Category Archives: Chiropractic Success

Billy DeMoss, the Dead Chiropractic Society (DC-S), and a free Chiropractic

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Dr. Billy DeMoss has changed chiropractic.

He has done this by offering an alternative model to the standard chiropractic seminar.  In so doing, he has helped to bring chiropractic back to chiropractic.

We all know that there are various versions in how this great profession is presented and applied.  But there is a common denominator in the profession that makes it special and in which everyone can agree.

What is it?

The subluxation…? Well, sure, but even this is disputed.  Let’s go for something even more basic.

The fact that chiropractic truly helps people get healthier and avoid getting run down in the medical-pharmaceutical-sickness complex?  Yes. True enough.

What else makes it special that we can all agree to?

NO ONE OWNS IT. Chiropractic wasn’t bought out by a Chinese company, a multinational firm, or bailed out by the Federal Reserve or the World Bank.  Your skills are not trademarked by Eli Lilly (Pharmacy Company). You can use Activator or the knee-chest. For the most part, you are free to do whatever you want.

But there is also something else that makes chiropractic special and that we all can agree to. What is it?

Well, chiropractic, if you are doing it right, is fun. In fact, it is a blast.  Adjusting patients and seeing them get better and loving you and your team for it! What could be better?

So, let’s add it all up: chiropractic helps people get healthier, it helps them avoid costly medical procedures, it allows them to live a better life, it allows you and your staff to have a better life, it is free from outside financial interests, and, it is fun.

NOW this is cause for a party!! THIS, if anything, should be celebrated.

This is what Billy preaches, practices, and sets an example for us all.

There are many professions out there that are soulless, goalless, and hopeless. Many are also too burdened with their own seriousness. We also can fall into this “chiropractic-as-drudgery” daily work mindset.

But, this is NOT chiropractic. And, as B.J. Palmer said:

The average businessman has long since forgotten Rule No. 9, “Don’t take yourself too damn seriously.”

Dr. DeMoss practices Rule No. 9. and helps us all celebrate the work we do.

The next Cal Jam, which he calls “ kiro-Woodstock”  is scheduled for March 12th  & 13th, 2012.  You can visit his website at www.californiajam.org where you can sign up to receive his newsletter and be a part of his worldwide referral network.

AND, you can listen to him live this Tuesday, April 26, at 12:30 Central Time. (For non active clients, we are charging $25 which will be donated to Oaklahaven.)

Register Here

For the full article on Rule #9 by B.J.Palmer, and a downloadable PDF file: Rule #9


The 6th Fear

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Chiropractors:  I think it might be time for a pep talk…

Have you been keeping up with the news lately? It’s hard not to.

Egypt, Tunisia, and now Libya recently had swift moving revolutions that resulted in regime change – all in the last few months. And other Middle East countries are also rumbling with protests.

Meanwhile, back in the States, our federal government doesn’t seem to have enough money and our representatives are threatening with a government “shutdown.” And next door here, in the Middle West, Wisconsin, there are thousands of people protesting around our state capital.

That’s a LOT of commotion!

So, how’re your patients doing with all of this? Are they worried? Is their pay getting cut? Are they loosing their jobs? Do they have jobs?

And how about you? Are you staying up watching the news, reading about it, discussing it? Are you worried? How is your income?

We need to be accurately informed about current events, of course.  Unfortunately, we sometimes become so distracted that we can loose sight of what we are doing and let our businesses suffer.

A few years ago when the stock market plummeted, I received phone calls from doctors who were worried. One, who had been doing very well, was thinking about selling her office entirely. Another doctor who also had been doing well, let his practice numbers nose dive as he become mesmerized by the “news”, and was worried about racial riots and internment camps.

There is no doubt that economic conditions have been changing. But it has been our experience that if you constantly work on improving your services and in developing your business, and yourself, you will do just fine. (Good coaching helps too!)

BEST EVER
Last year, many of the offices we had the privilege work with had their best year ever. Most of them, in fact, had been in business for 15 to 25 years. I can think of 3 just off hand that have hit the “waiting list” category. They have reached near capacity with so many patients that they have to schedule new patients 1 week out. Horrible, I know, but very cool too.

DOING RIGHT
Success in this environment can be had. You can have it. You may have to change your past mode of operation, but you too can achieve it. It can be obtained by doing the right things, and doing those things right through a process of constant improvement. We call this the Practice Development Process.

BEING RIGHT
But to get what you want, you have to not only improve what you do, but improve who you are. You have to improve your outlook, your skills, and your personal habits. Success has much to do with how we view the world and what we put our attention on. As one old time doctor mentioned to me years ago, “success is an inside job.” By “inside”, he was referring to one’s thoughts and attitudes. He could talk: he and his doctors were seeing over 2,000 visits per week for years.

WORDS OF SUCCESS DURING TOUGH ECONOMIC TIMES
We have been going through what has been called the Great Recession.  Many patients are worried about their jobs and their money.

Napoleon Hill wrote “Think and Grow Rich” in 1937 during the Great Depression as a result of studying and working with successful leaders, including President Roosevelt.  It continues to be a best seller, perhaps the most popular motivational book of all time. In it he says:

“It is true that all thought has a tendency to clothe itself in its physical equivalent. … “The people of America began to think of poverty following the Wall Street crash of 1929. Slowly but surely that mass thought was crystallized into its physical equivalent which was known as a depression.”

THE 6TH FEAR
The thought that creates this depression, according to Hill, is fear. Hill talked about 6 types of fears, the worst of which is the fear of poverty. The other 5 were criticism, ill health, loss of love of someone, old age, and death.

“The Fear of Poverty is without doubt the most destructive of the 6 basic Fears.“

Hill states that one of the symptoms of fear of poverty is procrastination.

DO IT NOW
So, this is a pep talk to encourage you that there has never been a better time to grow your practice and expand your business.

Your patients need your leadership to help them with their own fears so that they can become more productive. By improving their health and educating them on the chiropractic lifestyle, their chances of succeeding in their lives increases. You and your team help them, their families and the community. You make a difference.

