Chiropractic & Practice Marketing Ideas for Fall 2016

Autumn pumpkin background

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3 Echelons of Practice Marketing: Motivation, Management, Procedures

Most attention is usually put on marketing procedures. That is fine but when marketing fails, it is usually because the procedures just didn’t get done, or only half done. And this is because no one was put in charge of them and given the time to execute them. Pretty obvious, but easily overlooked. This was the essential theme of the Marketing Manager System I published in 2000. It is out of print now but much of the info is on our PM&A Member’s site.

And underneath it all is motivation. Who really wants to do the marketing? You may get excited from a seminar or about an event you have planned. But motivation can dissipate quickly and too often we are not active enough in keeping ourselves and our teams passionate and determined about providing more and better service.

So all three levels or echelons of marketing need to be in place. What follows is a brief list to help you set up effective marketing activities for the next 4 months.

 

QUALITY SERVICE AND CARE COMES FIRST
It goes without saying but it needs to be said – from an executive point of view, quality care and service comes first. Ultimately, an office that gives “WOW” service and produces extra-ordinary outcomes generates enough word of mouth to create a waiting list practice. Think of Clarence Gonstead.

MOTIVATION
Plan weekly motivational talks at your team meetings and major motivational activities each month. These can be discussing case successes, watching Doctored, or doing a free clinic for the underprivileged. Keep the saw sharpened. Keep reminded of WHY you all are doing what you are doing and your greater purposes. This is the fire that drives the engine of your practice.

MARKETING MANAGEMENT
Someone to Coordinate
Delegate someone to be the marketing coordinator. You could have someone for just internal and someone for external events. These roles are only a few hours per week as coordination jobs. The actual work is delegated as separate duties so that everyone on your team has a role in marketing. Your entire office is the marketing department but it helps to have duties assigned just like you do for the front desk or billing dept.

So Many Procedures, Which Should You Pick?
Select the marketing activities that have worked for you in the past and add a few at a time. Pilot each and see what works better for you. Marketing is all about testing. Find out what works and then put it in a system. Keep it simple. Get your marketing systematized and departmentalized and delegated.

Time to Plan
Part of marketing management is setting aside time to plan and coordinate upcoming events. At least monthly, schedule time aside to review past promotions and plan new marketing for the next few months.

Calendar
Make sure you have a large calendar to post all of your upcoming promotions.

MARKETING PROCEDURES
COMMUNICATION CHANNELS
All your marketing does no good unless it is communicated. Marketing IS communication, so keep the communication going – in and out of the office. Make sure each month you promote via team members, “table talk”, e-newsletters, posters, Facebook, etc.

Recurring Procedures
The most important marketing activities are your usual, recurring procedures that you do on a daily and weekly basis. Many of these are already embedded in your routine procedures. Because they are done routinely, the usual and everyday procedures can be overlooked or not given the importance needed. For example, just answering the phone can make a big difference. Don’t let the routine become the mundane. Practice new ways to have fun with your recurring procedures.

Community Services
This is what I call the free or discounted services you provide in your community. Health screenings, workshops, networking events, setting up alliances with dentists, for example, or just conspicuously showing up at the Lions Club breakfast. I would delegate this to one person and give them 4-6 hours per week to schedule events and to help coordinate who attends these events. There is a good deal of administration in this role. I have seen events scheduled a year in advance that generated new patients and referrals from alliances that come in years after they were initially set up because the relationship was well maintained.

  • External Workshops and “Lunch and Learns.” Schedule external classes for January and February now. Business “Wellness Programs” or lunch and learns at the local YMCA or Senior center. Include massage to make it even more attractive.
  • Local Health Fairs. Contact all the locations you have held events in the past year and schedule events for the New Year.
  • Contact local businesses for health fairs in the New Year and get them scheduled.

Internal Workshops.
Internally, you can also schedule special classes over the next 4 months, including “Natural Approaches to Flu Prevention”, “New Healthy Ways to Lose Weight and Get Fit This Winter,” etc.

Google Reviewsgoogle-review
If you get 4-5 star reviews on Google, you will get new patients. This is proven. It is true. Assign it to someone and do it. Now. It may take a few months, but if you do it, they will come.

Patient Education: Table Talk and the New Patient Care Class
In my opinion, educating your patients is more important than adjusting or treating them. Not all patients are easy to educate, but all can be gradually persuaded to understand the value of your services: what they do, how they work, and why they are important. Educated patients refer more. They stay with you longer. They are more enjoyable to care for. And, most importantly they are healthier. Table talk is an excellent practice with each patient. But your new patient care class is a proven winner. It just takes your intention to do it. Two times per month. Do with the fervor of a Sunday sermon or with the frankness of a fireside chat with old friends. It will boost your practice and you. And… how much does it cost? That’s right… nothing.

Care to Share
There are many ways to do this program but I like it because it encourages your patients to help you get the word out about their successes so that others do not have to suffer as long as they did. It gets them to help their community. It taps into their greater purposes and gives them an opportunity to help others. Set up a monthly drawing and give away a modest prize or two. Enter the drawing by submitting a Google review, by bringing someone into the office for a no charge consultation, or by getting a workshop set up in their place of employment. Run the program monthly or every other month.

Special Promotions
These are the big events that can be fun and energizing which you hold in your office every couple of months or so. I list some ideas below.

OCTOBER
October is National Chiropractic Health Month. (The International Chiropractic Association and the American Chiropractic Association once recognized October as Spinal Health Month, but now it is simply called Chiropractic Health Month.) This can give you a reason to do many different promotions. For example:

  • A banner in your office for patients to bring in family members for a free “Check-up.”
  • Reactivation Month – send postcards to all inactive patients who have not been in for at least one year or more for free spinal checkup: “Chiropractic Check-up Time.” Use an image of an alarm clock.
  • The ACA has other suggestions on its site. (http://www.acatoday.org)

Child Health Day
Under a Joint Resolution of Congress, the President of the United States has proclaimed National Child Health Day every year since 1928. It was originally celebrated on May Day, May 1, each year until 1960, when the date was moved to the first Monday in October. Use this as a great opportunity to have a Kid’s Day. (Google it. Many differen sites offer suggestins.)

National School Lunch Week
National School Lunch Week takes place on the second Sunday in October (http://www.nea.org/tools/lessons/48412.htm ) You could have a workshop on fast and nutritious meals for kids targeting parents and moms.

Awareness Weeks
If workshops aren’t your thing, then set aside one week to focus on a particular condition, such as headaches and call it “Headache Awareness Week”, or “Pinched Nerve Awareness Week”, “Neuropathy Awareness Week”, etc. Schedule one a month where possible for the next 5 months as part of your Community Education Program. Detail procedure with posters in your Marketing Manager System Toolkit and on your PMA Members site under: “Community Education.” Offer free consultation, screening, and information regarding the condition.

Crazee Dayz
Select a day and make it special for your patients. Only one day a week is necessary otherwise it’s not special. It can be once per month or every week. Serve extra treats. You can have the staff dress out of uniform coordinated to the day. This can add some extra fun to the office and help with retention and long term referrals.

  • Muffin Mondays – Serve up a selection of health bran, blueberry, or gluten free muffins.
  • Two for Tuesday – Bring a friend for a complimentary spinal exam and offer the patient a free adjustment. “Two Fer Tuesday.”
  • Whacky Wednesdays – gag gifts for patients, “adjust-a-mints”, etc. (http://www.bannermints.com/)
  • Thirsty Thursdays — Organic apple juice served in plastic wine glasses with a sliced green apple on the rim. NA margaritas.
  • Fruity Fridays – Bowl of local fruit.

Chiropractic Opportunity Week (“The doctor is having a COW.”) (patient referrals and advertising new patients) Free consultation, exam, and x-ray if needed.

Hair Dresser/Beauty Salons/Spas

  • Offer a workshop on “How to Stay Fit While You Clip.”
  • Free massages (and screenings) for customers

Kids and Halloween Party
With Casper as inspiration, a kid’s Halloween party with a friendly ghost theme has the right mix of tricks and treats. Invite the young ghouls to come dressed up, but you can also have them make ghastly masks as part of the fun. Other ideas include spooky decorations, scary snacks and a friendly ghost hunt.

NOVEMBER
Thanksgiving Turkey Drawing Poster

  • Refer a friend and enter the drawing for a free turkey
  • Special for Organic Turkeys – announce in your newsletter
  • Make arrangements now with your local supplier

Thank a Veteran Day
Veterans Day – November 11. It is no secret that the physical and mental health support veterans receive is inadequate. This good time to set up a promotion honoring those who served. Special promotions including free or discounted services or donations to local Veterans organization. (More info: http://en.wikipedia.org/wiki/Veterans_Day )

Donation Drives (patient referrals, advertising new patients)
Holiday time always brings an increased demand for helping those less fortunate. Within your office set up a collection area for any of the following programs and promote it in your newsletter.

  • Coats for Kids
  • Food for Families
  • Toys for Tots
  • Blood Drive
  • $25 in exchange for first day services.
  • Also, you can support drives at local church or gyms. EG “Free first day services for every donation a member of YMCA makes to the homeless fund.”

Deer Widows Week
During hunting season or first week of December offer complimentary massage for your patients who refer in a new patient

Girl’s Night Out
This is a shopping/gift exchange that can take place in your office. Have patients who have little businesses set up booths in your office and stipulate that they have to bring guests. Supply some refreshments and promote as great way to “Shop Local” for Christmas presents. Enlist the help of massage therapist, local spas and direct marketing consultants. You can provide free screenings.

