Improving Chiropractic Patient Follow Through

The outcomes you produce as a doctor depend upon the patient following through with their care plan.

There are many procedures to help the patient follow through. But they all stem from the mission and goals of the office and the agreements made between the patient and the doctor on the initial visits.

  • Office Mission and Goals: Help people become healthier and function better.
  • Patient Goals and Plan to Achieve Them. These are discovered and defined with the doctor, and a plan is agreed upon to achieve them.

Everything in your office is based upon these goals and this plan. All staff interactions with the patient can be considered “standing orders” from the doctor derived from the agreement made with the patient. The authority to schedule patients, work out finances, and apply therapies are all based upon what the doctor has ordered based on the above goals.

Goalineering: Aligning Chiropractic Procedures with Patient Goals

Every few months, you can review the sequence of actions the patient experiences from their initial visit to completing their treatment plan. Look at all the points that influence patient commitment to their care plan. Look at what is done, what is said, and how it can be improved and better aligned with the patient’s goals.

This is engineering your procedures with your goals – or GOALINEERING!

For example:

  1. Diagnostic procedures. (Consultation and history – be thorough; don’t be superficial. Exam, imaging) Goal: Discover what the patient wants and needs.
  2. Report of Findings procedures. (Causes of issues. Plans: consequences of no plan, mini-plan, and thorough plan. Agreement or not to care plan.) Goal: Work out the best care plan and secure the patient’s agreement to achieve it.
  3. Post-Report of Findings procedures. (Financial agreement, scheduling agreement, agreements to office policies with a staff member who is an assistant coach!) Goal: Work out all administrative details with the patient on their care plan so they can focus on their health goals without distractions or confusion.
  4. Front Desk follow-up procedures. (Aggressively friendly and a demon on control as an assistant coach! Front Desk RULES the Roost!) Goal: Keep the patient on track to achieving their goals.
  5. Daily visit procedures. (Give encouragement and reaffirm goals.) Goal: Keep the patient motivated to achieve their goals.
  6. Progress exam/reports. (Show progress, give encouragement, and reaffirming goals.) Goal: Keep the patient motivated to achieve their goals.
  7. Other: (Rewards, e.g., t-shirt after 12 visits. Patient education class and patient successes.) Goal: Keep the patient motivated to achieve their goals.

Review these activities, practice the procedures, and refine them as needed. Also, document what you say and do and keep your notes for later review and training.

Do this, and you will improve patient retention and outcomes and follow through.

Ed

Back to School Month

chiropractic back to school, goal driven

“Education is the most powerful weapon which you can use to change the world.”
(Attributed to Nelson Mandela)*

September is almost here, and soon the schools will be busy.

Since doctor means teacher, why not go all in on education and teaching this month?

BACK TO SCHOOL FOR THE KIDS

Support your teachers and the kids they teach.

This September, you can align your office with a local school and support other teachers and their students.

There are many approaches to this. You can call or visit a school and tell them you would like, along with your staff and patients, to make a contribution of some kind to a specific department or activity. These could be new uniforms for the marching band, art supplies, or supplies for the kids in need, like calculators, notebooks, and book bags.

You can also get the kids in for a back-to-school check-up and include a short workshop on backpack safety.

Whatever your plan is, promote it in your e-newsletter, on posters and handouts, and your social medial platforms.

You can also offer a special discount to teachers.

Staff often have great ideas and love to work on special projects like this. Get them involved!

While these types of promotions are not designed to generate boatloads of new patients, they can be fun, generate goodwill, and establish your business as a trusted community member. All of this supports your other marketing activities.

BACK TO SCHOOL FOR THE ADULTS

Because staff and doctor education is important, but not urgent, it is typically put on the back burner. This is true with many things, including patient care, where we focus too much on pain relief and not enough on correction, strengthening, and wellness.

Your Patients

As health professionals, you know that healthcare information in the marketplace borders on criminal. Corporations that produce soft drinks don’t warn about the harmful effects of high fructose corn syrup, “food” companies about the dangers of linoleic oil in cooking oil, or corporations that sell farm and lawn products about the toxins from weed and insect killers.

The benefits of chiropractic and non-corporate health care certainly aren’t promoted, and we have seen what happens to the M.D. s that speak out against the well-funded medical narrative.

Inform While You Perform, and in doing so, you help your patients become healthier and position your practice as a genuine HEALTH practice. Be a rebel, and educate your patients on health: corrective care, strengthening, care, nutrition, diet, exercise, and all the basics of good health that can’t be patented!

You and Your Team

The fall seminars are coming up! State conventions often have teachers that actually teach practical information! Schedule yourself for a weekend this fall… and take your staff.

Fall State Conventions. Staff education is more important than you might realize. First, they learn some valuable concepts and procedures. But beyond the obvious, investing in their education shows you recognize their value. They are an integral part of practice success and patient outcomes and are worthy of the investment. They also see that they are part of a larger profession – that there are others besides you and their practice mates that have similar jobs, challenges, and rewards.

Chirofest. Besides your local state conventions, a shoutout to Chirofest out in Vancouver WA. Dr. Paul Reed does a great job, and nothing compares to the Oregon coast, two hours from Vancouver.

Goal Driven Management and Leadership Training. Our own Practice Management and Leadership Training starts September 18th. We are limiting enrollment to just 7 offices for our Founder’s Round and we still have a couple of spots open. There is absolutely no training like this anywhere. Let me know if you are interested. It’s an amazing deal — but only if you want to improve your income and create an even more dynamic practice manager!

Seize September,

Ed

More info:

Goal Driven Management and Leadership Training

ChiroFest seminar

Your state association

The Goal Driven Business book by Ed Petty

*Nelson Mandela quote: “Education is the most powerful weapon which you can use to change the world.” Madison Park High School, Boston, 23 June 1990; reported in various forms

Chiropractors and Other Doctors: Do You Placate Your Patients?

 

Goal Driven to tell the truth. Chiropractic, business management

Faith, Confidence and Belief

It is an oversimplification to say that chiropractors, and other doctors, who remain true to their principles and goals are less stressed and more productive.

And make more money.

But I’ve seen it.

You need Faith, Confidence and Belief (FCB!) in yourself, in your knowledge and skills, and what your office can do for people. (I learned about FCB from Dr. James Parker at a Parker seminar years ago.)

With these qualities, you can tell the truth and be honest. And stick to your guns.

A naturopathic and chiropractic doctor I follow on a social media site said this:

“If someone was poisoning themselves slowly with their lifestyle habits, you bet I let them know. Isn’t that what doctors are supposed to do? Truth be told, most everyone already knew. People aren’t stupid, just in denial.

“Last time I checked it’s our job to tell them the facts. Not placate them or worry about hurting their feelings with said facts…Because that’s what most doctors are doing. They beat around the bush so as to not offend.

“Of course, I was always professional and kind, but I still called a spade a spade.

“The word doctor means teacher, not enabler.”

CASE ACCEPTANCE AND FOLLOW-THROUGH FOR YOUR CHIROPRACTIC PATIENTS

From a marketing perspective, people buy from those they trust. And they trust people who have certainty.

If you equivocate – dodge the facts – your patient will see that you are unsure what the heck you are talking about. They will be less likely to commit to a care program or follow through.

On the other hand, if you apply your knowledge and skill with certainty and confidence when you look at their case, explain it to them, and recommend a treatment plan that is best suited for them, their chances of commitment and follow-through are very high.

WHAT GETS IN THE WAY OF YOUR TRUTH

One of the benefits of seminars is that your convictions can become rekindled. You are reminded of your truth.

But after a week or so, back at your office, the fire of your passion begins to dim. And rather than gliding through your day, it starts to feel like you are plodding through mud.

What gets in the way of your pure-hearted and stalwart convictions about health and your principles and purposes?

And what is it that slows you down?

ADMIN. Administration. Everything that is NOT patient-related. The organization and running of the support machinery of your practice start to pull you into its noise, worries, corrections, and sometimes drama.

Policies, procedures, and people do not all move smoothly and cooperate conveniently or get implemented as excellently as you hope. And this can be a major distraction.

Practice management can get messy!

This is why organizational structure and management are so very essential. Maybe not when you are a wild entrepreneur just starting out. But as your business grows, administrative details flood in – and clog up the works. More than most doctors realize!

AN ORGANIZER FOR YOUR CHIROPRACTIC ADMINISTRATION

The solution is to take time to work ON your business.

Then, assign someone to be your MANAGER to help you improve the organization and take care of the admin.