So, do it now. Increase your promotion. Stream line your procedures. Work on team training and improve your service. Plan your expansion for this year.  Schedule a technique class. Read more. Work out more.  Get enlivened with your purpose as a chiropractor.

New office? New doctor? Why not? People need chiropractic care now more than ever. And chiropractic has never been more popular. Even the quarterback for the winning football team of the Super Bowl gets regular chiropractic adjustments. (Naturally, since his dad is a D.C.)

Work with a practice building coach and get in the game – to win!

As Napoleon Hill says:

“Do it now! can affect every phase of your life. It can help you do the things you should do but don’t feel like doing. It can keep you from procrastinating when an unpleasant duty faces you. But it can also help you do those things that you want to do. It helps you seize those precious moments that, if lost, may never be retrieved.”

Fight the fear and the procrastination by just doing it. And soon, you too will be achieving your best ever again.

#  #  #

P.S. Napoleon Hill was a chiropractic patient.  One report has it that B.J. Palmer was his chiropractor. Both men thrived during tough economic times. Here is an interesting story about Hill and chiropractic. LINK

Old movie of Nap Hill. 7 minutes. LINK

Every Morning

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Before you start each day in your chiropractic office, you have a chance to make a decision about how you are going to take the day on.

The day won’t wait for you.  It comes at you pretty fast.  You either embrace it and impose your will and game plan upon it, or hide somewhere and pretend to be a spectator.   But even still, the day will move to night and you will have had your chance to make a difference for yourself, your patients, your practice, and your family.  You won’t be able to have that particular chance again.  It is gone.  You will get a new day, however, and new morning and a new chance to make decision about how you are going to take this new day on.

This is why the old adage, “Early to bed, early to rise, makes a man healthy wealthy and wise”  is so true.  Also, there is: “The early bird catches the worm.”

But one of my favorites follows the traditions and natural laws of nature:

Africa

“Every morning in Africa, a gazelle wakes up.  It knows it must outrun the fastest lion or it will be killed. Every morning in Africa, a lion wakes up.  It knows it must run faster than the slowest gazelle, or it will starve.  It doesn’t matter whether you’re a lion or gazelle – when the sun comes up, you’d better be running.”

Are you running yet?

(For a desk tent poster of this quote that you can download and print: Link )

Patient Compliance in a Chiropractic Office

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The success of your chiropractic practice is directly related to the level of patient control you and your staff have with your patients.

No matter if you are the best healer this side 1895, or if your office is perfectly modern and your team is the friendliest in town, you will fail in business if you are weak on control.

Once your patients agree to their treatment plan, can you get them to comply? If you can’t, they won’t really get or stay healthy and neither will your practice.

You have to be friendly and have good communication, of course. But you also have to be a coach. A good coach, if you have had one, is just a bit and demanding. They are this way because they care. They care about winning and they care about their players.

If you care about your patients “winning” back their health, and staying healthy, then you have to be willing to be assertive about them sticking to their schedule of care.

And if you aren’t being insistent with your patients, we know that the pharmaceutical companies certainly are with their constant commercials and medical prescribers.

Who do you want to win that contest with your patient?

Health Never Takes A Holiday!

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Holidays

Holidays are a time when chiropractic patients can find many reasons not to keep to their schedules. To help you and them stick to their health program, you can pre-schedule them for the entire month of December.

We have made a couple of posters centered around:

Health Never Takes a Holiday

You can find links to these below.

When talking to your patients about their schedules, be understanding and empathetic. Hear their story. Then, be bold about your interest and concern that they maintain their care schedule through the holidays – and get them scheduled until next year.

And it is OK to use bribes.. Spicy warm apple cider gives off a very cozy smell and tastes great.. and is healthy, and free screenings/exams for patient’s holiday guests.

Links to posters:

Poster for Nov/Dec
Poster for any holiday

Internet Marketing for Chiropractic Offices

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What a great teleseminar we just completed about Internet Marketing.

I wanted to provide a short summary and a few follow ups for those who joined us as well as for those who weren’t able to.

Face To Face Networking – now more valued than ever. As we live increasingly in a virtual world of “friends” and emails and ordering products and services from our computers, meeting and connecting in person with real live people is rarer and therefore more valued. Get out of the box and meet people!

Virtual Networking – We discussed Facebook and creating a fan page. Here is a link provided by Dr. Jamie Phillips on how to do this. (link) There are many ways to add content, or information, to your Facebook page including automatic feeds.  Dr. Phillips gives one example, using Google Alerts,  listed below.  But automated content or ads about upcoming events do not take the place of “newsy” and interesting articles about you and your office. A fast note about a patient success, something new about the office, a favorite recipe of one of your patients,  a notice from Sister Hilda (a patient) who is inviting one and all to the fish fry at Saint Paul’s this Friday – these are topics your patients are interested in.  Keep it local.

The Internet Is About Search. It replaces the phone book, the dictionary, and the encyclopedia. There are many people who are in pain and sick of drugs and corporate medicine and surgery. They are looking for you. Dr. Phillips went over how to best get these people to find you with local search.

Web Site. We also discussed some simple ideas for your web site and what to do if you already have one.

Other Topics Included: The importance of Social Proof, Reputation Management, use of the new bar code on you printed materials and signs, and the coming necessity of mobile web sites were other subjects we spent some time on.

Chiropractic Internet Marketing Assistant. You need one of these!   Delegate a team member to put 2 hours in per week, or more, dedicated to working on your internet presence.

We did record this teleseminar and it will be available at no charge for our active clients on our Members site in about a week. Non members who listened to the talk will receive a CD within the next several weeks.  The CD can be purchased for $65 – all proceeds will be donated to Oklahaven Children’s Chiropractic Center.

Internet Marketing CD Order Form

Links.
The links below are to PDF documents. For customizable WORD docs, active clients can find these on our Members Site (www.pmamembers.com) under Advertising.

Videos

More info on Jamie Phillips internet marketing. Link

Celebrate Your Successes

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We are off to another Boston Seminar….

Preparing for these seminars takes work. But it is rewarding in so many ways, one of which is that we get to review how you all have been doing and what has been working.

Like you, I am sure, we can get so caught up in the day to day that we don’t often take the time to step back and look at our handiwork.

