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Strategies for Surviving Today’s Optical Business Ed De Gennaro Richmond, Virginia 1

Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 1: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Strategies for Surviving

Today’s Optical Business

Ed De Gennaro

Richmond, Virginia

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Page 2: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Ed De Gennaro

Director of Professional Content &

Executive Director, ORBA

First Vision Media Group

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Page 3: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 4: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 5: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

It’s All About Controlling the Rx

There are only so many Rx’s out in the market

The business that controls the flow of Rx’s is the

one that will be successful

How will you get your share of this market?

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Page 6: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 7: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 8: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 9: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 10: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 11: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 12: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 13: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 14: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 15: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How may people wear ANY form of eyeglasses?

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Page 16: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 17: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How may people wear RX eyeglasses?

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Page 18: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 19: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 20: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 21: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 22: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 23: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 24: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 25: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 26: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 27: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

• What’s the % or AR usage?

• What’s the % of photochromic usage?

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Page 28: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 29: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How many pairs of eyeglasses were sold in

the last 12 months (ending June 12)?

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Page 30: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 31: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

What was the average price of a frame in

the last 12 months (ending June 12)?

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Page 32: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 33: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 34: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How often do people buy eyeglasses?

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Page 35: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 36: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 37: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How many people had refractive surgery in

the last 12 months (ending June 12)?

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Page 38: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 39: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 40: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 41: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

What’s the average price of a pair of plano

Sunglasses In the last 12 months (ending June 12)?

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Page 42: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 43: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 44: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 45: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 46: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 47: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 48: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 49: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 50: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 51: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 52: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 53: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

What’s the average price of readers in

the last 12 months (ending June 12)?

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Page 54: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 55: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 56: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How often do people buy OTC reading glasses in

the last 12 months (ending June 12)?

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Page 57: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 58: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 59: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 60: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How many pairs of readers glasses did people own

in the last 12 months (ending June 12)?

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Page 61: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

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Page 62: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Knowing Your Business

Do you have a business plan (strategic plan)?

Helps focus your team

creates clear targets for everyone

How to develop one

As a team

Creating “professional product objectives”, not sales

goals

Why does this work?

What do you pay them for?

Spiffs? Commission? Bonus?

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Page 63: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Mission

Goals

Docs

Goals

Optical Dispensary

Goals

Administrative

Assistants

Objectives

Docs

Objectives

Optical Dispensary

Objectives

Administrative

Assistants

Strategies

Administrative

Assistants

Strategies

Optical Dispensary

Strategies

Docs

Vision

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Page 64: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Objectives

Objectives “operationalize” the goal

Objectives are measurable

Phrase them in action terms

"Increase the level of rimless sales by 5%

Reduce lateness by 25%

Set a performance standard in the objective

"By March 31st, ......

Make them as clearly understandable as

possible

Use as many objectives as needed 64

Page 65: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Remember ….

An objective has a performance standard and a date Increase sales of rimless eyewear by 15% by June

30, 2006

Decrease errors in the finishing lab to no more than 2% within the next 90 days.

Improve staff morale to 90% by the end of the year.

Increase sunwear sales to 20% of all eyewear sales within 180 days.

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Page 66: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Implementation Strategies

Define the procedural steps needed to

implement the objective

Ex. Who does what, when, how, for how long, for how

much, in relation to who, etc.

Develop as many implementation strategies as

needed

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Page 67: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

To Ensure Success …

Evaluate, Refine, Adjust

Start by keeping it simple

1 page is enough

1 long afternoon or day or planning is enough

Appoint someone to monitor results

Meet each week to review results, share ideas,

etc. (chains do this EVERY DAY!)

PROVIDE TRAINING!

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Page 68: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Knowing Your Business

You can’t improve what you don’t measure

Manual system?

Software system?

Which is best?

Benchmarks

A helpful yardstick for knowing your business success

Examples:

AR – 29% Photochromics – 17% PALs – 58%

What are your numbers?

What would you LIKE them to be?

So how do you get there?

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Page 69: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

What should you measure?

Gross income

Net income

Average sale

Cost of goods by category (frames, lenses, etc.)

Specific product sales percentages

For the office

By optician

Lab costs

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Page 70: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Business Models

No doc and no referrals from docs

Referrals from docs

Having a doc in your office

Photo courtesy of Carl Zeiss Meditec

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Page 71: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Rx Release Rule

40 years old and still in force

Is it a dead issue in the optical world?

