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John Marvin

This Simple Addition to Your Daily Routine Can Make You a Better Manager

Keeping a journal is easier today than ever before.

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EVERY DAY of your practice you create a health record of the patients you examine and prescribe for. You meticulously make note of not only refraction results but also pathology or potential pathology that might be indicated by the patient’s family history.

Can you imagine if you did not keep these records? Besides not being eligible for third-party payments, each time you examined the patient, you’d be starting over. What quality of care would you be providing if your attitude was, “I really don’t need to write anything down. I can keep it in my head.” Sounds ridiculous, right?

The reality is: This is an important part of building a practice that provides quality care — keeping meticulous records of each patient visit. Here is my question: Then how do we think we can manage our practice without the same attention to note-taking or using the same approach to building our practice?

As an owner/operator optometrist, you wear two hats, one as a qualified health care practitioner and the other as the business owner and manager. Currently you are probably keeping very good records and taking excellent notes as the OD but my guess is that you are trying to perform the other responsibility by just keeping everything memorized. I don’t know about you, but I learned long ago that you can’t trust your success to your memory. We learned that in high school. Then why do we not think this is a bad idea for ensuring our success as owners and managers of our business?

Keeping a journal is easier today than ever before. There are countless smartphone applications that enable you to dictate your thoughts and interactions with employees and vendors. I use an application called Evernote. I find it easy to use and keep an ongoing record of daily notes related to my professional responsibilities. I have also set up a separate personal journal, which I use to record thoughts, ideas, notes from books I read, etc. I consider this my personal health record.

There are a number of different approaches: Some like pen and paper, others prefer a combination of digital and analog. The method matters less than the consistency of writing down the notes and building the record. If you commit to doing this for 90 days, you’ll see how it can help you be more productive and provide you with a base of information on which to make good decisions. In my case, it’s helped me be a better professional, husband and father.

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This is a perfect time of year to start creating your personal health record. To start, simply decide before you go home each evening (or better, throughout the day whenever you have a few minutes), to jot down your thoughts as the business owner and manager. Plan time each week to reflect back on your notes, and plan the upcoming week building on the record you’ve created. You will be amazed at what you’ve learned and recorded in one year’s time.

John D. Marvin has more than 25 years of experience in the ophthalmic and optometric practice industry. He is the president of Texas State Optical and writes about marketing, management and education at the practiceprinciples.net blog. You can email him at jdmarvin@tso.com.

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John Marvin

Begin Your Business with the End in Mind

Few doctors understand that the day you open is the day you start planning to sell.

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THERE IS AN OFT quoted question from Alice in Lewis Carroll’s classic, Alice’s Adventures In Wonderland. She asks the Cheshire Cat, “Would you tell me, please, which way I ought to go from here?” “That depends a good deal on where you want to get to,” says the Cat. “I don’t much care where,” responds Alice. The cat replies, “Then it doesn’t matter which way you go.” Far too many optometrists and optical owners seem to subscribe to this approach to their careers.

I have known many optometrists who spend 40 years owning a private practice who wish to sell and retire. However, they are often faced with the sad reality that they have followed Alice’s approach. Whether it be a vacation, a wedding, or a career, planning is critical to getting where you want to go.

Last month’s issue was about beginnings — starting a new business — something I’m familiar with having helped almost 70 young optometrists build a new practice. Everyone knows you don’t successfully open a new practice without the proper planning … but few doctors understand that the day you open is the day you start planning to sell. A successful ending requires just as much planning as a successful beginning.

Stephen Covey famously said in his book, The 7 Habits Of Highly Effective People, “…begin with the end in mind.” Start with a clear understanding of your destination. If you have not clearly defined what you want to achieve at the end of your career, then likely you won’t like how it ends. To start, ask yourself: “If I were a young optometrist, what kind of practice would I be excited to own?”

Having worked with hundreds of young, entrepreneurial optometrists, I can suggest the following:

A Great Location

It’s likely that over the forty years you own your practice, your neighborhood and community will change. It’s possible it will improve, but more likely it will change for the worse. Our society is in constant motion, new developments are built and people move. Evaluating whether you should relocate is of utmost importance. A prospective buyer will want growth potential.

An Updated Space

If you’ve been in practice for over 25 years and have not remodeled your office, it will be very hard to appeal to a young optometrist. Retail and clinical space design has changed significantly in the past decade. Visit best in class retail businesses to see how they are designed; note how they merchandise their products and approach customer service. Keep your practice competitive with others that appeal to customers. What do customers and patients experience when in your business?

Modern Equipment

Today’s refractive and diagnostic equipment is light years from what was purchased ten or twenty years ago. Today’s digital phoroptor and digital preliminary testing equipment enables doctors to provide a higher quality of care that patients have come to expect. Advances in digital imaging allow doctors to identify and manage pathology which previously had gone unnoticed. This is what will be expected by anyone interested in buying your practice.

Well Merchandised Inventory

One of the most overlooked aspects of a 35 or 40-year-old practice is its inventory. It’s a part of the business many doctors ignore and delegate it to someone on staff. The result is an optical that is overstocked and out of date with only about twenty percent of the frames actually selling over and over. The rest just sit and attract dust. When the practice is sold, the thousands of dollars tied up in old inventory drags down the value of the practice.

Put yourself in the shoes of a young optometrist and think of the kind of practice they would want to own. Write down the qualities of this practice, this is the end that you have in mind. Once you know where you are going, it will be much easier to end up where you’ve planned.