DECEMBER
Holiday Coupons – Gifts Certificates (patient referrals)

  • Good for Massage, consultation, exam, x-ray
  • Denominations: Free, $25, $25 or food donation to charity.

Poinsettia Give Away
Give away free poinsettias, one per family. Include in the cards a gift certificate for family members or friends. (See Member’s site for gift card)

Saturday with Santa

  • Set up Santa in your reception room corner
  • Treats for the kids
  • Pictures with Santa
  • Free spinal check with Doc

Appreciation to External Referral Sources
Deliver a fruit basket or other present personally during December with a card of thanks and mention how you are looking forward to another year working together. This would go to any location where you had an external community services type of event, such as a screening or workshop. Include: “Looking forward to working with you next year.”

Health Never Takes a Holiday
Post a sign in your office in December that “Health Never Takes a Holiday” and review and re-schedule patients through December to January.

Giving Tree/Angel Tree
The Giving Tree/Angel Tree Project is a great way to bring community awareness to your office. It is a simple project that gets your patients be involved to help others where they might not otherwise have the opportunity to do so.

JANUARY AND FEBRUARY
Winter Workshops and Movie Nights – Internal
These, of course, can be done anytime of the year. Whether it is how to make organic soup for the week, or a talk on vaccinations with an MD, winter has been a good time for internal events. Weight loss, fitness, and food have seemed to be popular. These should be planned by December or even November. Ideally, plan your workshops with a guest speaker such as a holistic MD, biological dentist, midwife, etc.

We have a great deal of information on our PMA member’s site for those of you who are active clients, much of it compiled from the Marketing Manager System I published quite a few years ago. There you can find readymade posters and detailed information on how to do many of these projects.

Yes, I know some of the posters are old but we are not in the graphic arts business and neither are you. But they are on Word files and can be easily changed. A simple graphic and title is all you need with the specifics in bullet points. Depending on the level of your program, we can also put together simple posters to help promote your particular project.

If you are not active with PM&A, you can still find a great deal of info on our web site at www.pmaworks.com/observations.

With shared intentions to get more people healthier and smarter about their health!

Ed Petty
September, 2016

Phyllis Frase to Speak at the Chiropractic Society of Wisconsin Fall Summit on Referrals and Retention

p-frase-hs2

Welcome back to Wisconsin Phyllis!

We are excited to have Phyllis returning to Wisconsin to join us at the Chiropractic Society of Wisconsin Fall Summit.

The Fall Summit will be held October 21st through the 23rd at the Kalahari Resort in Wisconsin Dells.

Are you and your team registered?  If not you will want to as Phyllis will be presenting to doctors and staff all day Friday.  She will be covering the following topic:  

“The Secrets of Referrals and Retention”

What’s the secret? The pixie dust? The magic potion to creating patients that stay pay and refer for a lifetime?

In this class you will walk away with what makes a patient pay and value their chiropractic care. This interactive class will help you create great customer service and learn easy, solid systems and procedures that will take your practice to the next level.  Included is low stress, low cost marketing ideas that you can implement on Monday morning.

For more information on Phyllis visit: Our Experts

To register for the CSW Fall Summit visit: CSW Fall Summit 2016

 

Your Perennial Waiting List Chiropractic Practice: Like Daffodils, Your Patients Keep Coming Back

petty michel and associates on creating a full office

Daffodils from Linda’s back yard in Wisconsin, 2016

Spring is finally with us and the flowers and trees are beginning to bloom up here in the northern Midwest.

What is amazing to me is that I start seeing flowers pop up where I must have planted them, or someone did, a few years past. Pop, pop… a daffodil here and tulip there, some lilies and Astors and I don’t know what! Who planted these?

Growing, developing, and sustaining a chiropractic practice corresponds in many ways to the laws of nature or the laws of a farm. What makes these plants bloom are many things – the warmer weather, some biological clock, water, of course, and sunlight. Maybe some organic fertilizer now and then.

They also have something else. Something that has allowed them to weather the snow and the cold and the storms so that they are here now… waving to us in the still cool of early spring.

A few years ago I wrote an article about roots and patient retention. I know… seems like an odd comparison, but it’s not really. The thing with roots is that they are not seen and not always appreciated. I made the analogy of having a good root system in your practice – which would be the loyalty your patients have with you. I discussed methods to create and improve this relationship in the article, Chiropractic Root System

I just reviewed the article and realized that I omitted a key component in creating great patient loyalty, patient retention, and patient referrals. It is actually pretty obvious and something I see in the offices I visit.

But first, let me include here some survey information from the 2010 Customer Experience Impact Report (CEI) for North America by Rightnow Technologies* that will help make my point.(My underlines and bolds.)

“WORD OF MOUTH IS MIGHTIER THAN THE SWORD
Consumers aren’t only demonstrating their power with their wallets, but they are influencing those around them as well. Whether a consumer has a positive or negative experience, their friends, family, colleagues and networks are sure to hear about it and what they are saying carries weight.

Customer service is the most influential thing a company can do to increase customer advocacy.

55% (up from 53% in 2009) of consumers recommend a company because of its customer service, compared to products at 49% and price at 42%.

But those who have issues are also voicing their opinions and it can have a severe impact on a company’s reputation and ultimately bottom line.

Imagine the result of 66% of a company’s frustrated customers on a mission to discourage others from buying from that company. Consumers aren’t just complaining when something goes wrong, they are determined to have their presence felt by the company at fault:

  • 79% of consumers that had a negative experience with a company told others about it
  • 97% used word of mouth as their preferred method to share their experience

WHAT MAKES A GREAT EXPERIENCE?
Consumer expectations continue to rise, but their requests are reasonable and within reach. Put simply, consumers want easily accessible, accurate information to make well informed buying decisions. And they want to be respected, treated well, and have their issues resolved in a timely fashion.

Of those who decided to stop doing business with an organization,

  • 73% was a reaction to rude staff
  • 51% reacted to unknowledgeable staff
  • 55% were because of issues that weren’t resolved in a timely manner.”

Finally, it all comes down to this:

“WHEN YOU HAVE A BAD EXPERIENCE, YOU DON’T GO BACK.
This has been a mainstay result from the Customer Experience Impact Report (CEI). The fifth annual report cited that 82% of consumers have stopped doing business with a company as a result of a negative experience.”

So, it is not “time” or “money” as the primary reason patients drop out of care. Simply put – their experience was not AWEsome enough!

This is why Google Reviews or any legitimate review has such a strong impact on referrals. It is Word of Mouth marketing.

But how do you create it? Is there some fancy form or new procedure? A Dx code perhaps? Well, there are forms and procedures, but these are 20th on the list. The first 19 have to do with excellent communication and service. Communication that is genuine and caring.

In the article about increasing patient retention and the root system, I do give a few ideas on how to improve your service and, in turn, retention and referrals. But… so apparent to me now, I left something out!

Time and time again, where I see an office struggling to get new patients… I also notice a low morale office.

The low morale may not be obvious. In fact, studies show that the majority of employees (70%) are really not engaged in their work, but simply go through the motions.** This is so common that blasé, disinterested employees or time crunched, rote professionals seem to be the cultural norm.

But I routinely interview staff and work with office managers and hear THEIR side of the story, at least part of it.

If a team member is disgruntled, disaffected, discouraged, or in any way “dis”, the quality of service they provide to the patient will be affected. Let’s put it another way: if your team is anything BUT happy and cheerful and truly looking forward to their day with YOU and the patients, you have a problem.

There are many studies that show the cause and effect of employee morale and customer service. But I have personally observed it many times myself.

The offices with the HIGHEST patient retention and most patient referrals are the ones where the support team and doctor, or doctors, have a great relationship with each other. In fact, aside from the now and then stress points, you could say that they truly like and admire each other and respect each other’s good work.

Adding to this, these offices also have dedicated a continuous effort for training and education. Webinars, seminars, internal trainings, coaching (Hi there!), and books – one of the most overlooked training tool.

Now, what hampers all this is the stress of running a business. Doctors like to “doctor.” Chiropractic, or whatever good care you provide, does not fail. Doctors can always improve, and should, but it is usually the support organization that finally jams up on itself like railroad cars banging into each other, or even jackknifing.

As many of you know, I am working on a practice CEO training program. After a certain point of practice growth, it becomes difficult to continue to grow the business as a doctor. There is just too much to do. This is why you now need to learn and implement some fast flow procedures as a CEO, procedures which are very different from a doctor.

The CEO is a leader. John Maxwell*** lists five levels of leadership. At the first level people will follow you because they have to. At the second level they follow you because they actually like you! You have a relationship with them. At the third level they see that you get real results for the organization. Fourth… you are helping them become leaders! The last level is many orders of magnitude above the others… they follow you because of what you represent. Think of Martin Luther King, Gandhi, etc.

Practical Steps to Take to Improve Morale, Customer Service, Patient Retention and Referrals:

  1. Improve your communication with your team. That’s it. If it is good enough for your patients and for your family and friends, it is also good enough for your team members. As the doctor, of course, you are very busy. You are here for the patients and we are here for you.  But… as the CEO, you are here for us. Please listen to us, help us get better at helping you and the patient. Schedule time to do this each month with your veteran team members. A few minutes in the office, or even a lunch now and then.  It will pay off! And besides, it is only the decent thing to do.
  2. Plan events or projects to improve everyone’s competence. Schedule the team for training and coaching (Hi, again!) …or have them propose learning activities. Help them become leaders. Help them become expert. Lots of study and training and coaching.

As this happens, a lighthearted sense of pride and confidence will grow in your office. Synergy will improve. Staff will be engaged with the patients more and the patients themselves will also become part of the synergy.