GPO Web site, “federal regulations” tab

PART 456—Ophthalmic Practice Rules

(Eyeglass Rule):

16 CFR Part 456

Some provisions …

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Page 72: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Rx Release Rule

On the ORBA Web site: The rule

Sample Warning Letter to Prescriber Sample Warning Letter to Seller The Eyes Have it – Get Your Prescription

How to use these Hand them to patients Mail Web site Ads?

Bruce’s Body Shop in Richmond

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Page 73: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Doc Pros and Cons

Pros

Cons

You now generate your own scripts Your business’ reputation is now

linked with the doctor

Less worry about losing customers,

since they are right there to capture

If you’re set up properly, you can

accept vision care insurance

For some plans, that means the doc has to

be a 51% owner of the business

You’re not the majority partner any

longer

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Page 74: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Some Issues

Linda’s situation

Separate door - legally separate

Sharing of staff

Space

Who pays for the equipment?

Does the doc pay rent?

CHECK THE STATE OPTOMETRY REGS

VERY CAREFULLY

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Page 75: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Finding a Doc

How to find a doc if you want one

ORBA blog topic

Newspaper

Optometry colleges

Contacting the state optometry association

Asking local ODs

Craig’s List!

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Page 76: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

How to Avoid a Bad Situation

Dr. is a poor refractionist

Dr. is not booking enough scripts

Your capture rate is really low

CREATE A SOLID CONTRACT!

Everyone needs to know and understand the

expectations going in

Build in methods to resolve disputes

Build in a method to dissolve the partnership

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Page 77: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Is it Really Worth it?

You’re the only one who can

answer this!

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Page 78: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Vision Care Insurance

VCI was developed for optometry, not opticianry.

It STILL is!

VCI put optometry on the map

MD vs OD fees years ago – ODs did it for less

Now at parity - Equal pay for equal service

VCI has forced the price of eyeglasses much

higher

To provide the discounts required, you have to mark

up your eyewear pretty high

Many offices use close-outs for this market

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Page 79: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Why Take It?

To serve the consumers in your market

Many locations have heavy amounts of one kind of

VCI in their area

Some offices specialize in lower end sales

Business is business – why turn it away?

EyeMed webinar by Arnie Edelman

VSP – IOBs filing claims out-of-network

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Page 80: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Your Own Insurance Plan?

ILOV project

Kirkland Opticians’ strategy

A national plan?

This would be a good project for ORBA

With enough members, this is possible

Similar to Rexall and IGA

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Page 81: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Revenues Outside of Insurance

Professional fees for opticianry?

ODs did this over 25 years ago when

1-800 CONTACTS began

Optical Society of Western NYS is doing it

Charges for repairs, adjustments, PDs, fitting

measurements, etc.

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Page 82: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Tracking Your Business:

If you don’t know what is selling, who it is being

sold to, and where those customers came from

you cannot effectively manage your practice.

The basics: frames

lenses

add-ons

referral sources

Knowledge IS Power, AND Money

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Page 83: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Use practice management software (OfficeMate, EZFrame)

hard numbers, either via software or hand counting

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0%

None

Quickbooks

Quicken

Microsoft XL

Peachtree

OfficeMate

Compulink

EasyFrame

RLISYS

Other (please specify)

17.9%

47.4%

1.3%

3.8%

2.6%

9.0%

3.8%

5.1%

2.6%

29.5%

Source: ORBA, 2010

HOW do you track these things?

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Page 84: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

What do you need to know?

And what does it tell you? Frame sales: How many vs how much is on your board?

Less than 250 250-500 500-700 700-800 800-900 900-1000 1000-1250 1250-1500 Over 1500

2.6%

22.1%

20.8%

16.9%

10.4%

5.2% 5.2%

9.1%

7.8%

Number of Frames Displayed on Frame Board

Source: ORBA, 2010

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Page 85: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Lenses: The minimum you need to know

Are you spending too much time calling too many labs?

1 2 3 4 5 or more

15.4%

28.2%

20.5%

16.7%

19.2%

How many optical labs did you use in 2009?

Source: ORBA, 2010

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Page 86: Strategies for Surviving in Today’s Optical Business...Vision Care Insurance VCI was developed for optometry, not opticianry. It STILL is! VCI put optometry on the map MD vs OD fees

Thanks for attending!

Ed De Gennaro

Director of Professional Content &

Executive Director, ORBA

First Vision Media Group

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