They will need training and you’ll need to work with them.

And to be direct, and not to beat around the bush, if you don’t do this, you will be forever stunted in your practice growth and work-life balance. And you will lose money.

But with an organizer, someone who is managing your practice administration, you will be less distracted and more grounded in your truth to help your patients get and stay on the best track for their health. And, your practice will be more profitable.

Our high-level training for your manager (and you) begin September 18. For more info below.

Keep to your truth,

Ed

Advanced Practice Manager Training, Beginning September 18.
Find out about it here.

MUSIC You made it this far, so enjoy some music – as a tribute to Robbie Robertson – The Weight – Playing for Change.

 

How is Your Chiropractic Head Game?

chiropractic goal driven to strike out batters.

The Hidden Game of Practice Success
‘Baseball is 90 percent mental. The other half is physical’ – Yogi Berra

Hello Sports Fans!

For my 13-year grandson’s birthday, I bought him a book on sports: Ninety Percent Mental: An All-Star Turned Mental Skills Coach Reveals the Hidden Game of Baseball by Bob Tewsksbury.

I haven’t finished reading the book, but I know the subject – how the mind affects performance. I figure any tips I can give to my grandkids, the better chance they will have.

And I figure this also applies to myself, and perhaps to you.

In my book, The Goal Driven Business, I cover the 5 Engines to practice success. These are:

  1. Clinical outcomes and service
  2. Leadership
  3. Management
  4. Marketing
  5. Personal Power

No matter how competent you are as a chiropractic doctor, healthcare provider, or business owner, how inspiring you are as a leader, how consistent and enterprising you are as a manager, or intelligent as a marketer… if you don’t have the positive energy to make things happen, your practice will falter.

Personal Power is the “Hidden Game” of practice success.

The first chiropractor Dave and I worked with had multiple doctors and together saw over 2,000 visits per week. (I still have the stats!) A recurring theme he would tell his associates was that practice success was an “inside job.” This meant success was dependent upon their mental attitude.

But one’s mental attitude is dependent upon something much deeper. You can always “fake it till you make it,” which might sometimes be necessary. But it is not authentic.

What is authentic is your happiness. Happiness underlies your mental attitude. Your Personal Power comes out when you are happier.

So, how do you become happier?

Using Your Signature Strengths In Your Chiropractic and Healthcare Practice

One method that has been proven to improve a person’s happiness is to focus on your strengths – what you are good at – and less on what you are not so good at.

Martin Seligman, Ph.D., is a strong proponent of Positive Psychology. In his book Authentic Happiness, he discusses common virtues that all people in all cultures have agreed upon over time. These virtues can be translated into specific Character Strengths. Each of these strengths has 3-5 subcategories for a total of 24-Character Strengths.

We all have a different set of more dominant strengths, which Seligman calls our Signature Strengths. For example, one person may be strong in humor, gratitude, and fairness, while another person’s Signature Strengths could be creativity, curiosity, and gratitude.

“I do not believe that you should devote overly much effort to correct your weaknesses. Rather, I believe that the highest success in living and the deepest emotional satisfaction comes from building and using your signature strengths.”

I cover this in practical detail in my book, The Goal Driven Business, and it is part of our upcoming Management and Leadership Training course, our 11-week intensive training especially for practice managers beginning on Sept. 18.

We all have our confusions and apprehensions — our mental monkeys that get in the way of our happiness and limit our Personal Power. You see this in your patients and staff, and I am sure you notice it now and then in yourself.

But a legitimate goal is to be happy, and in so doing, you can unleash your power and win at the “Hidden Game” of practice success.

By focusing on what you do best, and allowing your team to pick up all the rest, you can go a long way at winning the “Hidden Game” of practice development.

Having your team pick up “all the rest” requires good management. So I recommend you consider our Management and Leadership training for your manager this Sept.

Stay strong in your strengths,

Ed

You can take a survey and discover your Signature Strengths at
www.viacharacter.org

For more information about our Management and Leadership Training. www.GoalDriven.com/mba

Image: Wikipedia

Why Goals Work and How to Harness Their Power for Greater Prosperity

Goals are the 20%of efforts thatWhy do goals work?

We all know the obvious: they help keep you focused, and as Yogi Berra, the baseball catcher, said, “If you don’t know where you are going, you might wind up somewhere else.”

We have all heard about their importance.  But we may not have heard or understood WHY.

What is the underlying principle behind goals, and why do they work?  What gives them their power? And can you harness it improve your business and its bottom line?

Stick with me and find out…

==   ==   ==   ==   ==

It was one of those September days in the Midwest when the leaves were turning orange, and the wind was blowing.  I was in Chicago – the Windy City – where I attended a seminar downtown at one of its plush hotels.

The program was kind of out of my league – at least then.  The fee for three days was $7,000.  I was only attending the first day, which was $1,000 – still a lot of money.  But I was drawn to the subject, and I was familiar with the person who was putting it on.

There were aggressive young MBA types flying in from around the country and the world.  On the night before, at the hotel where the seminar was to be held, I saw several small groups in lively discussion around laptops – as if they were in the middle of inventing the next Big Thing.  I remember talking to one young man from Singapore and learning about the high-energy atmosphere of entrepreneurship there.

The seminar focused on building, buying, or overhauling a business.  The speaker was a self-made billionaire, a former management consultant, so his teaching fees did not come cheap.  This was not a seminar for dabblers!

The subjects discussed on the first day and, as I learned, on the other two days, were surprisingly uncomplicated.  They discussed the key ingredients to look for when deciding what business to build, buy, or grow.  These few key factors were introduced on the first day of the seminar and then expanded upon the other two days.

But it all started around one principle: the PARETO PRINCIPLE.

Many of you know the Pareto Principle and the Rule of 80/20.  This Principle has been used over the last 50 years by major manufacturing companies to improve the quality of their products.  The concept is easy to state but often difficult for entrepreneurs to apply.  It predicts that roughly 80% of valuable results come from just 20% of efforts.  In some cases, the ratio can even be more extreme so that 10% or even 5% produces 90% or 95% of the results.

Not all efforts are equal: there are the “vital few” efforts and the “useful many” efforts.  Workaholic entrepreneurs can struggle to put this concept into practical use.  We find that delegating a $20 an hour task is risky, so we will spend time organizing a bookshelf or driving to get office supplies ourselves instead of taking care of a potential $1,000 an hour task, or even a $10,000 an hour task.

As a non-business example of the 80/20 Rule, consider all the clothes in your closet.  I bet you wear just 20%, or less, 80% of the time.  Then, consider how you get to work – out of all the choices of roads to take, you use just a few of them.

Look at a winning athletic team.  Just a few players are responsible for 80% of its success.  This does not mean that the other players are not important – just not THAT important.

All efforts are just not equal or average.

How might this apply to your business?  Well, for example, 80% or more of customer dissatisfaction comes from 20% or less of your patients.  On the other hand, 20% or less of your patients account for 80% of your patient referrals.

As the CEO of your business, what are the vital few actions you can take that will produce the most results?  I suggest that defining the business’s goals, ensuring that your team understands them, and keeping these goals alive each week is key.

As Stephen Covey advises: “Begin with the end in mind.”  Goals are simply the end you have in mind.  On the higher end, they would include your mission, vision, and reason for them – your WHY.  They would also include the values you hold as standards of behavior and performance.

These greater goals would be manifested as products or outcomes.  For example, if your mission included helping people have healthy teeth, then a practical manifestation of this goal would be “Jim,” a patient, having his teeth cleaned today.  If your vision were a healthy and pain-free community, the practical outcomes would be 100 patients adjusted today.

As a doctor, what would be the 20% of your actions that account for 80% of your results?  I suggest letting the patient know that you understand their goals and work to help them achieve those goals at each encounter.

As the manager of your business, ensuring each team member knows the goals of their roles and helping them achieve these goals, with good coaching and communication, will produce 80% of their successful efforts.

It all goes back to goals.  

They are the leverage points that direct and amplify all your efforts.

But here is the truth you must understand:

A small amount of time consistently spent defining the goals of, and within, your business — and working out how to achieve them — are the vital few actions that produce most of your excellent outcomes.

Know before you go.

If you and your team routinely define and redefine your goals, both the higher ones and the practical ones, and work out how to better achieve them, you will have a more prosperous and stress-free business.

Get the goals right each day, and all else will follow in your favor.

Working towards a better future,

Ed

If you don’t have it yet, get my book to learn more about how to use goals in your practice. The Goal Driven Business.

