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Eyewear          In the same survey, ODs were asked to estimate   Actual Eyeglasses-only Patient Eye Exam Interval        Eyewear
                           the actual interval between exams of eyeglasses-
         Purchase          only patients. The average estimated interval was   (% of practices)                                     Purchase

              Cycle        21 months, most likely an under-estimate.                   Total  Question: Based on your observation        Cycle

                continued  As would be expected, ODs who recommended   12-16 months    17%    or review of office records, what
                                                                                              do you estimate to be the actual
                                                             17-21 months
                                                                                       39%
                           a yearly interval between exams reported a lower   22-26 months  35%  average interval (in months) between
                                                                                              comprehensive eye exams of your
                           actual interval—4.5 months less than ODs who   27-31 months  7%    eyeglasses-only patients?
                           recommended a longer interval.    32-36 months               2%
                                                             Average Interval      21 months
                                                            Source: MBA Exam Frequency Survey, 2008
                           Although most ODs recommend eye exams every
                           12 months, the typical interval between exams  Actual Exam Interval of Eyeglasses-only Wearers
                           for eyeglasses-only patients is actually at least  by Exam Interval Recommended by OD (% of practices)
                           twice as long. It’s clear that many patients simply
                           ignore doctors’ recommendations on when to                  Exam Interval Recommended
                           return. In the absence of an effective patient   Actual Average Interval  12 months       Longer than 12 months
                           recall  system  that  encourages  appointments   12-16 months   24%               3%
                           and reminds patients that a year has elapsed,   17-21 months  48%                22%
                           it’s easy for patients to forget about or put off   22-26 months  26%            55%
                                                                                                            16%
                                                                                        2%
                                                             27-31 months
                           scheduling an exam, particularly if their glasses   32-36 months  -               5%
                           continue to function well. Adopting an effective   Average Interval              23.9
                           recall methodology is the best strategy to reduce           19.4
                           the eyewear purchase cycle.     *Includes respondents who recommend an interval between exams longer than 12 months to either non-presbyopic or
                                                           presbyopic glasses-only wearers
                                                           Source: MBA Exam Frequency Survey, 2008
                           Pre-appointing patient exams
                           reduces interval between exams.  % of Patients Pre-appointed Performance Deciles
                           A 2011 survey among independent practice   (among offices pre-appointing)
                           optometrists showed that 44 percent pre-              By Performance Decile
                                                                                                        High
                           appoint patients at the conclusion of eye exams.   Improvement   Median   Performance
                                                                 Opportunity
                           Among  practices  which  pre-appoint,  typically
                           70 percent of patients are pre-appointed.   15%  20%  45%  50%  65% 70%  75%  80%  90%  95% 100%
                           Practices which pre-appoint estimate that 75     5th       15th       25th      35th      45th      50th       55th      65th      75th      85th      95th
                           percent of pre-appointed patients actually have         percentile ranking
                           an eye exam within three months of the pre-
                           appointment date.                Source: MBA Patient Recall Survey, June 2011

                                                            % of Pre-appointed Patients Having Exams
                                                            (within 3 months) Performance Deciles

                                                                                 By Performance Decile
                                                                 Improvement                            High
                                                                 Opportunity         Median          Performance
                                                               15%  40%  50%  60%  70% 75%  75%  80%  85%  90%  95%
                                                                 5th       15th       25th      35th      45th      50th       55th      65th      75th      85th      95th
                                                                                   percentile ranking

                                                            Source: MBA Patient Recall Survey,  June 2011











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