Edmund Fitzgerald

November 11, 2010
Whitefish Bay, WI

35 years ago, this morning, the news was coming over the radio that the night before the ship called the Edmund Fitzgerald sank, taking all 29 crewmen with her.

It had departed from Superior, Wisconsin and got caught in a violent storm.  She sank in Lake Superior, just 17 miles from the safety of Whitefish Bay, Michigan.

A few months later Gordon Lightfoot wrote a song in commemorating the sinking.

“…When supper time came the old cook came on deck
Saying fellows it’s too rough to feed ya
At 7PM a main hatchway caved in
He said fellas it’s been good to know ya.

“The Captain wired in he had water coming in
And the good ship and crew was in peril
And later that night when his lights went out of sight
Came the wreck of the Edmund Fitzgerald.”  (Gordon Lightfoot)

It is a fine song that gives tribute to the death of 29 men: sons, husbands and fathers.  Kind of a sad song, really, and a little ghostly.

But living here in the Midwest around these Great Lakes, I think there is a positive meaning we can take from this anniversary.

Sailors are tough people. The saying once was: “Men of iron, ships of wood.” They are courageous and self reliant. They risk the security of the land and take their lives in their own hands on a floating platform that moves over an unpredictable surface which can kill them at any time.   They only have themselves to count on whether they arrive at their destination or even stay alive.  They confront the elements face to face and there is no tolerance for excuses or mistakes.  The result of negligence is not an angry boss but the cold rocky grave of the water below.

While many stay sheltered in their shops along a harbor, sailors seek opportunities and set sail. They have goals and rely on their skill and initiative to arrive at their destinations.

Sometimes they may configure the ship incorrectly, plot a bad course, or out of nowhere, get hit by rogue waves.  And they may die. But at least they died seeking their goals.

This is a lesson of the Edmund Fitzgerald, at least for me.  Those 29 men knew the risks they were taking but were braving the storms and the security of the harbor to arrive at distant ports.

This week I visited a veteran doctor at his office whose numbers over the last few years have been crashing. He had recently gone through a bankruptcy and was now moping around his office feeling depressed and complaining about insurance cut backs, joblessness, and other woes.

We all have been in comparable situations of one type or another before. Maybe we made a wrong turn somewhere and tripped and fell and then held ourselves back out of fear. But the solution is not to restrain ourselves but to get back out and risk it all again.

As entrepreneurs and those of us in the chiropractic profession, I suggest we honor those sailors who have perished on this anniversary, and do so by getting out of whatever harbor we may find ourselves in and set sail.

A New Year is coming.  Where are YOU going to sail in this New Year? We suggest that you set some high and distant goals and start plotting your course now.

Consider this quote from Mark Twain:

Twenty years from now you will be more disappointed by the things that you didn’t do than by the ones you did do. So throw off the bowlines. Sail away from the safe harbor. Catch the trade winds in your sails. Explore. Dream.  (Mark Twain)

Safe travels and best regards.

Nice video with the song by Gordon Lightfoot: “Edmund Fitzgerald”LINK

Internet Marketing for Chiropractic Offices

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

Medicare, Chiropractic, and Computer Generated Notes

Is Your Office Looking Into Computer-Generated SOAP Notes? Read This FIRST before you invest your cash!

Thinking that your documentation could use an upgrade? You are probably right, but before you invest in a software generated note system, know that Medicare frowns on most such programs and they could actually hurt you in an audit.

As we have been saying for years, there is no good shortcut out there for doing documentation. You have to follow Medicare’s guidelines and just because your software generates a half page typed SOAP, you may still be missing the mark.

According to ChiroCode Institutes recent alert:

Medicare carrier Noridian Administrative Services recently updated and reprinted a notice on Chiropractic Software-Generated Documentation. Apparently, the piece was generated because Noridian has seen an increase in the use of software-generated documentation for chiropractic services.  Here are a few key areas where software can begin to go wrong (according to Noridian):

– In general, most computerized documentation fails to provide individualized information necessary for reimbursement.

– Software-generated documentation is commonly identical to the letter, comma and space for different patients, with only minor word changes; therefore, it does not reflect medical necessity.  Services supported by repetitive entries lacking encounter specific information will be denied.

– Software-generated documentation often repeats the same phrases and sentences by simply rearranging the words to make it appear as if new information is being disseminated, but when compared to prior days notes, reflects the same or similar concepts.