***New Training Program***

Also, stay tuned for a new training program we will be offering on the Goal Driven System. It will be limited to just 10 offices and last for 6 months. Its goal is to train the business owner and manager/senior staff member on the Goal Driven System to transform their practice into a Goal Driven Business. A Goal Driven Business is a team of Goal Drivers. That is what this program will teach you to create. (What is a Goal Driven Business? )
If you are interested in taking the training program on the Goal Driven System, for you and 1 team member, please go here to schedule a time to learn more about it. Schedule a meeting with me.

Goal Driven.com
Petty Michel & Associates

The Mental Immune System

mental health, immune system, goaldriven.com

A healthy body has a well-functioning system to protect it or make it physically immune from disease. I am sure you have seen this occur with your patients as you adjust and treat them.

But there is no doubt that the mind also affects the body. In your practice, could you improve your patient’s mental immune system? Of course, and already do. I am sure you bolster your patient’s mental immune system even though you or your team may not have looked at it this way. Providing your patients with genuine positive feedback and showing them gratitude for their regular visits can go a long way in enhancing their mental well-being.

A mental immunity system would help individuals be protected, or immune, from negative influences or circumstances in the environment. This would be the ability to “roll with the punches” and keep one’s stress level low despite potentially stressful situations. You can’t be expected to help your patients achieve this in all areas of life, but you can help them with this regarding their health.

Your patients and clients are under a constant deluge of frightening and drug-related messages that can be demoralizing and lead them to less than optimum health choices. There is not much incentive for large corporations to promote exercise, eat organic food, take vitamins, and encourage people to be nice to their neighbors. Instead, there is more money in promoting drugs and fast food, and beer. It took a long time and great expense to stop cigarette advertising, but pharmaceutical advertising has now taken its place.

So, it is for this reason I recommend positive health advertising to your patients regularly. The more they know and understand how to maintain their physical health, the better prepared they will be to critically interpret the corporate advertising of products masquerading as “healthy.”

Here are some methods to improve your patient’s mental immune system regarding health:

  • Extraordinary customer service. Through empathic communication, get to know your patients so that they know you care about them and can trust you. You are in their corner and have their “back.”
  • Positive reinforcement. Genuinely recognize their good efforts to improve their health and any positive responses to your program of care.
  • Table Talk. Listen to their stories and provide quick positive educational tips about health related to their story.
  • Educational themes. Pick an educational them each week and have literature for patients.
  • Patient successes. You can include notable case successes with your education themes each week or each month. Spread the good news!
  • Lending Library. Stock your book shelves with books on subjects you would like your patients to read. Encourage your patients and staff to study. (See a sample list of books we selected a few years ago over at pmaworks.com.)
  • Workshops. These can be done virtually or in person.
  • Newsletters. These can be electronic as well as hard copies by snail mail. They help “keep the conversation going.”

You are the positive lighthouse of health in a storm of gloom and unhealthy corporate products. You can improve the physical immune system of your patients by also improving their mental immune system regarding health.

Ed

the goal driven business by edward petty

buy the goal driven business by edward petty

Image from: Kellogg, Yevgenia Nayberg

Why What You Stand For is Important

Ed Petty, at Goal Driven, talks about masks for kids.Why What You Stand for Is so Important

I want to tell you about my experience on TV talking about masks for kids, but first, here is a related short story…

A few years back, an office asked me to meet with them for lunch. They wanted to discuss how their office was doing and if I could help them.

I liked the doctors and had known them for some time.  They had a group practice and had been in business for several years.  We met over sandwiches, and they said they had been working with a consultant who emphasized “evidenced-based” chiropractic.

My response could have been better as I look back on it now.

Barely concealing my disdain, I asked them whose approval they were seeking. Wasn’t there enough “evidence” from the results that they had with their patients over the years? Sure, double-blind studies are good for validation – but didn’t they already have enough evidence from their happy patients and their remarkable outcomes?

Had I been trying to “sell” them on our services, I would not have acted so irreverently to their seemingly serious question. But, instead, I tried to re-convince them that they did have enough proof, and the problem with their office (one of many problems) was that they were not promoting the successes they routinely achieved with their patients.

The doctors seemed equivocal about their services, so I asked them if they were committed to their profession and helping their patients reach their health goals. Unfortunately, I didn’t get a straight answer.

It seemed that they were seeking approval from some authority –  rather than from their neighbors who struggle daily with pain and poor health.

Now, years later, I recently had a friend see one of the chiropractors I met for lunch years ago. The doctor currently works as an employee for a local hospital and the office that he once co-owned no longer exists.

All this is a true story, and the lesson is that you have to have faith, confidence, and belief in your services, and mostly, in yourself.

You must stand up for what you know and use your voice to help others – find theirs.

You shouldn’t be too outrageous as this can completely alienate you from others, not unless you want to! But find your level of certainty, independence, and rebelliousness and help others to do the same.

Masks for Kids: I am on local television

I was reminded of all this recently when a local TV station asked what I thought about masks for school children. I was on our main street, and a local reporter started asking me questions. You can watch my response and that of others here. Ed’s on T.V.!

Standing up for natural health care,

Ed

Buy my book, the Goal Driven Business. It is a distillation of my 35 years of in-the-field lessons about building a profitable practice and business. It will help you help more people. Go here to learn about the Goal Driven Business –A New Business Building Methodology for Professional Practices

Tempus Fugit (time flies)

As the ancient Greek reminds us, Time Flies — and July comes at us fast.

We are halfway through the year – 2021!

While enjoying the summer, I suggest you take a Half-Time Break and reassess, readjust, and recommit where needed. That is, reassess your progress so far this year.  Make any adjustments to your yearly plans. Recommit to your higher goals.

This is a team exercise. You can discuss with each team member first, but I would focus on the four categories below:

                What are the goals for the rest of the year?

  1. Yourself as a professional?
  2. The office as a whole?
  3. The quality of service/outcomes of your patients?
  4. Yourself personally.

You can reprint this and send it out to your team as a memo next week. Then, meet as a group in the following weeks to discuss.   Here are some tips you can pass on to the staff and doctors:

  1. Goals for yourself as a professional. How are you going to improve your level of competence as a support professional or doctor? What subjects do you want to study, or skills you want to improve, in anatomy, customer service, chiropractic, chiropractic history, marketing, health care in society, etc.
  2. Goals for the entire office. Review the mission, core values, and outcomes of our office, and from these, consider what improvement goals we could set for the next six months.
  3. Goals for the services we provide our patients? Consider such things as faster service, more complete outcomes, more fun for the patients, and more engagement with our mission.
  4. Goals for yourself personally. This is personal and can be private. It can be discussed, but that is optional. This might include such things as more time with nature, family, exercise, prayer, recreational reading, a new hobby, and travel.

Enjoy your summer but be PROactive and meet with your team to plan out the rest of the year. Keep it fun. You can meet at the lake, in the park, by the mountains or near the sea. Integrate health and an unquarantined life into your work meeting.

But remember… TIME WAITS FOR NO ONE.

Carpe Diem,

 Ed

ALSO, if you haven’t yet — buy my book now while it is still only $8. The Goal Driven Business.   It will help you achieve your goals.

Music for Monday

Each Monday in June, I’ll be presenting an upbeat musical piece with a link below.

Click the link and listen while you go to the office or while at the office.  Sing or hum it. Listen to it with your team before you start your day.  Play it while you see patients.

Play music during the week. Take a break, go out back, and dance like no one is watching. Don’t get too serious!

We are all part of a big family – you and your team, your patients, and your community. Nothing unties us more than music.

Good vibes to you,

Ed

JUNE 1 ––  Starting the month off with musicians from around the world.

The Weight,  

JUNE 8 — Let your patients — and community —  know that you will stand by them. Let your team that you will do the same for them.

Stand by Me

JUNE 15- Just as ripples spread out when a single pebble is dropped into water, the actions of individuals can have far-reaching effects.  Dalai Lama (Azquotes.com)

We don’t always have to make a splash to cause ripples – sometimes our thoughts alone can make a difference.

Ripple

JUNE 22 – First Monday of Summer!! Just fun music:

Island in the Sun by Weezer

Supplemental tune, a little Country with some drama but uplifting all the same.

It’s a Great Day to Be Alive by Travis Tritt

JUNE 29 Independence Day Week! (in U.S.A.)

Pick one, pick all them, get happy feet and have a great week!