Your practice will become well-nourished and strong, like perennial plants and trees that flower each spring.

Your patients will keep coming back.

#   #   #

Learn to look after your staff first — and the rest will follow.Customer service can make or break a business. If you treat your staff well, they will be happy. Happy staff are proud staff, and proud staff deliver excellent customer service, which drives business success.  – Sir Richard Branson (Virgin Companies)

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Chiropractic Root System and Patient Retention

  *Rightnow Technologies. Download the report here. http://media.stellaservice.com/public/pdf/Customer_Experience_Impact_North_America.pdf

**http://www.gallup.com/poll/181289/majority-employees-not-engaged-despite-gains-2014.aspx

*** John Maxwell, The 5 Levels of Leadership

The Marketing Flywheel versus the “Paleo” Practice

If you are like many chiropractors, other doctors and professionals, you are wasting potential revenue and don’t even realize it.

Before I tell you how this happens, let me give you a definition that I have been using for years that has helped many offices.

Definition of a Practice

A practice is a network of relationships that is created and sustained through communication and service.

OK. Keep that definition in mind.

Now, here is how you can lose extra income and create extra work for yourself and your team: You start out spending a great deal of time and effort on generating new patients and then on processing them. You get to know the new patients and hear their stories. You empathize with them, ask them questions, and examine them. You explain what you have found about their condition and worked out what you see as their best option for treatment.

During their first few visits you are sensitive to how they are responding to your care and so continue to communicate with them. You put all this work into your new patient in order to help them follow your treatment plan and get better.

But as the patient improves and their frequency of visits decrease, your focus on them lessens. Your attention gravitates to the new patients.

When the patient has moved through your care plan, they often just drift back out into their community with an inadequate lifeline back to your office.

You have invested in, and created, a great relationship with your patient. Wouldn’t it be a good idea to stay in communication with them? They know you and like you and your team — shouldn’t you keep the connection alive and active? Just because their health condition has improved, don’t you still have approaches to help them become healthier and happier?

They have family and friends that can use your help now. They also belong to businesses and other groups that could use your help. Why let this relationship atrophy? Why not secure that lost income as well?

The Other “Paleo” Practice

In some sense, the business is constantly starting and stopping. It is nomadic. This is the other “Paleo” practice: each day when the sun comes up across the plains, you are out hunting for and gathering new patients. This may be good for a diet, but not if you want a low stress practice. Wouldn’t it be better to create a business where existing long time patients would routinely stop by for care and refer their family and friends? This would save you a lot of effort, money, and stress, wouldn’t it?

The Practice Flywheel

A practice should be supported by business systems.

These systems are like an engine. An engine has starts and stops, but it also has a flywheel. The flywheel is a heavy wheel that, once it begins to spin, continues to do so with much less effort than it took to get it going.

A good practice is supported by a business flywheel, or a number of flywheels as there are different sub-engines in the business.

For internal marketing, the flywheel is the conversation that you first began. You want to keep it going and going. After you get it spinning in high gear, it takes little effort to keep it humming along.

How Do You Do This?

You put in place a system of constant communication with your patients when they are NOT in the office through e-newsletters, hard copy newsletters, notes and cards, Facebook, and any other medium available. And of course, there is also personally seeing them at events in your community – county fair, grocery store, restaurant, salon or barber shop, etc. You want to keep the conversation going.

A very effective method is through electronic newsletters. Done right, and they usually aren’t, these newsletters can improve the numbers in your office.

We have tested this and found that the offices that do have personalized newsletters to their patients have more returning patients, more referrals, and more wellness visits as a result. Hence, more revenue and less stress about generating new patients.

See link below for a procedural article on what we have found that seems to work best for e-newsletters. Your customized e-newsletter can fuel your Facebook page, website, hard copy newsletter, and other mediums. We have worked out a relatively simple and very cost effective system that offices are using now to make this work.

Keep in mind that if your patients are not in listening to you, they will be listening to someone. For example, there are about 80 ads for drugs every hour on television (http://www.topmastersinhealthcare.com/drugged-america/) and this statistic is more than ten years old. It has been estimated that each of us are bombarded with about 2,000 advertising impressions per day. How many of these ads influence your patients toward unhealthful products or services?

Customized newsletters, and the cascading communications that they can feed, cost little but they help to keep the patient flywheel – and the communication – going. And in so doing, the patient wins, the community wins, and so does your business.
-Edward Petty

Publishing Your Newsletter  Does your mailing bottleneck when it comes to time to do the monthly newsletter Follow our easy steps to get your newsletter out “simple and fast”.

Newsletter Content –  9 suggested topics to include in your monthly newsletter to keep the conversation going.

Your Newsletter: CONTENT

The purpose of your newsletter is to keep the conversation going. It is designed to sustain the relationship that you have started. It can even help create new relationships. It serves to remind the patient that you are there for them and can continue to help them.

Marketing IS communication. Nothing beats live two-way communication – in person or via the phone. But next to live communication, the personal letter is best. The letter is a tried and true form of communication.

A newsletter is NOT a brochure, or a pamphlet, or regurgitated “content.” It is a personal communication from you to someone else.  Too many newsletters are mass produced and have generic types of “content.” The one thing that is becoming more valuable in today’s world is authenticity. This is important because it creates trust – which is also scarce.  So, keep your newsletter personal, even “folksy” and your patients will feel that the real you is talking to the real them and will have a greater impact.

Components of a patient newsletter should include some the following:

1. Letter from the Clinic Director
A short letter to the patients from the Clinic Director anchors the newsletter. If you include nothing else, this is the most important part of your newsletter.

It can be short or long. Shorter is better, with only 4 or 5 paragraphs. A longer letter also works ONLY if it is compelling. A worthy story or rant against some injustice…these can work. If it expresses your VOICE, it will work.

Your letter should usually include some reference to you personally. For example: “Yesterday, when I was taking my kids to school, my youngest mentioned she was told that she needed to receive 43 vaccinations next week….”

You can include some health news, with statistics and cite a reference, or refer to an article in another part of the newsletter. You can include office news. Refer to a photo attached of the new carpet, painted wall, or gift from a patient.  New research, celebrities utilizing similar services, recent chiropractic success cases in the office, clinic expansion or renovation, new computer system, and personal adventures … all of these are good.

This can also be done via a short video as well.

Whatever you say, it should be delivered as if you are talking to just one person, perhaps the last patient you just saw.   End the letter by saying something like… “I look forward to seeing you soon.”

2. Health Tips
Information for a “Health Tips” column, such as “Health Sleep Habits for Kids” The topic should be consistent with the time of year (September – back to school month) or Community Education Program theme (Children’s Health). Dr. Mercola has built his empire with great health tips from his newsletter. If you are not a subscriber, I encourage you to look into it. (www.mercola.com)

3. Special Promotions
Information on any upcoming promotions, spinal care classes, community education lectures, or anything else of a special nature.

4. Staff News
Include any news about staff, such as a new baby, new staff, new staff promotion, continuing education or seminar attendance. Pictures please.

5. Doctor/Clinical News
Include news about doctors, such as new seminars attended, advanced training, specialties, new associates, new diagnostic or treatment equipment, etc.

6. Patient News
Any news that is appropriate about patients, such as patient of the month, patient success stories (include photograph of patient), patient news: “Joe Smith wins the lottery and enrolls at Palmer!” Ensure you have a signed release from any patients that you want to include information about. Some clinics like to include a copy of their “thank you for referring board.”

7. Community Education Calendar
List the dates, times, places, and other pertinent information about community events that you will be sponsoring during the next month or quarter.

8. Just for Fun
Begin a recipe column. Assign this to one of the staff as appropriate. For example, if your office manager’s name is Jean, have a column called “Jean’s Recipes”. Each month, Jean can feature a different recipe, including, for example, the doctor’s favorite special chili recipe. Recipes should be simple (or at least not take up too much space). “Jean” should make some comments about the recipe.

9. Cartoons and Jokes!
Newsletter CONTENT Checklist

Submitted in digital format (Via computer).  Bonus if you include photos or even a video.

  • Letter from the Clinic Director
  • Health Tips
  • Special Promotions Upcoming
  • Staff News
  • Doctor/Clinical News
  • Patient News
  • Community Education Calendar
  • Just for Fun
  • Cartoons and Jokes

 

Getting the Newsletter Out – Simple and Fast Steps

There is a fast way to “keep the conversation going” with your patients, vendors, allies, and other people connected to your practice and business.

Use an email service.

It has simple templates in which you can paste the content you want. Later, with some easy editing, you can also print out the newsletter and have a hard copy for in office fliers or mailers. You can paste the content of your newsletter to your website and to your Facebook page.  You can even use short video clips.

The email service makes it easy. Smooth organization and delegation of the work makes it even easier.

Almost ANY communication is better than none. On a regular basis, get your newsletters out regardless of how neat or interesting they are. Quantity first, then improve the quality.

Here is a short outline of some of the steps you can use to get your newsletter out fast.