I know this happens to most doctors and staff. So busy with patients and office work that it becomes too easy to overlook the tremendous successes you help bring about through chiropractic care.

Chiropractic produces unappreciated miracles by the thousands daily.  Some big ones, but many small ones that add up to big ones.

In our own way, I think all of us who are part of the PM&A Team feel we help produce a few of these miracles too.

Getting ready for these seminars gives us a chance to reflect on the great work you are doing. And there is no question: you all are doing amazing.   Some offices are being “remodeled” with new staff or systems and some are trying to keep up with their growth.  But in each case, we see hard working professionals who love their patients and work under stress with a smile to give the best care possible.

If you can’t make it to our Boston seminar, try our meet-up in Chicago on Saturday, October 16th. You won’t find more passion, or practical nuts and bolts content for growing your practice. And, as always, all of our stuff is from the field. We don’t cook it up in our offices on the stage. This is your material really.  It’s what is working and we get the chance to simply remind you, often by putting it into a different context.

Chiropractic works.  And it truly is amazing when you can step back and see it. Review your testimonials and collect more of them. The stories are there.

Sound management and effective marketing procedures also work when they are diligently applied.   We have many doctors that, even after years of being in practice, have been recently hitting their Best Evers. (Yea!)

So keep the faith. We are all students in this school of life and Chiropractic. Keep learning and loving and helping — what could be a better calling?

Asking Permission, Gaining Respect

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By Dr. Tom Potisk

Doctors of chiropractic appreciate respect as do patients. When a doctor acknowledges and recognizes that the patient may have limited time and money, a mutual respect develops and the situation becomes win-win. For example, when making a recommendation to a patient, ask “May I explain the tests that need to be performed today?”, and then “These will take approximately ____ minutes. Do you have time today?”

After explaining the results, a good follow up is: “Are you ready to start treatment today?” Then explain the treatment.

Far too often doctors get into a routine and they begin to assume that the patient wants what you’re about to perform. Asking their permission to proceed not only relaxes the patient but lowers your liability because you’ve gotten their consent.

Never assume that permission has already been obtained by staff. Ask “Has the receptionist explained our procedures and policies?”

For gaining referrals, avoid the harsh “Bring in your spouse and child for a spinal exam.” Instead ask, “Many of my patients bring their family here for preventive check-ups. Would you be interested in how that works?” The best time to ask this is when the patient has praised your treatment. As Doctor Sid Williams says, “Breed them while they’re in heat!”

For building a wellness care practice, a great question is “If there were a way of preventing this problem from reoccurring and avoiding new problems would you be interested?”

At the end of your practice day, reflect upon it and take notice of how many times you asked questions versus issued advice and orders. The ratio should be about 50:50. Don’t be afraid to ask your staff for their perspective of your performance. They are your best source of input and will feel honored by your inquiry.

In this era of managed health care and busy lifestyles, asking for the patient’s permission goes a long way in gaining their respect and building a joy filled successful practice.

Dr. Tom Potisk has been a client of PM&A for nearly all of his 25 year multi-doctor practice. He now works with PM&A and is soon publishing a book titled Reclaim The Joy Of Practice.

Dr. Tom Potisk, Chiropractor Recommends Petty Michel & Associates

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dr-tom-potisk-18prct

Hello Doc,

My name is Dr. Tom Potisk. I operate a chiropractic practice in South Milwaukee, Wisconsin.

For nearly 25 years I’ve enjoyed tremendous success in my practice. My practice, although not the largest, has been described as the type many doctors want to attain. Some features include excellent patient retention, loads of new patients, fabulous systems and procedures that allow me to take 8-10 weeks off each year, and a dedicated staff (my office manager has been with me since year 1).

One of the reasons for my success has been the management and consulting services of PMA (Petty, Michel, and Associates). In the 24 years that I’ve been their client, I’ve come to know their dedication, passion, and enthusiasm for the growth of the chiropractic profession and chiropractor’s practices. This group is the best value in their league.

Do you need more new patients? They have a marketing program to boost your new patients and keep the flow going.

Do you want better billings and collections? Their ethical, patient friendly systems are the best around.

Do you want more time off? The procedures they can put in place for you can keep your office running smoothly in your absence.

The best news in health care is that PM&A is expanding their services with upcoming seminars, new programs, and their trademark coaching and consulting services. I have attended their 3-Goals seminars and, like all of their services, their goals are designed to get you a practice like mine.

I volunteered to write this letter and want you to attend their seminars and use their services and learn from this extraordinary group. I’ll be at the next seminar and look forward to seeing you.

Sincerely and God Bless,

Dr. Tom Potisk

PS Feel welcome to call me if you have any questions – (262) 835-1767.

[NOTE: Our next seminar is in Chicago on Thursday, November 5th. For more info, go here, or give us a call at (414) 332-4511. Ed]

What’s Been Working: 7 Characteristics of Successful Chiropractic Offices

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We recently reviewed what has been working marketing-wise with many of the more successful chiropractic offices with whom we work.  Many chiropractors are doing their best ever, even some who have been in practice for years.   One called up last week and said they had over 30 new patients that week.

What did we find? There seems to be a few key elements in common.  Here are 7 of them:

1. External Marketing Procedures. Many offices have had very successful external events over the last several months.  These are often scheduled a year in advance, and include talks, screenings, and networking. But external marketing also includes advertising, such as a dynamic web site, email, and even some radio, television, and print.

New offices, in particular,  need to concentrate on external marketing. But established offices also benefit because they not only help generate new patients, but also reactivate former patients and bolster the confidence of your active patients when they see you outside of your office.  We have lots of materials, posters, ads, procedural manuals on these external procedures. Many are free on our web sites (here and at pmaworks.com). You can also purchase our Marketing Manager System with the MMS Marketing Toolkit which has hundreds of practical marketing materials for your use.)

2. Internal Events. Most offices that are doing well have had some kind of internal event. Successful internal events are fun. They can simply be something silly like a costume day (Halloween Costume Awards), 80’s Day with mullets, or a  “Fruity Friday” with fruit on Fridays (Yea Team Munson!).  They can also focus on referrals: “Bring a Buddy Day”, services for donations, coupons, etc.  A very effective program is educational classes, such as the standard spinal care class and monthly advanced classes on different conditions and topics. (These procedures are also covered on our web sites and on our MMS computer program.)