Only in America Brooks and Dunn

This Land Is Your Land Woodie Guthrie

Born Free Kid Rock

This is the last Monday Music for a while.  It’s been fun. Perhaps we’ll do it again sometime. 🙂

Time to See the World and Your Future Anew

See the Word AnewI have been in touch with most of you and, for the most part, you all are doing relatively well during these days of COVID-19. Of course, the keyword here is… relatively.

Whatta time, eh? Historic, that is for sure. It will change our society and our world as nothing has since, perhaps, WW 2.

The Lighthouse in the Storm

Your role, right now, is so very important. Perhaps more than you know.  Your patients have fears, questions, and doubts. Their parents could contract COVID, perhaps they could. They are out of work or soon will be, and there is the apprehension that all of this is a government plot towards totalitarianism.

With all the communication regarding our current situation, you have to remain as a calm source for sound, researched data that provides comfort and solutions. You will have to be a lighthouse in this storm.

YOU are independent. You do not work for a drug company, and you are not beholding to a boss that works for a hospital or a government agency. Therefore, when patients come to you with worries and questions, they trust that what you tell them is unadulterated, unbiased, and accurate information.

And even more, they hope that you genuinely care.

Time to See the World Anew

In some sense, the world is experiencing a big “Time Out.”

Perhaps we can all take this time to become closer to our families and friends. My daughter is cooking more, my son is homeschooling his kids, and I am practicing guitar tunes from my old 1960’s book of folk songs!

I notice on my walks and runs that here, in Milwaukee, the air is fresher, cleaner, and the sky is bluer. Less smog from our southern neighbors and nearby freeways and overhead airplanes. The difference is striking and one can only imagine what we have been breathing in all this time!

It is spring, you have a family and friends, and you have your own self. COVID-19 doesn’t change this.

Good to Great: Redesign your NEW Business.

But what I am most looking forward to is the NEW.

Right now, you have a unique opportunity, during this temporary slump, to reimagine and redesign your business.

You’ve had a good, perhaps a very good business before. But as Jim Collins explains in his book, Good to Great, good can be the enemy of great.

The Good is now the Old, and we have this moment to review our goals and engineer better pathways to them.  Now, you can create the Great!  This will be your new version of your business based upon all you have learned as a professional and as a business owner or stakeholder. This new version can be your best creation ever.

Over the next few months, we will be discussing this, and I and all of us at PM&A, look forward to helping you and your team create the business of your dreams.

Looking forward to the future,

Ed

PS Happy Earth Day!

Thank You, Essentials

Petty Michel and Associates Thank the Essentials

(image from the movie Troy, with Brad Pitt playing Achilles, a Greek warrior. Reddit)

You and your team may not recognize this, and the word hero is overused, but in our book, this is what you are. Heroes.

Caught up with dealing with the urgencies of the times, you and your team may overlook the crucial and significant role you all play in raising the level of physical and emotional health of your community.

Without you, people in acute pain might tax critical and urgent care resources. Without you, patients on corrective or maintenance care might fall back into acute care.

You help alleviate our pain and improve our health – including our immune system.  You calm our concerns with your well-informed insight and give us action steps to improve our health.

Health, as we know, is dependent upon mechanical, chemical, and emotional factors. Besides your adjustments and therapy, you provide education – and reassurance that this pandemic will pass.

I hear about it every day. You risk your health to help others, both physically and mentally.

Let your team know the vital role that they are playing.

Years from now, when asked what they did during 2020 Pandemic, they will be able to say that they were Essential Health Care Workers — and didn’t flinch.

And we just wanted to tell you – very sincerely – THANKS!

From all of us at Petty Michel and Associates.

The Sickest Generation and Back to School Programs

Happy Health KidsIn late summer, many offices sponsor a promotion for children and their health. This is often in the form of a backpack check-up, scoliosis and posture check, or a school supply drive. The idea is to link the new school year with children’s health to better promote clinic services, generate new patients, and of course, improve the health of the kids.

It’s been my experience that these events are usually only marginally effective. Still useful, I feel that the real opportunity is being missed.

You could be getting more families under care. How?

Educate your families and your community on:

1. The results you deliver. How the outcomes you generate with children’s health are extraordinary. Use written and video testimonials and endorsements.

2. What you stand for. Today’s children face more challenges to their health than their parents. In fact, our children today are sicker than earlier generations. Learn about this and make it your anthem, a flag you wave. Stand up for the kids in your community, and you will earn respect and allegiance of parents. Be their guardians in health.

3. Provide special promotions and events. These could be workshops, screenings, or a special day of services with donations going to a local charity.

4. Alliances and Partnerships. It would be a good idea to create alliances with midwives, doulas, biological dentists, acupuncturists, and other professionals who share a similar concern and goal for healthier children. Invite them to participate in your events. Have them contribute a short article in your newsletter – in exchange, you could do the same with them in their newsletters. Create partnerships.

5. Schedule an event every two months, or every month. Never stop.

Your leadership, based upon your awareness of the health crisis facing our youth, is the primary element that will drive the success of your kid’s programs.

Read the following from the ebook, The Sickest Generation and follow the link below to the entire article, and other resources to become even more acquainted with the challenges the next generation of children face.

  • American children have never been sicker. Over half (54%) are suffering from one or more chronic illnesses, with the late 1980s and early 1990s viewed as the gateway period that launched the decline.
  • Many chronic illnesses have doubled since that time. The “4-A” disorders—autism, attention deficit hyperactivity disorder, asthma and allergies—have experienced meteoric growth, affecting children’s quality of life and contributing to premature mortality. The spike in autism prevalence has been particularly dramatic, with prevalence as high as 3% (one in 34 children) in some regions. Pediatric autoimmune conditions also are on the rise.
  • U.S. children are far more likely to die before their first birthday than infants in other wealthy countries and life expectancy is falling, driven largely by rising death rates in adolescents and younger adults. Suicide is the second leading cause of death in teens, half of whom are reported to have at least one mental, emotional or behavioral disorder.
  • The proportion of public school children using special education services is skyrocketing, with estimates ranging from 13% to 25% of school populations.

Sincerely,

Ed Petty

To the ebook, The Sickest Generation and other references.

Goals, Games, and Groundhog Day

 

It is a New Year and already we are knee-deep in its work.

But it is a NEW YEAR and it is important that you take time out to make new plans and then review them often.

Life Works in Cycles

Each year in Wisconsin, the leaves fall and then the snow falls. But by July the strawberries are ready for the pickin’. Every month, we can see the full moon. Each day, we can see the sunrise – if it is not cloudy.

In human endeavors, we seem to follow this natural rhythm of following cycles. After we finish the 9th grade, we are ready to begin the 10th grade. We are excited to finish when we get out of school for the summer, and then again, eager to start the new grade when we begin again in the fall.

These are all cycles.

What would happen if you stayed in the 9th grade, year after year? How would you feel?

Yet, in our work life we fall into the trap of doing the same thing over and over and over. This is not the first unique and special patient you have ever seen…this patient is a customer just like all the others — just another case. Today is not the first day of the rest of your life, it is just like yesterday which is the same as a long line of days that go on and on. And on…

We get beaten down by the tedium, working endlessly for some forgotten purpose, as if the assembly line we were on never stopped and was always the same.

This is a major cause of stress.

Groundhog Day Syndrome

You can’t do one thing forever, like in the movie “Groundhog Day.” In it, the main character visits a town in Pennsylvania where everyone watches to see if a groundhog can see its shadow. This is traditionally on February 2 (This year, it is on a Saturday.) The only problem is, for this character, the day keeps repeating and repeating, the same each day. It drives the character to suicide, but even that doesn’t work. Finally, he falls in love and wins the girl and has a new life.

Anything in life that begins, it seems, must end. It can start again, but it must end so that a new iteration can be created. It is the cycle of life.

Goals and Games

This is an important factor in what is called Gamification. With the advent of computer games, design elements are added in to make the game fun, challenging, and motivational.

But games are nothing new. Baseball is a game. It has a season and games and innings. It has cycles. Games have been part of human behavior since the beginning. The Olympics started in 776 BCE.

One aspect of games that can be overlooked is the fact that they are just an activity for play. Play is something we do naturally as toddlers. As we grow older, this activity becomes structured into organized sports and games, but at the core is the desire to have fun. To play.

We can lose this sense of play when what we do has no end and no beginning. Persistence is a good quality, but it can lead to an enforced dullness that buries our enthusiasm.

It is important to keep in mind that in business, as in sports, keeping the perspective of play is more effective than bearing down on one’s duties with serious gravity. Practices that incorporate some of the components of a game into their operations are more productive and have a better time.

