worried person waiting

Picture this scenario: A brightly lit, sterile-looking waiting room of an optical clinic. The reception desk buzzes with activity as patients come and go. A nervous patient, Emma, sits fidgeting in a chair, leafing through a magazine. She periodically glances at the entrance, her anxiety palpable.

When she checked in, Emma had mentioned to the receptionist “I’ve never been very comfortable with eye exams. The thought of someone poking around my eyes makes me squirm.”

After checking her in, the receptionist instructs her to sit in the waiting area like they would for any other patient and let’s her know someone will be with her shortly. And so here sits Emma, waiting, worrying, and contemplating leaving the office due to her increasing anxiety. At this point, she’s not sure she will be able to make it through the appointment.

Finally, the pre-tester comes to get her, and she makes it through the pretesting and is seen by the optometrist. She doesn’t voice any concerns, even though she has a few, because she has already maxed out her mental bandwidth for managing her own anxiety about this appointment for the day.

Even though she is handed a prescription for some simple anti-fatigue lenses, she quickly pays for her exam and goes home to order online. Emma would describe this experience as “Terrible. I felt a huge lack of empathy from the staff, and no one answered my questions.”

The staff who helped Emma would view this appointment as being a success, because they got her through the whole appointment, and she didn’t vocalize any complaints at the time. Sure, she didn’t purchase anything, but she wasn’t angry, upset, or irate in any way. That’s a win in our books, right?

As eye care professionals, we must remember that fear isn’t always loud. Sometimes it takes the form of quiet and polite.

We focus on the loud individuals; however, we need to keep in mind that there are quiet and reserved patients whose needs can often get missed and overlooked if you don’t have the skills to spot it and take preventative action.

So how can we do this?

We increase our emotional intelligence! Specifically social awareness.

This will change their perspective and can stop those walkouts from buying online!

Cues to watch for:

Body Language:

  • Tense posture, such as crossed arms or legs.
  • Fidgeting, such as tapping feet or playing with objects.
  • Avoiding eye contact or shifting gaze frequently.
  • Clenched fists or jaw, indicating tension.

Withdrawal or Avoidance:

  • Attempting to delay or avoid the examination.
  • Pulling away from the optometrist or medical equipment.
  • Expressing a desire to leave or reschedule the appointment.

Gestures:

  • Rubbing or massaging temples or forehead.
  • Clenching fists or wringing hands.
  • Restlessness, such as shifting in the seat or pacing.

By attentively observing these social cues, you can start to provide some simple strategies to alleviate the fear, stress, and/or anxiety that your patient is experiencing.

If we think back to Emma’s story, she gave a very direct verbal cue to the receptionist: “I’ve never been very comfortable with eye exams. The thought of someone poking around my eyes makes me squirm.” That was her way of outright telling her “I’m uncomfortable and fearful”.

If the receptionist had picked up on this, she could have done multiple things to help start Emma off on the right foot.

Bonus Tip: Describe the pre-tester to the patient and let the patient know she is very friendly and kind.  This helps build Emma’s perception of her interaction with the pre-tester as being a friendly and kind person.

We have can hone our skills to become more aware of these cues in our patients and provide an amazing experience for them. The first step is becoming more aware of those cues and the next step is having clear steps to help guide them through the experience and influence their perception in a positive way.

If you are one of those amazing individuals that can see the values these skills hold, I invite you to visit https://www.emotionalintelligenceconsultinginc.com to increase your social awareness and skills for influencing a patient’s experience from a negative to a positive one.

Jade Bodzasy

Jade Bodzasy

Jade Bodzasy, Founder of Emotional Intelligence Consulting Inc., is a dedicated Coach and Consultant for Optometric Practices. Her extensive background includes over 20,000 hours of expertise focused on customer relations, work structure refinement, training method development, and fostering improved work culture within Optometric practices.

Certified in Rational Emotive Behavior Techniques (REBT), Jade possesses a unique skillset that empowers individuals to gain profound insights into the origins of their behaviors, as well as those of others. Leveraging her certification, she equips optometry practices with invaluable resources and expert guidance to establish and sustain a positive, healthful, and productive work environment.


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Commercial real estate

For over a decade, the Canadian real estate market has experienced growth that far surpassed any rational expectations.

In 2023, the reset of interest rates slightly cooled the market’s fervor, yet the core momentum remained unabated.

Currently, the prospect of rising interest rates looms, driven by increases in the Government of Canada’s five-year bond yields—a precursor to changes in the bank’s prime lending rate.

This development casts doubt on the possibility of interest rate relief in the spring or summer of 2024. I could be wrong.

Understand Ownership and Operating Costs

This context underscores the substantial costs of owning and operating commercial real estate for business owners.

