large window is focused around primarily four collections. The ‘F’ theme of Flowers, Foliage, Feathers, Fabric.”

Meline Baron is the brain behind her store’s window displays.

In fact, her current small spring window uses colorful tissue boxes adorned with cute flowers and birds. These are attached to the wall with push-pins, the frames displayed on top.

Looking back, Baron has her favorite windows. “I painted upholsterer’s springs for my ‘Spring For A New Look!’ window. Also, I’ve used my husband’s ties and ‘guy-centric’ books in my ‘The Guys Have It’ small window display, and colorful flip-flops to display sunglasses,” she explains. “And there’s the time I used bottles of Joy dishwashing liquid for my ‘The Joy of Spex’ window.”

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Props are occasionally reused, but in new ways. “Windows always evolve and things wear out, so I am always looking for new things to keep it fresh,” she says.

THE RESULTS

Baron describes her store as “very layered” and says she’s often surprised and tickled when the people she least expects notice stuff and comment. Customers often say they like the feel of the place. “Many visitors and customers comment that they love to come into the shop because there is always something interesting to look at. And the more they like being here, the more likely they are to find something else they want.” It’s a philosophy that works. Vision’s revenue went up 20 percent since moving to this location.

But for Baron and Bromwell, it’s time for a new adventure. The couple is looking to retire and has put Visions up for sale. The good news is that Baron is happy to continue consulting on the windows for the new owners!

Do It Yourself: Attract Passersby with Your Windows

  •  Look out for new  props. “I’m always thinking, ‘This is kind of cool,’” says Baron. “I can be seen in any kind of store taking off my glasses to see if they’ll sit on an object for a display.”
  • Pick a color and switch out seasonal props to extend a display’s life. November to February, Baron’s focus is red, using Christmas props until January, then Valentine’s props.
  • Think about lighting. Baron even changes the bulbs in the lights in the windows to keep it interesting.  And she is constantly stocking up on fairy lights at Home Depot.
  • Be organized. Baron rents a storage locker for her materials, and has a “tool box” full of push pins, screw-in hooks, a hammer, and plate racks to prop up signage and posters.
  • Use your displays to convert sales. Color themes plus a “Color of the Month” frame discount give Baron “a way of having a sale without seeming like a discounter.”
  • And a don’t!Don’t use anything that can melt! “I once had a zyl Traction frame and a Kawasaki frame with a plastic temple-tip fall off their perch and onto a light fixture and melt,” she says.

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