You can read the whole article here: https://www.noridianmedicare.com/provider/updates/docs/chiropractic_software.pdf%3f. The article contains some humorous (at least to me) examples of  how the software, while randomizing text, generates almost identical SOAPs for different patients on different days.

Getting a Medicare CERT audit? Don’t send in your records without calling us first. See our website for more information on our exclusive Medicare Pre-Audit Documentation Review. LINK

Fall Marketing Ideas

Fall is in the air….. and it’s time to get that fall marketing calendar filled with activities.  To get the ball rolling, we have put together a few topics and suggestions to make your events fun and effective.

For our PMA members, we have more information about each topic, including ready made posters, handouts, and descriptions. For more information, please go to our PM&A Members site here , log in, and go the section called New Stuff on the top navigation bar.  You will find the article called Fall Marketing Ideas.

September:

  • National Backpack Awareness Day – Sept 19
  • Woman’s Health Week – Last week of September
  • Neuropathy (or Headache,etc. ) Awareness Week  (Pick a week to promote a free screeing exam for a specific condition.)
  • Crazee Dayz (For example, Thirsty Thursdays — offer a different type of drink each Thursday. Have patients make suggestions: organ apple juice in Sept, Egg nog in December, etc.)

October:

  • National Spinal Health Month (now called National Chiropractic Month).  Make a banner and use this as a motivation to have patients bring in their family for a free spinal fitness screening.
  • National Chiropractic Month. Use this as a reason to sponsor: Chiropractic Opportunity Week:  The doctor is having a “COW”
  • Hair Dresser/Beauty Salons/Spas – provide massages, screenings, and lectures.
  • Local Health Fairs at businesses.
  • Kid’s Halloween Party

November:

  • Thanksgiving Turkey Drawing Poster
  • Donation Drives
  • Deer Widows Week
  • Girl’s Night Out

December:

  • Holiday Coupons – Gift Certificates
  • Poinsettia Give Away
  • Saturday with Santa
  • Appreciation to External Referral Sources

Chiropractors – If You Get a Medicare Audit, Do You Know What to Do Next?

Are You Prepared?

If You Get a Medicare Audit,
Do You Know What to Do Next?

If you haven’t already heard, CMS Medicare has launched a massive audit project aimed at chiropractic offices around the country. Executive Order #13520 “Reducing Improper Payments and Eliminating Waste in Federal Programs” has unleashed a random attack of chiropractors aimed at recovering an estimated $174,100,000 in over payments.

Medicare has hired two companies to start auditing chiropractors. There is no way to know if you will get a request for an audit, but I can tell you this from being on the road: very, very few clinics will pass a Medicare audit based on the documentation that I have seen.

That’s not to say you aren’t providing proper, necessary care. Far from that. The Medicare documentation requirements for the physician’s signature alone are three pages long.

So What Should You Do?

PM&A is prepared to help you. We have had 25 years of experience with Medicare audits and appeals. If you get a request for an audit, DON’T freak out. Do this instead:

  • Do not ignore it! You have 30 days to respond.
  • Do not let your staff photocopy and send the records out blindly!
  • Call our office immediately and request our special MPDR Program: MEDICARE PRE-AUDIT DOCUMENTATION REVIEW

We will come to your office & go through any requested records with a fine-tooth comb to assist you in ensuring that you have complete documentation for all services rendered, that each date of service is properly documented, that all PART forms are complete, and that active care modifiers have been properly used.

We will go over each entry in the chart with the treating doctor to ensure that every requirement of Medicare documentation is met for the service you rendered. If addendums need to be made, we’ll ensure that the addendums meet or exceed Medicare requirements.

We will also draft a follow up and Medicare Compliance Plan for your office for any areas that need to be corrected so that you can avoid potentially devastating pre-payment future audits or fraud charges.

We have successful fought AND WON on numerous Medicare audits. No other chiropractic management company can say that. A bad Medicare audit can cost well over $100,000 and thousands of staff hours – and more importantly, hurts your patients and their right to chiropractic coverage.

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Medicare Audit Emergency Response Number:     920.459.8500


The MPDR is available to chiropractors in WI, MN, IL, IN, & ND only. This is an emergency response program and slots will be limited to PM&A clients first, then first come. Do NOT send records without calling us first.