What are your goals for 2019? For the 1st Quarter? For this month… or for today? Higher numbers? New team members? Community wide outreach program? New training and greater knowledge?

As soon as you make a goal, you start a new cycle and begin a new game. Try to win. But you could lose. Either way, don’t get too serious about it and just be grateful to be able to be in the game.

Set new goals and play. Play — to win. Have fun. Smile a little more!

Special Promotions: When Your Motive Meets Your Mission

When I was a boy and I would see scary things in the news, my mother would say to me, “Look for the helpers. You will always find people who are helping.” — “Mr. Rodgers” (Fred Rodgers)

Many offices (chiropractic, dental, etc.) hold special events, such as a “Kid’s Day,” a “Patient Appreciation Day,” an anniversary party, or in-office workshops. (We have links to examples below.)

The objective is usually to generate new patients, increase goodwill, and motivate existing patients. Sometimes these events are productive… and, as you know, sometimes they aren’t.

To be effective, you have to offer something that the patient, or prospective patient, considers valuable. It could be a workshop on practical health tips or a discounted service for a patient’s family member.

This is obvious and I am sure this is what you aim for. But there is another ingredient that you may not have considered that will make your events even more effective.

Link your promotions directly into your office mission.

Your mission is to help people. You may have it more fully defined in a “mission statement,” but it comes down to helping people achieve their health goals. Your mission is altruistic and socially responsible – you aren’t selling oxycodone at the pharmacy, high fructose corn syrup drinks at the grocery, or glyphosate at the local Round-up store. You are the good guys.

Your community will support you to the degree that they understand your pure altruistic motives. Why? Because the members of your community, by and large, are altruistic too. Your neighbors also… want to help people.

It is not a dog-eat dog world like social media or the “news” wants us to believe. Money is made from controversy and opposing sides and so it appears like we are fighting our local townsfolk… or should be. But behind all wars there are vested interests. Fear and anger motivate people and help sell media, advertising, and weapons.

But the truth is, the vast majority of us want the same things and we are not as divided as we have been manipulated to believe.

The organic food business has been growing, as have companies that sell organic clothes. Pesticides, herbicides and other poisons are not only bad to eat, they are also not healthy for the workers that bring these products to us. People are realizing this. “Fair Trade” coffee has become a major selling point. More companies are integrating social responsibility initiatives as part of their long-term strategies…for good reason.

In a study done in 2015, it was shown that consumers wanted to take personal responsibility for social and environmental issues and indicated that they looked to companies as partners in pursuing improvement efforts.

“The leading ways consumers want to get engaged with companies’ CSR [Corporate Social Reasonability] efforts are actions tied directly to their wallets, with nine-in-10 just as likely to purchase (89 percent) as to boycott (90 percent) based on companies’ responsible practices.

“If given the opportunity:

  • 80 percent would tell friends and family about a company’s CSR efforts
  • 76 percent would donate to a charity supported by a company they trust
  • 72 percent would volunteer for a cause supported by a company they trust
  • 72 percent would voice their opinions directly to a company about CSR efforts”*

How do you better apply this public trend?

You can encourage your patients to make appointments for themselves, and their family and friends, in exchange for making to make donations to a needy local charity. You can have them volunteer at a food pantry or a shelter with you and your staff – and offer all who participate a free service.

Integrate you mission in all your promotions on a regular basis and you will create a positive “network effect.” Other residents who volunteered will begin to promote your business on their own – even if they never step in to your office.

You should be way past working for United Health Care and Big Insurance. You should work for your patients and their causes – which are yours as well.

If you lead all your promotions with your heart, with your mission, with your higher goals, and deliver excellent outcomes with extra-ordinary services, your patients and your community will support you.

You are “The Helpers.”

Be true to your higher goals and all else will follow.

Ed Petty

*References:
http://www.sustainablebrands.com/news_and_views/stakeholder_trends_insights/sustainable_brands/study_81_consumers_say_they_will_make_
https://www.forbes.com/sites/sarahlandrum/2017/03/17/millennials-driving-brands-to-practice-socially-responsible-marketing/#61519f914990

Links to special promotions article and list of special promotions

Special Promotions-What They Are

List of Special Promotions-2018

May is Good Posture Month

May is Good Posture Month.

I am not sure who claims this … the ACA (American Chiropractic Association) and ICA (International Chiropractic Association) used to, but after a fast look at their websites recently, it doesn’t look like they do anymore. Plenty of other websites do, however.  See below, for examples.

Posture is a big deal, apparently, from a clinical and health point of view. Patients should know this.  But patients are also concerned about their appearance and no matter how much you spend on your clothes, nothing looks good when you have poor posture. There are also mental ramifications to poor posture as well. So… lots of good material here to promote and help your peeps!

Use this event as a reason to encourage your patients to bring in their family and friends. You can change the flier to a community ad for anyone to come in. Use the sample poster and edit to suit your needs. Hang it in your office, fold and include in patient statements, include in your newsletters.  Use the promotion all month, or just for one week to make it more “special.”

Attached is a sample poster flier in Word and in PDF format, also an article I wrote on this event some years ago for some more ideas.

Carpe Diem (Seize the Day…and the month of May!)

================

Useful links:

http://posturemonth.org/posture-month/

http://www.whathealth.com/awareness/event/correctposturemonth.html

http://www.straightenupamerica.org/

Sample Poster (PDF)

Sample Poster – Customizable (Word – active clients)

Science Facts on Posture

Facebook versus Email and “Conversational Commerce”

It’s a New Year!

And if you are just reading this in March or September, it’s a new month or a new week!

Whatever time of year it is, it is always time to get the “Word” out your servcies.

It’s time to tell everyone in and around your office and community — about your chiropractic and professional services and how they should get them now!

But what is the best way to do this?

Well, obviously, with each person you see when you are seeing them. You – and your health team – have a captive audience. Sometimes referred to as “Table Talk,” this is your way of educating your people at the time of service.

You can augment this with new patient workshops that motivate, educate, and entertain your people. It is a free class but is part of their treatment program because you have found that people “get better faster and stay healthier longer if they get a better understanding of the health process we are doing together.” Also…“It assists with your treatment program and you get a better return on the work you put in. It is just a good investment!”

Then…don’t forget your team. They need to hear about the successes and case stories of how their office really helps people.

But your patients aren’t always in your office. What then? Shouldn’t your conversation with them continue? Other vendors are certainly getting their “word” out. Pharmaceutical ads are pervasive.

What about people who have not discovered you yet – how do best tell them about how you can help them and why they should see you?

Many of you make posts on Facebook in hopes that this will help market your services.

Does it?

What about email? Some of you subscribe to template emails that go out to your patients. How is this working?

I have some strong feelings about this subject — but first I wanted to see what others have said and what the studies show. Here is the question:

Which is the better medium for marketing:
Facebook or Email?

Which works better?

According to most of the surveys that I have seen, email is the winner.

But comparing both mediums is like comparing apples to oranges — both work depending on how much time and expertise you put into it.

But it stands to reason that if you have someone’s email, they are a subscriber and have given you permission to address them personally.

From a sampling of various studies and surveys (references at the end of this article):

“Where is the first place you go online in a typical day?”

  • Email 58%
  • Search portal 20%
  • Facebook 11%
  • News site 5%
  • My company’s website intranet 3%
  • other 3%

“Where do you look when you want a deal from a company that you know?”

  • Email: 44%
  • Company website:43%
  • Search engine (e.g. for coupon codes): 6%
  • Facebook: 4%

Email reaches 79% of the people you send it to (this is the global average inbox placement rate). On the other hand, Facebook’s organic reach has declined to about 1 to 6%, depending on your total number of fans.

So the stats and studies seem to show that you are going to get a better ROI from email.

Over the years, I have observed that patient referrals, patient visit average, and reactivations improve with regular emails.

Facebook and social media can help create familiarity and trust. From this you can direct people to your website for upcoming events or information. You can also buy ads that target specific types of potential patients and set up workshops or make special offers. I have seen this work on occasion very well

But the algorithms, or computational rules, for Facebook and other mediums are always changing and what worked last month may not work this month. Currently, Facebook is becoming more of a “pay to play” medium – peppered with inspirational forwards and political rantings!

With email, you own your list and make your own rules. Plus, it is nearly free.

Email is a direct and personal letter from you to another person.

It is authentic and genuine. It is the reader – and you, personally. It is not manufactured “health news” which is just a mash-up of articles from 1998.

