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We’ve got your covered! Let’s talk insurance…

At Envision Eyecare, we see a variety of patients with a plethora of both vision (refractive) and medical concerns. As an optometry practice, we provide our patients with the tools to improve their sight, such as prescriptions for glasses and contact lenses, as well as monitor and treat eye conditions and diseases. Based on each patient’s individual needs and medical concerns, we bill insurance companies accordingly based on the primary diagnosis code from the patient’s visit.  But the question most of our patients have is, what’s the difference between the two? When does an examination become medical as opposed to refractive? Why are they different?

There are two types of coverage that may help pay for your eye care services and products.

  1. Vision Care Plans (Such as VSP, EyeMed, Superior Vision, Community Eye Care & Opticare)
  2. Medical insurance (Such as Blue Cross/Blue Shield, United Healthcare, Medicare)

Vision Care plans only provide benefits towards routine vision exams along with eye glasses and contact lenses. Most patients we see have vision concerns. We hear complaints such as “I am having trouble reading road signs while driving” or “I can no longer read menus when I’m out at a restaurant”. These are refractive concerns that can most commonly be corrected with prescription glasses or contact lenses. These are typically billed to a vision plan with a refractive diagnosis code, such as Myopia (nearsightedness) or Hyperopia (farsightedness). Vision plans do not cover for the diagnosis, management or treatment of eye diseases.

Vision plan benefits may fall short of providing all services necessary to evaluate best eye health and sight correction. We treat and monitor our patients for glaucoma, macular degeneration, cataracts, diabetic retinopathy, and other eye conditions. We also hear things like “My eye has been really irritated, and it feels like there’s something in it”, or “I have a bump on my lower eyelid that is red and sore”. When medical conditions are diagnosed and are being monitored in our office, it is often more appropriate to bill our patient’s medical insurance as opposed to their vision plan. This does not mean that these patients do not need vision correction, or have no vision concerns; it means that the medical diagnosis is the primary diagnosis from their visit.

If a patient has both types of insurance plans, it may be necessary for us to bill some services to one plan and other services to the other. While we can never guarantee what services will be paid, we work with insurance companies to coordinate benefits to reduce our patient’s out-of-pocket expense.

These statements about refractive exams versus medical exams are never black and white, and every patient is unique. No matter what the case may be, the eye health of each individual patient is, and always will be, the first priority.

By Lauren Otis

What If?….

 

As the year comes to a close I think about all of the things I am grateful for.  Being in Asheville, making new friends, and adventuring with my dog are just a few things I am grateful for this past year.  While on a waterfall adventure I started to wonder, what if I couldn’t see all of the beauty nature has to offer?    That question made me realize the one thing I should include being grateful for this year is my precious sense of sight.  I then came to an epiphany.  If I do not take care of my eyes I will not be able to enjoy nature and all of its beauty.

What if I had macular degeneration?  Macular degeneration is an eye disease that causes visual distortion, loss of vision in color and empty spots in central vision.  The vision loss associated with macular degeneration can be sudden, without warning, causing irreversible damage.  The macula helps to protect our eyes acting as an internal sunscreen to combat against damage that can be caused by the sun.  The picture below is a simulation of what it would be like to view beautiful Bridal Veil Falls with macular degeneration.   Protecting my eyes with the proper sunglasses and getting my macular pigment density checked every year will help to detect early warning signs before they affect my sight permanently.

What if I had glaucoma?  What if I had to live life with tunnel vision?  Glaucoma is a retinal disease that affects the optic nerve.  High intraocular pressure is associated with the disease and can cause permanent damage.  A result of untreated high pressures is visual field loss, or tunnel vision, which over time may lead to blindness.  The picture below is a simulation of what it would be like having glaucoma.  Getting my pressures measured yearly can help detect early signs and symptoms so I do not become a victim of the disease.

As this year comes to an end, I encourage everyone to include being grateful for their precious sense of sight.  What if you couldn’t see all of the beauty life and your surroundings hold? Visual impairments, such as macular degeneration and glaucoma, may develop without symptoms and may cause loss of vision before the problem is identified.  It is very important to get a yearly comprehensive eye health exam to detect and treat eye problems helping to keep your vision healthy.

by Kia Trapp

The REAL Truth About Stress…

We all know that we should reduce stress to live a healthier life.  But, where does stress come from, and why do our bodies react so negatively to it?  Our stress response is something that we all share with the rest of the animal kingdom.