The MPDR program covers up to two full days (20 hours) in your office, plus limited follow up. The cost is $4,800 prepaid. PM&A management clients can receive a 20% discount if they are active and current members.

Call for terms and conditions for this service. 920.459.8500

Internet Marketing That Works

A web site is nice, but can it really generate new patients for you?

The answer is yes! And over the years, depending on the doctor’s internet marketing efforts, we have seen more new patients calling the office because of something they read on the Internet.

You probably have a web site. It could be a templated one you subscribe to or your own customized site.

But having a site is the easy part – it’s what you do with it that counts.  It is not like a phone book ad that you redesign every 12 months and then get conned into buying a larger ad by the phone book rep.

We have been studying internet marketing for many years now. It is a science and an art unto itself, with new approaches and technologies evolving monthly.  But there is also an awful lot of hype. Every company has a different pitch about how their web site is better. There are new gurus being born every week. Then, at a family barbeque, your 14 year old geeky nephew says he can throw up a web site for you over his lunch as part of a school project.  So, what do you do?

Because of all these things, your web site may just sit there.  Maybe it catches something now and then like a fishing lure, but more likely, it is mostly ignored and has floated to the river’s edge doing nothing.

We have a solution to this.

We will be sending more info about this soon. But the short version is that someone in your office should be able to work on your Internet marketing every week. Like any marketing, it only works if it is done.

We will be introducing the Chiropractic Internet Marketing Assistant Checklist and Support Program soon. Believe me – the Basic Level will be so easy even a Caveman, or Cavewoman, can do it.  (No offense intended!)

The internet is becoming more of a marketing medium for your office – and can be effectively used for generating new patients and keeping the ones you have.

The bottom line? 1-3 new patients for a few hours spent each month working on Internet marketing. Not a bad return.

Make sure you listen to our guest on this Tuesdays’ live teleclass this Tuesday, June 29th, at 12:30 Central time.

Dr. Jamie Phillips, having just given a presentation to the California Chiropractic Association, will be talking about practical steps you and your staff can immediately implement to get more new patients from the Internet.

We have known Dr. Jamie for many years and are impressed with her knowledge, savvy, service, and results. She loves marketing and chiropractic, and is effectively applying these passions to the internet.
More info on Dr. Jamie. LINK
As usual, there is no charge to our clients. The access number and phone number will be posted on your Members site and we will also send you a special reminder email.  If you are not an active client, you can register here: LINK.

Looking forward to many more new patients .. and returning active patients.

5 New Marketing Projects

We have been working on some new marketing projects and are now ready to tell you about them.

They are hot, effective, and don’t cost an arm and a leg. You can do them and if you do, you will see more new patients.

They are not totally a secret, so I am going to tell you what they are. But first, I want you to know why we are doing so.

We’ve often been asked why we do what we do: Why do we consult and coach chiropractors. Why not dentists or MDs, or why consult at all? Why this line of work? Particularly since we are not chiropractors.

Well, first of all, we have consulted dentists, MDs, podiatrists, even attorneys and are not averse to doing so. We have done well with them, in fact.

Not being chiropractors gives us a distinct advantage. We are not biased to a particular technique, or so in love with our own procedures and with what worked with our patients that we can’t help another doctor work out what is uniquely best for her or him.

But the thing is, we really share the philosophy and mission of chiropractic – and the Attitude as well.

Chiropractors help people get well without the use of drugs. They promote a healthy lifestyle. Now, it should be no news to you reading this that this has always gone against Big Money.  The Big Money is in disease care.

We truly feel that chiropractors are the Health Rangers and Health Champions in a world dominated by gold digging corporations that manipulate public opinion to eat badly – and buy more and more drugs.

Chiropractic, by its very nature, opposes this and has for over a 100 years.

But reviling disease care peddlers can only provide you with a short term self righteous ego boost.  The real solution is not to loudly ridicule drug companies and the MD monopolies, or their bed partner, the health insurer. (But it may make you feel better, so go ahead! In fact, give ’em hell.)

The real solution is to tell your story.

Communicate loudly and continuously the benefits of chiropractic as the FIRST solution people should seek for their HEALTH.

We have seen and know the benefits of chiropractic and the chiropractic lifestyle and have seen the alternatives: sick, brainwashed people fed drugs and receiving “procedures” at great expense to our economy.

So that’s why we do this. It is a personal thing.