In this busy and more automated world, genuine communication is becoming scarcer… and more valuable.

The biggest challenge is simply getting the email out.

Actually, this is the big problem with all of your marketing – who is going to do it — and when?

We have found some simple procedures that work for getting this done which I offer below. But first, let’s look at the future.

The Future: Trending…

The future medium will continue to be more direct communication for selling. The trendy term is “conversational commerce.”

“Consumers are increasingly relying on messaging apps for all forms of communication, whether personal, business, or commerce. … Messaging apps are becoming the preferred means of communication.” (emarketer)

Messaging is personal, it is one to one.

According to a research commissioned by FacebookIQ and Nielson:

“53% of people are more likely to do business with a business they can message.”

 

This means, when people visit your Facebook page, if they can chat with you personally, half of them will be inclined to come in for a visit.

You can take a look at a couple of applications – Chatfuel and Manychat – for inexpensive chat programs that you can add on to your Facebook.

You can also ask your webmaster to install a chat system on your web site. An example is websitealive.com.

But the force of all this is personalized communication, something that emails and sales letters and video letters have always done and continue to do better than Facebook.

A few weeks ago I received an email newsletter from a yoga instructor I have followed off and on for a few years. I had question so I sent her an email thinking she might answer it. She did. What’s more, she included a short personal video – directly to me! I am now considering buying her DVD’s when I hadn’t even considered it before.

So how are you going to “Get the Word Out?”

I recommend personally. One-to-one. In a conversation in the office and out of the office through email and maybe… chat.

A Simple Procedure to Get Your Emails Out

  1. Someone in Charge. Assign someone to coordinate your email messages and newsletters. (They can also coordinate Facebook and Chat.)
  2. Time to do the Work. Give them at least 4 hours per month to get it done.
  3. Monthly/Weekly Reports. Have them give you a monthly written report and review it with them. (Advanced: Include email stats and Facebook stats this month and if they are up or down from the prior month. Analytics!)
  4. Email Content. The email should have a 3-4 paragraph (or more) candid letter from the doctor written as if she is talking to “Mildred” or “Jeff,” or just to one patient in particular. You can call it “Health Notes from Doctor Ed.”Or, publish it as a short newsletter, and include a recipe (My Grandma’s Buffalo Chili. I don’t like it but everyone I have ever met loves it. In fact, my uncle claimed it got him his wife, Mildred. Here is a picture of Milly (lucky guy!)” [show picture]
  5. Dictate it on your way to or from work and have someone edit.
  6. Email Service. Use Constant Contact, Mailchimp, or another service and send out your mail.
  7. Frequency. Do this 1-3 times per month. Keep it simple.
  8. Promotions. Attach a monthly promotion to it every now and then.
  9. Funky Office Fluff. Add recipes, success story, local news, or other interesting notes every now and then. (Think of over the back yard fence, neighbor to neighbor, chatting about local news.)
  10. Continue the Conversation. But most important is continuing your conversation with patients. The email is just you continuing your “Table Talk.”
  11. Messaging! Add a messaging application to Facebook and to your website.
  12. Don’t Get Addicted to Social Media. Don’t get sucked into Facebook drama!*

Remember that a practice is a network of relationships built and sustained in part by communication. Now and then attach a promotion to your email and this is one of the least expensive forms of marketing you will ever do.

Keep the conversation going…and going and going.

Till next time,
Ed

(*Facebook Drama. Social networking definitely has positive uses. But, according to one of its founding executives, it has negative effects. In an interview at Standard School of Business, Chamath Palihapitiya, (known as “C.P.”) who joined Facebook in 2007 and became its vice president for user growth, says that he feels tremendous guilt for the company that he helped make. Facebook, and others he says, have succeeded by “exploiting a vulnerability in human psychology.” “I think we have created tools that are ripping apart the social fabric of how society works,” he told an audience at Stanford Graduate School of Business. He hasn’t used it for years and won’t let his kids use it either!

“The short-term, dopamine-driven feedback loops we’ve created are destroying how society works,” he said, referring to online interactions driven by “hearts, likes, thumbs-up.”

It is a great interview that you can watch or listen – link at the end of the article.)

https://www.campaignlive.com/article/facebook-study-53-consumers-likely-shop-business-message/1404632

Email Marketing vs. Social Media: Is There a Clear Winner?


https://www.mailmunch.co/blog/email-marketing-vs-social-media/
http://image.exct.net/lib/fe641570776d02757515/m/1/SFF1-TheDigitalMorning.pdf
https://returnpath.com/wp-content/uploads/2015/10/2015-Deliverability-Benchmark-Report.pdf
https://support.getresponse.com/uploads/2016/01/The-State-of-Email-Marketing-by-Industry-January-2016.pdf
http://image.exct.net/lib/fe641570776d02757515/m/1/SFF14-The2012ChannelPreferenceSurvey.pdf

11 Reasons Why Your Email List Beats Social Media


https://manychat.com/
https://www.websitealive.com/alivechat/
https://www.emarketer.com/Article/Digital-Content-Advertising-Key-Revenue-Generators-Messaging-Apps/1013247#sthash.OEDM1ML5.dpuf
https://www.campaignlive.com/article/facebook-study-53-consumers-likely-shop-business-message/1404632
Talk on social consequences of Facebook. https://www.youtube.com/watch?v=PMotykw0SIk

The Merry-Go-Round: Planning for a Prosperous Practice in 2018

 

Progress in practice is made by steady persistence and passion.

In Angela Duckworth’s new book, she calls this “Grit.”

Think of evolution, think of growing crops… think of growing children!  Whether it is child development or practice development, growth is achieved through steady and unrelenting nurturing and adjusting according to circumstances.

I recommend you take some time to do some planning before the New Year gets in high gear. January and February are good months to do this.  Do it by yourself – and do it with your team. But…

Don’t reinvent the wheel… Just make it go faster with less effort.

 The Vital Few

A few of our actions are always more productive than most of the other actions that we do. Unfortunately, we can get distracted and spend far too much time on activities that, in retrospect, just don’t give us that much of a return.

The “vital few” actions that have helped you the most will be camouflaged, even countered, by the “trivial (but useful) many.” This is a term used by Nathan Juran, famous for his approach to business and quality improvement and the Pareto Principle.

And, I would like you to consider this: In many respects, your business has succeeded in ways that – perhaps – you have not yet recognized.  Therefore, I don’t recommend abandoning all you did last year and start chasing the newest “shiniest” procedures that seem appealing.

The key is to dust off all your actions from 2017 – review everything you did — and see the great things that worked and the victories you and your team achieved.

Then, just find better approaches to do more of this!

Diamonds in Your Office

The idea of having diamonds in our backyard, a story made famous by Russell Conwell (1843 – 1925) of the 1800s, applies. There are many variations, but it goes something like this: there once was a man who wanted more wealth, so he sold his house and left in search of diamonds. Years later, penniless, he happened back to his village where he roomed at a shelter for the poor. The shelter was supported by a grant from a local resident. In inquiring who the resident was, the diamond searcher discovered that it was the person to whom he had sold his house.

One day he paid a visit to his old house, now renovated into a beautiful estate. He talked to the new owner who told him that he had become rich. He said that when he bought the house, he needed to do some digging in the backyard where he discovered thousands of diamonds.

The moral of the story is obvious: you already are rich – you already have the diamonds. You just need to polish them.

Many of the components of your future success are already in your office. But we overlook them, or use them once and then forget about them, like teenagers looking for the next new article of clothing to make a fashion statement.

As entrepreneurs, creatively – we are all looking for that next dopamine high… and seek the next new “shiny” thing.

You have a show on the road. Just make it better. Make it fresh. Set a new standard, and make a new game to “level up!” Add a few new things here and there, but keep doing what is working.

Looking for Your Diamonds

Review what has been working for you. Reaffirm it and keep at it. Look at what hasn’t worked that well and fix it so that it does, or drop it like barbell that you have been holding over your head for too long.

By yourself, and later, with your team, here are some areas to look into:

____1. Review Your Mission Statement. Does it apply? How? Does it need to be customized? Beyond your mission, what is your WHY? Does the mission satisfy this?
____2. What Are Your Outcomes? For example: “People relieved of pain, healthier, educated so that they can and will continue to improve their health… and refer others?” You can also define Minimal Viable (Valuable) Outcomes, e.g., “A patient who accepts care.” Etc.
____3. How Is the Office Vibe? This is determined by your values and how everyone is living up to them. Are these values posted for all to see and check how they are “measuring up?” Are they defined? Do we need to add more, change some, delete some? Should we better define each value? Should we add:

• Trust. Are we worthy of trust with our patients and ourselves?
• Mission Oriented. Do we help each other cheerfully achieve our mission – each day?
• How well are we living up to these?
• How can we live up to these better?