It may have negative side effects for modern humans, but your physical response to stress is there to save your life.

Imagine yourself as an early human, on the hunt.  You spot your prey, and your body goes into high gear.  Right now you are in a life or death situation, and your body reacts accordingly.  All of your energy goes into the present moment.  Your heart rate elevates, and your adrenaline spikes to access all of your stored energy.  All of your body’s nonessentials shut down.  No need for digestion, so you feel your mouth get dry.  Your body also shuts down reproduction and growth.  The moment is gone in an instant, as you aim and shoot.

Although you may have never been in this situation, parts of the experience may sound familiar.  One example for me, is speaking in public.  I can feel my heart racing, my palms sweat, time seems to slow, and my mouth gets dry.  My body is preparing for me to have to run for my life, but my fear is social instead of environmental.  In modern life, the stress response becomes much more damaging than the stressor ever could be.

Whereas stress in the animal kingdom is usually short-lived, only a couple of minutes at a time, humans can be plagued with lives full of stress on a daily basis.  Our stress responses are not intended to be that long term, and therefore stress can have many negative impacts on your health, including type 2 diabetes, a decreased immune system, and high blood pressure.

Exercise is one great way to expel the fight or flight response that your body is preparing for in stressful situations.  Aerobic exercise has been found to decrease the stress hormone, cortisol.  Mindfulness, such as in yoga or meditation, also helps to reduce cortisol levels in the body.  Positive connections with friends and family, and laughter can also combat the negative impacts of the modern stressful life.  Finally, drinking a cup of tea, and listening to music are both very simple and fun choices that you can make every day to reduce stress.

Find out more:

http://www.medicalnewstoday.com/articles/160668.php

http://www.psychologytoday.com/blog/the-athletes-way/201301/cortisol-why-the-stress-hormone-is-public-enemy-no-1

http://www.radiolab.org/story/91580-stress/

by Sarah McClure

My Journey to my Dream Career

My name is Ashley Glass and I am an Expert Optician at Envision Eyecare here in Asheville, NC. I want to share my story with you as to how I came to find this incredible opportunity. Why is this so important to me? There are so many people today that are “unhappy” with their “jobs”. I was one of them. Some people do something about it, and some just settle for where they are. Here is my story of how, not settling for what was in front of me and actually taking a chance, landed me in my dream career.

About 5 months ago, I turned 28 and really took a look at my professional life. I knew that I was widely skilled in many areas but wasn’t fulfilled with the job I was working. And yes I said “job” not “career”. In life’s circumstances, I learned early on the difference between a job and a career. I know that with a career I would feel a little more stable. I wanted to wake up everyday and change lives. I wanted to be able to be myself and not just another robot.  In fact, I was REALLY unhappy and knew my daily routine had to change. I knew that I had to find my career and couldn’t continue to just work at a “job”.

AshleyGlass.CaughtYaPicTo share my story completely and how this transformation began I have to jump back to a little over 2 years ago: I was living in Virginia. I was born and raised in a small town in south western Virginia. I grew up on a farm and loved the mountains. I woke up one day and looked around and realized the town I had grown up in could no longer offer me what I wanted out of life. So what did I do? I packed my little car and moved to the first place I ever said I would live; Charleston, SC. It’s a beautiful place. I was excited to start over and to begin a new journey in my life.

I jumped right into what I thought was going to be my career in the car business. Thinking back now, my whole family had worked in the car industry at some point so I figured this was a good start to my future. I realized quickly that communication and professionalism were extremely important to me. When I found that those attributes started to lack, it made me start doubting some of my choices. What I thought was going to be a “career”, resulted in a “job” that I was not happy working. I did not want to go to work anymore and, in addition, did not even feel comfortable talking to my superiors. I didn’t want to live in such a beautiful place, just to be limited by a job that was not living up to my expectations.

That’s when I heard about an opportunity to come work for Envision Eyecare. I had never pictured myself working in the medical field, but something about the opportunity was very intriguing. Becoming an optician sounded like the answer to all of my desires and professional dreams. I had always had a passion for fashion and a craving to change people’s lives every day. After interviewing with Dr. Golson and his associate, Mark Hinton, I knew I had finally found my answer.

