Tuesday, January 22, 2013

10 Things Our Top Offices Do


I determined our top offices for 2012 by allocating 1 point for every $100,000 in Net Revenue/Doctor and 2 points for every percentage of growth in Net Revenue.

I took the financial information for the top 6 offices and I also interviewed the doctors and some staff to determine a few things that they are doing that might have contributed to their success.

1.   Staff Meetings – All 6 offices had staff meetings at least once a month and 3 of them had staff meetings twice a month.

2 & 3. Goals & Bonuses – All 6 offices had posted or discussed goals in some capacity.  They also had some sort of bonus system that was tied to their goals in one way or another.

4 & 5. Managed Accounts Receivable & Adjustments – The top 6 offices had an Average Days in Accounts Receivable of 21 days and as a result their adjustments averaged out at 33%.  

6 & 7. See 12 Comprehensive exams/day & Work the recall system – 5 of the 6 offices saw at least 12 comprehensive exams a day and they all stressed the importance of working their recall system for getting patients in to see them.

8.   The Right People on the Bus and the Right People in the Right Seats (“Good to Great,” – Jim Collins) – A common theme in my interviews was the importance of the staff, them working together/gelling, and their happiness. 
3 of the 6 offices had let people go for negative attitudes in the last several years and 3 of the 6 offices had shifted people from one position to another that was better suited for that person.

9.    Optical Handoff – 4 of the top 6 offices regularly performed an optical handoff and their average Optical/Professional fees were 158%.  Before COGS and Adjustments, these 4 offices combined for a total of $3.8 Million in Optical.

10.   Have High Tech Equipment and they use it – Between these 6 offices 5 of them have an OCT and 5 of them have an OPTOS.  The capture rate on OPTOS/Comprehensive exams was an average of 59% for the top 4 offices. 

Bonus: 2 of the top 6 offices even went so far as to send thank you letters to their patients.