GMOs… enough to scare any ghost or goblin away.

Having worked in chiropractic offices, Petty Michel & Associates, and being a chiropractic patient myself, I have become more health conscience over the past decade and becoming more aware of the health concerns sugars cause in children,  I began to look for a different approach to the traditional passing out of candy for this Halloween.  I stumbled upon an article put out by the Green Halloween Organization that put it into perspective and solidified my concern to make a difference in promoting a healthier life style for the little ghouls this year.

GMOs or genetically modified organisms are not something new, yet we often times fail to think about them and how they affect our health when it comes to a holiday such as Halloween and all the fun candies we traditionally pass out to all the costume wearing children that ring our door bells.

Many common GMOs are found in the favorite trick-or-treat candies on the market today.  Genetically modified organisms are plants or animals created through the gene splicing techniques of biotechnology (also called genetic engineering, or GE).  It is an experimental technology which merges DNA from different species, creating unstable combinations of plant, animal, bacterial and viral genes that cannot occur in nature or in traditional crossbreeding.

Picture The Mad Scientist in the lab mixing varies potions(GMOs) to create monsters(candy) and then feeding it to your children and/or grandchildren.

Listed below are 10 GMO ingredients found in Halloween Candy.

  1. Sugar (GMO sugar beets)
  2. High fructose corn syrup (GMO corn)
  3. Corn starch(GMO corn)
  4. Soy lecithin (GMO soy)
  5. Soybean oil (GMO soy)
  6. Modified food starch (GMO corn)
  7. Fructose, dextrose, glucose (GMO corn)
  8. Cottonseed oil (GMO cotton)
  9. Canola oil (GMO canola)
  10. “Other” ingredients: isolates, isoflavones, food starch, vegetable oil.

The number one reason to avoid GMOs as listed on the Institute for Responsible Technology is that they are just plain unhealthy.   The article states: The American Academy of Environmental Medicine (AAEM) urges doctors to prescribe non-GMO diets for all patients. They cite animal studies showing organ damage, gastrointestinal and immune system disorders, accelerated aging, and infertility. Human studies show how genetically modified (GM) food can leave material behind inside us, possibly causing long-term problems.  To read the full article go here [Link]  Chiropractic has known this information for years and has always promoted an organic or unmodified diet for a healthier lifestyle in addition to getting adjusted regularly.

Studies show some of the most common illnesses linked to GMOs are. Is this what we want for our children or grand children?  I don’t think so.

  1. Rheumatoid arthritis
  2. Inflammatory bowel disease
  3. Osteoporosis
  4. Atherosclerosis
  5. Various types of cancer
  6. Allergies
  7. Lou Gehrig’s disease

With at least 10 GMOs found in Halloween Candy, you ask yourself what can I do to provide a healthier treat selection for the ghost and goblins at my door this year?  As a grandma wanting a better life style for my grandchildren I ask myself, what can I put in their trick or treat bag that will make me feel better about the choice I’ve made and still be as enjoyable to them.

Here are a few ideas I came up with for healthier treats:

  1. Halloween themed pencils
  2. Money
  3. Balloons
  4. Stickers
  5. Organic snacks

This Halloween treat your trickers with a healthy treat that will lessen the toxins they may currently be exposed to.

More information on GMOs and additional ideas for healthier treats and snacks can be found at:  http://www.greenhalloween.org/2011nongmoguide.pdf

This helpful guide is provided by the partnership of Green Halloween http://www.greenhalloween.org and Non-GMO Project http://www.NonGMOProject.com

“Doctored”– The Movie Shown at October EPOC

I just had the privilege of viewing the new movie, “DOCTORED” in Lake Geneva, WI with the EPOC (Epicenter of Chiropractic) group.
I am sure you have heard of it by now, originally called “Medical Inc.” I know some of you have even seen it. It was great and I would definitely give it a thumbs up. I am not going to review it here except to say that for those of you who have been around for a while, most of the information was not new. It exposed corporation’s greedy control of medicine, pharmaceuticals, food, and the government in an attempt to eliminate competition, including chiropractic, organic food, and other alternative natural health care methods.

It was professionally done and all in all, a good movie – definitely historic as far as chiropractic goes.

But the move is not for us. It is for all the people in your community who are not under care. For them I think it will be excellent.

I also had the privilege of talking to one of the executive producers of the movie (turns out we’ve known him for years!), Dr. Paul Riegleman, and one of the doctors who stared in it, Dr. Tony Ebel.

In the next couple of days, I will send you some suggestions for a marketing plan with input from myself and other doctors, including the doctor who starred in the movie, Dr. Tony Ebel.

So stay tuned. Properly marketed, this movie can be a big boost for your patient volume and create outstanding good will in your community. And maybe just a little bit of controversy. 😉

Are you ready? Good. Stay tuned…

10 Strategies for Improving Patient Retention

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

More significantly, we looked at a new or model for practice retention that many businesses are now using successfully.

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

The old approach to patient retention is focused around patient control procedures designed to “plug up” the “leaky bucket.”  These still work and we covered some of the more effective procedures.

But this approach tends to address the symptoms more than the causes.  A more effective approach is focuses on teamwork.

Patients, like customers, want two things: results and a “good feeling.” The “good feeling” is a product of how much each doctor and staff member genuinely cares about that patient at the time he or she is interacting with that patient.  Patients will even tend to stay with a doctor and a practice if their results are not satisfying IF the service is extraordinary.

An effective method of improving patient retention includes role playing the “moments of truth” each team member has with patients. These include phone and walk-in greetings from the front desk, patient encounters with the doctor, therapist, and with the billing department for financial consultations.

Here are ten strategies you can put into place to keep your chiropractic patients coming back.