____4. How Were the Numbers? Up, or down?

• When the numbers went up, what did, or didn’t we do? How can we improve upon this?
• When the numbers went down, what did, or didn’t we do? Should we improve or discontinue those actions?

____5. Individual. What can each one of us do professionally this next year to improve our ability to contribute to our team and its mission?

Some of this should be on simple, brief checklists and memo’s. Add it to your Practice Playbook. Document it so that it can be referred to for training and coaching in the future.

Merry-Go-Round

Imagine that your practice is a merry-go-round, the kind you find at children’s playgrounds.

It takes a lot of energy to push it and get it going. But… once it is moving, it takes less effort to gradually get it going faster. And faster! And faster…

Take some time to review how you are pushing your merry-go-round. What procedures worked better for pushing it faster? Focus on these… Makes these better.

Go faster… and push less.

And as you do, watch those, including yourself, hold on tighter and smile bigger.

Enjoy the ride!

With admiration,

–Ed

November and December Marketing — and Your Higher Purpose

Petty Michel Associates Practice Promotions

November and December are special times for patient marketing, whether you are promoting to prospective patients, active, or inactive patients.

Usually, we have found that internal marketing is better during this time of year as you don’t need to compete with commercial businesses as they slug it out in an advertising frenzy. You can prepare now and schedule your external promotions and community services for January and February. Of course, if you see an excellent opportunity for external marketing now, take it. But the primary focus should be internal for these two months.

November and December are “cozy” months. In North America — we have Thanksgiving. This is a time we give thanks for all our blessings and gifts and family and friends. It is a time when people feel grateful. Christmas is also a time of good cheer and giving, as is Hanukkah and other holidays.

And, for some of you, it is also the season of the yearly hunt — when you bring home the ring tail pheasants, the turkeys, and “da ‘tirty point buck.” (Wisconsin-ese for “the 30-point buck.”)

Your promotions should align with the spirit of the season to be most effective. Donation drives are often held. There are many churches and associations in your town that need help as they prepare to assist the less fortunate.

“Toys for Tots”, “Food for Families”, or “Coats for Kids”, are many popular promotions by local media stations. I don’t doubt that they are helpful, but I do sometimes question their sincerity.

Of course, you want more customers, that is the nature of business. But you must lead with your mission statement first.

Any promotions should stem from your higher purposes.

The Higher Purpose Company
In The High Purpose Company, (Arena, 2007) Christina Arena reports on her team’s study of 75 companies’ efforts at Corporate Social Responsibility (CSR).

She shows how corporations, by doing good, by providing better conditions for employees, more sustainable sourcing of raw materials, and contributing to beneficial causes in their communities, generate more income.

“The central findings of my research can be distilled in the following way: superficiality fails whereas authenticity prevails. Companies that falsely approach corporate responsibility as a form of marketing, public relations, or even philanthropy don’t produce the most meaningful results. In fact, they often waste their money and create additional liabilities. Conversely, companies that truly approach the practice of corporate responsibility as a fully integrated business strategy, wisely investing in profitable solutions to meet unmet social and environmental needs and problems find their performance greatly enhanced.”

According to the Harvard Business Review, business spent more than $15 billion in 2016 on Corporate Social Responsibility (CSR) programs. (Davidson, July 7, 2016) And according to, Linda Novick O’Keefe, founder of Common Threads, “that number is rising as businesses see signs that investments in CSR improve company performance, talent recruitment and retention. (O’Keefe, 2016) “Giving in Numbers”, a study published by the CECP that analyzes giving and corporate societal engagement trends, revealed companies that increased giving by at least 10 percent between 2013 and 2015 actually experienced upticks in revenue and pre-tax profit, while all other companies saw a decrease in both.”

Your “WHY?”
Marketing must be honest, and it has to tell why you are doing the marketing. As Simon Sinek reminds us:

“Very few people or companies can clearly articulate WHY they do WHAT they do. By WHY I mean your purpose, cause or belief – WHY does your company exist? WHY do you get out of bed every morning? And WHY should anyone care?

People don’t buy WHAT you do, they buy WHY you do it.

All organizations start with WHY, but only the great ones keep their WHY clear year after year.” (Sinek, 2009)

I recommend finding charities or causes in your community that your patients care about. That you care about. Then, go talk to the head of the charity yourself – get involved – personally. Emotionally.

One office paid their staff for one hour for every two hours they went out of the office and worked on a community project.

And it doesn’t have to be charities. A Kid’s Day with “Saturday with Santa” can be a ball. One office holds a patient appreciation party with their patients each December with a Christmas Elvis impersonator singing Christmas carols. The one I attended was packed, and a little wild. But everyone talks about it for the rest of the year.

Your patients, and your neighbors, want what you want – a better and healthier community. Communicate that in all your promotions and you’ll get better results, and have more fun.

And, many thanks for you do from all of us at PM&A!

Ed

A list of sample promotions on our web site – see reference below.

References

Arena, C. (2007). The High Purpose Company. Harper Collins.

Davidson, R. H. (July 7, 2016). CEO Materialism and Corporate Social Responsibility.        Harvard Law School Forum on Corporate Governance and Financial Regulation. Retrieved from https://corpgov.law.harvard.edu/2016/07/07/ceo-materialism-and-corporate-social-responsibility/

O’Keefe, L. N. (2016, Decembr 15). CSR Grows in 2016 as Companies Embrace                Employees’ Values. Huffington Post – The Blog. Retrieved from https://www.huffingtonpost.com/linda-novick-okeefe/csr-grows-in-2016-as-comp_b_13657368.html

Sample Promotions. Chiropractic Practice Marketing Ideas For 2016. Retrieved from   www.pmaworks.com: http://pmaworks.com/observations/2016/09/20/chiropractic-practice-marketing-ideas-for-fall-2016/

Sinek, S. (2009, September). Simon Sinek How Great Leaders Inspire Action. Retrieved    from TED Ideas Worth Spreading:  https://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action

The Real Reason For Low New Patients

Why Two Chiropractic Doctors Couldn’t Grow Their Practice

A few years back, a long-time client of ours gave me a call and said that he had hired two new doctors.  He asked if I would visit his office and see if I could help them grow their caseloads.

I told him that I was happy to pay him a visit.  A month later, I was touring his office and interviewing his team.  I then went out to lunch with the two new associate doctors.

I got to know them and asked them questions.  They were not shy about their goals. They told me that they wanted a “high volume” practice.  They boasted that they felt that it would not be difficult to see as many visits per month as the senior doctor by the end of the year.

They went on about philosophy, BJ Palmer’s “Green” Books, clean food and wellness. Both were young and looked fit and seemed eager.

They said that they wanted marketing help. They talked about how they had been working on social media, but felt that the owner doctor wasn’t supporting them enough by buying advertising.  It wasn’t blatant, but they seemed to be blaming him.  I acknowledged this and said that was something we could look into.

I knew that their practice statistics were very low. I told them that marketing comes down to caring about people – caring enough to talk to them, and caring enough to be honest about how you can help them.

They nodded like zealots. “Absolutely!”

I then said:

OK, look around this restaurant and describe a possible health issue with some of the customers. Just pick one and do a very preliminary screening based upon the way they are sitting or walking.”

This didn’t go as well as I had thought it would. Both doctors, I discovered, didn’t look at the fellow customers in the restaurant.  So, I prodded and finally got one of them to mumble a possible health issue with someone who was walking out.

I then asked each for their business card. Neither had one on them.  I paused to give them a look: “What?”

I had taken a couple of their cards each before lunch and placed two of them in front of each doctor.

Then I said:

“I liked what you both said about wanting a large practice and wanting to help more people. I would like to help you. So, to start, I would like you to get up from this table and find someone in the restaurant, introduce yourself, and hand out your card. If possible, make an appointment for them to come see you.”

They both looked at me as if they saw a ghost.  Gripped by fear, they both slumped down in their chairs. Neither would do it.

Seeing this, I suggested they talk to the cashier or waitress, or the manager.  Now the fear turned to a dismissive attitude, as if this exercise was beneath their dignity.