Then there was THE question: Could I really leave the beach to go back to the mountains? I had moved to Charleston for the sole purpose of the beach.  I had visited Asheville several times the year before. Katie, one of the opticians already at Envision Eyecare, and I have been friends since college. In my few visits to see her, I started to fall in love with this tiny town. I started falling in love with local restaurants, the people, and the unlimited adventuring that Asheville offers. I even remember saying one time that “if I decide to move from Charleston, Asheville would be where I would go”. So I once again loaded up my little car, attached it to the back of U-Haul and made the journey to Asheville, NC.

From my very first day at Envision Eyecare I was astounded. The team members were all so kind, approachable, and just made everyday a joy to be at the office. My doubts about communication and professionalism were diminished from the very first day. I wake up every day and am eager to get to work. I get to change people’s lives everyday through their sight. When I go home at the end of every day, I know that I made a difference. I am excited and proud to work with such talented people; people who could challenge me on a daily basis to become a better person, and not just professionally, but personally as well. I can not tell you how nice it is to have superiors that respect and support me the way they do at Envision. I am truly thankful to the team for helping my transition to a new city and a new career to be so rewarding.

I hope that by sharing my story that it will help others realize that they don’t have to settle for less. After a little hard work and taking a few chances, you really can have it all in the career of your dreams. I look forward to my story continuing and growing with the amazing eye care practice that is Envision Eyecare.

Ashley Glass, Expert Optician

How to Prevent Unmet Patient Expectations

We all have expectations; and when our expectations are not met, we can tend to become unhappy.  At Envision Eyecare, we believe strongly in meeting our patients expectations and pride ourselves in taking certain precautions to prevent unmet patient expectations.  Something as simple as checking benefits before a patient arrives puts our patients mind at ease, allowing them to know their comprehensive visit is covered. Letting patients know when there is going to be a wait, is another way to alleviate confusion and set the expectation that they will be in the office a little bit longer than expected.  The following article was written by Dr. Golson on how to prevent unmet patient expectations and create an environment that is welcoming and organized.

Understanding the triggers of patient anger and dissatisfaction is the first step to preventing these irritants from occurring in the first place.

Does this sound familiar?  The patient who comes in to pick up her glasses only to find they are not ready?  How about the patient who comes in on time for an appointment that ends up waiting in the reception area for over 30 minutes? There are many reasons a patient could become upset with your office, so it is important to be proactive and avoid disappointment before it surfaces. My team and I intentionally imagine possible scenarios where patients can become dissatisfied and plan carefully to prevent the annoyances from ever happening. The Golden Rule at our office: “Anticipate needs.  Do unto others as they would have done unto themselves.”  Here are a few of the common causes of patient dissatisfaction we have identified and steps we take to prevent patient dis-ease.

Unmet Expectations

Patient dissatisfaction usually involves unmet assumptions that were not delivered on. Even if you never discuss it with patients, most have preconceived ideas about things like how long they should be expected to wait for the doctor after checking in for their appointment, how long they should have to wait for their eyeglasses to be ready for pickup, how much they should have to pay for their eyewear and how helpful your staff should be for them to take advantage of vision plan and insurance benefits.  The best way we dispel unrealistic expectations, is to inform the patient of what to expect before they even ask.

Apologize and Let Patients Know the Reason for the Wait

When all pistons are firing in our office, it rarely happens that a patient has to wait an inordinate amount of time to be taken back for their appointment.  Our goal is to never let the patient wait more than 10-15 minutes.  However, we all know the unforeseen happens at times, and if it looks like we will keep patients waiting in the reception area for longer than expected, my Patient Experience Coordinator apologizes and explains the situation to patients. We then ask if we can do anything to make the patient more comfortable (a cup of coffee or tea, a magazine or an IPAD) and give the patient the choice to use the time to show the patient around the optical dispensary. We find that this one step diffuses most patients that otherwise would begin to grow impatient or think we’d forgotten about them.

Check Insurance Availability Ahead of Arrival at Office

To prepare patients for how much they will be expected to pay, we check on insurance eligibility prior to the patient’s appointment.  We give them a call ahead of their arrival in the office if it looks like their insurance will not cover their exam and/or eyewear and contact lens purchase. That way they can decide whether they want to try to work out the issue with their insurance provider or pay-out-of-pocket for the visit. Either way, the good part of checking on insurance eligibility before the patient ever gets to the office is these patient decisions won’t have to be made after the patient has already taken time away from their schedule and traveled to your office. Having that lead time to plan appropriately helps offset the anger that would occur if the patient had gone through the exam and selected eyewear and then found out–surprise!–that their exam and products would not be covered. We let all patients know (as the insurance companies kindly inform us every time we check on a patient’s benefits) that coverage does not guarantee payment by their insurance.  Although it creates more work for us on the front end, it prevents a good amount of unhappy patients that would have otherwise been surprised with a bill for a service that wasn’t covered.