Now, to help you tell your story this summer, we have a number of super cool – and effective – programs which we will be presenting over the next few weeks.

1.    Internet Marketing. Having a web site is no longer enough. It is what you DO with it that counts. We have put together action steps that a chiropractic assistant can follow to help get you more new patients from the Internet.  (Special teleclass program with Dr. Jamie Phillips on Tuesday, June 29th. More info soon.)

2.    Community Services. Since the 1980’s, screenings have always been around. We have organized our successful experiences with screenings, and other external events, to show you how to greatly increase your new patients from these events.  This is a fun program.

3.    Energizing Your Marketing and Your Practice. Without giving away the whole program, we have new slant on an old approach to practice marketing that has proven to generate more new patients just with your current programs. The best part: it doesn’t cost a dime!

4.    Innate Marketing Secrets: How To Generate More New Patients Invisibly. This is based on study we have been doing for a while now. It is almost spooky in how it works.  But it does.  Stay tuned.

5.    Practice Management. We will show you a powerful management tool – that the whole staff can use – that increases production and improves performance.  And it is nothing new. You have it already, but for the most part, most offices just don’t use it.

It’s summer time and we want to help you get more people healthier.

Watch for more information on these programs soon.

Last Seminar/Next Seminar

We just finished our 10 classes in 1 day seminar in Minneapolis – our “10 in 1.”  From what I heard and saw, everyone had a great time. I know we did. And for my money, I think we had some of the best professionals in the country giving presentations – as well as attending!

Dave Michel at 3Goals Seminar in Minneapolis
Dave Michel at 3Goals Seminar in Minneapolis

In addition to great presentations by Phyllis Frase on chiropractic philosophy and procedures for staff, Dave Michel on insurance, and myself on marketing and practice building, we had two guest doctors.

Dr Tom Potisk at 3-goals Seminar in Minneapolis
Dr Tom Potisk at 3-goals Seminar in Minneapolis

One was Dr. Tom Potisk who went over how he maintained a joyful practice for 25 years in a multi-doctor setting with 2 associate doctors.

Dr. Shane Walker at 3-goals Seminar in Minneapolis
Dr. Shane Walker at 3-goals Seminar in Minneapolis

Then, as a special guest, we were pleased to have Dr. Shane Walker who is the president of the Federation of Straight Chiropractors. He lit the room up with passion, statistics, and purpose and reminded everyone about the power of chiropractic, as well as it’s importance in society today.

So, just a reminder:

Our Milwaukee seminar is coming up soon.

Dave, Phyllis, and myself all have new material covering C.A. training, insurance and reimbursement procedures, and marketing and practice building.  Our presentations are all based upon the work we do each week in offices across the country – and what we see working, and not working.

For our Milwaukee seminar, we are especially pleased to have two exceptional doctors giving presentations on Thursday, May 20th.  Both are highly qualified and successful doctors that set great examples for excellence in their practice, business, and life.

We will be sending info out on them soon, but you can find out more here.

Hope to see you all in Milwaukee.

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

Chiropractic and Earth Day

A healthy earth has a lot to do with a healthy body. But over the years, we keep pouring chemicals into the atmosphere and earth as well into our bodies.

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.
  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.

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. http://www.usatoday.com/news/nation/2008-03-10-drugs-tap-water_N.htm

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. http://www.usatoday.com/news/nation/2008-03-10-drugs-tap-water_N.htm

Earth Day is Health Day
Learn more. Read books. Talk to your chiropractor. Eat natural and organic food. Get regular spinal adjusts to support your spine and nervous system. Educate others. You can help your family and friends find relief and better health without the use of toxins by encouraging them to come in for an initial consultation with the doctor to see if chiropractic can help. Chiropractic is 100% organic and always has been. No drugs or toxins. The chiropractic lifestyle supports a healthy spine, nervous system and body.

Chiropractors: Never Work Another Day in Your Life!

Did you know that 73% of chiropractors can make all the money they want without ever working?

This is proven by 83% of studies.

Yes, that’s write. You two can make all the money you want, and even more, without even working.

Honest.  No more talks, letters, or yellow pages or even internets.  You don’t even have to sea patients.

moneyman

With this SECRET system I was able to make lots ‘o bucks.  (Doctre Phulo Vit)

Am I talking to you?  Yes, we are.

I have just discovered 6.3 steps on how to make all the money you want with out hardly working ever and getting all the love you need.   Honest.