10 Strategies To Improve Patient Retention

__1. Love The Services You Provide.   If you don’t love what you do, how can you expect your patients to?   People buy based upon confidence – and if don’t have faith, confidence and love for your services, your patients won’t either and they won’t come back. (They won’t refer either.)

__2. Love Your Patients.  People can tell if you are being real, or just reading a script. You see it when you go to the chain stores and the checkout clerk says “hello”, or “have a nice day.”   They say the words, but it isn’t genuine.  They just don’t care. Practice and improve these “moments of truth.”

__3. Their Goals. Be goal oriented with your patients. Get them to set and commit to a goal for improving their health. Keep them recommitting.

__4. Coaching Patients.  Once you have their commitment, you now can use your patient control techniques. The webinar 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.

__5. Education to Make Your Patients Self-Motivated. Would you as a chiropractor, or experienced chiropractic team member, stop getting adjusted? Of course not.  And why not?  Because you know it how important adjustments are to maintaining your health. You have been educated.

__6. Help With Finances. Third party pay is confusing. Financial concerns can be embarrassing for your patients. Providing friendly and easy access to personal help in working out paying for their services can assist keeping your patients coming back.

__7. Stand for Something.  Your mission has to extend beyond relieving pain, just like Apple goes beyond computers or Starbucks beyond coffee. If you honestly embrace a greater purpose, your patients will see why you do what you do, not just how you do it. They will want to support that purpose as well by getting adjusted regularly

__8. Family.  People like to belong to communities. We like to have friends. Some offices call their patients “Practice Members”, while others have “wellness clubs”,  and advisory committees.  However you do it, your patients should feel like they are part of your inside circle.

__9. Measure, review, improve. Constantly work on improving your service.  That which you don’t improve upon eventually atrophies.

__10. Take care of each other.  We spent a lot of time on this one, but need to spend more. One of our webinars later this year will zero in on how this action helps create a winning team.

As it turns out, the way you treat each other is the way you will treat your patients.

The webinar is located on our PM&A members site now. PM&A Members: Marketing Training/ Patient Retention

[Download version of this file for your staff meetings and reference: 10 Strategies for Patient Retention. ]

July Webinars- Positive Job Reviews and Practical Chiropractic Patient Education

This month, we have 2 webinars designed to help you grow your practice and provide better service to your patients. These are in addition to our world class expert consulting and coaching, our free articles on our web site and those especially for our clients in our PM/A Members Library.

These are short discussions with plenty of slides and examples, along with follow up summaries.

Register now. Keep training!

  •  Office Management –  How to Do An Employee Job Review For Your Chiropractic Office So That Everyone Wins.
    Are these job reviews really necessary? Do employees get raises automatically every year? Employee reviews are often neglected, or are dreaded by both employee and doctor. This webinar covers the basic steps to make them effective and positive for all concerned.Thursday, July 12, 12:30pm   Registration
  • Marketing Management – Educating Your Chiropractic Patients – 6 Programs that Work.
    Does patient education work? How much of it just a sales pitch by companies to get you to buy their brochures and videos?  Even if it does work, what are some practical steps you can use in our office? We will discuss 6 simple programs that are working to help increase patient referrals and retention.
    Thursday, July 19th, 12:30pm  Registration

****To view the calendar and/or register  for our other webinars as an active PM/A client or guest, please go here: LINK 

Billy DeMoss Shakes Up Appleton Wisconsin at Petty Michel Seminar

Billy DeMoss, ChiropracTOR

Dr. Billy DeMoss gave a heated and edgy presentation for 3 hours to chiropractors and their staff in Appleton, Wisconsin, Friday night, Aug. 19th. Full of anecdotes from his own practice, along with statistics, slides and videos, “Billy D” reminded everyone what chiropractic and natural health care is all about.

He talked about how providing chiropractic care is actually fun and how you should have fun in your office. He stated that patients want to come to a place that is enjoyable, where staff and doctors are having a good time in a positive atmosphere.

But he also explained that it takes a great deal of work to have a successful office. He recounted the days that he had to do manual odd jobs just to make it through school. He works hard at his office but keeps it fun.  “If you want a more successful and profitable practice you are going to have to work for it.”

“The days of the $200 dollar office visit are fading,” he said.  Workers Compensation reimbursement in California has been cut back and some money motivated chiropractors have abused the system. But money is not the goal, and never has been, he said.  Serving people will always be rewarded financially, but that is not our primary objective.

He emphasized that our main goal should be to teach and adjust. Some doctors complain about doing screenings or lectures, but Billy asks the audience: who do we do it for?  Are we worried about inconviencing ourselves or do we want to help people get healthier?

He discussed issues such as vaccinations, diet, United States health statistics relative to other countries, and said that the chiropractors were the ones best poised to take a leadership role in the health care of the U.S.

After 3 hours of Billy’s high energy, the mesmerized and energized crowd gave him two standing ovations.

One member of the audience who owns a small farm and who was not a doctor or staff member, said he wished there were more people speaking out like Dr. Billy DeMoss. He said it was one of the best presentations he had ever seen.

The next morning,  Phyllis Frase spoke to staff and doctors about how to be a “Rock Star” C.A.  Phyllis also gave a dynamic talk and will be speaking at the Cal Jam in California, February 24-26.

PM&A encourages all who can make it to Cal Jam to do so.  I attended 2 years ago and it was absolutely the most unique and refreshing chiropractic seminars I’ve attended in 20 plus years. Well worth the time and money.  More info about CAL JAM.

Dave Michel, Billy DeMoss, Dana Pittner, Phyllis Frase, Ed Petty

 

CATCH DR. BILLY DeMOSS SPEAKING MONDAY NIGHT, AUGUST 22 AT LAKE GENEVA, WI.  FOR MORE INFO, CALL: 262-275-5005

Video here

Photos here

Making a Chiropractic Patient Community

Is it just YOUR office?

Or does it also belong to your patients?

