Eyecare Profitability Via Open Book Management

The first time I ever was involved in Open Book Management was about 30 years ago in an optometrist office. At the start of the Staff meeting- he relayed the optical numbers to his staff- how many frames sold, how many second pairs, sunglasses, add ons and multiple pairs. When multiple pair sales were not reaching goal, the staff discussed ideas on how to increase sales.


Since that time, I have been in other staff meetings where monthly optical numbers were the first order of business. In one office, they posted daily and weekly stats on a whiteboard. The stats also included optical errors, which was a good thing- it holds people accountable and optical errors cost money and patients. In another office, the stats were read and upon completing goals, staff were rewarded by days off, trips to Vision Expo, parking spaces and more.

So What is Open Book Management? According to Wikipedia- open book management is a program designed to give all employees appropriate financial information about the company to order for them to make informed decisions.The basic rules for Open-Book Management are as follows:

  • Give employees training to understand the financial information
  • Give employees all relevant financial information
  • Give employees responsibility for the numbers under their control.
  • Give employees a financial stake in how the company performs.

Over the last 35 years in this business, I can count on two hands the number of offices that could provide you important stats on their business. How many eye exams, average sale, how many frames, how many contact they sell a day. Every single one of these line items is  crucial to the profitability of your office.

Perhaps you don’t want to share everything right away- but you might start with the following criteria:

  1. Number of Frames Sold per Month
  2. Number of Plano Sunglasses Sold per Month
  3. Number of 2nd Pair Sold per Month
  4. Number of Contacts Sold per Month
  5. Number of Accessories Sold per Month
  6. Number of Lens Packages Sold per Month (UV, AR, Scratch Coat)
  7. Number of Eye Exams Booked

Now you will have all optical staff involved in the success of the office, in addition each staff member will know what they need to do to make goal. They feel more involved and in control. Plus it builds teamwork between staff members, with everybody being on the same page.


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