While the residential market garners extensive coverage in media, this discussion will focus on the less-discussed commercial occupancy costs. I recently spoke with a Vancouver practitioner who highlighted a modern, high-tech development in an upscale neighborhood.

The going rate for a vacant commercial condominium there is $2,400 per square foot. Consequently, acquiring a 1,000-squarefoot space demands an investment of $2.4 million, excluding closing costs.

This price tag does not cover the additional expenses for leasehold improvements, which could ascend to another $500,000. Moreover, equipping the practice with necessary technology and equipment may require a further six-figure investment.

Hence, the total initial investment for launching a fully operational new practice in a 1,000-square-foot commercial condo in this elite Vancouver area could reach over $3 million.

This figure represents the debt burden from day one. A metaphorical $3 million ribbon-cutting ceremony, indeed. The journey to debt freedom begins thereafter, patient by patient, potentially spanning decades for the ambitious doctor.

To some, this scenario may resemble a perpetual commitment to a financial institution.

  • Amortized over 20 years
  • At the current prime interest rate of 7.2%
  • Monthly payment: $27,557
  • Total payment over 20 years: $6.6 million
  • Interest cost alone: $3.1 million!

A Harsh Reality

The financial strain on a young doctor would be immense, with the pressure to generate income being nearly insurmountable. Including wages, supplies, lab fees, and other operational expenses, the breakeven point for such a practice is a minimum of $60,000 per month.

And this calculation hasn’t yet accounted for personal living expenses. Therefore, anticipate an additional $250,000 in line of credit usage within the first year, with potentially more in the second year. In summary, within the initial years, this scenario could see the doctor facing $4 million in debt.

By the third year, with some fortune, they might manage to draw a salary between $50,000 and $80,000, yet still grapple with a $4 million debt and over $25,000 in monthly interest payments.

This is the harsh reality of real estate ownership for a new, state-of-the-art practice occupying 1,000 square feet in downtown Vancouver.

For illustration, consider doubling the space to 2,000 square feet and recalculating the figures—truly startling!

Navigating this level of debt while adhering to ethical standards in practice is a formidable challenge for any doctor.

Do you have a debt repayment story to share?

Contact me at:  jackie.joachim@roicorp.com – I might feature your story anonymously and enter you into a draw for a free appraisal.

Jackie Joachim, COO ROI Corp

JACKIE JOACHIM

Jackie has 30 years of experience in the industry as a former banker and now the Chief Operating Officer of ROI Corporation. Please contact her at Jackie.joachim@roicorp.com or 1-844-764-2020.


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In the bustling environment of an optometry clinic, where precision and empathy intertwine, the relationships among staff members play a pivotal role in shaping the patient experience and clinic efficiency. From receptionists to optometrists, each member contributes to the seamless functioning of the clinic. Therefore, prioritizing and nurturing inter-staff relationships isn’t just an idealistic pursuit; it’s a practical necessity. Here’s why it’s crucial to focus on maintaining these relationships and how it can positively impact the clinic’s dynamics and outcomes.

Ask yourself this question:

When I walk into any healthcare setting, what is the thing I observe the most?

Answer: The staff.

Next question, “What influences my perception of how this appointment is going to go?”

Answer: Interactions between staff members.

We all do it. We are born observers. That’s how we learn, survive, and thrive as human beings. We watch and we make assumptions as to what’s coming next. It makes us feel safe and more at ease to do this.

Now for those of you that are thinking “That’s not a good enough reason to invest in supporting these inter-staff relationships” here are a few others that might peak your interest.

 

Clinics with Strong Inter-Staff Relationships Experience:

  1. Enhanced Communication and Collaboration:

Effective communication lies at the heart of any successful organization, and an optometry clinic is no exception. When staff members maintain healthy relationships, they are more likely to communicate openly and collaborate effectively. Whether it’s discussing patient cases, sharing insights, or coordinating schedules, a cohesive team fosters an environment where information flows seamlessly. This not only reduces the likelihood of errors but also enhances the quality of patient care.

  1. Boosted Morale and Productivity:

A positive work environment characterized by camaraderie and mutual respect is conducive to high morale among staff members. When employees feel valued and supported by their colleagues, they are more likely to feel motivated and engaged in their work. This, in turn, translates to increased productivity and efficiency. A team that works well together is better equipped to handle challenges and adapt to changes, leading to smoother clinic operations and ultimately better outcomes for patients.

  1. Culture of Trust and Support:

Inter-staff relationships built on trust and support form the foundation of a healthy organizational culture. When employees feel trusted and supported by their peers, they are more likely to take initiative, innovate, and contribute to the overall success of the clinic. Moreover, a culture of trust encourages open dialogue and constructive feedback, allowing staff members to learn from each other and grow both personally and professionally.

