Page 10 - 2015 Key Metrics-Assessing ECP Practice Performance

Assessing Performance: Complete Exams per OD Hour

If Current Performance Is... Actions Indicated

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Above Average: 60 percentile or higher, 1.21 • Improve recall process to reduce number of months between patient exams and
or higher increase number of exams performed annually
• Evaluate delegation opportunities in testing process
• Identify exam process bottlenecks and correct
• If two or more ODs work in the practice, examine scheduling to minimize idle OD
minutes on the appointment calendar
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Average: 40 -59 percentile, 1.01-1.20 • Same as above
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Below Average: 39 percentile or lower, 1.00 • If active patient base is 4,500+ and ODs average 80% or more of office hours
or less engaged in patient care, evaluate the exam process to identify ways to reduce
average time ODs spend with patients.
• If active patient base is less than 3,500, increase marketing activity to attract new
patients
• Reduce total hours worked by ODs and staff to increase productivity of hours
worked

Gross Revenue per Staff Hour
This is a measure of how efficiently patients are managed by the staff. It can also signal if the office is over or under staffed. Gross
revenue per staff hour is calculated by dividing the gross revenue for any specified time by the total number of non-lab staff hours
worked during the period.

The median revenue per staff hour for all MBA practices is $83. Hourly staff revenue production is weakly correlated with practice size.
The largest 10% of practices have 17% higher hourly staff productivity than the overall median and in the smallest 10% of practices
staff productivity was 12% below the median. No change in the median practice value for this ratio has been observed over six years
of measurement. The hourly staff revenue production of most practices falls within a narrow range, indicating that as patient traffic
increases, most offices add staff to maintain patient flow.

Variables impacting staff revenue production per hour include number of staff members, exams performed per hour and gross revenue generated per exam.

Gross Revenue per Non-OD Staff Hour
Performance Deciles

Highest Index vs. Median
90 -99 percentile $147 177
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80 -89 percentile $118 142
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70 -79 percentile $102 123
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60 -69 percentile $93 112
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50 -59 percentile $86 104
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Median $83 100
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40 -49 percentile $81 98
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30 -39 percentile $75 90
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20 -29 percentile $69 83
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10 -19 percentile $63 76
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Lowest 1 -9 percentile $52 63
8 Key Metrics: Assessing Optometric Practice Performance 2015