Warn Patients of Fees for Testing

We discuss fees with patients before services are rendered for all non-covered services.  Let’s say you see from a patient’s exam that they are at risk of developing glaucoma but insurance won’t pay for further testing. As per standard of care, you need to take retinal images but there will be an $89 fee for doing so that may not be covered by the patient’s insurance. Do you tell them before taking the pictures? Yes! The patient deserves the choice to opt-in or opt-out and since we are in a service industry where there are many options for eye care, it makes sense to be as up front and graceful as possible.  A member of my team or the doctor will say, “Rob, I see from your medical history that you are at high-risk of developing glaucoma. This is a serious condition that can potentially result in loss of sight and we need to take images of the inside of your eyes.  These images will give me a sense of the baseline health of your eyes so I can better detect signs of glaucoma and follow your eye health over time. I want to let you know that the fee for these images is $89 and since we are advocates for your best eye health, it’s very important for us to have this information.  How does that sound to you?”

Set an Appointment for Dispensing Eyeglasses

Rather than just telling patients the glasses should be ready in 10 business days, I prefer to have our team set an appointment with patients to come back to the office on a particular date and time. We always under-promise and over-deliver in the dates we give patients to come back for the glasses. For instance, if we are fairly certain the glasses will be ready in five days, we will set the appointment for them to come back in seven or eight days. We also let the patient know that if the glasses will take longer than expected, we will call them ahead of time so we can reset this appointment. Doing this avoids the patient having to call to see what’s taking so long with their glasses, or, worse yet, showing up at the point when you told them their glasses would be ready only to find they are still not done.

Control Expectations for New Glasses

Since many first-time prescription spectacle wearers will experience some distortion or oddness in their vision when they put on their new glasses, it is important to warn patients of this: “Susan, I want to let you know that the glasses may make you feel odd initially–your vision may seem a little strange at first. Don’t worry!  This isn’t permanent and it’s common for our patients with your amount of prescription change for this to occur.  Your vision needs time to adjust to the prescription and everything will seem normal and much better than the vision with current glasses within a week or two.  We will call you in two weeks to check in with you, and if the glasses still don’t seem right, you can come back and we will see how we can adjust the prescription to make you comfortable.”  Patients want to know above all that we care about them and that we will take care of them, ensuring their overall satisfaction.

Let Patients Know to Speak Up If Dissatisfied

It is important you and your staff let patients know you genuinely care about them and that they leave your office satisfied with the services and products they receive from you: “Tom, if there is anything about your glasses or the frames that you have questions or concerns about, don’t hesitate to call or drop by. You’re never just stuck with glasses or contacts we provide at our office for whatever reason. We will always work with you to find a solution.”  Not only does this set a patient that may be unsure if their prescription is right at ease, it also builds trust between the patient and your practice.

Use the Optometric “Golden Rule”

A good exercise is to put yourself in your patient’s shoes. For instance, try sitting in your reception area for 10 minutes or so. Take a look around and take in how everything looks and feels. Would you be happy to sit in that environment for longer than a few minutes? You should do that for all the different places in your office that the patient would sit or be exposed to and take steps to make your patient’s experience impeccable. Then consider the different circumstances your patient might find herself in such as being left with boxes of contact lenses she doesn’t like or a pair of glasses that she can’t see well in. If you were the patient you undoubtedly would want the doctor to step up and provide a product you could be happy with–so do the same for your patients and reap the rewards of an exceedingly loyal patient base.

Related ROB Articles

http://www.reviewob.com/doctor-patient-communication-starters-keys-to-stellar-service.aspx

http://www.reviewob.com/show-patients-the-added-value-your-practice-provides-.aspx

http://www.reviewob.com/make-the-call-build-a-relationship-with-patients-built-on-trust.aspx

Larry Golson, OD, is the owner of Envision Eye Care Optometry & Eyewear, an independent optometric practice in Asheville, NC. To contact him: [email protected].

