Life often presents us with definitive, formative and hairpin moments that shape all our experiences — the good and bad — from that point on. Marriage, the birth of a child, the death of a parent, a graduation, the loss of a job, can all drastically change the direction of our lives in a near instant. The same sorts of seminal events can happen in a business. We asked ECPs to share the most single most important day in the history of their business and how it affected things to come. Read on to hear their stories.
The day D’Ambrosio Eye Care moved out of a hospital suite and into its own, free-standing facility was the practice’s very own big bang.
“We exploded,” is the still-vivid recollection of director of optical services Jocelyn Mylott.
There are all kinds of innovations, from the incremental to the dramatic, that you can apply to your business to boost growth, but few changes have as much potential to instantly turbocharge your performance as a change of address. In D’Ambrosio’s case it was a matter of recognizing that they had reached the limits, in terms of growth potential, of their existing site, tucked away as it was in a larger building.
“We had rented a suite in the hospital and we had outgrown the space. Thinking back we had about three ODs and the MD owner; and now we have at least double the capacity,” Mylott says. And the growth didn’t stop there — now that they can accommodate more patient traffic, they have added new computer software and HR, and brought in a large number of new staff. “This was all back in 2004. It was the start of our growth in general.” It wasn’t long after their move that D’Ambrosio expanded to three locations — soon they’ll be at six and counting.
AdvertisementAsk Ken Boltz, OD, why the day he opened his solo business after three decades in group practice was the most important day in the history of his business and he’ll rattle off three reasons: “Much simpler, more enjoyable and much more fulfilling.”
“Opening a brand new office allowed me to get back to what I enjoy most,” Boltz says. “Helping patients see their best while getting to know them personally, forming a stronger long-term bond with them.”
As he was preparing to open, Boltz visited a number of offices, looking for ways to improve upon methods, equipment, floorplans, etc. “Opening a new office allowed me to take all that I had learned and do it even better. New equipment — a computerized phoropter, improved retinal imaging, new OCT and more. We attended both VEW and VEE to select the frame vendors we wanted to do business with. That allowed us to focus more on independent frame vendors that were unique and that our patients love.”
And, freed from the constraints of design by committee, Boltz seized the opportunity to design his waiting room to look more like a living room than a doctor’s office. “My new office is much more enjoyable, simpler and easier.”
But for Boltz, reflecting on a key turning point doesn’t mean he’s content: “We continue to look for ways to improve every day. I love what I do and hope to continue to practice for many more years.”
An office move is enough to make an impact on a business, but what happens when that move coincides with a major staff overhaul? Jason Stamper, assistant manager at the Eye Care Pavilion, can tell you. The most important day in your business becomes “when our office moved to the opposite side of town. Our clientele changed, as well as 75 percent of our owners/doctors. Two decided to retire when we moved, and another retired just six months later.”
A change like that could seriously handicap a business, but Eye Care Pavilion saw it as an opportunity. “We had been at the previous location for almost 30 years. It was a beautiful older building, but was in bad need of an update. While our new location is smaller, we’re much more efficient with the space.” Now each doctor has two exam lanes and because they relocated close to a lot of medical practices, they’ve seen a noticeable rise in their medical visits.
But what about the patients? “Overall the reaction was good,” says Stamper. The move was only 6 miles but some didn’t migrate at first. “Now in our third year, we are starting to see many who left come back.” And the practice is building on that momentum: “We started advertising on TV again…and we also partnered with a local pro sports team as their official eyecare provider.”
AdvertisementIn fact, Alami remembers that time well. “For six years, I worked in a variety of private and commercial practices.” But as an employed OD, she didn’t see much of the optical and business sides. “As a business owner, I’ve come to love frame-buying, learning about…lenses and coatings, learning how to bill, and generally being the office manager of our practice.”
She loves the things other business owners may not be so fond of. “Every day, I wake up excited to go to work. Beyond the typical patient care, I spend…hours in the optical and working on the managerial side of things, and I love it,” she shares.
That’s not the only place she is bucking the trend. “One of the things that drove me to go into practice for myself was working in too many mediocre practices where the owner was solely concerned with profit,” she explains. “The employees didn’t care, the equipment was broken or missing, the office hadn’t been renovated in 20 years, there was no focus on quality products or service, and the general atmosphere was depressing. I take pride in creating a happy, modern workplace that serves both employees and patients.”
When patients ask whether he accepts credit, Dr. Tex explains his agreement with Bank of America, “We don’t do credit and the bank won’t fit glasses or contacts.”
Dr. Tex says that many years ago he had an employee that had worked for a local dentist. One afternoon she asked why he had accounts receivable, since his fees were much lower than dental charges, half of which were collected on the first visit and the balance upon completion of the dental work. “That day I changed my office policy to payment for exam and one half optical fees prior to ordering Rx,” says Smith. “The majority of our patients pay the whole bill on the day of exam.”
“I have no accounts receivable, no employee time spent billing, no patients sent to collection,” says Smith, adding: “By the way, you lose the money and the patient when they go to collection.”
AdvertisementThings started looking up almost immediately.
