AE March/April 2018 Vol 27 No 2 - 45

Retina is a viable part of any
multispecialty practice, yet
integrating retina into your
practice can be challenging.
Access to shared resources.
Though some physicians may complain about being a retina doctor
in a multispecialty practice, there
are certainly aspects of the shared
resources pool that are helpful. A
couple of examples include staff,
overhead sharing, and equipment
sharing. Staff are found in larger
quantities in a multispecialty clinic
and can cover in the retina department (usually without issue) if
someone is ill or on vacation.
Of course, the sharing of
overhead can be advantageous,
especially in a larger practice. (For
the opposite perspective on this,
see disadvantages.) Equipment is
also a benefit. For example, retina
practitioners often do not invest in
topography, perimetry, etc. Yet a
doctor in a multispecialty practice
could easily send a patient for a
visual field or even a surface analysis to further their diagnosis and
treatment plans.
DISADVANTAGES/OBSTACLES
Among the disadvantages to
incorporating a retina division
in a multispecialty practice are a
decrease in outside referrals, clinic
needs going unmet, maintenance
of a floating tech pool, and "retina
only's" lower overhead.
Decreased referrals from
outside providers. While there is a
built-in network of referrals in the
practice, external referrals are some-

times reluctant to send patients to
a multispecialty clinic for fear that
the patient is "absorbed" into the
larger practice. If patients do not
return to their referring provider,
the practice loses revenue from
patients' future care needs. The
referring doctor will then cease to
send patients to the clinic.
Unmet needs for retina clinic.
In a retina-only practice, the needs
of retina come first and equipment
purchases, for example, would not
need to be "vetted" by a managing board. If there is a new retina
laser on the market that the retina
doctors want to purchase, for example, they purchase it. In a large
clinical setting, however, multiple
doctors are calling the shots. In
this hypothetical example, if the
doctors need a new phaco machine,
the need for an updated retina laser
might fall to the wayside when the
managing board allocates funds for
the phaco.
Floating tech pool (which
might) decrease skill sets. Without a doubt, if you do something
all day, every day, you will soon
become an expert. Retina-only
technicians are the absolutely most efficient at running a
smoothly functioning retina
clinic. Throw an anterior segment
technician in the mix and you
likely won't find the day running
as fluidly. I rely heavily on the
amazing skills and knowledge of

our retina staff when making clinical flow plans and when looking
at staffing needs in retina.
In addition, skill sets related to
fluorescein angiography, optical
coherence tomography (OCT),
B-scan ultrasonography, etc., are
not found in all technical staff.
While all of our clinical techs can
do a great OCT, if we are ever
struggling we find a retina tech.
They are the best of the best when
it comes to OCTs in our practice.
ON THE FENCE?
Retina physicians in a multispecialty practice can bring a lot to an
organization. In addition, the retina
physicians certainly glean some
great things as well. While incorporating any subspecialty into your
practice is a big step that requires
critical thinking and some cost
analyses, the patient convenience
of having retina services in your
practice needs to be considered.
Isn't there something to be said for
a practice that can meet all of one's
visual needs? AE
Savory Turman, COMT,
OCS (970-419-2691;
savoryt@eyecenternoco.
com), is clinical director
at Eye Center of
Northern Colorado, P.C., Fort
Collins, Colo.