Is it Allergy or Dry Eye?

It’s that time of year again, and our allergies are full force! Our eyes are greatly affected by pollen and other common allergens floating through the air. Sometimes it’s hard to determine if your suffering from allergies or symptoms of dry eye.

The following article was co-written by our associate doctor, Dr. Melanie Denton, O.D., F.A.A.O., with Dr. Scott Morris, O.D., F.A.A.O., explaining the common differences between these two conditions.

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Top 10 Ways to Fail with Multifocal Contacts

Envision Eyecare has loved having Dr. Denton at our practice! She has amazed us with her talent, expertise, and devotion to top notch patient care!

Check out the link below to read an article that Dr. Denton wrote for the Review of Optometry about successfully fitting patients in multifocal contacts.

http://www.revoptom.com/content/d/contact_lenses___and___solutions/c/31611/

Dr. Golson’s 2012 Holiday Gratitude Letter

Every year, at the years end, Dr. Golson writes the Envision team a letter of gratitude and shares it with us at our holiday party. He does this to express his deep appreciation to us for our hard work and dedication to our patients. Read below to hear what Dr. Golson had to say this year!

Welcome everyone to the 2012 year’s end celebration! It is with deep gratitude and abiding joy that I get to treat you all to a lovely dinner and year end appreciation party for a year well done! This practice means a great deal to me. Thank you for allowing this Doctor to practice in the only way that makes total sense from a perspective of integrity and service to others.

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An Eye on Nutrition

Ironic, isn’t it? The more we learn about health and nutrition, the less healthy our country has become. Diabetes and hypertension are on the rise and obesity has outpaced smoking as the #1 cause of preventable death in the US. With a 33% obesity rate which will, if the trend continues, become 43% by 2020, it has never been more important for us to become proactive about our health rather than reactive; to focus on disease prevention rather than disease treatment.

So why is there disconnect between our understanding of nutrition and an increasingly sick country? Maybe we can blame it on our industrial food system or our fast food culture. Perhaps we can point fingers at the ever rising level of processed foods in our grocer’s aisles. Regardless of who or what is to blame, at the end of the day it is our responsibility to care for our own health. The good news is that it is never too late to adopt healthier eating habits for improved wellbeing–our bodies are incredibly malleable!

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Assess Personal Characteristics in Initial Hiring Interview

The following article was originally published in Review of Optometric Business on Dec 15, 2011

In an initial hiring interview, ask candidates questions that reveal the kind of person you may be adding to your practice’s team. Assess their social skills, temperament and ability to provide your patients with proper care.

If you agree that the individuals you select for your eyecare team are an integral ingredient to your practice’s success, read on. When I conduct job interviews I’m doing more than assessing whether the applicant has what it takes to perform the technical half of their work. It’s also crucial that the person will fit into my practice’s cultural environment, whether they will relate well to my other team members and, most significantly, how they will treat my patients. I’m not looking to hire employees. Rather my intention is to select team members who want to make this a career. The following are key characteristics I assess during job interviews and how I do it.

Resume
Is the applicant’s resume well organized? Are there any typos or grammatical errors in the body of the resume? Is the resume limited to one page (or two at the most)? The resume is the one document the applicant is putting forth into the world that reflects who they are as a person. If it’s well-designed with attention to detail, then there usually is a good chance the applicant’s work habits will follow suit.

Attitude
An employee who knows how to do his work but takes no joy in that work or in helping patients is not an employee I will want to keep. For that reason, I assess attitude during job interviews. I ask the prospective employee why the job role she has applied to interests her, and I note whether she gives a generic response like “it seems like a great opportunity with lots of room for growth,” or whether she says something like this (for the role of optician): “I love customer service–I found at my last couple of jobs that I have a knack for helping people find what suits them best–and I’m very interested in fashion. Getting to work with people to find the right eyewear would bring together the two things, professionally speaking, that I love the most.” Your applicants may not be that articulate, but reflect on the difference between a canned, generic response and a response that exhibits enthusiasm to the question of why apply to the job.