3. Patient Education. Offices that have been doing well work hard at “telling the chiropractic story.” True health sets us apart from the medical world, which concentrates on crisis care and disease care. The more the patients understand this difference, and seek it, the more they stay, pay, and refer. Nothing beats an educated patient. A patient that understands the importance of spinal hygiene and general organic health will be more than a patient but a fellow team mate in your quest to help others regain and maintain their own health. Along with this understanding is the need for you and your team to also understand the opposing forces to healing from the inside, which include personal laziness and irresponsibility, Big Pharma, Big Food, and toxicity in every day materials.

4. Clinical Focus and Certainty. Successful offices have doctors that continue to be engaged in the craft, science, and philosophy of their profession.  I have seen offices with full appointment books simply because the chiropractor was a zealot about his skills and outcomes and was certain that he could nearly raise the dead.   One definition of professionalism could be the act of providing the utmost in excellent service long after the excitement and newness for the subject has evaporated. This requires discipline to constantly renew your eagerness for your skills.

5. Excellent Team Support. The busy offices were a team where everyone helped the patients and doctor quickly and cheerfully. To do this you have to have the right people in the right roles doing the right procedures.  Sometimes the office is disorganized, or the front desk staff member wants to be an airline stewardess (attendant) and the billing coordinator wants to work in a hospital. Sometimes there simply needs to be another staff member helping, or the procedures change too often for no reason.  These can stop new patients.

Simply put, someone has to do the marketing. Your team should want to sell heath. If the office is sufficiently organized and motivated, new patients seem to walk in as if being summoned telepathically.

6. Clinic Atmosphere. The quality of the atmosphere of an office is usually taken for granted. And given the fact that other practice building elements are in place, it may not be an acute problem. But there is no question that in the long term, the “vibes” of an office have far reaching effects.

Corporations understand this and make attempts at creating a great atmosphere. Starbucks is an example. But small town or corner stores often do this better, where the service and care is down right…neighborly. People want to go to a place where everyone knows their name.

7. Executive Skills.
Except for the clinical component, most of the elements mentioned above rests upon the skills of the doctor as a business executive, a role for which you did not necessarily sign up for when you paid your tuition at chiropractic college.

Every successful business has a C.E.O.  who inspires the team, ensures successful polices and procedures are constantly applied and improved, and plots the long term growth of the enterprise.  This is actually THE missing role in most chiropractic offices, by the way.  This is why most doctor’s stay chained to their jobs and live week to week, working to pay their overhead and keep the doors open.

To convert a job to a business requires someone to move outside of the practice and start to work on the practice, not just in it.

This is such an important skill that next year we will be starting a new series on The Chiropractor as the C.E.O.

You too can work on these seven areas of your business and see more than enough patients.  We would be happy to help you, by the way.

Ed Petty

Avedis Donabedian, MD, MPH

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Hi!
I wanted to share this with you and hope you like it. Avedis Donabedian, MD, MPH, (1919 – 2000), was considered by many as the father of quality assurance in medicine. He preferred to call it “the process of ongoing improvement” in healthcare (much like our 3 Goals seminars discuss and the points Dr. Peter makes during his talks). A medical doctor and early graduate of the School of Public Health at Harvard, his work has defined quality of care issues versus the commercialization of health care. I hope you enjoy the attached quote from him. It applies as much to us as to all hospitals.

“I have never been convinced that competition by itself will improve the efficiency or the effectiveness of care or even that it will reduce the cost of care … Health care is a sacred mission. It is a moral enterprise and a scientific enterprise, but not fundamentally a commercial one… Doctors and nurses are stewards of something precious. Their work is a kind of vocation rather than simply a job; commercial values don’t really capture what they do for patients and for society as a whole.”

“Systems awareness and systems design are important for health professionals, but they are not enough. They are enabling mechanisms only. It is the ethical dimensions of individuals that are essential to a system’s success. Ultimately, the secret of quality is love. You have to love your patient, you have to love your profession, you have to love your God. If you have love, you can then work backward to monitor and improve the system.” –            Avedis Denabedian

Poster

Your Promise

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Here in the Midwest, flowers and trees are blossoming.  We have a tree in front of my office that is exploding with light pink blossoms. Baby birds are chirping.

blossoms

A new crop of students are graduating and new wave of young people are getting married.  (My daughter is among them! [big smile])

Promises of what can be.

Just for a moment, think about what is it that your clinic promises?

Because it does promise something, whether or not you even planned it to. Every business does. For example, driving by a Starbucks, what is promised?

One of the definitions of a brand is a “promise.”  Starbucks has worked hard on perfecting and systematizing their brand and promise.

Your brand, your reputation, your image – what does it promise?

The tone of your front desk when she/he answers the phone – what is the promise?

Your report of findings – what is promised?

When your patient accounts staff talks with your patients, what is the promise?

There are a hundred little units of communication that you are constantly sending out about what your patients can expect to receive with your services. Do your messages inspire trust and confidence? Are they friendly? Do they appeal to what your patients and potential patients really want?

And do you deliver on the promise?

The word promise has a number of meanings. One of the meanings is a “stated commitment.”  Another is to “show potential for future excellence.” Both apply.

You can discuss this at your next staff meeting.

It is spring.  A time for new beginnings and renewal; a promise of great expectations that can be achieved.

And your gift is that you and your team have the ability to make every day a spring day, every moment a spring moment.

Are you chirping?

Ed

No Recess Here

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Busy-busy-busy. Promotions, staff training, hiring, new procedures, patient finances, and patients, patients, patients.

There may be a recession, but with the doctors with whom we work, there sure hasn’t been a recess!

They are working harder than ever (and so are we!)  And, their practice “scorecards” show it. Some offices report a slight decline but many in fact have been going up.

And that is, in the final analysis, our best solution: In a recess-ion – don’t take a recess.  At least not a mental one. Now and then, it is good to get out, but that is just so you can come back with more energy than ever.