“Elizabeth,” Cassie says, “is intelligent, positive, courteous, and responsible; she delivers quality customer service that significantly contributes to the HD Optical reputation and legacy. Dr. Nash is a wonderful optometrist who cares greatly about his patients, and finally the optical side of our business matches the quality of his eye exams.” In particular she cites Nagy’s ability to educate patients on lens options, which has boosted upgrades and sales, and led to an increase in overall patient satisfaction. “Hiring her taught us that having a well-rounded and educated optician on the front lines is just as important as having a great doctor,” Cassie says.
Here’s one to warm any OD’s heart. The greatest day in the life of Rockford Family Eyecare? That’s easy, says owner Dr. Theodore Sees: “The first day we had a full day of appointments and they all showed up! As a new office [the practice is less than four years old], I still remember that day and it feels like it has stayed that busy since then,” says Sees.
Basically, this was the day the team at Rockford exhaled and started to think of themselves as having arrived. Adds office manager Melanie Turos: “We felt that this was the most important day because it meant so much to both the doctors and the staff, both those who worked at the office from opening and those who had joined the company as we grew. It changed the way we approached business because we started looking at our office as an established office rather than a new office.” Rockford Family Eyecare, she says, had always tried to schedule both new and established patients, “but now we needed to brainstorm new ideas for growth within the office.”
Sees reports that growth remains rapid and staff is trying to keep up the best it can. “It has been so wonderful to watch our business’s growth from the very beginning!” he says.
On that day Jim Williams and his wife, Dr. Kristi Williams, drove by a building for rent. “The owner met us and we signed a provisional lease,” shares Jim. “That was the start of our own business.” Most surprising about the Williams’ story is that they hadn’t been planning it. “We hadn’t been actively thinking about opening our own business, but the cards all fell into place,” he says.
“I was working as an independent contractor for an optician office,” adds Kristi. “The owner was getting older and wasn’t interested in investing in the space. He suggested if I wanted changes, I should buy the office and do it myself. It sounded great but scary as well. So, we bought the practice, but not the real estate. We outgrew that space in about five years but made do until the right opportunity presented itself.” Which it did that fateful Thanksgiving.
Last year brought a further evolution. “We moved into a larger space that we own, designed and did a lot of the work ourselves,” says Jim. “I’d like to say we would have done this sooner. Or should have. But we were really fortunate to have been offered this opportunity. It was worth the wait. We have a great staff, business, and patients. We are living the dream!”
Advertisement“Moving into my new office space a year ago was my most important day,” says Visualeyes Optometry’s Lee Dodge, OD. “It marks the success we have had and moving into a larger space that we can grow into represents the success that is yet to come.”
The new address is less than a mile from the space they had occupied since 2006, but it is light years away from how they used to practice. “I have double the space, so I have more room to expand and the optical is larger, so we have more frames,” explains Dodge. He also has more exam rooms, doctors, patients and staff. And his patients? “They love the new space, except for one. There is always one,” he laughs. “I’d say all of them migrated. Maybe 99 percent? We even got a few old patients back that stopped going to our old place because of the parking.” Win!
Sometimes it’s the bad days that shape your business. That was the case at Bright Eyes Vision when they were faced with a patient who did not understand her insurance and tried to blackmail them to give her contact lenses for free or face a negative Yelp review.
Dr. Sue Miller explains: “This patient had an insurance plan where their contact lens benefits were different if the lenses qualified as “selection” or “non-selection”…she needed astigmatic lenses, ‘non-selection’ at that time.” After Bright Eyes put her lenses in she refused to pay and made the threat. “We are a cold startup and reviews are even more important to us, but so is not being blackmailed,” explains Dr. Sue, who practices with her daughter Dr. Heather. The patient had a friend put a negative review on the business’ Facebook page and Yelp.
Bright Eyes responded to both reviews at length and now has a contact lens agreement that everyone who wants contacts must sign. A hard lesson learned but “we have not had an incident since,” says Dr. Sue.
“The day I found out the business was for sale, I said “I would like to buy it,” says Dr. Monika Marczak. That was followed by a cold sweat and a cry in her car. But she knew she wanted to preserve her team and that everything would fall into place. She purchased what is now Eye Candy Optical Center in August 2009 and has had the same team since — there has been zero turnover!
The previous owners were already negotiating with more experienced ODs. “Because I came into the game late, I only had two weeks to present a Letter of Intent. I went to all the banks, I begged, I pleaded, and they all said no,” she explains. “A patient knew the president of S&T Bank, who…took a chance. It was because of people’s trust in me and my vision that I was able to obtain the loan.”
“It was the scariest decision but the ride has been nothing but exciting,” she exclaims. And she has the support of that long time staff. “They know that my first instinct was to save their jobs, not own my own business.” But she is also quite pragmatic when it comes to their longevity. “My payroll is higher than industry standard and I provide medical insurance and 401K match so it’s difficult to leave me!”
Since launching in 2014, INVISION has won 23 international journalism awards for its publication and website. Contact INVISION's editors at editor@invisionmag.com.
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