One office we have the privilege of working with has been smashing its past records – month after month. We plot their growth on charts and nearly every month have to adjust them to keep the lines on the chart. And it has been in business for over 20 years.

Why? Well, there are a number of reasons, really.

But a key factor is that it has created a patient community. That is, it has created a systematized business where all the patients still feel that they are part of the clinic’s “family.”

They have created an environment where patients feel they belong, that the clinic is also THEIR clinic.

The principle behind this, and why it works to generate more patient volume, is that everyone wants to have friends and belong to like-minded groups. Facebook, for example, and the rise of social networking is simply a new twist to a basic impulse we all have for belonging and fellowship.

So from a practical marketing point of view, the more you include your patients as part of your chiropractic “family”, the more apt they will be to stay, pay, and refer.

For example, we have done our share of patient focus groups. Focus groups are informal discussions with 7 or so patients where we ask them about their likes, dislikes and general opinions of clinic activities. We’ve been able to learn things from the patients that we might not otherwise have known.

But what we also learned and hadn’t anticipated was that those attending suddenly started to be more active in the office. They kept their appointments and they started to refer more of their family and friends.

OK, so back to our client’s office: Each year, they give away t-shirts with the clinic name. The only requirement is that the patient has to wear the shirt at the local county fair.

This year, they sponsored a “T-Shirt Contest.” The contest was to help the office come up with a slogan for the back of the T-shirt.  The winning slogan would receive a 6 day pass to the fair.

The suggestions are…hilarious.  Some are good, some are fun, and some are just plain silly.  But.. the point is, many patients are eager to contribute.  (Some of the suggestions are below.)

 

It is no wonder, by the way, that this office which has been in business for over 20 years in small town, has been breaking its all time records for production month after month. (SHOUT OUT: Congratulations to Team Bartz Chiropractic!)

The lesson to be learned here is that it pays to empower your patients and make them feel like it is their office too.  Here are some ideas:

FRIENDLY CHATTING. Yea, I know doctors and staff aren’t supposed to spend much time socializing with the patients. I have heard that some consultants tell doctors to forbid staff to talk to patients other than talking “TIC” (chiropractic), doing a two handed hand-shake,  and mentioning the patient’s name 14 times at each visit.  Well, that is just silly.

A practice is a relationship and like any relationship, it simply has to be genuine. Be genuinely interested in your patients, like any friend.  All else can then follow.

NEWSLETTERS. A real newsletter just continues this chatting – between friends.  It can be both email and hard copy, and should include a column from the doctor. This continues your conversation with the patients.

Include survey results and patient successes and news about staff, doctor, etc. Keep it a “non professional” bulletin about your chiropractic patient community. Nothing glossy from some big company New York City. Keep it just short of being gossipy – but with pictures.

SUGGESTIONS FROM YOUR PATIENTS ABOUT UPCOMING EVENTS. The t-shirt slogans are a perfect example, but you can also survey patients about what color to paint the wall or color for the new carpet.

TESTIMONIALS FROM PATIENTS. These are another way patients can contribute to your purpose of helping more people to find better health, naturally.  It can be their purpose too.

FOCUS GROUPS. Get 7 or so of your patients, old and new, together for a luncheon and ask them survey questions about the office, promotions, advertisements, your services, etc. Best done by someone other than the doctor.  Mention the results in your newsletter.

# # #

Some examples:

T-SHIRT CONTEST ENTRIES FOR A CHIROPRACTIC OFFICE SLOGAN FOR THE  COUNTY FAIR

To be healthy and feeling fine, keep your spine in line at Bartz Chiropractic

Get your back in tact Jack….John…..Sue…. Larry at Bartz Chiropractic

You don’t even want to KNOW how bent outta shape I USED to be!

Back your Future with Chiropractic Care  (flaming tire tracks picture)

Make Your Day!  Help is on the way at Bartz Chiropractic

Get ACTIVATED at Bartz Chiropractic so you can spend the week at the Fair

Get a BOATLOAD of relief at Bartz Chiropractic (life jacket picture)

Got Pain? Be FAIR to yourself, see Dr Bartz!

I only have one spine, so I keep it in line at Bartz Chiropractic

IT NO LONGER SMARTS, WHEN YOU SEE DR. BARTZ!!

(Front)  Are you living with a pain in the neck??  (back) Dr Bartz CAN HELP!  Bartz Chiropractic Elkhorn, WI

It’s FAIR to say Dr Bartz Keeps me Healthy EVERY Day!

NO PAIN…………MUCH GAIN!!!!

Changing lives….One Adjustment at a Time!

Happy Bones = Healthy Life!

Don’t Slack…..Fix your BACK

Bartz Chiropractic, your adjustment Junction!

Less yacking, more Cracking!!

A HEALTHY SPINE WILL MAKE YOU SHINE!

BE WELL-ADJUSTED, BE HAPPY, BARTZ CHIROPRACTIC

MOOO’VON OVER TO BETTER HEALTH AT BARTZ CHIROPRACTIC (COW PICTURE OVER THE moooo)

A lifelong journey of health starts with CHIROPRACTIC

Put your life BACK IN LINE with Bartz Chiropractic Care

Walk STRAIGHT to the FAIR

Dr Bartz will CRACK you up!!

Dr Bartz is a “god” Chiropractor

Back aligned, feeling fine!!

A Few May Promotions for Your Chiropractic Practice

Mother’s Day is coming up soon (Sunday, May 8th).

This brings up the whole topic of women’s health care.

There are many types of health related events concerning women that you can participate in during this month (or any month, really) that are not only good causes, but can act to spotlight your services.

