Eye Care Leadership Live

Mike Lyons, SPHR

I speak with eye care and healthcare clinical leaders and the experts who help their clinics succeed. 

  1. 6d ago

    Smarter Spending For Eye Care Clinics

    Send us Fan Mail We talk with Dr. Cynthia Matosian about the leadership moves that keep eye care practices sustainable when costs rise and reimbursements fall. We dig into building patient-first culture, learning the business skills most clinicians never get taught, and using smarter purchasing to protect margin and reinvest in the team.  • planning a thoughtful transition from clinical work to a second career chapter  • building a patient-centric culture through weekly mission-driven staff training  • closing the business knowledge gap with admin-side education and mentorship  • mastering revenue cycle management and reviewing financials consistently  • rolling out automation and software one platform at a time  • investing in staff tools and professional development to boost retention  • defining the practice administrator as the connector between physicians and staff  • creating safe space for staff to surface bottlenecks and pain points  • making purchasing decisions based on measurable outcomes and shared results  • using a group purchasing organization to lower costs on common supplies and services  If you enjoyed this episode, please subscribe to the show on your podcast app and share it with someone who would value the content. I also invite you to subscribe to my HR newsletter for Eye Care Leaders. You can find information about that at www.seasoned-advice.com.  === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

    29 min
  2. May 26

    Clinic Marketing That Actually Works

    Send us Fan Mail We talk with Jennifer Church Kilkenny about what actually drives growth for cash-pay services in healthcare, from local search intent to email lists you control. We also get real about social media tactics, staff involvement, paid ads strategy, and the compliance lines clinics cannot cross.  • her core client mix across aesthetic medical practices and the rise of med spas across specialties  • using goals and local search trends to pick services, messaging, and differentiators  • why the website is the most important marketing asset and why an email list compounds trust  • building marketing permission into intake forms so you can ethically educate existing patients  • when TikTok Live can outperform Instagram Live for reaching new people  • avoiding forced humor and keeping marketing aligned with real practice culture  • involving staff while using approvals, policies, and clear limits on personal posting  • choosing Meta ads for low risk offers and Google ads for high intent procedures  • HIPAA compliant marketing limits including why retargeting pixels can be risky  If you enjoyed this episode, please subscribe to the show on your podcast app and share it with someone who would value the content.  I also invite you to subscribe to my HR newsletter for Eye Care leaders. You can find information about that at www.seasoned-advice.com.  === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

    32 min
  3. May 22

    Self Care - Rest That Makes You Better

    Send us Fan Mail In this show, I talk about rest as a form of self-care that makes us better leaders, not just better at “getting through” the week. I share practical ways to protect our energy so we can think clearly, support our teams, and improve clinic culture and financial results.  • defining rest as what fuels our spirit and thinking  • using solitude and a change of environment to generate better ideas  • creating quiet, interruption-free time blocks at work  • empowering staff to solve problems without us unless it’s a true emergency  • using selective remote work for strategy and deep focus  • prioritizing sleep with a real wind-down routine  • taking short walks and getting outside to reset our brain  • treating travel and time off as an ROI-positive leadership tool  Please subscribe to Eye Care Leadership Live. If you enjoyed this episode, please subscribe to the show on your podcast app and share it with someone who would value the content. I also invite you to subscribe to my HR newsletter for Eye Care leaders. You can find information about that at seasoned advice.com.  === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

    14 min
  4. May 19

    So, You Want To Sell Your Clinic?

    Send us Fan Mail We talk with Mike Guelcher of Prism Consulting Partners about what really drives an ophthalmology or optometry practice sale and why “value” is not the same thing as the final price. We dig into the human side of transitions, the metrics that keep you ready, and how to approach exit planning so you choose your exit instead of the market choosing it for you. • why practice valuation and sale price diverge • the buyer ecosystem and why timing changes outcomes • the three-part lens buyers use: financials, people, operations and systems • what staff experience looks like after closing and why patient-facing roles matter • how communication and integration touch-points shape team trust • why seller mindset drives post-deal satisfaction • treating exit prep as a 90-day habit and avoiding analysis paralysis • how employee engagement and turnover can move profitability and valuation • market demand tailwinds in eye care and investor interest • direct primary care as an alternative model and when it fits If you enjoyed this episode, please subscribe to the show on your podcast app and share it with someone who would value the content. I also invite you to subscribe to my HR newsletter for Eye Care leaders. You can find information about that at www.seasoned-advice.com. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