We ended lunch and went back to the office. We met with the owner doctor and discussed the situation. Over the following weeks the two doctors agreed that the relationship wasn’t working out and decided to leave on good terms to start their own office.

— — —

You don’t have to be a hyper-extroverted charming salesperson to be an effective marketer. In fact, this may act against you. The largest office I have ever worked with was seeing over 2,000 visits per week.  And the owner was serious and gruff, and talked like an angry fishing boat captain.

Marketing starts with a burning desire. It begins with an almost obsessive drive and purpose to help others by getting them into your office.  Marketing then depends on your belief and confidence in your skills and service. And it hinges entirely on how much you really care and empathize with each patient or prospective patient. And then, there is the effort you put in. You gotta do the work, and this means sometimes long hours, long weeks, and long months.

And as the C.E.O of your business, it also means getting the rest of your team to feel the same.

Again:

  1. Desire. Drive
  2. Confidence and belief.
  3. Compassion and empathy.
  4. Effort. Work. Sweat!

There are thousands of different methods to market your services. These may include “social media,” big goals, and “philosophy.” They may include newsletters, workshops, or back to school promotions. But in the end, marketing is communication, whether done electronically, through print, in groups, or one on one.  It is always and especially – one on one. In time, you will find what works best for you.

But no number of manuals, books, or coaching will do a damn thing for you if you don’t have the desire, the belief, the empathy or put in the work.

The 3 Key Ingredients to Motivating Your Chiropractic Team

Most of your staff are not engaged in the success of your office.  Most of them JUST DON’T CARE. 

At least that is according to a 2015 Gallup report that interviewed over 80,000 working adults.

The report showed that there are twice as many “actively disengaged” workers in the workplace as there are “engaged” workers who like their jobs.   The percentage of U.S. workers in 2015 considered engaged in their jobs averaged 32%. The majority (51%) of employees were “not engaged,” while another 17% were “actively disengaged.” (“Actively disengaged” means that they are actively sabotaging their work.)

But let’s say your office is different, which I am sure it is.  You are motivated enough to read this article and I am sure that is reflected by your team as well. But all the same, take a look with me at the level of motivation of your office.

How was your last team meeting?  Were you there? Was everyone sitting on the edge of their seat and contributing new ideas and plans on how to reach new goals in the office? Or, were most everyone pretty silent?

Sure, your employees smile and look busy when you are around, and often work hard and they do care.  But really, how much?

What would your office be like if the motivation, creativity, and level of pro-activity was always very high at “10,” or even ranged from 7-10?  If they felt that it was “their” business, where they took responsibility for the quality and quantity of outcomes, and regularly worked to improve the business – and themselves?

I have been reviewing the subject of motivation for some time, from my own experience over the years and from what social scientists have reported.

I have incorporated certain principles into a new system of business management that are specifically designed to unleash everyone’s innate motivation – including business owners like you!

Motivation is the foundational in a chiropractic office, or dental office, acupuncture – even with therapists and other service firms. It is a bedrock for any healthy practice and business.

Here is one very useful principle specifically about motivation and how you can use it to generate more engagement – and productivity — with your team.

3 Goals System of Business Management: Principle #5

Self-Determination and Motivation

Everyone wants their own sandbox to play in.

You do. This is one of the reasons you went to school – and why you started your business.

We all want to have something that we can call our own where we can create and demonstrate our competence. What we get in return is feedback that we can do something good, that we have power, that we can make something beneficial happen, that we can … make a positive difference.   If only to ourselves, we can say: “Look what I did. I did this. This is my creation.”

You can see it in children, for example, when they bring you their colored scribbles on crumpled pieces of paper to proudly show you their great work of art.  This is their sandbox.

Of course, we all work for money. But we also have deeper motivations that if tapped into and nurtured, can be very powerful.  By harnessing these motivations, and then linking them with others who have a shared goal, we can create a dynamic team driven business that is very profitable.

This has been explored by social scientists who have studied what has come to be called Self-Determinism Theory.  I have also seen it in action. Essentially, it states that we all have innate drives and inherent needs that motivate us to be more self-determined rather than determined, or controlled by, outside forces.

External motivation, like the fear of being fired, can only motivate us so far. Threats, criticisms, negative reinforcement may produce short term action, but in the end, they demotivate, or worse.

The level of employee motivation has a tremendous influence over the success of your business. 

An unmotivated staff, one that only becomes engaged to the level of “I will perform just good enough so that I don’t get fired or criticized,” will weigh the office down.

Self-Determinism Theory (STD) has three components, all of which easily apply to your business. These are:

  • Autonomy
  • Competence
  • Relatedness.

And by the way, while reading this, consider how this also applies to you as well!

Autonomy

You do not want your treatment plans second-guessed by a clerk in an insurance company. Neither does your front desk want you breathing down their necks about where all the patients or practice members are, or why they used the blue pen.  You should train and educate your team, but then get out of their way and let them succeed or fail.

Think of helping a child ride a bicycle. Sure, they will need your help for a while. A push now and then. Perhaps some training wheels. But you will have to let them fall down a few times and allow them to get the courage to get back on the bike and succeed. You can continue coaching them to improve, but you must let them go.

Even if you see employees appearing idle, or having brief personal discussion with another employee, back off. Tolerate minor errors. Give your team some rein.  Come back around later to coach them and train them to improve. Mostly educate them on the mission of the office and of their roles, and get them to understand what outcomes they are supposed to be producing. Once they see that the statistics measure their performance, they will be more self-directed and want to do all they can to win the game!

We all want to be free to create our own enterprises, even if we work for someone else. As long as what we do is in line with the purpose or mission of the business and our role, there should be no problem.  This helps us demonstrate our competence, which is the next element of Self-Determined Theory.

Competence

Doing a good job, all by itself, is its own reward. It pushes away self-doubts and shows us, and others, how good we really are. It is positive reinforcement.

And the better we can do a good job, the better the results will be, which demonstrates to us just how awesome we truly are!  Plus, as we increase our skills, we also will find that our duties are easier to perform.

Your team wants to improve their skills. Help them do so.

Sign them up for seminars, webinars, give them monthly reading assignments, and give them a coach or three of them.  But this has to be done in conjunction with your supervision. You will need to guide them through the training so that they see how it applies to their roles and the business as a whole. Quiz them on what they are learning and have them give presentations to the team on what they are learning.  The old maxim applies: “to teach is to learn twice.”

And where possible, make sure they earn certificates and can wear pins or insignia that testify to their competence. This goes along with Game Theory – people win at one level and then want to go to the next level. They want their “badges.”

Business owners throw staff into their jobs and expect them to produce with little or no training. Without exception, the offices I have seen that provide more training and coaching for their team — do better.  Companies spend an enormous amount on employee training. $161 Billion in the U.S. last year (trainingindustry.com). And, it pays off.

One study showed a comparison between car companies and how many hours they trained their new employees: Japan spends an average of 364, Europe averages 178, and the United States – 21 (Pfeffer –The Human Connection).

And you can guess which country has cars with the best frequency of repair record.

Children want to be super heroes and wear their capes.

Don’t we all!

Relatedness.

This is the feeling of being connected – and there are two aspects to this.

Family. First, “relatedness” is the feeling of not being left out of the “loop” and of being included. Staff meetings help with this as does the general work environment. This is the sense that we are in this venture, job, and profession together. That we are part of a family.

Keep your team involved with your decision making. Give them some of the issues you are dealing with and encourage their input. They are stakeholders – it is their office too!

Greater Purpose. The other aspect of relatedness is that people generally want to be associated with a greater purpose. The more that each member can connect to the greater purpose of the group and make it their own, the more motivated they will be. Taking it a step further, if employees have higher goals of their own that coincide with the organization’s and they are allowed to pursue them within the organization, there would be no reason for employees to work anywhere else.

Train your team, let them own and creatively improve their own areas – and help to do the same for the entire office. Nurture camaraderie and a spirit of family – and always remind them – and yourself — why we are doing what we are doing.

Do this, and not only will your business be more successful, but you too will be more motivated and have more fun in the bargain.

#   #   #

Self-Determination Theory: Basic Psychological Needs in Motivation, Development, and Wellness. Ryan, R. M. & Deci, E. L. (2017) and Why We Do What We Do: Understanding Self-Motivation Paperback – August 1, 1996
© Edward W. Petty,    From the upcoming book: “Three Goals:  A New Practice and Business Building Methodology That Is Simpler, Faster, And More Effective and Fun than What You Are Doing Now.”  By Edward Petty, due to be published sometime before the Singularity. © May, 2017