These include:

  • talks outside of the office
  • workshops in house
  • movie screenings
  • special awareness, or “Appreciation Weeks” for free health screenings
  • sponsor radio programs, interviews
  • letters to the editor
  • gifts (flowers the Friday before Mother’s Day)
  • and tape video “health tips” and post to YouTube.
  • donation drives

The list can go on and on. Some offices have had talks about pregnancy and pre and post natal care, sometimes with a midwife or nurse. One office does very well simply sending out a mailer each year to all local homeowners sponsoring a Women’s Health Care Week, offering free exam, x-ray, and massages.

Special promotions can work but they work much better if they are connected to a legitimate cause. There even is a name for this, and you guessed it, it is called “Cause Marketing.” For it to be effective, however, it has to be sincerely supported by the entire practice team. Doing a special event to support women just to get new patients will appear phony to others and can have negative effects.

One movie that has been shown is the Business of Being Born, a movie about harmful health practices connected to births in America. From its web site:

Should most births be viewed as a natural life process, or should every delivery be treated as a potentially catastrophic medical emergency?

Another example of a movie suitable for screening will be: One More Girl. This is a movie documentary how the pharmaceutical company, Merck, knowling continuted to advertise their drug Gardasil (a drug promoted to help HPV infections) to girls after Merck knew it was dangerous.

From the movie’s web site:

Merck’s marketing techniques earned Gardasil a “pharmaceutical brand of the year” award from Pharmaceutical Executive for its ‘savvy disease education,’ and creating ‘a market out of thin air.”

Even though most HPV infections clear on their own, invasive cervical cancer deaths affect 2.7 women per 100,000, and the American Cancer Society lists cervical cancer as the 12th ranking cancer in the United States, parents lined up to get their daughters protected and doctors were ready with needles in hand.

Consumers are not aware of the trail of deception behind over 21,133 adverse reactions and 94 deaths in previously healthy, athletic, competitive and scholastic adolescent girls.

(Thanks to Dr. Ebner for referring us to this movie!)

The movie producers are seeking donations to produce this film. Perhaps your office could help raise funds!

Another idea would be to have a special week just for mothers and daughters: free health screenings, tea, a spa day with manicure and massage for mothers and daughters, etc.

Our member’s site has a few posters and other ideas available to you as active clients.

Here is a poem by Tina Fey for her daughter. (mild profanity)

Best Wishes for a Merry Month of May!

Ed

Chiropractic and Earth Day

It was 40 years ago when Senator Nelson, from Wisconsin, helped start Earth Day.  (It started in March, 1970 with teach-ins at the University of Calif. Davis and San Francisco. I was there!)   Since then, there has been a battle between natural health, and chemicals and toxins.

Chemicals in Our Environment

  • 1972:  DDT, an organochlorine pesticide, was banned
  • 1976:  The Environmental Protection Agency (EPA) establishes the Toxic Substance Control Act (TSCA)

62,000 chemicals were grandfathered in as being safe.  Two chemicals have been banned since 1976.

  1. 1978 Polychlorinated Biphenyls (PCB)
  2. 1989 Asbestos

There has been no attempt to ban a toxic chemical since 1989.
The amount of chemicals produced or imported by the United States in one day would fill up 623,000 tanker trucks with a capacity of 8,000 gallons each. (Taken from Dr. Dan Murphy who quotes: The Body Toxic How the Hazardous Chemistry of Everyday Things Threatens Our Health and Well-being. By Nena Baker 2008)

Not counting the chemicals Americans take in from hormones, pesticides, herbicides, and other poisons in our fast food, super-sized nation, we pound prescription drugs in to our bodies.

American Prescription Drug Use

  • The average number of prescriptions [drugs] per person, annually, in 1993 was seven.
  • The average number of prescriptions [drugs] per person, annually, in 2000 was eleven.
  • [The average number of prescriptions drugs per person], annually, in 2004 was twelve.

The total number of annual prescriptions [drugs] in the United States now stands at about 3 billion. The cost per year is about $180 billion, headed to and estimated $414 billion by 2011.  (taken from Dr. Dan Murphy who quotes:How Prescription Drugs Are Altering American Lives, Minds, and Bodies Greg Critser 2005)

This is actually old data and the average number by 2010 is probably much higher. I have seen patients walk in with pages of 20 “’scripts”, and heard of even as many as 50. I am sure you have too.

In Our Drinking Water
A vast array of pharmaceutical including antibiotics, anti-convulsants, mood stabilizers and sex hormones have been found in the drinking water supplies of at least 41 million Americans, an Associated Press investigation shows.  in the course of a five-month inquiry, the AP discovered that drugs have been detected in the drinking water supplies of 24 major metropolitan areas _ from Southern California to Northern New Jersey, from Detroit to Louisville, Ky.   (USAToday)

Our Babies Swim Now In A Soup Of Chemicals.
287 human-made chemicals – most of them hazardous – in the blood of infants

According to a study released by the Environmental Working Group, a policy research and activist organization, tests measuring the so-called “body burden” of industrial chemicals, conducted on ten random samples of umbilical cord blood, detected 287 chemicals.

The samples, supplied by the American Red Cross, registered 180 chemicals known to cause cancer in adults, 217 that are linked to brain and nervous system damage, and 208 that have been shown to affect fetal or child development in animal tests. For 209 of the contaminants, this was the first time researchers had identified the chemicals in newborn blood.                                (Environmental Working Group)

What Should Be Done?
What do the so called health care leaders say about the poisons we feed to our planet, our people, and eventually our unborned children?  Where are the medical doctors or health insurers or pharmaceutical CEO’s speaking out against this. Or, our elected officials?

No one is talking, or if so, their voices are not heard.

And you know why?  Simple: because for the most part, they are not HEALTH Leaders.

And who are the health leaders?

You are! The chiropractor and the chiropractic professional. A healthy populace needs more than just “providers.” Your community needs leadership. The members of your town are bombarded with ads for drugs, for fast food, for industrial corporate food, for the easy “no effort way” to what they want. Add in natural human laziness, and you will find that your patients are getting sicker.