 

  1. Reduced Turnover and Enhancing Recruitment:

A clinic that prioritizes inter-staff relationships is more likely to retain its employees and attract top talent. Staff members who feel connected to their colleagues and supported by their workplace are less likely to seek opportunities elsewhere. Additionally, a positive work culture characterized by strong relationships can serve as a powerful recruitment tool, drawing in skilled professionals who are eager to be part of a collaborative and supportive team.

Now are you starting to see why focused effort on creating these strong relationships can benefit your clinic?

I hope so at this point! Because you can clearly see that this is a win, win for all people involved.

Here are a few ideas to get you started on fostering these inter-staff relationships:

  • Increase your approachability: Take trainings on self regulation, self-awareness, self-management, and social awareness to increase your team’s comfort around you.
  • Recognize and appreciate staff members for their contributions and achievements through verbal praise, written commendations, or employee recognition programs.

 

  • Celebrate milestones, birthdays, and work anniversaries to show appreciation for the dedication and hard work of the staff.
  • Acknowledge personal achievements in life. Congratulate team members on personal accomplishments that they share. This will encourage others to share their own and increase connection among the team.

What it comes down to is if your staff have relationships that they value and have been encouraged to value, the clinic performance increases and so does the positive perception of patients.

If you can see the value in fostering inter-staff relationships I invite you to visit https://www.emotionalintelligenceconsultinginc.com to learn more about how you can start implementing this in your own clinic.

Jade Bodzasy

Jade Bodzasy

Jade Bodzasy, Founder of Emotional Intelligence Consulting Inc., is a dedicated Coach and Consultant for Optometric Practices. Her extensive background includes over 20,000 hours of expertise focused on customer relations, work structure refinement, training method development, and fostering improved work culture within Optometric practices.

Certified in Rational Emotive Behavior Techniques (REBT), Jade possesses a unique skillset that empowers individuals to gain profound insights into the origins of their behaviors, as well as those of others. Leveraging her certification, she equips optometry practices with invaluable resources and expert guidance to establish and sustain a positive, healthful, and productive work environment.


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Dont flush practice value down the toilet!

While originally spun from the dental world by Tim Brown, President of ROI Corporation, this story resonates just as profoundly within the realm of optometry.

Reflecting on Tim’s eye-opening narrative. “Why Toilets Matter”, it’s clear that the nuances of practice environment extend far beyond mere aesthetics or functionality. They’re crucial to the very valuation of an optometric practice.

Here’s a curious tidbit that Tim shared, illustrating the point perfectly: A dental office in an older medical building introduced door codes for bathroom access, changing them occasionally.

Sign in dental practiceImagine, if you will, a patient viewing this sign!

This isn’t just about security or modernization; it’s a testament to how amenities, as mundane as bathroom access, can significantly impact a practice’s perceived value.

Amenities such as these aren’t just physical attributes; they’re reflections of how a practice values its staff, patients, and overall operational ethos. And guess what? This wisdom utterly applicable to the optometry world as well.

Tim draws from a decade of hands-on clinical experience before venturing into the appraisal and valuation arena, He has navigated diverse practice settings, each with its unique challenges and comforts. The conclusion? The quality and availability of facilities like bathrooms genuinely matter.

Imagine the daily grind in an optometry practice – it’s a marathon of mental and physical exertion. From the moment you step through those doors, it’s non-stop. The availability of a private space to catch a moment’s breath between patients isn’t a luxury; it’s a necessity.

Yet, disappointingly, this basic requirement remains elusive in many settings. Consider a working mother returning from parental leave, the absence of a private, comfortable space for necessities like breast milk pumping – relegated instead to a cramped public restroom! Disheartening.

Key Point: Minor Details Impact Practice Value

We’ve witnessed firsthand the discomfort of staff and patients sharing a too-close-for-comfort restroom adjacent to the waiting area. The thought of a healthcare professional emerging from such a space, only to engage closely with a patient, underscores a glaring oversight in hygiene and privacy standards.

The dialogue around these issues isn’t new. These seemingly minor details can profoundly affect the morale of your staff, the satisfaction of your patients, and ultimately, the financial valuation of your practice.

In echoing Tim’s sentiments, it’s clear: The gold standard for any healthcare practice, optometry included, must advocate for private bathroom and a dignified, clean space for staff. Let’s not overlook the basics, for in them lies the foundation of our practice’s value and integrity.

Link to Previous Jackie Joachim Articles,

Link to Tim’s original article.

Jackie Joachim, COO ROI Corp

JACKIE JOACHIM

Jackie has 30 years of experience in the industry as a former banker and now the Chief Operating Officer of ROI Corporation. Please contact her at Jackie.joachim@roicorp.com or 1-844-764-2020.


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