  1. Someone in Charge. Assign one person to be in charge of collecting the info. I call this person the “Sunshine Coordinator,” though you may want to call this person the “newsletter assistant,” or some other creative name. (Sunshine Assistant: the one who helps bring the sunshine of our office to your home.)
  2. Newsletter Content Assigned. Get different categories of the newsletter assigned. See the Content Checklist for ideas. Encourage photos of patients, staff, doctor, etc. Each person can take a section and be responsible for submitting quality content. However, they do not personally have to create the article. For example, whoever is in charge of testimonials can encourage any team member to solicit the testimonial from the patients. Not all sections need to be in each newsletter.
    • Content Letter from the doctor. (Could be a video.)
    • Recipe section. “Christina’s Cool Recipe’s”
    • Try to get a photo. Take a quote and make it into the title.
    • “Health Tips.” This is a practical section about health that the reader can use now. Sort of a home remedy section. Include citation to a study, a few tips on what to do for a condition. Always encourage them to call in for a no charge consultation. (This can also be a video.)
    • Upcoming promotional events
    • Office news, jokes, miscellaneous.
  1. Digital Content. Don’t hand in slips of paper or a photocopy. Make sure the content is sent to our Sunshine Assistant in Word or text format. Include photos and video as attachments.
  2. Set when the letter goes out and when all the content should be to the Sunshine Assistant –usually 1 week earlier.
  3. E-newsletter. Use a newsletter service. They are simple, not that expensive, and for many other reasons, just the best way to go. Constant Contact is easy to use. There is also Mail Chimp, and many others that are available.
  4. Publishing Steps.
    • Someone should be in charge of this on line service.
    • Pick a template.
    • Acquire and upload existing emails to get started.
    • Cut and paste text content in each block of the newsletter.
    • Have someone qualified to review readability and edit.
    • Regular uploading of new emails.
    • Posting important newsletter content on website blog.
    • Cross post info from website blog to Facebook.
    • Convert email newsletter to PDF handout for hardcopy newsletter for handouts, statement stuffers, and mailers as desired.
  5. Monthly. Some offices send out a short letter from the doctor two weeks after the main newsletter, along with upcoming notices on occasion. Generally, the more the better.
  6. Video. You will need to make your own YouTube Channel, or use another service to upload your video. There is special formatting for ideal optimization to keep in mind. Once posted, the video can be included in your newsletter, on your website, on Facebook, and on other Internet properties. It does take some extra work, but in the long run, it is worth it. Video is very powerful. Think of T.V. and how much it is used. With Video, you are creating your own TV station.

Chiropractic Marketing and a Staff Member Conspiracy

This is a tale of a staff member conspiracy.

It is about a hidden and quiet plan by scheming staff members.

The planning took place towards the end of 2014 in a chiropractic office next to a river.  By a lake. But that is not important.

Quietly, Ann and Betty met to discuss how they were going to fix the … situation. (I changed the names, but the rest is true.)

Dr. JM is an excellent and respected doctor who has a loyal following of patients. But as much as he wanted more new patients — as he was only generating about 6 per month — he just could not bring himself to do much marketing. And this is in spite of the excellent advice and support of his faithful and expert coach and consultant (moi).

But secretly, the two ladies hatched their own private strategy. And it worked.

More new patients started to come in. In fact, on my last visit to their office, they had three new patients come in, more than they usually see in a week.

What exactly did these enterprising chiropractic assistants do? Hmmm?

Maybe you could do the same?

Yes, you can and here is what they did:

Betty, the office manager, and Ann, the front desk coordinator, got together and worked up a procedure for generating patient reviews on Google.

The office manager wrote up a procedure for patients on how to post a review on Google.  Ann, who calls most of the patients “honey” and says that they are all “her” patients, can be very forward and, well, controlling.  She would simply get the agreement of key patients to make a review. She then gave them the procedure that was on a slip of paper and told them to go forth and spread the word.

In time, with her friendly but insistent nudging, they would. And now, their doctor has over twenty great reviews spread out over many months. The new patient increase is coming from people calling in off of the Internet.

Everybody is a reviewer.

People buy on the Internet from reviews.  This is like word-of-mouth of old, only now it is a 4 or 5 star review.  In fact, Amazon, the world’s largest online retailer, uses reviews as their primary marketing tool. Once you buy something from them online, you are continually asked to post a review about what you thought.

I recently posted a review for something I purchased and found out that I have a “review rank” of 16,678,570. (But at least I earned 1 “helpful vote”, so that is nice.)

There are now many web sites that a consumer can go to review you.

Everyone is a reviewer. It is the new currency used to buy and sell products and services.

Get reviewed.

To help you, we have provided links on our blog for the following:

  1. Article for staff on how to generate web reviews. (PDF)
  2. Procedure sheet for patients on how to make a review on Google. (PDF)
  3. Procedure sheet for patients on how to make a review on Facebook. (PDF)
  4. A patient log for the staff to follow up on patients who have agreed to post a review. (PDF)

If you are an active client, you can go to our members site and download the same files as customizable WORD files. Get Reviewed info on PMAmembers.com

Start your own conspiracy to help share the successes of your services. But… get reviewed and watch the new patients come in.

Was Darwin Wrong? Happy Valentine’s Day!

Was Darwin wrong? Let’s find out.

BUT FIRST CONSIDER THIS  WARNING:

You and your staff may have an uninspected cultural bias that is toxic to you and your office and is negatively affecting your best efforts.  This could be happening right now as you read this!

 How could this be?

Well, ingrained in our culture is the idea that to survive, we must compete and overcome others.  It is a win-lose world: either I win and you lose, or you win and I lose.

This idea had much support with the work of Charles Darwin.  Darwin’s perspective of evolution included the concept of survival of the fittest with a sort of “dog eat dog” theme.

However, recent studies suggest this is not entirely the case.

“When biologists look closely at nature they cannot help but notice cooperative partnerships that do not comfortably fit with the competitive struggle that is central to Darwinanin evolution.” (Darwin’s Blind Spot: Evolution Beyond Natural Selection, Frank Ryan)

This theory of cooperation in evolution was actually put forth 50 years before Darwin, by a Frenchman by the name of Jean-Baptiste de Lamarack (1744 – 1829), who established evolution as a scientific fact.

According to Bruce Lipton, “Not only did Lamarck present his theory fifty years before Darwin, he offered a much less harsh theory of the mechanisms of evolution. Lamarck’s theory suggested that evolution was based upon an “instructive,” cooperative interaction among organisms and their environment that enables life forms to survive and evolve in a dynamic world. (Biology of Belief, page 11)

But Lamarck’s ideas, which also included what is now called epigenetics, were cast aside and rejected until recently. So, instead of seeing that organisms in nature evolve symbiotically and cooperatively, Darwin saw that: “living organisms are perpetually embroiled in a struggle for existence. For Darwin, struggle and violence are not only a part of animal (human) nature but the principal “forces” behind evolution advancement.  Darwin wrote of an inevitable “struggle for life” and that evolution was driven by “the war of nature, from famine and death.” (Bruce Lipton, PhD, Biology of Belief) [my emphasis]

The idea of “survival of the fittest”, obviously, is not very cooperative. In an office, it can create brooding jealously, competitive back stabbing, fear and defensiveness, and make us objectify our patients as “cases” and statistics. It can create at a division between us and our patients — between each other.

I got to thinking about all of this as another Valentine’s Day approached. As it turns out, Valentine’s Day is observed all around the world and has been around for hundreds of years, even as early as 300 AD. And, it wasn’t always about romantic love. One legend has it that:

“… in order “to remind these men of their vows and God’s love, Saint Valentine is said to have cut hearts from parchment”, giving them to these soldiers and persecuted Christians, a possible origin of the widespread use of hearts on St. Valentine’s Day.” (From Wikipedia)

The Greeks had 4 different types of love:

  • Agape =Charity, or the love of Man for God or vice versa.
  • Eros = We all know this – romantic, intimate love.
  • Philia = Love between friends or family.
  • Storge = love of parents for children (Wikipedia)

Valentine’s Day is about love. Romantic love, sure but also about charity, generosity, compassion, caring – all kinds of love. And this takes us back to the notion that love, or a type of love, has been the basis for survival of all species on this planet – including mankind. Survival of life forms requires mutual support on some level – survival is cooperative and caring.

In many offices I have noticed a degree of an adversarial undercurrent. You can almost feel a sub-sub culture of “dog eat dog.”   You have experienced this, I am sure.  For example, if the mood is wrong, the phones don’t ring. Right?  When there is a high degree of compassion and care and good will for each other and for the patients, the phones start ringing.

To some degree , Darwin’s “war of nature” may be embedded in the culture of your office. Darwin was right about many things, but life evolved through cooperation and caring – not through war.

Look: Your patients want to survive better. Just find out what their goals are and help them get there.  They will need some education and coaching, sure – you have had thousands of hours of what they are just now hearing.  But care for them and do your very best to help them get to their health goals.

Your doctor wants to practice and live better – find out what she wants and help her get there. You may have to ask lots of questions and train and read and struggle at it for a while, but keep at it and you can make a big difference. In turn, this will help your patients do better – and of course, you do better as well.

And doctor, your team members want to do better and also have better lives – find out how you can help them do so – and do so.

As I mature, I truly see that this planet is getting smaller and that we are all in this adventure together, for better or worse.  Hopefully, for the better.  But there are no guarantees. If we are to get it better, it all comes down to what we can do here and now to help each other MORE than we have been.

The world can be a struggle, but we all have evolved because of cooperation, caring for each other, and love.  If we continue to do so, we can continue to evolve in our practice’s and business, and in our lives.

And have no doubt, Petty, Michel and Associates are in the mix as well. We love your patients, team members and you, and want to do all we can to help you survive and thrive.

Here are our best wishes to you that everyday – is Saint Valentine’s Day!

#  #  #

Love is patient, love is kind. It does not envy, it does not boast, it is not proud.  It does not dishonor others, it is not self-seeking, it is not easily angered, it keeps no record of wrongs. Love does not delight in evil but rejoices with the truth. It always protects, always trusts, always hopes, always perseveres. (From the New Testament, Corinthians 13:4-8, “love” is elsewhere replaced by the word “charity.”)