Health is a word which has been hijacked by the drug and insurance companies. But the chiropractor is the true health leader.

Earth Day gives you an easy avenue to extend your reach as a health leader into your community as well.  Well educated patients and community will seek to have a healthy town and a healthy body without the use of chemicals.

Ed

Sample posters. Link

Come celebrate with us on Earth Day by attending our seminar in Minneapolis.

Printable version of this article to give to patients. Chiropractic and Earth Day-for patients

In Your Chiropractic Office, Do You Have a Golden Goose in Your Hands?

(an article by Phyllis Frase)

Do you remember the movie Willy Wonka and the Chocolate Factory? One of the characters named Veruca in the story wanted the goose that laid the Chocolate Golden Eggs. She demanded that her dad get her the goose that laid those eggs. She was a spoiled brat. Keep in mind she didn’t want to care, nurture and train that goose to lay those golden eggs. She just wanted the end product which was the chocolate golden eggs. She disobeyed Willy Wonka. Veruca and her dad are rejected as “bad eggs” and sent plummeting down a garbage chute in the golden egg sorting room. If Veruca had just stayed the course, in the end, she would have had all the golden eggs she could have wanted or needed.

What does this have to do with your practice?
Every day you have geese (patients) that want to lay golden eggs in your practice .  We just don’t look at their signals to help those eggs to be laid.  If you haven’t figured out what the “golden” eggs are, it is your internal referrals from your existing patients. We believe that if we have patients that they should automatically refer their friends and family to us. We are a little like Veruca that just wants the end product which in our case would be lots of new patients. Some patients do refer and most do not. It’s not that they don’t want too; it’s just that they are not cared, nurtured or trained to refer their friends and family to you.

Let’s look at your average new patient. Typically, the average chiropractor is blessed to receive 8-10 new patients a month, without really doing anything out of the ordinary such as  yellow pages, internal referrals and other marketing efforts. If we really care, nurture and train those 8 to 10 geese to lay their golden eggs in your practice (which would be their friends and family), you typically could double your new patients or golden eggs without a lot of effort.  These eggs are warm and ready to produce beautiful geese that will produce over and over given the right environment.

So how do you get production or referrals from your existing patients? You have to feed them every day. Set the referral seeds within your practice. Within the first 30 days of a patient starting care is when they are most enthusiastic about their chiropractic care. Set procedures to create the referral to happen.
In the first visit.  Invite the spouse to the report of findings. Make sure the staff follows through with this as well by giving a spouse pass to the report of findings. Will all of them come no, will a lot of them come, yes if you ask and it happens every time. If the patient doesn’t bring a significant other to the report of findings make sure it is noted in the report of findings and tell them they have another opportunity to learn about your care at our foundations, WOW or new patient orientation workshop.  Yes, patients do come to those workshops and that is another article all by itself.

These procedures seem old and worn out and most of the time we forget to ask the patients for these things because we have gotten beaten up or is not worth the effort anymore.  They do become worn out if the practices are not doing the procedures each and every time with each patient and having the staff follow through when the doctors have forgotten to review this on the first and second visit. Calling the new patients after the first adjustment is a referral stimulator. Those few things we all know and we tend to let them slide by as the opportunities for our golden eggs slip through our hands.

Here are a few referral opportunities that you can start right away in your practice and get good results from practicing them every day. Will you get the golden egg every time as the goose lays an egg, not all the time but if we care, nurture and train that goose, we will get more golden eggs than bad eggs.

Non promotional and promotional referral opportunities
Have the referral talk with specific people.
Can I talk to you a moment?
Sit next to the patient.
Have you been getting good results with your chiropractic care? Great
Do you enjoy coming here? Great
Can I ask you a question?
Why haven’t you given me the opportunity to check/scan your family?

PAUSE LET THEM TALK FIRST

It is my mission to check as many spines as possible so that people can be a healthy as possible.
I want to give you this coupon.  Bring in cans of food and I will waive the $25.00. (Let the patient see you mark through the price or whatever monetary cost you have associated to the coupon) Let me check their spines.  There is no obligation for them to start care.
Sports- Are your kids playing sports?  Really?  Did you know that chiropractic increases reaction time and reduces injuries?  The athletes that are under care usually perform better.

  • Remember to review your new patients at each staff meeting.  Determine who has family members that have not been checked and make an effort to put a coupon on their travel card, promotional flier or a stop manager/reminder on electronic notes so it will remind you to talk to them. Create a friends and family coupon to give to the patient.  Change the color or the wording every 2 to 3 months so it looks different each time. Print coupon on card stock. You can create these in word or publisher or go to our member’s site and find several customizeable samples. Always list the retail value of any services you are offering that are complimentary or at your expense.
  • Target specific people every day to have “the Talk” with and make a goal to hand out the friends and family coupon to a specific number of patients each week. This should be decided on as a team. Have a contest to see how many people get signed up. Dinner, lunch, time off, make your goal to get people checked regardless if they start care or not.
  • If the patients come to the counter with the coupon, that should signal the staff to ask the patient about the coupon.  “Great, Joe the doctor gave you the special coupon. Let me give you some new patient times, that way it will be easier for them to schedule an appointment. Who are you thinking of referring?”
  • Even if the patient doesn’t come up with the coupon and you know they are suppose to have one based on your communication with your doctor, the staff should go through the exercise of the referral talk.
  • Have a referral follow up sheet at the front desk and list the name of the patient, when the coupon was given, expiration date and whom they are going to refer and next date to follow up .
  • If they have not called yet in a week, when the regular patient comes in ask if they gave out the coupon. If yes, “okay we were just checking because he/she has not called yet. That coupon expired in so many days.  We won’t be having another promotion like this for another two months or the doctor only gives out the friends and family coupons four times a year.” Create a sense of urgency around that special. “Would you like to take some additional material with you that will explain chiropractic more?”  Have special brochures that can be handed to the patient. Make sure your name, address and phone number is on any literature that goes out your door.
  • Always have a bulletin board promoting your offers and as the time gets to the end create a banner that is put across the bulletin board- 5 days remaining or 3 new patients’ slots remaining. Or mark through any remaining fliers or material that you have.
  • Decorate your office during promotions. If you think you have decorated enough, it’s not enough.  Create a new experience when your patients come in. You need to stimulate them visually so they will ask questions.  Why all the hearts or the shamrocks? “Well, Joe I am so glad you asked, we are having a new patient opportunity.  Let me tell you how it works.”
  • Print enough fliers to be in your office everywhere.  In the adjusting areas, in your new patient orientation folders, in your bathroom, behind doors.  Anywhere people will see it and can’t miss it.  Enough is never enough.  Print your materials in color don’t be cheap by only using black and white copies. Always review your promotions after they are complete to see what needs to be changed or tweaked.

