Tag Archives: goal driven

The Silent Recession and What to Do About it in your Chiropractic Healthcare Practice

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farmer in a field of obstacles

The article addresses challenges faced by chiropractic practices in 2024, attributing some of the struggles to broader economic factors like a “Silent Recession.” Small businesses, including clinics, saw a 30-40% revenue decline, with inflation and rising operational costs outpacing Medicare and Medicaid reimbursements. Insurers’ tactics, such as requiring prior authorizations, denying claims, and delaying reimbursement, have also complicated financial operations. Additionally, many patients face financial strain due to inflation, high interest rates, and rising living costs, further affecting clinic revenues.

To counter these challenges, the article offers solutions focused on improving clinical and administrative practices. Clinicians are encouraged to focus on the fundamentals of their care, adopt a purposeful approach to healing, and invest in ongoing training to enhance patient outcomes. Administrative support is emphasized, suggesting that a strong organizational structure and team training are critical for long-term success. The article also highlights the importance of staying independent, noting a trend of independent medical practices being squeezed out by governmental policies and rising inflation.

The author encourages chiropractors to remain resilient and continue fighting for their independence in the face of these challenges, implying that larger industries may have a vested interest in eliminating smaller practices. The message ends with a call to action for chiropractors to stay strong and prepared for 2025.

Read the Full Article Here:  https://www.goaldriven.com/post/the-silent-recession-and-what-to-do-about-it-in-your-chiropractic-healthcare-practice

Employee Satisfaction Scale and Chiropractic Practice Performance

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professional working mom with baby on her lap during a business meeting

Ed shares the connection between employee satisfaction and the performance of a chiropractic practice, drawing parallels to how companies are rated on platforms like Glassdoor. The Glassdoor ratings range from 1 to 5 stars, based on employee satisfaction, with higher ratings indicating a more positive work environment, better leadership, and improved profitability. Studies have shown that companies with higher employee satisfaction ratings tend to be more productive and profitable.

The article lists five key factors that influence employee satisfaction, which are crucial for improving productivity and profitability in a chiropractic practice:

  1. Workplace Culture: A positive work environment, shared values, and team dynamics play a major role in employee satisfaction.
  2. Management Quality: Effective leadership and management style are key factors, with poor management being a common cause of dissatisfaction.
  3. Compensation and Benefits: Fair and competitive salaries and benefits packages are essential for employee satisfaction.
  4. Work-Life Balance: Employees value companies that support a balance between work and personal life.
  5. Career Opportunities: Opportunities for growth and advancement within the organization are important to retain motivated employees.

We can’t emphasize enough that administration and management play a significant role in creating a positive workplace, which in turn supports quality clinical care. While the focus of a chiropractic practice is on providing excellent service and outcomes, having a well-managed, supportive, and motivated team is essential for achieving success. The author concludes by encouraging chiropractic practice owners to continue improving their business management, suggesting that better administration is the key to improving both employee satisfaction and practice performance.

What Gets Measured — Gets Managed in Your Chiropractic and Service Business

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bus driver with the dashboard in front of him guiding him where to go.

ED shares how chiropractic business owners can effectively manage their practice as it grows by using key performance statistics. Initially, managing both patient care and business operations is feasible when a practice is at 50-60% capacity. However, as the practice grows, the increasing demand for management and staff coordination can lead to stress and “growing pains.” To overcome this, the article introduces the Fast Flow CEO system, which helps doctors manage their businesses effectively by dedicating just a few hours a month to business operations.

Key to this system is the use of performance statistics, which help track progress and identify areas for improvement. The article outlines essential components for tracking performance, including:

  • Key statistics: New patients, paid visits, charges, and collections.
  • Time period comparisons: Weekly, monthly, and yearly comparisons.
  • Same-month comparisons: Analyzing ratios like Visits/New Patients or Charges/Collections.
  • New patient tracking: Monitoring where new patients come from, especially for practices investing in marketing.
  • Marketing expenses: Tracking cost per new patient to optimize marketing spending.
  • Visual tools: Graphs and charts to help visualize trends and results.