Yea. Baby.

So, call us now at 800 APR-FOOL

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Don’t be fooled.   Get the real stuff.   Come to our seminar in Minneapolis and Milwaukee this spring.

See you there.

Happy Easter to you all.

Love,

The PM&A Team

Chiropractor to Chiropractor: Reclaim the Joy of Practice

Being a chiropractor can be a lonely job.

Who knows what it is like to adjust patients late in the afternoon while one patient is going on and on and the next one is dirty from work and smells?  And yet another just called in who has been under care for two weeks and is in pain and wants to be seen right away – who knows what that is like?

Someone who has been there and done that – another doctor.

You aren’t looking for advice, that can wait. You don’t need a lecture.  It would just be good to talk with someone who has been there before and survived, or better, thrived.

Let me introduce Dr. Tom Potisk.  He is not the overbearing charming salesman type of a doctor that you often see in consulting programs.   Actually, not too many doctors are really like that.  In fact, most doctors are very similar to Dr. Tom.

Dr. Tom and Dave, Phyllis and myself have been discussing an additional ingredient to practice success that that we feel doctors need. Simply, another doctor to talk to.  They have us, of course. But we are managers and marketers and practice builders.  That is our specialty.  And we too have been there and done that, since the 1980’s.  But as managers – not as doctors.

We feel doctors need both for practice success: a professional manager to help build a profitable and self sustaining business AND the support and perspective of a professional, experienced chiropractor.

So we are very happy to partner with Dr. Tom Potisk in providing services to our wonderful wonderful clients.

We are pleased to announce that Dr. Tom will be giving a number of presentations at our upcoming seminars this year.  One of the classes will be on Doctor to Doctor: Reclaiming the Joy of Practice.  This is his basic theme: how, as a doctor, you can truly enjoy each day doing what you do as a doctor.  His approach is simply – doctor to doctor. Not as a coach, but as a fellow doctor who has been through what you are going through and made it to the other side – very successfully.

Listen to this his first teleclass you – you will find it very motivating and reassuring.

Hope to “see” you there,

Ed

Here is what others have said who have listed to his full presentation:

“Dr. Tom’s program was fantastic! I laughed, I cried, and I went back to my practice with a new, deeper sense of dedication and confidence. All DCs need to hear his message!” – Dr. Donna Stackpool, Lake Geneva WI

“Reclaim the Joy of Practice was an amazing presentation!  Dr. Potisk made the evening fun and enlightening with great tips on how to stay happy and truly enjoy Chiropractic.  I loved the history references with BJ.  It was a great reminder of how generations past fought for Chiropractic and how we need to honor them and the profession AND continue the passion.  Thanks Dr. Potisk for lighting the fire again!” – Tara Gill DC, Delevan WI

“After nearly 40 years of practice, I thought I heard the last of the great, authentic, and sincere chiropractic programs years ago; then along comes Dr. Tom Potisk with his Reclaim the Joy of Practice presentation. He brought me right back to what I remembered as the good-ole-days with an adjustment between my ears. High pi Dr. Tom !”  – Jerry Zelm DC, Oconomowoc WI

And you can read more about Dr. Tom Potisk here.

More Videos and Photos from PM&A’s Adventure to the Chiropractic California Jam 2010

Dr. Tom Potisk gives a succinct and complete accounting and review of our travels to, and as it turned out, through Southern California. (see earlier post)

Here are some various videos and photos if you want more, though rough and candid, reporting. (Some videos may need the volume turned up.)

Walking to Cal Jam

Opening – Don’t Back Down – Chiropractor

Some photos

Cal Jam 2010 Chiropractic, Petty Michel - Associates

Clips from various talk. May have to turn up volume.

Dr. Brian Porteous – a clip from his talk on the hyperstension study. LINK

Dr. Dan Murphy – talks about recent research on toxic chemicals and how they affect nervous system and adjusting – (9 min) LINK

Dr. Dan Murphy – talks about cervical spine, referencing the hypertension study. LINK (5 min)

Dr. Dan Murphy – refers to book by M.D. references Innate. LINK

Dr. Fabrizio Mancini – applying chiropractic is not complicated. (2 min)   LINK

Motorcycles, Natural Hot Springs, Sushi, and Chiropractic Philosophy – Wowee! What a Weekend!!

In the natural hot springs.

In the natural hot springs.