Quit Whining
Arnold Schwarzenegger recently told a group of Europe’s top trade officials:

160533-arnold_thumb_original

“It doesn’t make any sense for people to sit back and whine and to complain about the economy slowing down because we have to look forward rather than back.” He went on to say: “We have to be part of the solution, not part of the problem.”

So, what is the solution?

When the Going Gets Tough
Over the years, we have seen so many chiropractic offices get by with poor procedures, hit and miss marketing, bad management, and sloppy clinical. The thing is, chiropractic works SO WELL that a poorly run office could limp along and survive. But not any more.

When the going gets tough, the tough get to work improving their business, or to paraphrase Stephen Covey, they get to work “Sharpening their Saw.”

You have to improve all aspects of your business. If you don’t, people will go to a doctor’s office that is.

First thing you should do?
But when numbers start to slip, what is the first thing you should do to improve your business? OK, let’s start out this way: what is the first thing you should NOT do?

Read the results of these 2 studies and see if you can guess the answer:

In a study of U.S. recessions, McGraw-Hill Research analyzed 600 companies from 1980-1985. The results showed that business-to-business firms which maintained or increased their advertising expenditures during the 1981-1982 recession averaged significantly higher sales growth, both during the recession and for the following three years, than those that eliminated or decreased advertising. By 1985, sales of companies that were aggressive recession advertisers had risen 256% over those that didn’t keep up their advertising.

Or how about this study by Roland Vaile:

“Advertising executive Roland S. Vaile tracked 200 companies through the recession of 1923. In the April 1927 issue of Harvard Business Review, he reported that the biggest sales increases throughout the period were rung up by companies that advertised the most.”

You guessed it: don’t stop marketing.  Marketing costs money and takes time, and this is one of the first things business owners want to “cut back on” when frightened by a recession.

Hmm, is that defensive or offensive? And the best defense is a what? That’s right, a continuous outreach program.  Talks, screenings, special promotions, networking, do it all and more. Now is not the time to cut back or economize. The time to do that is when you are making the money.  If you try to save now, you will have less and less to save with. Most people spend money when they make it and try to save it when they don’t. In fact, the exact opposite should be done as a business strategy. More on that for a later post.

But marketing isn’t all external. The truth is, it is mostly internal to your office. This means you should work each week  on improving your internal marketing procedures. These include patient education and  extra-ordinary service procedures, and literally everything you do and that goes on in your office that each patient experiences.

What the patient experiences is a critical part of marketing.  If the patient has a satisfying and rewarding experience, he or she will come back and maybe bring a family or friend.  If she doesn’t, she will go somewhere else.

So, don’t go blaming the economy if your patients aren’t coming back or referring, or if your practice is not growing.  Improve your patient’s experience in your clinic and get to work on improving your marketing outreach and all aspects of your business.

Even with the challenges that the economy sends your way, this still could be your finest year.

———–

Come to our Boot Camps and get trained. We are going to train train train, and have fun doing so.

Minneapolis, MN – Thursday, April 2. 8:30 to 5
Milwaukee, WI – Thursday, June 4. 8:30 to 5
Learn about them here.

Listen to Dr. Peter Kevorkian on our next Teleclass on March 23 at 12:30 Central Time.  Special talk on “Creating Lifetime Patients”
To learn more or register, go here.

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link to above mentioned studies: Studies

Economic Factors

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We all know or have heard that the number one reason that a patient drops out of care, based on surveys, is that they experienced an “attitude of indifference” on the part of the doctor or the staff.

Most offices nod knowingly and are assured that their office cares about the patients, that their staff show concern, that their doctors have the patient’s interest at heart.

But what is an “attitude of indifference?” How does it manifest in a clinic? What does it feel like to a patient?

A patient experiences an attitude of indifference when they feel they are the 38th visit on a 60 visit day. They experience an attitude of indifference when they feel like they are on visit 15 of a 36 visit treatment plan and that everything is the same as the last 13 visits.

They feel an attitude of indifference when the doctor says, during the ROF, that he will give them some home exercises, and then doesn’t. Or when the doctor instructs them to attend the spinal care class as an important part of the treatment plan and no one schedules them for it, or when the front desk says they will order a supplement for them and a month goes by without the order, or the doctor says she will do a re-exam and then keeps putting it off, or when the doctor is running 5-10 minutes behind each visit or worse, comes in late.

Normally, you may still get that patient to follow through. But put yourself in the patient’s shoes. They are feeling better, even feeling “healthy” now, they have a $30 copay twice a week, and they have just heard that the company their husband works for may be laying off some people.

90% of the population right now, according to USA Today, is worried about the economy. Many have been affected, and many more are concerned – they are uncertain. When will things get better? Are we heading down farther? Am I going to have any money left?

When people are uncertain, the decisions they make are either “no” or “maybe” (which isn’t a decision but a postponement). They don’t decide that now is a great time to spend more money. Not on cars, not on restaurants, not on healthcare.

Expressing an attitude of interest is an “every visit” manifestation. That patient’s visit is not the 38th of the day or the 15th in their treatment plan – it is a singular, unique moment in time that will never occur again. It is a one and only opportunity to make an impact and a difference in that patient’s life. When you talk to them about the weather (“gee, cold out today, isn’t it?”) or tell them a joke in the treatment room or bs about the Packers – and if that is ALL you do that visit, you are just more white noise in their life, just another piece of spam in their mental inbox.

You have to manage a patient’s care EVERY visit, you have to work to make a difference in that patient’s life EVERY visit. If you don’t, that is an attitude of indifference. There is no other way to put it.

There are four critical factors that go into growing during a recession. These are:

1)    Great customer service. During a recession, other businesses cut back on the front end. People want and need good customer service. They deserve it from your office.

2)    Excellent patient financial plans, well communicated. The first response in some clinics when times get tight is to tighten up your financial plans. “All patients have to pay their copay before they see the doctor. No copay, no visit.” Do this and watch your practice drop by 50% (actual case).

3)    Step up your marketing. Great customer service and flexible financial plans don’t mean anything if no one comes in. Marketing is a variable expense and one of the first areas businesses cut. There were over 650 auto makers in the US before the great depression. After, there were six. Clinics are closing, going out of business right now. You can pick up market share.