Snow Days and Chiropractic Care

In this short article you will learn a new disease and how to prevent it, how to not lose money, and a special offer for a free drink in Las Vegas.

I love snow days.

As a kid, if you lived in the Northern climates, or mountains, or parts of the world where you can get a ton of snow dropped on you every now and then, you know what I mean. No school. Sleeping in, snow men, sledding, or just cuddling up with a game and watching the snow blow around.

But when you are in the business of providing chiropractic care, snow days can cause the opposite reaction. Snow days aren’t fun, they cost. Sometimes a few thousand dollars in one day and momentum can be lost for a week.

Have you ever known anyone who got really agitated and complained when they were delayed in their travels by a traffic jam?  I always wondered about this. WHY? Why complain? Do something constructive about it, and if you can’t,  then shut up. Why be negative?

Same with snow days. Or any natural work stoppage.  Snow days are a great time to “Sharpen the Saw.” It is a time to work on important things that are not urgent, as Dr. Covey talks about.

Jimmy Parker, D.C.,  always talked about turning your lemons into lemonade, another way of saying the same thing. (Speaking of Parker, come to Las Vegas and hang with us on January 15 & 16. Free drinks for all. Oops. Wait, I got carried away. First 10 that respond to this! See you there.)
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Swine Flu: Lessons in Marketing Your Chiropractic Wellness Practice

Two can play at this game.

If the pharmaceutical companies can use swine flu as an excuse to sell vaccines, you can use it to promote wellness.

The general corporate media, and doctors employed by these corporations, have been pushing the horrors of the swine flu “pandemic” and offering pharmaceutical products – vaccines – as the primary solution. But it makes one wonder what is really going on when there is so much information about the unhealthiness of the vaccines, as well as much common knowledge about many different non pharmaceutical solutions that are healthy.

Dr. Oz, an MD on a major television network, in an interview where he promotes the use of the swine flu vaccination, admits that while he gets vaccinated, his wife and children do not. (Link to video below.)  What does that tell you?

There is a lot of information about this but I know I am just preaching to the choir here on this blog.

The point is, now is your chance to step up to the plate as a Health Leader and help navigate the way for your patients and community through this confusing issue of flu vaccinations.

What I am saying is that this is a great opportunity for you as a  Doctor of Chiropractic.  While only a small percentage of people are actively receiving chiropractic care at any one time, a majority of people are skeptical about swine flu vaccinations. (Consumer Reports 9/30/2009)

By offering information about the swine flu from a natural perspective, you can position yourself as a health leader to this huge market.

Good marketers are always looking for a relevant event to help get their message across. This is a powerful one.

For example, you could you could easily schedule and present a 45 minute basic class on:

The Flu: A Natural Perspective

or

Concerned About Swine Flu, But Uncertain About Vaccinating Your Kids And Family?

or

What You Should Know Before You Get That Flu Shot

You could invite a guest speaker, such as an MD or DO or nurse, anyone really, who is pro chiropractic and subscribes to the chiropractic lifestyle.

The first step, however, is becoming informed and educated yourself. Doctor Mercola has a great deal of information on his site with references to other sites. A fast search will give you tons of info and books to read. Some of the comments posted on these sites by readers are also informative.  I have listed just a few below.

While you do need to know about vaccinations and the swine flu, you really need to understand the level of propaganda drug companies use to promote their products.  This is something you should be able to take issue with as a chiropractor who sees the results of unnecessary back surgeries weekly.   Once you are incensed about these injustices, all else will follow.

For a more radical approach, you can use a poster that shows how MD’s were used to support the use of tobacco and Vioxx, both products which are known toxic killers. [Sample poster below.]

Some things you can do:

  • Give a talk with or without a guest.
  • Host a community discussion group with a panel.
  • Talk to your patients one on one about what you know.
  • Educate your staff.
  • Place poster or pamphlets around the office.
  • Write a letter to the editor.
  • Make comments on blogs, face book or other web sites.

Again, you do not have be an expert about the biochemical aspects of vaccinations. The basics are obvious enough and will allow you to swing any discussion around to general health, nutrition, exercise, and of course,  subluxations, nerve interference, and chiropractic treatment.

It is not that you should promote chiropractic as a direct remedy for swine flu. That would be bad public relations, even if there are accounts of this. (See 1918 Flu Epidemic below.)  Instead, you are an advocate for health, looking after the general health of your patients and community.  You are a teacher.

It has been stated that there is a “Wellness Revolution.” People want organic and natural health. What doctor of what profession is better suited to lead the way other than you, the chiropractic doctor?

Take this opportunity and run with it.

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Promotional Posters: 2 Sample Plosters

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Some immunization references. (Please list more.)