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John Marvin

Success is Only the Tip of the Iceberg

To navigate your own future, you need to look below the surface.

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THERE’S A POPULAR image of an iceberg that you may have seen. The top of the iceberg, the portion above water, is titled success. This portrays what everyone sees about something successful. Underneath the surface is the much larger portion of the iceberg and it is titled hard work, late nights, persistence, rejections, sacrifices, discipline, criticism, doubts, failure, risks. These are the actions, behaviors and decisions your success is actually built upon that few people realize or acknowledge.

Opening a start-up practice is something our organization specializes in. With the experience of opening what will be 70 new offices by year end, I feel qualified to speak on what it takes for a new practice to succeed. It doesn’t include magic, luck or “secrets.” What it takes is everything under the surface of the iceberg. For a young doctor, there are important reasons to embrace what lies beneath the surface.

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Well-known teacher of achievement principles Jim Rohn says, “Success is not something you pursue but rather something you attract by the person you become.” The value of embracing everything that lies beneath the surface is that the process creates experience and experience produces personal growth … that, in turn attracts success.

Without the growth that results from sacrifice, enduring criticism and taking risks, you can’t understand how to produce a successful outcome. Without working Saturdays, late nights, being persistent and experiencing setbacks, you do not know the value of inconvenience nor the pride of accomplishment.

Owning an eyecare business is not for everyone. If you don’t have the passion and deep desire for ownership, to produce your own income, and have control over the patients’ experience, then it is best if you work to help someone else build their practice. To be successful at ownership, you have to have a passion for what you do. If you do not have passion, you’ll quit. Building anything of value and especially building a private practice is hard and requires work. There are constant challenges with staff, managing expenses and dealing with regulations. If you don’t have a love for what you do and understand in your core why you are doing it, you will not be successful.

However, if you do have this passion, know why you work so hard to overcome challenges, and you take full responsibility for the success of your practice, the reward of ownership and the pride of accomplishment is unlike anything experienced by those who work for someone else. That is why they only see the top of the iceberg and not what lies beneath the surface. They attribute your success to luck, to being in the right location at the right time, or something else that demonstrates they do not understand the work that went into the achievement.

I visit often with an optometrist who is interested in opening their own practice and they have become consumed with analyzing demographics, competition in an area, household incomes and other factors they consider critical to their success. While consideration of these items is important, they have failed to consider the most important factor — their own determination and commitment to personal growth.

When you are deciding to start your own practice, you are the captain of the ship. It is your responsibility to navigate your own future, to overcome, endure and grow from what lies beneath the surface.

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John Marvin

All You Have to Do Is Try One More Time

Failure only happens if you give up.

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THOMAS EDISON ONCE SAID, “Our greatest weakness lies in giving up. The most certain way to succeed is always trying just one more time.”

It is completely in our control. All we have to do is try one more time. If that doesn’t work, then try one more time. You create your own new beginning.

We often see failure as final, devastating, humiliating and sometimes even a fatal blow to our dreams. Succumbing to this point of view, or dare I say, belief, is an outward demonstration of weakness. Imagine the NBA without

Michael Jordan. Well there would have not been a Michael Jordan if he had believed that failure was devastating and final. In his own words, MJ said, “I’ve missed more than 9,000 shots in my career. I’ve lost almost 300 games.

Twenty-six times I’ve been asked to take the game winning shot and missed. I’ve failed over and over again in my life. And that is why I succeed.”

We see the awards, the recognition and notoriety of successful people like Michael Jordan but don’t realize that for every accomplishment recognized, there are hundreds, if not thousands, of instances of failure.

It is the fear of failure that keeps most people from even trying to accomplish or be successful. Wayne Gretzky, the NHL player nicknamed “The Great One” and considered by many to be the greatest professional hockey player of all time, said, “You miss 100 percent of the shots you don’t take.” The fear of missing a shot robs us of the success we can have.

What makes this so important is that success in whatever we pursue is not something that might happen, but with understanding that all we have to do is not give up, we can make success a certainty.

So, what holds us back? This little word “fear”.

Fear of some things is good. It protects us. We don’t text and drive for fear of accidents. We don’t put ourselves in harmful circumstances. I live in southeast Texas. When the national hurricane center warns of an impending storm, many who live along the coast evacuate for higher ground due to fear of a dangerous storm. These are all rational fears.

Then there is emotional fear. Fear of speaking in front of a crowd or fear of being rejected when asking the Homecoming Queen on a date. These are less rational and more emotional.

The fear of failure is an emotional fear. We are afraid that we will be embarrassed if we say we are going to do something and are not successful. We are afraid of what others might think and we’ll suffer a loss of self-esteem. Our insecurities take prominence in our imagined world.

Fear of failure is the behavioral reaction we have when we fill our minds with all of the bad things that will happen if we simply try. It’s paralyzing. We think, nothing ventured nothing lost. When in reality, nothing ventured is nothing gained.

This mindset is deceiving and limits our own potential. We live our lives defensively while others, who take risks, enjoy achievement and success. Sure, some fail, but failure is only a reality when one gives up and quits trying. Barry Bonds, the MLB player with the record for home runs at 762, struck out 1,539 times, more than twice his number of home runs. Bonds knew that each time at the plate was a new beginning and the only way to fail is to stop trying.

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