The article emphasizes that these numbers represent outcomes, not just data. The goal is to improve patient care and practice efficiency, not simply to increase the numbers. Displaying these metrics in team meetings and using them as a “dashboard” helps everyone stay aligned with the practice’s goals.

The overall message is that managing a growing chiropractic practice requires smart use of data to drive decisions, improve outcomes, and continue progressing toward long-term goals.

Read the full article here: https://www.goaldriven.com/post/what-gets-measured-gets-managed

 

Why 2025 Could Be Your Best Year in Chiropractic Practice

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John F Kennedy quote - our growing softness, our increasing lack of physical fitness is a menace to our security

Ed touches on the reasons why 2025 could be a promising year for chiropractic practice owners and healthcare entrepreneurs.

Health Care Advocacy: Robert F. Kennedy Jr., a prominent advocate for health and environmental issues, has been vocal about his concerns with polluters and health agencies like the CDC and EPA. His activism, including his work against companies like Monsanto and ExxonMobil, has earned him recognition in the healthcare space. The incoming presidential administration, under President-elect Trump, is expected to grant Kennedy significant influence to address healthcare matters, providing optimism for the future of natural healthcare.

Support for Small Businesses: Elon Musk, a notable entrepreneur, is also involved in the new administration and advocates for the protection and growth of small businesses. Musk emphasizes that while starting a business can be challenging, the right environment can help independent businesses thrive. His support for entrepreneurship signals potential benefits for chiropractic and other small business owners.

Historical Legacy of Health and Fitness: The article also references the historical efforts of the Kennedy brothers in the 1960s to promote public health and fitness, such as fitness testing in schools and cleaner air and water standards. Musk’s own family background, with his great-grandfather being the first chiropractor in Canada, ties the legacy of chiropractic to modern entrepreneurship and innovation.

The article concludes with an optimistic outlook for healthcare entrepreneurs in 2025, encouraging chiropractic practice owners to think big and embrace opportunities for growth in the coming year.

Read the full article here: https://www.goaldriven.com/post/why-2025-could-be-your-best-year-in-chiropractic-practice

 

Chiropractic End of Year Marketing and Business Checklist

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goal driven checklist to prepare for the New Year

This article provides a comprehensive checklist for chiropractors to prepare their practices for the end of the year and the upcoming new year. With 2025 just around the corner, the focus is on winding down advertising and shifting toward internal marketing strategies during November and December. Key ideas include:

  1. Holiday Promotions: Offer Thanksgiving turkey giveaways, special promotions for veterans, donation drives, and patient appreciation events like gift exchanges or holiday parties.
  2. Referral Programs: Encourage patient referrals with giveaways such as poinsettias and gift certificates, and express gratitude to external referral partners with thank-you gifts.
  3. Newsletters & Reminders: Send personalized practice updates and reminders to schedule appointments through the holidays.

Planning for the Future:

  • Spend time with your team reflecting on 2024’s achievements and brainstorming goals for 2025. Consider creating a unifying theme or project for the year ahead.

Business Essentials:

  • Financial Review: Meet with your accountant to assess finances and tax strategies.
  • Employee Benefits & Contracts: Review employee benefits, consider bonuses, and evaluate insurance contracts for profitability.
  • Compliance & Licensing: Ensure adherence to HIPAA and other regulations, and confirm that all licenses and malpractice insurance are in place for the coming year.
  • Budget Planning: Set a budget aligned with your practice goals.

Start with a clear vision and remain focused on both immediate tasks and long-term objectives for continued success in the new year.

How To Achieve Your Biggest Goals: Lessons From an Astronaut

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migrant workers of the universe

This weeks article, Ed tells the inspiring story of Jose M. Hernandez, who overcame numerous challenges to become an astronaut. Born in 1962 to a family of Mexican migrant farmworkers, Hernandez spent his childhood moving between California and Mexico, working in the fields alongside his family. Despite the hardships, including language barriers and constant relocations, he developed a passion for science and mathematics. Encouraged by a teacher, he pursued higher education, earning a degree in electrical engineering and later a master’s degree.