4)    Increase your patient education. Patients aren’t going to blindly come in “because you said so”. Educating patients on wellness, having a wellness report of findings, and a “can’t resist” wellness financial plan are keys to building your practice.

Following the 3-Goals principles, review the above four points. Implement them personally. Review them with your staff and see how they can implement them further. Review them again and refine them.

There has never been a better time to grow your practice.

Success Strategies for 2009

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We enter the New Year in unprecedented times. There is no denying this. We do not live in our offices as islands, separated from the rest of the country or world.  Some websites will tell you that the end is near. I have been reading doomsayers since the 70’s and they still sound the same. I think it bolsters their ego and gives them a cause, but that is just my opinion.

But it would be wrong to pretend everything is as it always was and we live in prosperous times. Not just our economy, but the world’s economy is going through massive, even revolutionary changes. But there are, and have been, other changes taking place as well. In the last 15 years, electronics have gone through many unthinkable transitions for us coming from the mid 20th Century.  Social changes world wide have taken us beyond the Third Wave, as Alvin Toffler described in his book.  And, there is the ongoing “Wellness Revolution” and “Green Revolution”, which those of us in the chiropractic profession can take pride in the fact that we have been in the forefront. Needless to say, the “Times Are a Changing.”

But with this change comes opportunity. The country is going through a severe “cleanse”: parasite cleanse, colon cleanse, you name it.  It is a time that offers many new avenues for growth and prosperity.

Jeffrey M. Stibel, an entrepreneur and brain scientist writes in recent article in the Harvard Business Review:

The 2008 recession is an economic firestorm unlike anything the country has seen since the Great Depression. But 2009 is shaping up to be a trigger for an unprecedented surge of innovation that may be one of the most important turning points in the last 100 years. (article)

Let’s look at some general strategies that will help you prosper in this New Year. We offer a few below and will mail out more practical action steps soon.

  1. First, don’t panic. Danger is always near, especially for a small business owner. So what else is new? Whether it is your association’s alarming headlines about how doctors are earning less or chiropractic gurus advocating working for massage therapists, negative news is all pretty routine, really.  People have always been around to promote the bad news. So what?  Good news is hardly ever promoted.
  2. Motivation. It is fine to face the brutal facts, but what is happening with a Wall Street investment company is not as important as what is happening in your community.  There is bad news. Negative news can distract and dishearten not only you, but also your staff and patients. Limit your exposure to national news and talk shows. Get the facts, fine. But more importantly, every day, look for new reasons to renew your purpose and drive to achieve your goals.
  3. Appreciate your profession. Chiropractic works. It has, it does, and it will.  People benefit from it. People need it, in hard times and good times. These are facts that do not change. You have a skill that you will always have and that can’t be shipped to Asia and that will always be needed and effective. It is a million dollar skill.
  4. Your success is just between you and your patients. You don’t work for a corporation.    You are an independent business professional as well as an independent health care professional. Except from you patients, you can’t be fired.  But they can fire you. So, take care of them better than you ever have. The chief difference between you and other options they have is chiefly the connection you generate with them. What is the quality of relationship you have developed with your patients as a result of your extra-ordinary service and care?
  5. Health is Wealth: Sell Health.  Get across to your patients and community that health is the only real wealth and this is what your office is uniquely prepared to deliver. Regardless of the employment condition of your patients and potential patients, their health is their greatest wealth. If they are healthy, they can work 3 jobs if needed. If they are not healthy, they won’t be able to work even one. This is why they have to work on maintaining and improving their health. This has to be a recurring message you get across to your patients.
  6. Constant improvement.  But only the best business will survive and thrive. Your business organization has to become better, or die.  We have seen mediocre practices struggle along that did not and would not improve their procedures. In better times, they could still survive. These types will more than likely go the way of the dinosaur unless they step up their “game.”  I am not advocating “social Darwinism”, but it is an observation that the better (healthier) companies survive and thrive, and poorly managed ones fail.  We recommend adopting a policy of what we call the “Practice Development Process”. (Small plug: this is what we do and teach.)
  7. More for less. With a process of constant improvement you can work out how you can get more done with less effort. Economize does not mean don’t spend money. It means spend money better. Get more “bang” for your buck. For every dime you spend, you should get back half dollar, more or less.
  8. Triple your patient base. Whatever you have planned for marketing, triple it. Some of your patients may not be able to see you as many times or pay the same fees as before. If this is the case, and I am definitely not promoting this, you have to talk about #5 above.  You will also have to increase your volume of patient visits. It is no longer “how much you can get from how little, but how little you can get from how much”, to paraphrase an old quote from B.J. Palmer.

Over the Christmas, most stores did poorly, except for Wal-Mart and McDonalds. I am not advocating
reducing your fees. You probably do not charge enough as it is. But, you have to be prepared to offer different plans
based upon the time of payment (payment on assignment, at time of service, or in advance.), as well as other
programs.

Now is a great opportunity for growth and entrepreneurship. You are the captain of your ship as it crosses the seas
through storms and gales.  Stand at the helm (steering wheel) as the misty wind blows and know that you can beat
any storm and take your crew and passengers to sunny skies and calm waters.

It is a challenge, an adventure, and a worthwhile goal you and your team can achieve.

We will be there too.

See you on deck!

New England Chiropractors Are Amazing!

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Does New England have the most gung-ho and happy chiropractors in the country?

We just returned from an amazing week in the Boston area where we had the privilege of spending time with local chiropractors and their teams.

Dr. Peter in Boston

Dr. Peter in Boston

Wow! We doubt that we have ever seen a group that was more centered and positive about chiropractic and the services they were providing to their patients. And after spending a day in one of the offices near Boston, we are also convinced that there are no patients who are more satisfied with their services.

On Thursday, November 6, we hosted our 3-Goals seminar to over 50 doctors and chiropractic team members. Presentations were provided by Dave Michel, Phyllis Frase, and myself, with our special guest who gave a phenomenal lecture, Dr. Peter Kevorkian.

Dr. Peter is also a faculty speaker with the International Chiropractic Pediatric Association.