10 Practice Development Strategies for Chiropractors in 2015

[If you think that you could make more money selling pharmaceuticals, injecting patients with vaccines and promoting flu shots in front of your office, these recommendations are not for you. For those matters, you might want to ask Palmer Chiropractic College or the Wisconsin Chiropractic Association for their opinions.]

What strategic moves should you be taking now to make sure that you have a better year in 2015 and in years to come?

After reviewing current literature and statistics, and based upon my observations and experience, I have put together a report which makes a number of recommendations that can be helpful to you. I have also included an extensive list of references for your further study.

The report contains a lot of information and so it is only for the serious practice executive. It will be a useful resource for you to refer to while you implement some of the suggestions I offer. Reading time is about 15 minutes. It offers new views on practice marketing, management, and leadership, with 25 specific recommendations.  To go straight to the main course, go here:

Here is a shorter version:

Executive Summary – 10 Strategies to Prosper and Flourish in 2015 and Beyond

1. Know Your Environment. The Medical-Pharmaceutical industries are spending more to dominate the market place. Their efforts are becoming more pervasive in reach and more covert in manipulation. At the same time, wellness statistics continue to grow. More people are turning to organic foods and are focused on wellness.

2. Marketing Positioning. My recommendation is to embrace the popular movement towards natural health and own it. Be its champion. You are the Healthy Life Doctors. This is your niche.

3. Unique Selling Proposition. Stay committed to your core services, but articulate your Unique Selling Proposition to your specific market niche(s). Not everyone is your patient. Select certain markets that are already reaching for your type of services: people fed up with drugs, baby boomers who want to stay healthy, mothers who want to avoid drugs for their children, athletes, employers who want healthy employees, etc.

4. Get More For Less. Watch your economics but don’t get stuck in a scarcity mindset. Central to economics is a return on investment -ROI. Invest in yourself and especially in making your support team expert professionals. Learn and apply the Pareto Principle (how 80 percent of your results come from just 20% of your efforts).

5. Insurance or Cash? Yes! Take insurance but don’t kowtow to the Insurance Cartel. There are millions of people who want help and can pay for it and are just looking for a solution. You have to let them know that you have their solution.

6. Shift from Personality Driven Practice to Team Driven Business. The successful offices of the future will be team driven and systematized. Each team member has to be an expert as a specialist, as a team member, and as a marketer. And each should try to achieve this as well. The doctor will delegate most marketing and administrative details to others.

7. Shift from Solo Practice to Group Practice. For those of you who are ready, you should join forces with other doctors in a group practice. This has not had a lot of success in the chiropractic profession as it has in other professions, but the time is right now to band together synergistically as brothers and sisters. There are many good reasons to do this now. However, it has to be set up — and maintained — correctly.

8. New Role: CEO and Leader. Why do CEO’s get paid so much? Because they can make such a positive difference in the business. Up to now in your career you have taken on administrative and marketing projects mostly from the role of doctor, or perhaps owner. The CEO role probably has not been emphasized. Shifting to the role of CEO changes everything. Growing a business becomes easier, you have more time available, and you make more money.

9. Seek Out and Integrate Your Greater Purposes with Your Business. The power for your office, and you, comes from those things that mean the most. This would include your family and your spiritual pursuits. But our world is smaller and we live in a networked economy and culture. Your office, in its own right, has to be a leader in your community and environment and contribute in some way beyond its walls. This also includes having a voice in your professional organization. Your greater purposes also include your personal hobbies. Since you are not working on an assembly line, many of these purposes should be integrated into your work.

10. Get an Executive Coach. Why does corporate America spend over a billion dollars on executive coaching? Because the return of investment proves to be at least 7 times, and in some cases, 10-49 times cost. Executive coaching doesn’t cost – it pays.

An executive coach is different from a clinical coach. An executive coach will help you be a better CEO – a better leader, marketer and manager who builds a team driven business which allows you to delegate most non clinical duties.  He or she will help you sort out what tasks will produce the greatest positive effects for your business, and help you get those tasks done. He or she will be your partner, counselor, confident, coach, teacher, drill instructor, and friend.

The future has never looked brighter, but the challenges are not slight. This makes your success all the more important – and sweeter.

Ed Petty

 

Swiss Army Knife of Chiropractic Practice Development

Ever see a one of those Swiss Army Knives?

I have one. It shows up now and then in one of my drawers.  I always forget how many applications it has and I am always surprised when I keep pulling out more.

Well, there is a particular practice building tool that works like a Swiss Army Knife for your office.Swiss army knife isolated

It is inexpensive, almost free, yet this one tool serves many purposes more effectively than most anything else you can do in your office.

You could call it the Swiss Army Knife of Practice Development.

Once you, and your team, and especially your patients watch Bought, you will understand the power of the Swiss Army Knife of Practice Development.

This one tool can be your most effective marketing procedure. It can be your best therapeutic modality or ancillary service. It can also serve as your best tool to boost team productivity.

But like with my Swiss Army Knife, it can easily get taken for granted and NOT USED.

I can guarantee that IF you energetically use the Swiss Army Knife of Practice Development, your patients will stay with you longer, they will get healthier, your team will be more productive, you will generate more patients, and, yes, you’ll see your collections increase.

What is the Swiss Army Knife of Practice Development?

Education.

Education brings about an increase of awareness and results in a motivation to make a change. It does this for your patients in terms of improving their health, in motivating them to get others to use your services, and in helping to make your team even more purposeful.

You know chiropractic and what it does for people. Each day, miracles occur. It gets almost routine. You know how chiropractic works and you know why it works. Your patients do not. And most of your staff only have a general, and perhaps forgotten understanding.

By educating your patients you are fortifying them with knowledge that makes them aware of the power of your services and the importance of continuing care. It counteracts the propaganda they receive in the form of hundreds of ad impressions we all receive each day for drugs and bad food. It increases their awareness and will motivate them to not only continue with their care, but to benefit more from it.

This will, in turn, encourage them to bring in their family and friends to see you. They may even encourage you to speak to their work place or organizations.

Education can motivate your staff. I have seen numbers go up 25% quickly once the rest of the team was educated more on chiropractic and natural health care.

Lastly, education motivates you.

Education is your least expensive modality or ancillary service, it is the most cost effective marketing tool you have, and costs nothing to educate your staff.

Here are some sample actions to take to improve your educational activities.

  1. Look at your office as an educational facility even more than a care facility. You increase people’s knowledge so that they can take more responsibilty for their health, and for those they care about.
  2. Spend a hour or more each week studying. Read, listen to audios, go to seminars, have lunch with a colleague. Call your coach!
  3. Watch a movie with your staff such as Bought, Doctored, Food Inc., and then have a discussion period afterwards.
  4. Staff Meetings. Go over a case history or two.
  5. Patient Care Class.
  6. Start a Lending Library and position your office as an educational facility.  Even  if you lose a few books or DVD’s each month, it is worth it as your patients will see that you are serious about health and health education. Give each staff member a bonus for a book report presentation at a staff meeting.

There are many ways to educate yourself, your team, and your patients.  Done right, education turns into enlightenment and this will produce a greater return than many other activities you do.

Like a Swiss Army knife, health education serves many purposes. But also like a Swiss Army knife, it has to be kept out, used, not hidden away in the back of a drawer or on a bookcase.

The Most Cost Effective Tool You Have to Build Your Chiropractic Practice and Help Your Patients – and you probably are barely using it!

what if I told you copy

 Forget about the roller tables, stretching bands, balance boards, traction devises, taping, decompression, protein powder, vibrating platforms, laser, lipo body sculpting, ultrasound, stim, tens, supplements, orthotics, etc.

Any or all of these may or may not be appropriate for your practice, but they should not be your first choice in providing a modality or ancillary service to your patients.

Think about this: what could you do for your patients, in addition to your adjustments, that would help them improve their health the most?

EDUCATE THEM

The more the patient knows about how chiropractic works – and how your services help them – the more motivated they will be in following through with their health care plan.

People don’t know about subluxations just like they really didn’t know about asbestos or cigarettes. It was a while ago but advertising was rampant on television and in print promoting cigarettes. MD’s were often used to legitimize the use of cigarettes.

Today, your patients are also being inundated with propaganda about food, drugs, and basic lifestyle choices that are not healthy, let alone not true. They are told that drugs are safe solutions for headaches, back pain, and other ailments when in many cases they are found to be poisonous. (Vioxx, Accutane, Cylert, Darvon & Darvocet, for example.) Nearly all the food they eat has various toxins, from aspartame in diet food to herbicides that linger (glyphosate, used in “Roundup” and sprayed on your kid’s schools playgrounds).

Educated patients are better equipped to keep to their treatment program and continue improving their health. Isn’t this what you want?

This is your #1 ancillary service.

#1 Marketing Tool
Educated patients are more motivated to refer those they know to you and to help you set up external events. They can become your ambassadors, field representatives and sales force. They know that someone with headaches, low back pain, or other odd symptoms may be helped by chiropractic and your services. They may be able to refer them directly, or you can help them by providing special workshops, special events, and opportunities for external programs at their place of work.

#1 Team Management Tool
All of this also applies to each of your team members as well.

We are all “numbed down” by a conventional lifestyle and a culture that is greatly manufactured by just a few large industries such as Big Pharma and Big Food that use media and government to achieve its ends.

And, frankly, we tend to take what we do for granted. Imagine a patient who had a headache for years and after your care is now pain free and can get a full night’s sleep and her relationships with her family have improved., etc.  Amazing, right?  But for us, pretty routine. We can end up being more concerned about billing her secondary or supplement insurance or keeping her scheduling than in just celebrating with her.