Tedd Koren’s Brochures:
Do You Know What’s In A Flu Shot and Vaccination: 18 Reasons to Just Say No

Mercola.com

Chiropractic and the 1918 Flu empidemic (article)

http://www.vaclib.org/

Pro-Immunization: New York Times recent article

Dr. Oz. Immunization OK for him, but not for his wife and kids. (Youtube. 5 minutes in.)

Video clip of flu shot promotion from 1970’s. (Video)

Congressman Paul on the Recent Swine Flu Scare (Video– 4 minutes)

Dr. Blaylock (4 video interviews)

How to Raise a Healthy Child in Spite of Your Doctor (book)

A Shot in the Dark (book)


National Chiropractic Health Month

I guess I missed the memo on this one. Maybe you did too.

October has always been Spinal Health Month as recognized by the American Chiropractic Association.  Apparently, this year it is changed to National Chiropractic Health Month.

You can still call it Spinal Health Month if you want, but either way, it is a good opportunity for you to use this as an extra motivation to get the word out about your services and chiropractic.

According to the ACA website, they are focusing on headaches this year.  They have some nice down-loadable pamphlets and brochures you can use. ACA headaches

Depending on your other promotions, I would announce that October is National Chiropractic Month as recognized by the American Chiropractic Association.  In conjunction with the ACA and the National Chiropractic Month, you would like to invite all patients to bring in their families and friends for a no charge chiropractic back and neck screening.  You can change this to a no charge chiropractic consultation, conference, or whatever you feel comfortable with.

A poster can be helpful in prompting a dialogue between the patients and the doctors and staff.  A poster can also be placed at local coffee houses, faxed to office managers at friendly businesses,  to support groups, and of course, handed to patients as fliers.  You can also place a notice in your patient statements and send out a press releases to local papers.

Here is a sample: LINK

You can also make a banner that says:

October is National Chiropractic Health Month
Bring in your family for a free posture screening. See the Front Desk for details.

This can be placed on the outside of your office, or on the inside. The banner can be a small one on paper, 3-5 feet, or a large one that can be used year after year.

Note to PM&A clients. You are welcome to edit these posters and fax us the changes and we can send you a new poster. We can also send you the Word file so you can make your own customizations.

Minneapolis Workshop, April, 2009

What a workshop and boot camp! With 4 separate breakout sessions, everyone was busy learning, training, and getting inspired.

We learned a lot too, and for those of you who attended – thank you!  We had at least as much fun as you did.

We have had many glowing responses since we ended the seminar, including this one, the day after the seminar. One doctor called in and said:

“I don’t know what you guys did, but we are on fire! Heather loved Phyllis and sold THREE PREPAYS this morning!”

The exuberant doctor said that two new patients came in with a guest.  All three became new patients, prepaid, and left with full appointments. “I ended up with an additional 96 visits scheduled”, the doctors said.

A  practice tip from Phyllis from the workshop.

Some other workshop comments:

I learned about the individual departments in our office, learning what areas are strong and what are weak and what to do to make them better.  I liked seeing our staff/team members gain knowledge to bring back to the office.  Dr. A

Seminar was so good, just wanted more of it.

Learned new procedures for financial consultations.  The information was EXTREMELY useful.

Liked the information on consultation and report of findings. Dr. Peter gave us tools to use in office. All pieces of the puzzle are coming together.  Dr. D
Dr. Peter
I loved all the various classes offered (breakout sessions)  Didn’t get bored. (C.A.)

The information was useful. I liked the marketing schedule, back to basics procedures with checklists, focus on low cost marketing, motivation.  Dr. S

Lots of ideas we could apply. Everyone sells health, “scheduling week”, and other ideas – all were useful.

The information was absolutely useful and timely. Will help me with my consultations. Doctor

Dave was a great speaker. Learned more about financial consultations and billing.

Will improve  my ROF’s and my wellness financials. I like the breakout sessions.  Dr.H

I learned how to become the doctor’s support system, handle the new patient, cluster book, recall, and learning that I have the power to lead the patients instead of the patient leading me.

Great Speakers. Easy to follow.

Your company cares and listens to their clients.

Lots of ideas. Liked the external marketing ideas.

Dr. Peter was fabulous.

VERY INSPIRING

Protecting Your Patients From Negative Press

Just caught a minute of CNN Wednesday morning (June 25) about chiropractic and strokes.

The news anchor interviewed CNN’s resident M.D., Dr. Sanja Gupta, who reports on a specific stroke victim, Britt Harwe. He refers to an “advocacy group” for other stroke victims of chiropractic, and uses the term “Chiropractic Stroke.”  He also interviews a representative from the American Chiropractic Association who gives a pretty lame presentation.

So, to start off with, the piece is slanted negatively.

Then, the M.D. recommends that viewers only see chiropractors who have been licensed and who have attended chiropractic colleges, which are 2-4 year programs.  I may have missed something, but I have never seen, or heard of a chiropractor who has attended a two year D.C. program. Again, another slant covertly snuck in.

But then I checked: this  lady had a stroke FIFTEEN years ago! CNN is Cable NEWS network.  What about this is news?

To be fair, Gupta had a nice piece about chiropractic a few years ago.  And, not to pick on CNN, as I saw at least one negative article at another network’s web site.

While a stroke can be tragic, as in the case of Ms. Hawre, a quick glance at at least one study shows that chiropractic patients are no more likely to suffer a stroke following chiropractic treatment than they would after visiting their family doctor’s office.

Stroke victims deserve all the help, understanding, and care possible.  The chiropractic profession needs to always honestly review their standards of care for improvement, as does any profession or business.

But for a negatively slanted piece to come out 15 years after the fact belies the real motivation of the report. We have seen the medical establishment try to contain chiropractic in the past. This has been proven in the Wilk’s case.