The next day, Friday, Dave and I were interviewed in a television studio for a cable television lecture series produced by Dr. Jean-Marc Slak. Saturday was topped off by a presentation to the Massachusetts Alliance for Chiropractic Philosophy.

A big THANK YOU to all of New England chiropractors for your generous hospitality and service to your communities.

More Photos

Just a reminder – We are holding our last seminar for the year in Chicago on Thursday, December 4. It is conveniently located near the O’Hare airport.  We have a special rate at the hotel of $99 if you want to spend the night. If you can make it, I encourage you to do so. It will definitely be worth your while. More info.

Fight or Flight – Creating Your Own Economy

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Brookings, Oregon.
Wednesday, October 1, 2008

***Rock stable principles in a sea of bad news – and the future of your practice
***October promotion with sample
***Reimbursement teleseminar coming soon
***Seminars in November and December
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Are you scared?

More and more, it seems like fear mongering is used by associations, consultants, and governments.

One doctor, who is having his best year ever, recently called in worried, questioning what he should do. He had just read his state association’s monthly magazine with the headline that chiropractors earned less, again, this last past year.  The article cited a survey and offered no real encouragement about what to do.

As a client of ours, we referred him to objective evidence that the action steps he had been working on were taking his business to record highs and that we were on the right track.

Another article by a well known chiropractic and dental consultant published last year talked about how chiropractic was all washed up. He suggested chiropractors start working for massage therapists.

You can always find bad news. But the fact, and the good news, is that if you implement fundamental marketing and management systems into your practice, and keep them going on a recurring basis, it will grow.  We know this to be true as we see it demonstrated from the numbers that come in from our clients. They are growing.

For business in general, at least here in the Midwest, things aren’t all bad. A recent report says that “Business activity in the U.S. Midwest expanded in September at a faster rate than expected, with production picking up rapidly and hiring rates on the rise, a report showed on Tuesday.” (Reuters, Sept. 30)

Fear is a strong emotion. It can make you panic and lose sight of what is right in front of you. A major reason people drown while swimming is because they let fear take control of them.

There may be threats to your survival staring you down, but fear and panic only make it worse. In the martial arts, you are trained to stay calm in violent situations and use your energy only when it is most effective. You have to be willing and able to take action. Fleeing can be more dangerous. But most of all, you stay calm, stay focused, and get through the situation ideally with non violence.

While our economic system, as well as our health care system, continues to destabilize, consider these elements which are as stable as rocks in pounding surf.

Chiropractic Results. Chiropractic has worked through wars, depressions, recessions, and will continue to do so no matter what the future brings.

Need For Chiropractic Care. People have needed chiropractic care in the past and this won’t change. In fact, with an aging population and a growing orientation towards wellness, the demand for chiropractic care will only grow.

Business. Globally, the Market will go through whatever changes it needs to go through. Locally, however, the principles of the Market and fair exchange do not change. People will pay for quality services and goods that they feel they need.

Your chiropractic practice, properly systematized, is an engine that exchanges the health benefits of chiropractic care with those who need it.

So, don’t be distracted by fear mongering about the national or even the chiropractic economy. Do not panic. You are not drowning.

What is the outlook for your business? It is promising! Why? Because you are able to create your own economy by implementing and maintaining effective marketing and business systems that support your practice.

Work on your business. Make it better. Learn about marketing and how to systematize your procedures. Study and get support as needed to improve all aspects of your operation. In fact, now more than ever, the best investment you can make is in your business.  But, keep in mind the fundamentals mentioned above never change.

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October Promotion. Here is a simple promotion you can use for October, or any month. Link to promotion.

Show Me The Money – Teleseminar on Chiropractic Reimbursement. As a reminder, this Tuesday, October 7, we will have another teleconference on Chiropractic Reimbursement. Our last one was a tremendous success. Dave Michel is truly an expert in this area and your staff will benefit from attending this one hour seminar.   For active clients, the access code and phone number will be posted on our member’s site by Friday, October 3.  If you are not a client, you can learn more here –more info.

Seminars. Then, take advantage of attending one of our 3 Goals Seminars in Boston, on Thursday, November 6, or Chicago on Thursday, December 4.    More info.

Getting Away – Rule No. 9

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Sometimes you got to get away.

It could be for an hour, fifteen minutes, a week, or more.  To be fully engaged in your chiropractic practice, studies have confirmed, you also have to fully disengage every now and then.

One of my favorite books on this is by Dr. Jim Loehr and Dr. Jack Groppel, The Power of Full Engagement.  Disengaging from work, and engaging in other activities, adds more power and insight when you return to it.

More than 80 years ago, this subject was discussed by B.J. Palmer, known as the Developer of Chiropractic, with insight and character. His advice is completely supported by modern research and is worth reading and applying today.

Rule No. 9 ( PDF version to download.)

(720 words; about a 4 minute read)

Rule #9 by B.J.Palmer, Developer of Chiropractic

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[to download a PDF version: download]

The average businessman has long since forgotten Rule No. 9, “Don’t take yourself too damn seriously.”

Thousands of businessmen have one fault in common. They are so close to their own thoughts, their own minds, their own selves, desk, office friends, employees, clerks, detail, correspondence that they suffer from the illusion of the near.

They are with what they think, see and do so much at a time that they take it all too seriously and thus suffer from the nearness of themselves to themselves.

I now live in a town where I am sold to everybody. They call me “B.J.” everywhere. I live in an immediate family of some 5,000 whom I bring to that city, who love me and I love them. These people appreciate what I do for them. They tell me and I listen to the plaudits of deeds well done. People come from far and near to thank me for what I have done, via some salesman. All of which makes me take my detail seriously. I suffer from it.

YOU need the vision of the far. I need it. I keep my grip (suitcase) packed and when I begin to take my reform work seriously, right then is when I book a few Rotary, Kiwanis and other club talks and hide myself away from my thoughts, ideas, work, students, school, friends, that I might get myself away from myself, that I may walk the streets of strange towns, see strange faces, listen to strange tongues, that I may get the proper perspective of myself.

Many people suffer with a constipation of thought and a diarrhea of words. Many a man has the eyesight of a hawk and the vision of a clam.