Almost anything you know about health care will be “new news” to your patients and probably many of your staff. Plus, we all tend to forget what we once knew.

What is the big difference with you from when you started chiropractic college and after you graduated (Besides debt) . THE difference was and is that you were motivated. And you were motivated because… you were educated and even more, you were enlightened. You were able to see things in people’s health conditions that you never saw before. And with all this understanding, you were now more motivated.

But in time, awareness can dim and so can motivation. New patients start dropping off, treatment plans get shorter, and the quality of staff performance erodes. The solution is to keep educating patients and team members so that they stay awake and motivated.

In other words, WAKE THE FLOCK UP!

Patient and staff education provide the best ROI of any activity you have. Modalities and extra services have many overlooked costs such as staff time to account and bill for the therapies, extra staff to apply the services, someone to take inventory of the products and to sell them, etc. Patient education is pretty much a no cost proposition. How much does a care class cost? Watching “Doctored” or “Food Inc. ” or “Bought” with your staff and then discussing it afterwards (that is very important), it is much cheaper than flying to Las Vegas.

And if you do it often and effectively, you will be able to afford that next seminar in Hawaii.

As the doctor, you are the CEO, the Chief Evangelizing Officer. I first heard this term from Guy Kawasaki, who was called this when he worked for Apple when the Macintosh was first launched in the early 80’s. Macintosh was trying to win over users from IBM computers to the Apple Macintosh.

You are creating converts to a chiropractic and natural health lifestyle.

Remember that education, both staff, patients, and your own education as well should cover not only what your services do, and how they do it, but WHY you provide these services. In fact, your emotional connection to the reason you do your services communicates the strongest.

WHAT TO DO
1. First, keep yourself aware and amazed at the innate healing power of the body and the great affects your services provide. Provide an hour or two of study for yourself each week. Just like you work IN your office, you have to work ON your office – and that includes yourself.

2.  Let yourself get emotional about what the FLOCK is going on!  Don’t be “correct”, well heeled and a good little domesticated “provider.” It is natural that you become somewhat “riled up” about the injustice that your patients and their family and friends experience in receiving “health care” or at the misinformation “fed” to people about healthy living.

3. Educate your team. Watch a movie with them and then have a discussion period afterwards. (The discussion is very important as it helps get everyone engaged in the process.)

4. Staff Meetings. Go over a case history or two.

5. Patient Care Class. There are many different names for this, but all patients get better, faster, and stay healthier longer if they know more about chiropractic and health. Make it a part of their treatment plan and bribe them with food!

6. Start a Lending Library and position your office as an educational facility.  Even  if you lose a few books or DVD’s each month, it is worth it as your patients will see that you are serious about health and health education. Give each staff member a bonus for a book report presentation at a staff meeting.

There are many ways to educate yourself, your team, and your patients.  Done right, education turns into enlightenment and this will produce a greater return than many other activities you do.

# # #

Marketing Plans for Your Chiropractic Office This Fall

As we move from the summer months into fall, I thought that it might be helpful to preview some marketing ideas for the rest of the year.

Below is a link to several articles on our web site referencing marketing procedures and programs for the autumn and the early winter months.

Marketing is basically physics: for energy to come in, energy has to go out.

Ideally the energy is well directed and of a high quality, but mainly, it has to get out.  Quantity first, then gradually, improve the quality.

But everything is done twice: first in your mind and then in the world. First comes the meta-physics, then comes the physics

This is why the most important and first step starts with you – your faith, confidence, and belief in what you are doing and especially, why you are doing it.

Organizational system failures or personal situations can often get in the way that distract us and cause us to lose sight of our purpose or of the great results we have achieved for others in the past.

And, there will always be the negative few that seem to outweigh the positive many.

Sometimes we focus on the “barking dogs” that come out to chase us for a while rather than concentrating on the fire we are racing towards to put out.

Marketing is about communication. It is an “outflow” that sooner or later, directly or indirectly, generates an “inflow.”  It is your creative voice that is either filled with mission and purpose, or is forced and desperate. Stymied by failures or disappointments, our “voice” can recede to a whimper or a mumble.

But the fear that can grip us is mostly an invention because too often, we take things too seriously.

The fact is, as Ben and Rosa Zander point out in their book, The Art of Possibility, most of life is just “invented.”  I listened to Ben Zander, the conductor of the Boston Philharmonic Orchestra, give an inspirational presentation at the chiropractic seminar called the WAVE in San Francisco in August.

He advised that when we slip and make a mistake, we should just throw out our arms, lean back slightly and exuberantly and say: “Fascinating.”   We just can’t take things too seriously and instead we should move on passionately expressing ourselves. Not bad advice from a maestro whose goal is to get musicians to play better.

You could also go out to a field or park and just yell: “I am the greatest and the world loves me and wants to come to my office.”

Don’t be surprised if the universe cooperates.

Marketing your services, like helping people get better, should be enjoyable. It should be fun. You should be smiling and laughing.

And you know, as the song goes:

♪ When you’re smiling, ♫When you’re smiling,♪
♫The whole world smiles with you,♫
♫When you’re laughing, ♫When you’re laughing,♪
♪The sun comes shining through,♫
♫Wishing you plenty of smiles and all the best,♪

Ed

Click Link for more Marketing Articles

Here is a great rendition of the song by Frank Sinatra

https://www.youtube.com/watch?v=351l62Yx0oI

Fall Marketing for Chiropractic Offices

Follow these links to some useful articles on what to do this fall to generate more new patients and increase your volume.

Chiropractic Marketing Ideas for Fall Promotions.
General Marketing Procedures and Ideas for Fall Marketing during October, November and December

Chiropractic Never Takes a Holiday.
Health doesn’t take a holiday, your appointment book doesn’t have to either.  Pointers on how to keep your patients on their care plan during the hustle and bustle of the fast approaching holiday season

Fall Marketing Ideas.
An outline of more Fall marketing ideas.

Heat up Winter With Chiropractic Health Promotions
Get a jump start on 2015 with putting good Healthy Promotions  for the New Year in place early.

Chiropractic Holiday Marketing Tips
This article covers effective marketing procedures, internal marketing, community talks, recurring events.

Fall Chiropractic Marketing
Internal promotions and External Community Events

Spinal Health Awareness Week
October is National Spinal Health Month.  This article covers ideas to get the word out.

Sample Poster for Spinal Health Awareness (PDF)

Promoting Kid’s Health 
Save your children the hassle of living with the same spinal problems you suffer from.  This article provides suggestions  to bring about awareness to Kid’s and Chiropractic

Special Event Health Care for Kids 
Detailed outline of how to hold a Kid’s Day or Kid’s Week.

Newsletters
The importance of doing an office newsletter and how to get the job done.

Patient Retention in Chiropractic and Delivering Happiness

In our webinar on chiropractic patient retention, we reviewed some basic procedures that can be used to decrease patient drop outs.

More significantly, we looked at a new paradigm for patient retention that many businesses are using successfully.

If your visit average is less than 60, then you can benefit from the material we covered.

The webinar also included a short presentation on an effective patient recall system used many years by Linda Skiles, former Chiropractic Assistant of the year in WI. The forms discussed in the webinar are located on our PM&A members site.

We discussed why patients drop out of care – the basic reasons, and ten strategies you can put into place to improve your visit average .

One of the last strategies examined a company called Zappos. This is an online shoe selling company that began in 1999 and ten years later was selling a billion dollars worth of shoes.  We looked at a couple of key features on how it did this.

Under the strategy of “Take Care of Each Other”, we reviewed their ten core principles.  According to the founder and CEO ,Tony Hsieh, employees are hired in part based upon these core values. He discusses this in his book, Delivering Happiness.

These are the ten core values that Zappos employees live by:

  1. Deliver WOW Through Service
  2. Embrace and Drive Change
  3. Create Fun and A Little Weirdness
  4. Be Adventurous, Creative, and Open-Minded
  5. Pursue Growth and Learning
  6. Build Open and Honest Relationships With Communication
  7. Build a Positive Team and Family Spirit
  8. Do More With Less
  9. Be Passionate and Determined
  10. Be Humble

What are the core values of your office? Have you defined them? Should you? Does each team member live by them?

Below are two links to two short videos that illustrate how Zappos applies these core values. The first is a music video put together by Zappos and their employees. Just fun – and maybe even inspirational.

Then, watch as Rachel Ray anonymously calls in to place an order on Zappos and see how she is treated.

Zappos illustrates the strategy we call: “Taking Care of Each Other” and “Creating a Community.”  Both of these are effective strategies that can help increase patient retention.

You can use these videos at a staff training meeting and discuss how it could apply to your team.

If you are an active client, you can also watch the webinar on our members site.

Your patients may come to you for health and relief, but they stay because of friendship and how you make them feel as people. By hiring the right team members and helping each other stay true to patient centered core values as exemplified by Zappos, your patients will want to come back and see you again and again.

If you are having trouble viewing the video above, please click this link:

http://youtu.be/4gHlEBU_NSg

If you are having trouble viewing the video above, please click this link:

http://www.youtube.com/watch?v=td-nVat6cLY&feature=colike

GOOD TO GREAT: The 1st Step in Taking Your Chiropractic Office to Greatness

Jim Collins, author of Good to Great, after researching many successful companies, noted that great companies “confronted the brutal facts.”

Cover_Good_2_Gr8

“All good-to-great companies began the process of finding a path to greatness by confronting the brutal facts of their current reality.”