“Plays” Well With Others
No matter how gifted a salesperson or pre-testing technician an applicant is, I will not hire them if it is apparent that they will not get along with even one person on my team. I ask applicants questions about their work groups at previous jobs, including a story that illustrates their ability to collaborate with co-workers and to give an example of how he managed a conflict with a previous co-worker or employer. I might ask: “Shirley, I’m glad to hear you say that you enjoy collaborative work environments. Can you tell me a story from a previous job of how you successfully collaborated with co-workers to get a task done or make an improvement?” Few applicants are unintelligent and candid enough to tell you that they loathe working with others or still haven’t mastered the art of collaboration, so it is important to ask them to give you an example of how good they are at working with colleagues as well as how they managed a conflict, since there will be bumps along the road during any practice’s operation. The answers to these questions paint a picture of this individual and her emotional intelligence in a team environment.

Friendly, Open Personality
My employees don’t all have to be the life of the party, but I don’t want to hire anyone who is hard to talk to. Some employees may be better in one-on-one communication and others may excel at leading a trunk show, but they all need a friendly, upbeat personality. One of the tricks I’ve learned along the way is to watch the applicant’s response to the question, “Are you a habitual smiler?” Watch for him to smile during the job interview and give more than yes and no or one-line answers to questions. For example, I might ask: “Would you be open to learning other skills besides opticianry, like maybe doing some training to help out with our pre-testing or pitch in with some of our administrative tasks?” An answer of “Yes, that would be fine” is OK, but much better: “Sure, I would definitely be open to trying out different tasks. I really enjoy learning new skills and seeing what I’m good at. At my last job I was hired just to work at the check-out counter, but I ended up getting trained to be a personal shopper and found that I was very good at it.” Lastly, be aware of what your gut tells you. I’ve interviewed applicants that say everything I want to hear, but if I don’t get the intuition that she would meld well with my current team, she will not be hired.

Intelligent, Fast-Working Mind
Deliberation is great if you’re on a jury, but not so great if you have a handful of patients waiting to be served at the check-out desk or in the optical. It is not enough for the applicant to give intelligent answers; they also must show that their minds work fast. If it takes them a painful full minute before answering most of my questions, I might worry about their ability to work in a fast-paced environment. Applicants who quickly give shallow or insufficient answers don’t get any credit, but pay attention to how long it takes potential employees to respond who do end up giving great, detailed answers. A few moments of thought is understandable, but there should never be a long, awkward pause. If you sense awkward pauses during a job interview, a question is raised of whether the applicant will be able to converse in an intelligent way with ease with your patients.

Engaged and Attentive
I want applicants who make eye contact with me and give evidence that they are listening to what I say by nodding their heads and summing up or recapping what I just said, but I also want potential employees who are engaged enough to ask questions. Beware of the applicant who gives all the right answers to your questions but at the end of the interview has nothing further they would like to know. For example, the applicant could ask:

“What is a typical work day like for someone in the job role I am interviewing for?”

“What are some of the improvements you are in the process of making in the office that the person you hire for this position could help with?”

“If you were hired to the position I am interviewing for, doctor, what would you find most challenging?”

“How many employees will I be working with and what will be working on together?”

“How long have most of those employees been working here?”

Your applicants may not be quite that curious, but a few intelligent questions peppered here and there throughout the interview or at the end of the interview, is a good sign that the applicant is an engaged participant in conversations.

Proper Grammar, Sense of Humor
Does the applicant use “ain’t” instead of “isn’t,” refer to dollars as “bucks” or refer to her child as “my kid” instead of “my son” or “my daughter”? If the majority of your patients speak in a similar fashion, those tendencies might be a plus, but the majority of practices are best served by employees who can speak in a polished manner. Your employees shouldn’t sound pretentious but they should sound educated and intelligent. Your patients are relying on your team for guidance. Would you want to take the guidance of a person who doesn’t seem educated or smart? That polish has to be balanced with a sense of humor. How often (if at all) does the applicant laugh during the interview? If you said something on the humorous side, did the applicant at least give you a perfunctory social laugh? Think about how awful it is to be a patient facing an optician, technician or receptionist who presents a stone face to them during conversation. You want employees who have enough personality and confidence to communicate with intelligence as well as warmth and good humor.

I hope this article has stimulated thought on your personal approach to hiring. Over the course of the year, my patients will spend more time interacting with my team than they will with me. I’ve been told I am picky about who I hire. I take that as a compliment, because to me, the single most important aspect of my office is my team. Our employees represent our practice and our practice’s brand in our community. They have a tremendous effect on the success or failure of any practice as well as the doctor’s level of stress and ability to delegate. Being selective about who I hire has paid off in spades! Happy Hunting 😉