Going away from home makes a man shut up and think. It also teaches him to overlook the hawky detail and gain a distant vision of himself, his service and his Big Job.

Every man owes it to himself, his people and his service to go away about every so often. The more detail he has, the oftener he should go. The more worries, the more he needs to go. The bigger his work, the longer his vacation should be.

He should go to conventions, attend luncheons, go fishing or hunting, anywhere that he may get away from himself; that he may sit on the banks of the river and there see himself at his desk, with his people, on the job. It is surprising how foolish all of us look when we gaze at ourselves after we get away from ourselves and see ourselves as others see us.

Many a man realizes without analyzing. A certain clothing merchant of our city is noted for his ancestral business qualities. Business and money are his gods. Yet this same man told me but recently that he is now playing golf two afternoons a week. I inquired as to how he could get his mind into that state where he could make it pay. He tells me that the next morning he works three times as hard and accomplishes more than three times as much work. He comes home tired, sleeps sound, wakes up refreshed and piles in solid. Playing golf, he realizes the vision of the far without the mental analysis that accomplishes the end. He stumbled upon the conclusion and even yet doesn’t know. You and I can go into this with comprehension and intention.

I am told that John D. Rockefeller rarely went near oil fields; that Mr. Carnegie knew little about steel itself; that John Patterson spends months in Europe away from his huge plant to know better how to run it when at it; that James Gordon Bennett managed the New York Herald from Paris; that Mr. Pulitzer manages the New York World from afar; that Mr. Wanamaker spends and Marshall Field did spend four months out of twelve in Europe for the express purpose of gaining vision; that a Boston department store manager is responsible for this statement:” I must study other business at least THREE MONTHS every year in order to manage my own business properly the OTHER NINE.’

We should get away from ourselves, our office, our business to get the proper perspective on its services.

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[to download a PDF version: download]

What Do You Think About When the Phone Rings?

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You are sitting there, trying to finish your notes. You hear your phone ring. You are a bit behind. Maybe slightly irritated by an arbitrary denial of an insurance company and you haven’t yet planned out tonight’s evening with the family, spouse, or friend.The phone rings again.

What are your thoughts? What are your feelings?

Do you kinda wish it wouldn’t ring? Is it a bit of an interruption? Do-you-just-want-to-answer-the –dang-phone-to-stop-the-ringing-so-you-can-get-back-to-your-work?

Essentially, your thought is “Stop.”   It is: “Don’t call me.”  “Phone, don’t ring, don’t interrupt me!”   I am sure this has happened to you – even if ever so slightly or subconsciously.

Now, imagine if your front desk has these thoughts when the phone rings?

To some degree, even the most devoted and hard working staff can reactively feel put upon by phone calls. Or, in fact, by walk-ins. Or, in fact, by any patient encounter. I have seen this happen on the front desk when the doctor was busy with patients.  But remember, this can happen with even the most ethical team member, including you!  I have seen doctors do this too. (Extreme examples: “Oh, only two people for the spinal care class – cancel it.” “Oh, just Jim is coming in, reschedule him. I am going to leave early. It is MY office and I can do what I want.”)

Our thoughts can and do determine our behavior and affect how we treat others. Our environment actually mirrors our thoughts.

You may have heard or read about this scientist in Japan. Fascinating experiments. The fellow’s name is Dr. Masaru Emoto and was also in the movie, “What the Bleep Do We Know?”

According to the movie, Dr. Masaru Emoto claims that crystals formed in frozen water reveal changes when specific, concentrated thoughts are directed toward them. He says that he found that water from clear springs and water that has been exposed to loving words shows brilliant, complex, and colorful snowflake patterns. In contrast, polluted water, or water exposed to negative thoughts, forms incomplete, asymmetrical patterns with dull colors.

You can check out Dr. Emotu’s new book, The Hidden Messages in Water.

So, if our thoughts can affect the formation of water crystals, they probably can have significant effect on our office.

Going back to your front desk, realize that the staff on the front desk have tremendous control over the office, nearly as much as the doctor does. The front desk can be a magnet for your patients, and attract, or repel them.

When the phone rings, you want your front desk, and all staff thinking “YES.”  “Call me. Phone –  ring now.”  “I can hardly wait to talk to this person and see how they are. I am interested in them and how they are doing. I want to help get them come in for care — and their family too.” “They must be really really cool and nice if they are calling us.” “I WANT to know more about them.” “I am grateful for their call and appreciate the effort they made in calling us.”

These are good thoughts.  These are positive thoughts that can help bring in more patients.

You can practice this with your staff at a team meeting.

ACTION STEP. As an example, someone acts as the prospective patient calling. The person acting as the front desk assistant should answer the phone with the attitude of really not wanting to talk to the person. Act it up. This can be funny. Try it a few times.

Then, do the same rehearsal with the front desk assistant positively anticipating the phone call, wanting the phone to ring, and then eagerly answering and talking to the prospective patient.

Keep it the role playing brief. You can and should do it again. It should be fun and act as a reminder to one and all that we should want to meet new people, talk to existing patients, and look forward to phone calls. We can always dismiss the occasional telemarketer or wrong number.

This can also be rehearsed in other types of patient encounters, from taking the new patient back to the exam room, sitting down to do a financial consultation, or checking a patient out and collecting their payments.

(Note to PM&A clients & members: Your PM&A Coach is experienced in these types of trainings. Have one of us facilitate one of these trainings next time we visit your office.)

ACTION STEP. And speaking of how our environment does mirror us, here is a little trick you can use.  Get a real mirror, about 4 inches by 4 inches, and put it at the front desk counter so that the team member can see it. You can write something on it like: “Are My Teeth Showing?” “Am I Smiling?” And staff, you can also put one of these in your doctor’s office on any day that he is feeling grumpy. It applies to us all.

So, the next time the phone rings, smile. Be interested and curious in who is taking the time to call.  Make your thoughts happy so they help create an office that is brilliant, colorful, and full of happy patients.

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[Petty, Michel & Associates offers special practice development programs designed to help you achieve your goals. Give us a call for more info: 414- three three two -4511]