If you want to take your chiropractic business to the next level —the 1st thing you need is an exact and honest picture of where you are now.

You see, you can’t get to “THERE if you aren’t exactly clear on where “HERE” is.

You may be looking at where you want to go — visualizing your goals — and you should. But before you head out on your path you should really look at where you are now and review your strengths and weaknesses.

It is goal setting season now. If you don’t clearly assess your current practice condition, a year from now you may be right back where you started.

In a hurry to get THERE, we often don’t spend enough time really LOOKING at and assessing what is honestly going on HERE.  In fact, it has been our experience that most doctors do not face the blunt facts right in front of them but instead try to “solve” their practice challenges with a new solution.   It is similar to a patient embarking on a new treatment program without first receiving a thorough examination.

We have often seen a doctor set goals designed to fix a challenging practice situation in one area when the problem was really emanating from another.  For example, your external new patient difficulty may really be coming from messes in your office management.

How is your front desk team member doing (really) after her husband lost his job? What is going on with that therapy procedure you wanted to implement three months ago? Is my billing coordinator writing off too much? How many new procedures has the front desk been given over the last 6 months? How much money am I spending/not spending on marketing? What’s going on with our newsletter program? Where’s my blue coffee mug?

Sometimes we just can’t see the forest for the trees. We become so accustomed to what we do each day that we can overlook what can be choking off our growth – or potentially fueling it to the next level. Plus, we are busy.

Half the battle of growing your business is in squarely observing what is in the way, as well as recognizing what are your greatest resources.  Only then can you effectively set your goals.

To help with this, we have developed a practice assessment specifically for chiropractic businesses. It digs into your office and measures 11 different dimensions of your operation.  Our first version of this was created nearly 14 years ago and has been used successfully since. This new version is even better.

Much like a functional assessment for your patients, this survey inspects vital areas of your practice and gives each a score. From this, we make a chart that gives you a portrait of what areas are strong and what may need immediate attention.  We also provide a written interpretation of the assessment.

Originally, this assessment was used with our active clients as part of their service. Using this assessment tool as well as practice statistics, we could uncover what areas of their business needed the most correction. We also discovered untapped or underutilized strengths that could help energize the office. At regular intervals, we could reassess and note the improvements and what to work on again.

We are now offering this assessment again as a special service which includes:

  1. The assessment
  2. Graded and plotted assessment
  3. Statistical analysis with charts
  4. Phone consultation
  5. Written report with practical action steps.

Each question will provoke a greater understanding of your practice. With the results of the assessment charted and the consultation, you will obtain a new perspective of how your office operates. You will also see more clearly what needs to be done to bring it to the level of success that you desire.

Practice Statistics. Of course, you can’t evaluate a business without also analyzing its performance monitors. Most offices keep practice numbers – somewhere.  Unfortunately, they are rarely reviewed properly.  We know how to analyze them and show you your ratios and the trends that they reveal. If we do not have your current practice statistics already, we will request them on a separate form. After interpreting your statistics, we plot them on charts and correlate them with the results of your Practice Development Assessment.  Together, this will allow us to give you an excellent overall analysis of your business and what needs to be done to take it to the next level.

 

Send in when Completed.  When you have completed this assessment, you can fax or email it back to us at Services @ pmaworks.com or Fax: 877-868-0909.   We will score and chart each section of your assessment and set up a time to discuss the outcomes with you. We will also send you the results with our written observations and recommendations.

The standard fee for this for non active clients is $250.  

NOTE: As of January, 2014, for a limited time promotion, we will be charging only $25. This is almost free, but I don’t want to take up our team’s time with people who aren’t seriously interested in this service. If you take us up on this assessment, I will assume you are hard core about improving your business. As hard core as we are!  🙂 Use the promo code  CPDAPROMO to get the discount when you click the link below.

Ed Petty

To purchase: LINK

 

 

2014 Appointment Calendars

It’s that time of year again!

Many of you are starting to make multiple appointments for your patients which automatically takes you into 2014.

Below are some helpful appointment calendars that you can use help get those appointments scheduled and keep your patients on their treatment plans.

Appointment-Calendar 2014

Personal Appointment Calendar 2014

PMA members can find a word doc version of the calendars, for customization, on our members side under the Front Desk Library

The Fundamentals Apply…As Time Goes By

I want to pass on some tips and ideas about chiropractic marketing and so the title above may seem a little misleading. It is a taken from a classic movie, a romance actually.  I will get to that in a moment.

To start off with, I have pulled out some promotional ideas from our chiropractic Marketing Toolkit on our Petty, Michel and Associates Members Site and in the Chiropractic Marketing Manager System program that you might want to use for this month, November, or December.  You can find them here on our web site.

There are many variations of each, and thousands of different promotions, but those listed have worked and at least can help prompt you and your team to come up with your own customized programs.

I wanted to send these out and draw your attention to the importance of marketing because you may have been distracted lately. I know I have. There has been a great deal of noise over the last several months, some of it frantic, about new HIPAA regulations (watch out for the HIPAA Police!), ICD 10,  PQRS and other Medicare measures, and now the Affordable Care Act (Obamacare). And now we also have the government gridlock and debt and so on and so on.

The environment in which we do business is always changing.  And the rate of change is increasing.  It is like a sea that sometimes has big waves and sometimes little waves. At times it storms and at other times there is a dead calm. And we are the sailors and we have our ships and come what may, we sail our vessels and deliver our goods.

But the fundamentals of our businesses do not change.  And marketing is a basic fundamental of business.  In fact, it IS business.

As a doctor, your focus is on patient care, on quality clinical procedures and outcomes. And, as a doctor, it should be.

But your other role is “business person,” and business is all about the market place.  Like the summer Farmer’s Market, it is where you put something of value on display that others want.

Peter Drucker, the father of modern management theory, looked at marketing as the entire purpose of an organization.  In his book, Management: Tasks, Responsibilities, Practices (811 pages!), he says:

There is only one valid definition of business purpose: to create a customer.  Because its purpose is to create a customer, the business enterprise has two – and only two basic functions — marketing and innovation. All the rest are costs. Marketing is the unique distinguishing function of business.

He goes on to say:

Marketing is so basic that it cannot be considered a separate function (i.e., a separate skill or work) within the business, on par with others such as manufacturing or personnel. Marketing requires separate work, and a distinct group of activities. But it is, first, a central dimension of the entire business. It is the whole business seen from the point of view of its final result, that is, from the customer’s point of view. Concern and responsibility for marketing must, therefore, permeate all areas of the enterprise. (Page 63)

In other words, your entire office is the marketing department.

The top 3 reasons your marketing does not work adequately are:

  1. It isn’t done. (It is done, but only now and then, irregularly and half-vast.)
  2. No one is assigned and responsible for doing it.
  3. Those assigned to do the marketing are not given the time to get it done.

There are other reasons, of course, but these are the top three and formed the basis of our Marketing Manager System, developed in 2001.

You know all this, but it helps to be reminded now and then.

And I am reminded of the theme song in the movie, “Casablanca.”   The movie stars Humphrey Bogart and Ingrid Bergman and is a classic romance from 1942.  You may wonder what a romantic movie has to do with business and marketing, but who says that business and marketing can’t also be romantic?  (I have been accused of being unromantic before, but perhaps I have just been misunderstood!)  Shouldn’t you be in love with the work you do in chiropractic?  Shouldn’t you love your patients and be passionate about the story your office has to tell?

With apologies to Herman Hupfeld, the composer of “As Time Goes By”:

You must remember this
Promotions must not be missed
On you they do rely
The fundamentals things apply
As time goes by

It’s still the same old story
A fight for market share and glory
A case of do or die.
The world will always welcome your loving care
As time goes by.

Chiropractic Marketing Ideas for Fall Promotions

Here are a few ideas for promoting your chiropractic services during the end of the year.  There are many more, of course, but these can get you and your team thinking of what you might like to do over the next several months. (For a PDF version of this article.  REVISED AND UPDATED- 9/2014)

Schedule the special promotions first – the big events. Get these on a large Marketing Calendar and plan them out. Promote them before the event.  Ideally, you should promote the event four weeks before it occurs, but people often forget and make spur of the moment decisions. Therefore, promoting even a week before the event has worked.

You can find customizable posters and detailed information on how to do many of these projects on your chiropractic Marketing Manager System Toolkit and on your PM&A Member’s site. Depending on the level of your program, we can also put together simple posters to help promote your particular project.

Then, look at the more basic marketing procedures, those that are recurring. These should be on a list which you review every few months.

You can also sprinkle in some minor but fun promotions, such as having a Crazee Dayz.

General Marketing

  •  Recurring Procedures. The most important marketing procedures are your usual, recurring procedures that you do on a daily and weekly basis. Many of these are already embedded in your routine procedures.  These should be on a list that your review every three months.
  • Calendar. Make sure you have a large calendar to post all of your scheduled upcoming promotions.
  • Assignment. Assign a staff member to be in charge of each promotion. Each team member has a marketing responsibility.
  • Communication. In the end, marketing is all about communication. Therefore, promote your events with your newsletters (electronic and hard copy), fliers, Facebook, Internet updates, bulletin boards, web site and most of all,  through friendly one on one personal communication in the office.
  • Motivation.  All procedures work to some degree, depending on how well they are organized and on the intention behind them. If you and your team are not motivated to make these procedures work, they won’t.  Keep your purpose strong and your energy high.

Crazee Dayz
Select a day and make it special for your patients. Only one day a week is necessary otherwise it’s not special.  It can be once per month or every week. Serve extra treatsYou can have the staff dress out of uniform coordinated to the day.  These can add some extra fun to the office and help with retention and long term referrals.