www.asoa.org // AE

45


http://www.asoa.org

Table of Contents for the Digital Edition of AE March/April 2018 Vol 27 No 2

How We Can Successfully Lead
Advanced Administration: Administrator Success Factors—Needing a Tune-Up Is Expected
Advice for New Administrators: Introducing the Administrator Beginners Circle—The Go-To Resource for New Administrators
Business Operations: Some Things to Know About Professional Liability Insurance
Customer Care: Making a Diffi cult Journey A Little Easier
Fast Practice: Breaking Down Practice Cliques
Human Resources: Recruiting Strategies for Ophthalmology—Where to Search for New Physicians
InfoTech: Cloud Computing— Storms or Blue Skies?
Reimbursement: Embracing Change to Thrive in an Evolving Reimbursement World
Technicians: Creating a “Feeder Program” to Staff Your Clinic
Washington Watch: MIPS in 2018—Key Changes for Ophthalmic Practices
Taking Your Practice to the Top
Use Podcasts to Increase Practice Visibility—and Thrive
Trailblazing— How to Implement Career Pathing in Your Practice
Ocular Surface Disease: Reimbursement Considerations for the Evaluation and Management of Dry Eye
Retina: Should Retinal Specialists Be Integrated Into a Multispecialty Practice?
Asked and Answered
ASOA News
Bookshelf: Off Balance On Purpose: Embrace Uncertainty and Create a Life You Love
COE Corner: Preparing for the COE Exam – Keep Your Eye on the Prize
Focus on a Practice: Ohio Valley Eye Physicians & Surgeons, PLLC, on Operating a Practice in Two States
Gamechanger: Karen Bachman, COE, COMT, OCS, ROUB
Advertisers’ Index
Peer to Peer: What’s Your Favorite Technique for Holding a Productive Staff Meeting?
AE March/April 2018 Vol 27 No 2 - Cover1
AE March/April 2018 Vol 27 No 2 - Cover2
AE March/April 2018 Vol 27 No 2 - 1
AE March/April 2018 Vol 27 No 2 - 2
AE March/April 2018 Vol 27 No 2 - 3
AE March/April 2018 Vol 27 No 2 - 4
AE March/April 2018 Vol 27 No 2 - How We Can Successfully Lead
AE March/April 2018 Vol 27 No 2 - Advanced Administration: Administrator Success Factors—Needing a Tune-Up Is Expected
AE March/April 2018 Vol 27 No 2 - 7
AE March/April 2018 Vol 27 No 2 - Advice for New Administrators: Introducing the Administrator Beginners Circle—The Go-To Resource for New Administrators
AE March/April 2018 Vol 27 No 2 - 9
AE March/April 2018 Vol 27 No 2 - Business Operations: Some Things to Know About Professional Liability Insurance
AE March/April 2018 Vol 27 No 2 - 11
AE March/April 2018 Vol 27 No 2 - Customer Care: Making a Diffi cult Journey A Little Easier
AE March/April 2018 Vol 27 No 2 - 13
AE March/April 2018 Vol 27 No 2 - Fast Practice: Breaking Down Practice Cliques
AE March/April 2018 Vol 27 No 2 - 15
AE March/April 2018 Vol 27 No 2 - Human Resources: Recruiting Strategies for Ophthalmology—Where to Search for New Physicians
AE March/April 2018 Vol 27 No 2 - 17
AE March/April 2018 Vol 27 No 2 - InfoTech: Cloud Computing— Storms or Blue Skies?
AE March/April 2018 Vol 27 No 2 - 19
AE March/April 2018 Vol 27 No 2 - Reimbursement: Embracing Change to Thrive in an Evolving Reimbursement World
AE March/April 2018 Vol 27 No 2 - 21
AE March/April 2018 Vol 27 No 2 - Technicians: Creating a “Feeder Program” to Staff Your Clinic
AE March/April 2018 Vol 27 No 2 - 23
AE March/April 2018 Vol 27 No 2 - Washington Watch: MIPS in 2018—Key Changes for Ophthalmic Practices
AE March/April 2018 Vol 27 No 2 - 25
AE March/April 2018 Vol 27 No 2 - Taking Your Practice to the Top
AE March/April 2018 Vol 27 No 2 - 27
AE March/April 2018 Vol 27 No 2 - 28
AE March/April 2018 Vol 27 No 2 - 29
AE March/April 2018 Vol 27 No 2 - 30
AE March/April 2018 Vol 27 No 2 - 31
AE March/April 2018 Vol 27 No 2 - 32
AE March/April 2018 Vol 27 No 2 - 33
AE March/April 2018 Vol 27 No 2 - Use Podcasts to Increase Practice Visibility—and Thrive
AE March/April 2018 Vol 27 No 2 - 35
AE March/April 2018 Vol 27 No 2 - 36
AE March/April 2018 Vol 27 No 2 - 37
AE March/April 2018 Vol 27 No 2 - Trailblazing— How to Implement Career Pathing in Your Practice
AE March/April 2018 Vol 27 No 2 - 39
AE March/April 2018 Vol 27 No 2 - 40
AE March/April 2018 Vol 27 No 2 - 41
AE March/April 2018 Vol 27 No 2 - Ocular Surface Disease: Reimbursement Considerations for the Evaluation and Management of Dry Eye
AE March/April 2018 Vol 27 No 2 - 43
AE March/April 2018 Vol 27 No 2 - Retina: Should Retinal Specialists Be Integrated Into a Multispecialty Practice?
AE March/April 2018 Vol 27 No 2 - 45
AE March/April 2018 Vol 27 No 2 - Asked and Answered
AE March/April 2018 Vol 27 No 2 - 47
AE March/April 2018 Vol 27 No 2 - ASOA News
AE March/April 2018 Vol 27 No 2 - 49
AE March/April 2018 Vol 27 No 2 - Bookshelf: Off Balance On Purpose: Embrace Uncertainty and Create a Life You Love
AE March/April 2018 Vol 27 No 2 - 51
AE March/April 2018 Vol 27 No 2 - COE Corner: Preparing for the COE Exam – Keep Your Eye on the Prize
AE March/April 2018 Vol 27 No 2 - 53
AE March/April 2018 Vol 27 No 2 - Focus on a Practice: Ohio Valley Eye Physicians & Surgeons, PLLC, on Operating a Practice in Two States
AE March/April 2018 Vol 27 No 2 - 55
AE March/April 2018 Vol 27 No 2 - Gamechanger: Karen Bachman, COE, COMT, OCS, ROUB
AE March/April 2018 Vol 27 No 2 - 57
AE March/April 2018 Vol 27 No 2 - Advertisers’ Index
AE March/April 2018 Vol 27 No 2 - 59
AE March/April 2018 Vol 27 No 2 - Peer to Peer: What’s Your Favorite Technique for Holding a Productive Staff Meeting?
AE March/April 2018 Vol 27 No 2 - Cover3
AE March/April 2018 Vol 27 No 2 - Cover4
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http://www.nxtbook.com/ygsreprints/ASOA/asoa_novdec14
http://www.nxtbook.com/ygsreprints/ASOA/asoa_sepoct14_AE
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http://www.nxtbook.com/ygsreprints/ASOA/ASOA_MayJunAE
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