What should an office manager focus on in a multi-location practice

The Value in Shorter Exams

In this episode, we respond to a listener question about how to balance shorter exam times with the desire to build strong patient relationships and deliver meaningful care. We talk through the difference between time spent with a patient and value delivered to a patient, and why a longer exam does not automatically mean a better experience. Chad shares how his perspective has evolved after practicing in different exam-time models, and we discuss how efficiency, delegation, and intentional communication can actually create a stronger patient experience when done well. We also talk about practical ways to transition from longer exams to a more efficient schedule without making patients feel rushed or overlooked. From moving more objective testing into pretesting, to using doctor time for high-value face-to-face discussion, to gradually adjusting scheduling expectations, we explore how practices can respect both the patient's time and the doctor's time while still delivering excellent care. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]

Vision Wellness vs Medical Exams: How to Handle Patient Pushback

We break down a real listener question around one of the most common frustrations in practice today: navigating vision wellness versus medical exams and the pushback that comes with it. We talk through how to communicate clearly with patients, set expectations early, and position yourself as part of their team rather than the source of the problem, all while reinforcing why medical eye care must take priority. We also dive into the operational side of making this model work, including how to structure your schedule, increase patient flow, and adapt to lower reimbursement per visit without sacrificing profitability. If you are struggling with patient confusion, insurance friction, or trying to transition into a more medical model, this episode gives you a practical framework to move forward with confidence. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]

Extended Warranty - Your Profits for Patient Peace of Mind

In this episode, we talk through a practical opportunity for optometry practices: offering extended warranties in the optical. Chad and I discuss why practice owners have to be careful not to project their own buying preferences onto patients, and why offering a warranty as a low-pressure choice can provide real peace of mind for patients who may not be able to easily replace broken frames or scratched lenses. We also walk through how Chad has implemented extended warranties in his practice, the simple structure he uses for single vision and multifocal lenses, and the surprising financial impact it has created. We discuss why this can be both a patient-care tool and a meaningful margin opportunity, especially as practices continue to navigate managed vision care pressure, rising costs, and the need to think more creatively as business owners. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: 1. Learn more about Partners in Profit [https://pipgpo.com/contact-us/] 2. Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 3. 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] 4. OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] 5. Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn]

Designing a Fair Pay Structure for Multi OD Owners

In this episode, we tackle a listener question that comes up often in multi owner practices: how to fairly split pay when ownership, production, and management responsibilities are not equal. Chad and I walk through why a production only model usually creates resentment over time, why fair does not always mean equal, and how practices can think more intentionally about separating clinic compensation, management pay, and ownership distributions so each owner is rewarded for the value they actually bring. We also discuss how this kind of structure helps practices scale with less friction, more transparency, and better alignment among owners as the business grows. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]

How to Evaluate an Optometry Practice Before You Buy In

In this episode recorded live at Vision Expo, we dive into a thoughtful question from a listener considering a move from the VA into private practice with the long term goal of buying in, and we walk through why the better place to start is not the buy in itself but evaluating whether the practice is actually healthy enough to support an associate in the first place. We talk through the importance of asking the right questions, both qualitative like understanding culture and how decisions are made, and quantitative like true schedule health and how a practice grows an associate's patient base, along with identifying whether an owner is truly running a business or simply owns a job. Chad shares practical insight on what strong mentorship and intentional associate integration looks like, including track record, compensation structure, and clarity around a potential path to ownership, while we also emphasize the importance of networking, vetting opportunities beyond just the owner's perspective, and keeping an open mind geographically to find the right long term fit. Have a question for us to address in a future episode? Submit it here [https://form.jotform.com/252526305103041]! Resources: Learn more about Partners in Profit [https://pipgpo.com/contact-us/] Download the Practice Owner's Financial Toolkit [https://integratedpwm.com/toolkit] 20/20 Money Ultimate Financial Success Masterclass [https://www.2020membership.com/] OD Mastermind Interest Form [https://www.jotform.com/form/250467795073062] Check out Adam's new book: How to Buy an Optometry Practice [https://a.co/d/0wv5uLn] Subscribe on Apple Podcasts: https://shorturl.at/Fq1Ro [https://shorturl.at/Fq1Ro] Subscribe on Spotify: https://shorturl.at/jCtsk [https://shorturl.at/jCtsk]