I just returned from a few days in Costa Mesa CA.  I attended CalJam, a chiropractic philosophy/music convention, with Ed Petty from PM&A.   It was refreshingly different because of the focus on chiropractic’s unique philosophy combined with music.

The man behind it all is Dr. Billy DeMoss and his fun-loving personality really shows in the event. Check out my video of BJ Palmer resurrected[Longer Version]

Of course, I had to give Ed a lesson about why I’m called the “down-to-earth” doctor (www.thedowntoearthdoctor.com), a big part of it is going on adventures, so I took him on a high desert search for a natural hot spring called Deep Creek Spring. Yes, those are my feet in the picture.  Ed reciprocated by guiding me on a motorcycle tour one of the days – I drove my first Harley and now I’m hooked!  Thanks Ed.

My Harley in Laguna Beach, CA

My Harley in Laguna Beach, CA

As I listened to many of the greats like Dr Dan Murphy, Dr. Fabrizio Mancini, etc. I became even more grateful for the 25 years of tremendous success I’ve had in chiropractic. “Best profession in the world!” is what I told a 2nd semester student I bumped into there.  He was wondering if he made the right decision, given all the negative news circulating about the business of practicing lately.

The speakers were talented and the content inspiring, but it also became apparent to me, that the seminars of PM&A are better in the sense that they lack sales. What I mean is that all or most of the speakers at CalJam, as inspiring and fun as they are to listen to, have a hidden agenda – they want to sell me something. That’s one of several reasons why I stayed with PM&A as my practice management guide, and why I’m excited to now be a part of their team.

I teach a class around the country called Reclaim the Joy of Practice, based on my book of the same name (www.reclaimthejoy.com) for content, I’m always on the lookout for exceptional DCs.  I bumped in to Dr. Gerald Clum, president of Life West Chiropractic College.

Listen to his brief message in response to my question “What can chiropractors do to be more successful?”  LINK.

Doctor, how can you apply that message today?

How to Make Your Chiropractic Marketing More Effective: Give a Reason

A fundamental component to marketing your chiropractic services is communicating a reason, rationale, or a purpose for why you are marketing.

For example, if a store has a SALE each month with a discount on some of their items, you might think: “So what? Just another sale.”

So the department store thinks up some reason for the sale. It could be “Back-to-School” sale, a “Food Drive” sale, or a St. Patty’s Day party.

All of your marketing should have a topical theme. In our marketing materials, we have many, from Organic Health Care Week (in conjunction with Earth Day), Mother’s Day coupon with flowers, Fibromyalgia Awareness Week, etc.

But behind all of these themes should be a more dominate reason for your marketing. And here is a powerful truth: The better your staff, your patients, and your community understand this reason, the more responsive they will be in to your marketing efforts.

For example, we recommend that you write a letter to your patients explaining to them your real reasons for marketing your services. It could called: “Why We Promote – A Letter to Our Patients.”  To help you get started, we have a questionnaire here and a sample letter.

(For our clients, we have written a sample letter that has become popular which you may access on your Member’s web site under “New Stuff.” (need password.))

Why Do You Market Your Chiropractic Services?

Answer these questions thoughtfully.

Then, compose a few paragraphs for a letter, or for your web site.  You can also use this as a close on your patient lectures.

  • What do you experience when you see the family and friends of your patients get results from your care?
  • Do you ever see patients that have had unnecessary or failed back surgeries?
  • Do you ever see patients that take, or have taken, toxic drugs to alleviate their symptoms that you were able to alleviate naturally?
  • How would have the lives of these people been changed had you been able to adjust and treat them years earlier?
  • Since you are not supported by pharmaceutical companies or hospitals for your community education, how can you get the word out to your community?
  • This is why you have to rely on your staff and patients, and on occasional promotions and special events.

Asking Permission, Gaining Respect

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.

Chiropractic Marketing Tips for The Holidays And The Start of the New Year

Due to popular demand,  I am posting notes from our October teleclass on marketing over the Holidays.

Teleclass Outline with Ed Petty  — Notes

All marketing is broken down to:

1.    Procedures. These are either special, one time events, or standard recurring. Some have the purpose of immediate results (direct marketing), some more long term (indirect marketing).

