He Fired the Office Manager

A few months ago a chiropractic office manager called me. She said that her doctor had fired her.

Her primary role had been that of Billing and Collections Coordinator, but she was also the office manager part time.  I had worked with the office for a few months and knew the doctor and Dorothy (not necessarily her real name.) I had gone over the role of the Office Manager with her and the doctor. They both felt that they understood the situation and would let me know if they ever needed any help. I was pretty certain they didn’t know what their roles were, or how to execute them, but their minds were made up.

Months went by and then late one Monday morning I got a call from Dorothy. She told me she had been fired. I asked her why? (Knowing her and the doctor, I had a pretty good idea.)  She told me that the number of new patients had been dropping for some months and that the doctor was not happy about this.

She said that she couldn’t believe it. “He fired me for that? I am not even in charge of new patients?” She was upset and went on about how new patients weren’t her responsibility.

What do you think?  Was she right? Or, was the doctor right?

Let’s look at this: the doctor is ultimately in charge of marketing. As the Chief Executive Officer for the business, marketing is a key component of his or her job. But since he is also so busy as a doctor, he needs to delegate most of the marketing activities. But to whom?

  1. First, to all of the staff. It is each team member’s responsibility to “sell health.”
  2. Then, a staff member could help coordinate all the marketing activities as a Marketing Coordinator or Marketing Manager.
  3. You might also delegate different marketing activities to different staff: someone for external events and screenings, someone for the internet, etc.

But behind it all, is the Office Manager’s role to make sure everything is running smoothly.

Actually, no one should have been fired. Instead, they all should have been trained on marketing and especially on MARKETING MANAGEMENT.

This is one of the reasons for our monthly webinars.  We just completed a very informative webinar on the key duties of the office manager (now posted on our members site) which can help clarify the role of the office manager.

The purpose of business is to create a customer, patient, and practice member. I didn’t say that. Peter Drucker did. You should know about Peter Drucker as he is the granddaddy of all management consultants.

“Because it is the purpose to create a customer, any business enterprise has two – and only two – basic functions: marketing and innovation. These are the entrepreneurial functions. Marketing is the distinguishing, the unique function of the business.”  Peter Drucker

Doctor, you are busy.  Your #1 focus should be on quality patient care. But as the CEO of your business, you HAVE to drive the marketing. To do this effectively,  you can and should delegate the marketing activities to others. The office manager is responsible for making sure all office activities are being done effectively, and this of course, includes marketing.

Whatever your office mission states, it has to include the concept of marketing.  It is your job, and everyone’s job, to tell the chiropractic story – and to communicate the value of your services in such a way and often enough that thousands of people come in to get better.

Don’t get fired. Get fired up!

3 thoughts on “He Fired the Office Manager

  1. Blaming a human component of a complex sociotechnical system is a common mistake. Results are always the result of the system, how well do you understand it? How well have the staff been trained, not trained, mistrained? How are they motivated or demotivated? How effectively does information move, and how easy is it to interpret the information? Where are the errors happening? What needs redundancy, and where do things need to be streamlined?

    Any employee can be successful in a well designed chiropractic system, but only extraordinary people can be successful in a poorly designed system.
    What happens when you put extraordinary people in a well designed chiropractic system? The world moves.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.