The chiropractic profession is, and has been, the leader in the Wellness Revolution.  But it has not been easy.  There are and will continue to be sucker punches thrown at you and your patients.

Not supported by pharmaceutical funding, the responsibility of chiropractic public relations has to be shouldered by chiropractors and their professional staff.

I thought I would bring all this up because of your patients.  They hear garbage like this and it can dull their appreciation for chiropractic and what it and you have done for them.

You have to know what you are up against, as do your staff, as do your patients.

Educate them. Stay in the fight. Get a little outraged. It is good for you. Makes you strong. Tell your story and the chiropractic story. Improve your services and pursue your greater purposes.

This is the real point of this post: protect your patients by educating them.  Get them through their care and onto wellness care. Have them join the fight.

We put together a poster regarding strokes in case they bring it up to you for your use in patient education. Down load it and use if you want. You can get more data at the A.C.A. site here.

CNN link


Chiropractic Newsletters

Newsletters to Your Patients

Pity the poor practice newsletter!

So misunderstood. Forgotten, neglected, and ridiculed.

Scorned as too expensive, dismissed for eating up too much staff time, and disregarded because they just don’t “work.”

But is any of this true…?

Not necessarily.

Too expensive? They can be. Fancy paper, color photos, six pages,  and sent first class can cost thousands.

Take too much time? Oh boy, how true this can be!  Who is going to get the information and write it, format the newsletter, get the mailing list, organize the mailing, do the printing, add the postage, and take it to the post office?  That is a LOT of work, and costly staff hours.

Do they work? After spending so much time and money on any other promotion, you would expect the new patients to come in for a good return on your investment. Often, this does not occur.

BUT WAIT… it doesn’t have to be like this. IN FACT:

Patient newsletters can cost as little .50 cents per newsletter. That includes, postage, paper, printing, and taking them to the post office.  The offices where we see them used regularly have shown an increase in patient referrals and in reactivated patients.

Before we outline how to do it, here is why you should.

Why You Should Do A Newsletter
When a patient starts care with you, you and that one person, old, young, male, female, it doesn’t matter, that ONE person and you – have started a conversation. They confided in you about some things about which, outside of close family friends, no one knows. It is personal. Professional, yes, but the fact is, you and your patient have started a dialogue.

It is your job to continue it. It is not their job to do so – it is yours.

You are the doctor and they came to you. They reached out for help. All you have to do is to keep the conversation going. It may be one sided for a while, but they are listening.

We are all spammed to death. It has been estimated that each one of us receives up to 3,000 to 5,000 separate advertising impressions each day in the U. S. People are numb to advertising. It is no wonder that your ads in the local paper just don’t have the pull they used to.

Patients who have once been to you already know who you are. When they receive a letter from you, it is from someone who knows them.  You are communicating to someone who already knows you and knows that you know them.

Statistics tell us that it is much more profitable to invest in keeping the patients you have, and marketing to them, than trying to procure new patients that do not know you.

Patients stop seeing you because sometimes, Life gets in the way. Finances, personal problems, work, and after a while, they kind of just loose touch.  But you are mistaken if you think that your relationship with them is over.  Once someone tells you intimate details about their personal condition, a relationship has started. Think about who you have confided in personally. You feel a special connection to them, right?

So, a conversation has started and by simply maintaining it, you will find that the patients stay with you longer, come back to care more frequently, and refer more of their family and acquaintances.

How To Do A Newsletter
For those of you who have the Marketing Manager System (sm)  computer program, there are a number of sample templates and examples that can be easily reformatted for your office.

Newsletters are thrown away, of course,  but they are reminders and brief advertisements about your services. They should not look like another pamphlet – homemade newsletters work very well. Too fancy is too expensive and look like the regurgitated pulp that gets thrown in most health articles and brochures.

Add a column just from you. We have a sample doctor’s column which you can use. On our members site for our clients, we have others.  Add some news, maybe one of Margie’s favorite non fattening brownie recipes, a snapshot, a testimonial, and a list of upcoming events. That’s about it.

Put it on one piece of paper that gets folded over twice and become self mailer. Bid it out to local mailers and you will find that the printing, paper, postage, and mailing all comes out to about fifty cents each.  If you have 1000 patients to whom you are mailing, that comes out to $500. If you do the mailing every 4 months, it averages to be $125 per month.

Make sure that one person is delegated to oversee the newsletter. It should not take but a few hours to do.

Email newsletters are nearly free, of course, and can be effective.  You can capture the email addresses from your patients and send out personal newsletters using services such as constantcontact.com, aweber.com, or a new one icontact.com. There are many others that have simple templates where you can simple type in the information and send out.

Homemade Newsletters versus Preprinted Newsletters

There are a number of companies that will print and mail newsletters out to your patients for you.  There are also a number of chiropractic commercial websites that will send out prefabricated electronic email newsletters to the email addresses you supply them.  The advantages are obvious – someone else does all the work and patients receive a professional good looking copy in their mail box, or their email in box.

We have seen these work, however we prefer the home made newsletter.  The reason is that professionally done newsletters are a bit like pamphlets – they look nice, but they are generic and soulless.  This can be particularly true of email newsletters. Some prefabricated newsletters make room for your customized inserts.  In this case, these might work well.

The primary problem with the preprinted newsletter, whether “hard copy” or electronic, is that it can take you out of the loop. You cannot really delegate all of your patient communication.  You can delegate some of your communication, but the point is, you want to maintain a personal relationship with your patients.

There is more to it than this, but don’t worry about getting it too prefect or too fancy. Funky, friendly, and funny is good.  Just do it and keep the conversation going. You will see your old patients returning, referrals increasing, and established patients coming in to thank you for that the recipe you put in your last newsletter.

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[Petty, Michel & Associates offers special practice development programs designed to help you achieve your goals.  For more information on our 3 Goals Seminars, coaching programs, and products: Services Products]