2.    Motivation. Desire. Wanting to implement these procedures. (Discipline.)

3.    Marketing management.  Review, Planning, Implementation.

Motivation: You are listening (or reading this) so you are motivated.  But you have to get others motivated as well. You have to get and stay inspired.  It is Ok to be a cheerleader.  What’s wrong with a little cheer? And the more you cheer.. the more you find to cheer about!

The  Marketing Manager System:

  • Meeting weekly: Review/make plans/Implement (assign steps/dates)
  • Who is responsible and responsible for what
  • Calendar Special Promotions/Events
  • Checklist of Recurring Procedures/Events

 

Procedures: Special events/promotions

NOVEMBER

  • Holiday Turkeys (Care to Share) (Ham for Christmas)
  • Donation Programs: Shelters, Toys for Tots, Coats for Kids, Food for Families
  • Scheduling Patients over the Holidays. (Plan ahead so they keep up with their care.)

DECEMBER

  • GNO (Girls Night Out/ Shop Before You Drop)
  • Gift coupons
  • Saturday with Santa
  • Poinsettias (with gift coupons)
  • Planning, training – sharpen the saw.
  • Do scheduling for new year: “Flexibility Screenings” with gyms,  lunch and Learns with businesses
  • Gifts for Allies  and those who referred: Box of nuts, organic flowers, cups, pens, caps, t-shirts. Cards.

JANUARY

  • Lending Library: Supersize Me, Fast Food Nation, King Corn, Sugar Blues, Food Inc. End of Overeating
  • Workshop on Nutrition and Fitness
  • Annual Reactivation Program
  • External Workshops, Screenings, and networking

FEB

  • Doctor’s With A Heart Donation Program
  • Have a Heart – Oklahaven Children’s Chiropractic Center – link
  • Valentine’s Gift Coupons

MARCH

  • Leprechaun Appreciation Day (Kid’s Day) link

Procedures: Recurring

Community Education: Talks or Awareness Weeks

  • Nov: Flu
  • Jan  Feb Food, Supplements/ Fast food Series —  With  a Dietitian and a trainer. February: Heart Heath- blood pressure
  • March: Headache Awareness Week

Communication Channels

  • Newsletter
  • Email Newsletters – NEW SERVICE FOR 2010 – We will do this for all clients on Standard Management Programs or higher.
  • Press Releases
  • Ads on other special newsletters: Chamber of Commerce, YMCA, Church Bulletins
  • Web site/Face Book – Fan /LinkedIn

Internal Recurring:

  • Morning case management meetings – (include a joke.)
  • Staff meetings
  • Patient Success Stories, Upbeat Atmosphere:  Take a “vibe check”:  too seriousness or pleasant can welcoming atmosphere. Where’s the party?
  • Spinal Care Class
  • Whiteboard
  • Brochures
  • Staff education
  • WOC (Whip out card)
  • Mission

“Do Your Part” Patriotic Chiropractic Promotion

This is a promotion that can be used any time in the U.S., particularly in July in conjunction with Independence Day, Labor Day, or Memorial Day.

Its purpose is to educate patients, and non patients, to understand that by getting healthier, the country and economy will benefit.  Someone who is healthy is more productive and less of a burden on our disease care medical system.  A healthier person contributes more to our national, and local, economy.

The theme of this promotion is that getting healthier — and getting others healthier — is somewhat of a patriotic duty, particularly in these hard economic times.

How To Do the Promotion
You can set aside a day or a week to hold a special promotion for your patients to encourage them to schedule their family and friends to come in to your clinic for an introductory service.

  1. Team Talk. Talk to the staff and go over the promotion with them.  Take their suggestions and consider including them.
  2. Plan and Schedule. Set a date and plan out the particulars.
  3. The Reason. Go over the reason or “greater purpose” behind the promotion and how the promotion can help fulfill this goal.
  4. Delegate a staff member to be the Do Your Part Coordinator to help implement this program, and to be its cheerleader.
  5. Posters. Place posters in the office.
  6. Coupons. Hand out coupons to patients individually. Sign each one, with a date issued. You can even write the patient’s guest name on the coupon.
  7. Word of Mouth. Talk it up with all of your patients.
  8. Newsletter.  Write a notice in your office newsletter.
  9. External. You can also promote this is a small town newspaper, insert, and or on your web site. Adjust the text of the poster slightly and place at local coffee shops, hair salons, etc.

And, you can Do Your Part by helping your patients and community do theirs.

Sample Poster
Sample Coupon