  • Muffin Mondays – Serve up a selection of health bran, banana, blueberry, etc muffins
    Two for Tuesday – Bring a friend for a complimentary spinal exam and offer the patient a free adjustment.  “Two Fer Tuesday.”
    Whacky Wednesdays – gag gifts for patients,  “adjust-a-mints”, etc. (http://www.bannermints.com/)
    Thirsty Thursdays  — Organic apple juice served in plastic wine glasses with a sliced green apple on the rim. NA margaritas.
    Fruity Fridays  – Bowl of local fruit.

OCTOBER
October is National Spinal Health Month
(Now called National Chiropractic Health Month) This can give a you a reason to do many different promotions.  (Read about it at the American Chiropractic Association web site here.)

  • A banner in your office for patients to bring in family members for a free “Check-up.”
  • Reactivation Month – send postcards to all inactive patients who have not been in for at least one year or more for free spinal checkup.

Chiropractic Opportunity Week  (“The doctor is having a COW.”) (patient referrals and advertising new patients)

  • Free consultation, exam, and x-ray if needed.cow

 Hair Dresser/Beauty Salons/Spas (new patients and business referrals)

  • Offer a workshop on “How to Stay Fit While You Clip.”
  • Free massages (and screenings) for customers
  • Set up a customer appreciation program with the business owner and provide the massage and or food and screenings

 Local Health Fairs (new patients and business referrals)

  • Contact all the locations you have held events in the past year and schedule events for the New Year.
  • Contact local businesses for health fairs in the New Year and get them scheduled
  • ghost

 Kids and Halloween Party (patient retention and referrals)

With Casper as inspiration, a kid’s Halloween party with a friendly ghost theme has the right mix of tricks and treats. Invite the young ghouls to come dressed up, but you can also have them make ghastly masks as part of the fun. Other ideas include spooky decorations, scary snacks and a friendly ghost hunt.   Free spinal and scoliosis checks for all guests.

 

 NOVEMBERturkey

Thanksgiving Turkey Drawing Poster(patient referrals)

  • Refer a friend and enter the drawing for a free turkey
  • Special for Organic Turkeys – announce in your newsletter
  • Make arrangements now with your local supplier

Donation Drives (patient referrals, advertising new patients)

Holiday time always brings an increased demand for helping those less fortunate.  Within your office set up a collection area for any of the following programs and promote it in your newsletter.

  • Coats for Kids
  • Food for Families
  • Toys for Tots
  • Blood Drive

$25 in exchange for first day services.

  • Also, you can support drives at local church or gyms. E.G. “Free first day services for every donation a member of YMCA makes to the homeless fund.”

Deer Widows Week (patient referrals)

During hunting season or first week of December  offer  complimentary massage for  your patients who refer in a new patient.

 Girl’s Night Out  (screenings)

Christmas shopping/gift exchange

Enlist the help of massage therapist, local spas and direct marketing consultants, Tupperware distributors, etc. Everyone has to bring at least 3 guests. Buy presents from each other rather than at the mall.  In November or first week of December.gifts

Or

  Movie & Margarita (bring a guest for a movie screening and a spinal screening)

Sample movies: The Love Letter, Steel Magnolias, Little Women. Fried Green Tomatoes When Harry Met Sally, anything with Brad Pitt.

 

DECEMBER

Holiday Coupons – Gifts Certificates(patient referrals)

  • Good for Massage, consultation, exam, x-ray
  • Denominations: Free, $25, $25 or food donation to charity.

poinsettiaPoinsettia Give Away (patient retention)

Give away free poinsettias, one per family.  Include in the cards a gift certificate for family members or friends.  (see Member’s site for gift card)

 Saturday with Santa(patient referrals)

  • santa lapSet up Santa in your reception room corner
  • Treats for the kids
  • Pictures with Santa
  • Free spinal check with Doc

Appreciation to External Referral Sources.  

Deliver a fruit basket or other present personally during December with a card of thanks and mention how you are looking forward to another year working together.  This would go to any location where you had an external community services type of event, such as a screening or workshop.  Include: “Looking forward to working with you next year.”

Pilot of the Wheelchair: The Girl and Her Passenger

This short story may not seem at first to pertain to your chiropractic office, but it does.

In the hot afternoon Sunday traffic, in the right lane waiting to turn right, our lane had stop moving.

Crossing the busy six lane intersection heading toward us was a man in a motorized wheelchair.  His face was full but motionless and looked worn. I couldn’t be sure, but he had that straight-ahead look of someone who was blind. He was maybe upper thirties or mid forties with short hair, perhaps a wounded veteran who paid no mind to the antsy cars that waited for him and his wheelchair.

Sitting on his lap was a thin little girl. Maybe eight years old.  She was curled up, cuddled with one of her shoulders against one of his. As they were crossing the last three lanes, she stretched out her arm with an open hand as if to say “halt, please let us cross.”

She had the look of a girl who had not had an easy life but was happy to be with this person whose immobile legs she rested on.

Once they made it to the other side our lane started to move. The pair moved closer as I moved forward. It appeared as if she was acting as the man’s eyes and told him when to go. I had the sense that he was a family member, perhaps her father, by the bond they seemed to share.

As I passed them in my nice air conditioned car, I looked closely at the girl and waved to her and smiled. She looked at me directly as I drove by. She gave me a wave and beamed a big smile as if to say “Thanks. We just made it across a busy road and me and my pa are having a Sunday outing.”

In my mind, her face reminded me of pictures of Anne Frank, the girl in Amsterdam that kept a diary before being taken by the Nazis to her death in 1945.

I would have liked to stop and help her in some way. Or say “hi” to the man in the wheelchair who looked so stoic. Maybe there was something I could do for them.

But the fact is – they did something for me.

They set an example – of courage, caring and love. They had heart: For each other, for their goals, and seemingly for their adventure.

Not everything can be put into a mission statement or measured by statistics.  No “boot camp” can teach this, and even if all your policies and procedures were followed perfectly, you could still miss it.

Heart.

One office I know has so MUCH heart the whole town loves the office and the office loves the town. The fact that there is a 2-3 week waiting list of new patients is the biggest challenge the office has.

By training and professional experience, I have a bias towards procedures, organizational structure and production.  No doubt, without these, offices would experience anarchy or insolvency. But I have also learned that heart is more important.

We can all become discouraged at times. Emotions and confusions can affect your patients as they do you and this can put a barrier around our capacity to care.  This may be affecting you or your office now.

But this is only temporary and not the real you.

This is what the little girl gave me. Her wave to me was a “thank you for stopping to let us cross the road”, but also, “we are all in this together.”

That is the lesson I am left with.

There is heroism all around us. Simple and quiet examples of selfless caring and love pass us by daily if we were to notice.  People want to help others and want help as well. Why? Because we are all in this together. Because we care. Because we have heart.

Training on procedures such as the report of findings is fine, but your patients aren’t adversaries and neither is your community. They want to get better and they want to help others to get better.   Really care for them, really love them, be honest with them, and have the courage to always do this, and they will never leave you.

Whatever your office mission statement says, if you have one, it should say what is in your heart. And if you follow that, I am sure you can successfully pilot your team on its adventure.

#  #  #

Ed Petty

Be Creative: You Are An Artist in Your Chiropractic Office

As a marketing tip, be creative.

More than ever, genuine creativity stands out and is necessary as your community gets more and more bombarded with ever increasing amounts of data, connections and general “noise.”

But the fact is, aside from marketing, no matter what role you may have in your office, you are an artist. You are not working on an assembly line.

Each day you create many things that were not there before.

Although you follow routine procedures as a chiropractor or team member, you are not a robot.  You add your special ingredients to each outcome you help bring about.

Each day — today in fact — you will create many useful outcomes for people. Depending on your role in the office, it could be adjusted patients, collected receivables, or scheduled patients.

Think of the outcomes you bring about as works of art. They are your creations. They are unique.

 

Two Outcomes

There are two basic outcomes that you create. Your first outcome is obvious — it is defined by your role in the office: adjusted patients, collected receivables, scheduled patients that keep their appointments.

The other outcome that you may not spend much time on — none of us do — is working ON ourselves and ON our office. The second outcome is producing that which is producing your outcomes.

A farmer can’t have apples without an orchard.  A football team can’t win unless it has the right players in the right positions.  A runner can’t win races unless she works on her form and trains.

It’s the oldest story in the book:  the goose that laid the golden eggs.  You need a golden goose to get your golden eggs.  If you “cook your goose,” or at least don’t take care of it, you won’t have golden eggs.

Taking care of your goose that lays the golden eggs is your second outcome you need to work on each week.

 

Takes Time and Continuous Improvement
If the road to your goals seems too long or the travel too tough, keep in mind that it takes time to grow an orchard or to build a winning team. (This is also covered in #6 of Stephenson’s 33 Principles of Chiropractic.)

And it takes a continuous process of improvement working ON your job skills and ON the development of your team and team functions.  If you are a professional musician, you spend time playing music in the orchestra. But you also spend time improving your own music and helping to improve the music of the orchestra.

All artists make mistakes.  That is how you and your team learn. It is part of the improvement process.

But it is art. You are creating something that wasn’t there before.

There is a thrill to be had at the end of each day if you demonstrated the best of your craft – and your team did as well.

In our networked economy, authenticity is more valuable than ever before and is what distinguishes you from all the rest.

Just keep in mind that you have two outcomes, it takes time and requires a process of continuous improvement.  Then, enjoy creatively making each day your new work of art