    31 min
  5. May 12

    Onboarding For Eye Care Technicians with Jane Shuman

    Send us Fan Mail We break down why technician turnover stays high in busy eye care clinics and how better hiring and onboarding fixes it. We share practical ways to validate skills, build a consistent training program, and create a culture where new techs feel confident and seen. • shadowing candidates before an offer to confirm fit  • verifying “experience” by checking how skills are done  • using behavioral questions to test judgment and critical thinking  • watching for early red flags like boundary issues  • giving new hires tools fast, from abbreviations to clinic layout  • shadowing full comprehensive exams to learn the why  • avoiding trickle-down training by assigning one trainer  • building weekly feedback into the first weeks  • cross-training to improve teamwork and patient consistency  • ramping skills slowly with paired support for complex tasks  • recognizing effort so technicians do not feel invisible  If you enjoyed this episode, please subscribe to the show on your podcast app and share it with someone who would value the content.  I also invite you to subscribe to my HR newsletter for Eye Care leaders. You can find information about that at www.seasoned-advice.com.  === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

    38 min
  6. Legal Traps in Clinics (And How to Avoid Them)

    May 5

    Legal Traps in Clinics (And How to Avoid Them)

    Send us Fan Mail We talk with healthcare attorney Matt Stevens about the real-world legal and operational fights clinics face with insurance reimbursement, audits, and payer clawbacks, plus the steps that keep small problems from turning into career-level crises. We also get practical about employment disputes and why strong systems, especially timekeeping, reduce wage and hour exposure even when people act unpredictably. • what Provider Legal does for healthcare providers as outside general counsel and transaction support  • why insurance reimbursement creates conflict and how payer incentives shape denials and delays  • how to handle SIU inquiries and recoupment demands without overreacting  • common triggers for payer scrutiny including incident-to billing documentation and unusual coding patterns  • strategies to pursue underpayments without jumping into litigation, including escalation tactics  • why employee billing concerns can escalate into qui tam risk and government investigations  • early moves that lower exposure, including compliance plans and third-party billing reviews  • where employment disputes show up most often and how plaintiff firms approach staff claims  • wage and hour vulnerabilities driven by timekeeping records, breaks, and documentation  • accepting that you cannot eliminate claims, only reduce frequency and cost If you enjoyed this episode, please subscribe to the show on your podcast app and share it with someone who would value the content. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

    36 min
  7. May 1

    Tales From the Trenches: Harassment Investigations (5/1/26)

    Send us Fan Mail A harassment allegation can make even experienced clinic leaders freeze, not because they don’t care, but because every move has consequences. We’ve handled these situations many times, and we break down what actually works when a sexual harassment complaint shows up in real life: how to act quickly without being reckless, how to be delicate without being vague, and how to protect your people while protecting your clinic. We talk through the leadership basics that decide whether employees trust the process or assume the worst. That starts with relationships and psychological safety long before a complaint, then moves into the nuts and bolts of a workplace investigation: getting a clear verbal timeline, capturing details in your notes, reading back key points, and deciding when written statements help or hurt. We also cover witness interviews, what to do when evidence is limited, how video or documentation can change everything, and why confidentiality is essential to keep rumors and intimidation from contaminating what people say. Finally, we dig into decision-making when you’re not 100% sure. We share practical rubrics that combine HR best practices, legal risk, organizational values, and the court of public opinion, plus what to say and do to prevent retaliation when the accused stays employed. If you lead a healthcare clinic and want a repeatable, fair approach to harassment allegations and documentation, this conversation will give you a clearer path forward. Subscribe, share with a fellow leader, and leave a review with the hardest people issue you’ve had to navigate. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

    17 min

About

I speak with eye care and healthcare clinical leaders and the experts who help their clinics succeed.