Hernandez’s career included important contributions to medical technology, such as developing a system for early breast cancer detection. He faced significant setbacks in his pursuit of becoming an astronaut, applying to NASA’s program 11 times before finally being selected in 2004. He flew on the Space Shuttle mission STS-128 in 2009, spending 13 days in space.

In addition to his NASA career, Hernandez ran for Congress in 2012, authored books, and founded a consulting company. His life story was turned into a movie, A Million Miles Away, which highlights his perseverance, the support of his family, and his faith.

The article also shares five practical life lessons Hernandez’s father taught him, which align with the Goal Driven System and goal-setting principles:

  1. Find your goal or purpose.
  2. Acknowledge your progress.
  3. Create a roadmap to reach your goal.
  4. Learn and prepare for challenges.
  5. Work harder once you think you’ve made it.

These lessons, rooted in perseverance and preparation, are applicable to anyone pursuing significant goals.

Use the Learning Pyramid for a Better ROI in Your Chiropractic Healthcare Practice

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three generations of women cooking in a white kitchen

Don’t complain. Just train

“Over the long run, superior performance depends on superior learning.”
— Peter Senge

As the Clinic Director of your chiropractic and healthcare practice, you instinctively know that if you are not continually improving the service to your patients and potential patients, they will go to practices that are.

In fact, if you do not provide the BEST outcomes and service in your area, patients and potential patients will look for other practices that are the best, or at least better than you.

The BEST health care practice wins in the long run.

So, how do you get to be the best?

By constant improvement!

This was the concept the Japanese pushed in the 1970’s with their cars. They called it Kaizen.

Speaking of Japan, there was a study that showed how many hours employees trained over a 6-month period. Japan spent an average of 364 hours, Europe averaged 178, and the U.S. a paltry 42.* I discuss this more in my book, The Goal Driven Business. (pg 156)

The formula for improvement is simple: study and train.

The purpose and goal of training is improvement. This is why professional athletes and musicians constantly train. They do this for improvement and, ultimately, to bring about a good return on their investment.

Improvement has a definite ROI! A study by the Associate for Talent Development found that companies offering comprehensive training programs have 218% higher income per employee compared to those without formalized training.*

But what are the best methods for training — reading, listening, podcasts, seminars?

USING THE LEARNING PYRAMID TO TRAIN YOUR CHIROPRACTIC TEAM

The Learning Pyramid* illustrates the percentage of knowledge retained through various learning methods. Here are the typical percentages associated with each method:

  1. Lecture: 5%
  2. Reading: 10%
  3. Audio-Visual: 20%
  4. Demonstration: 30%
  5. Discussion: 50%
  6. Practice by Doing: 75%
  7. Teaching Others: 90%

This model emphasizes active participation in the learning process. Teaching others or practicing by doing, leads to higher knowledge retention rates compared to passive methods like listening to lectures or reading.

If you take your team to a seminar, do it for camaraderie and the sense of being part of something bigger. It can be motivational. But then, ensure that they take notes from one of the presentations and then teach it to the rest of the team at the next staff meeting.

Another angle is to have team members select a chapter from a book you all are reading (from your Lending Library!) and then have them teach it to the rest of the team a month later.

Train on your procedures every month. For example, you could demonstrate how you would like a patient to be positioned on a therapy table. (Get it recorded for future reference!) Then, have a staff member demonstrate the procedure back to you. You can also pair people and role-play the procedure. Do this for any of your office procedures. For those of you in group practices, doctors can practice their procedures.

BALANCING INFORMATION WITH PRACTICAL APPLICATION

The idea is that there are two sides to the learning coin: the information side and the practical application side. You can’t learn how to throw a fastball from reading a book. You must find a baseball and someone brave enough to catch your pitches and practice throwing hundreds of times. However, a book may have useful information on improving your throwing technique from those who have done it more than you.

It is best to go over the idea of training and improvement with your team first so they understand what you are doing and why.

Keep training fun. Your manager should ensure that training occurs every month.

And like Clarence Gonstead said:

“Practice. Practice. Practice. Never stop.”
“Our future will be our results.”

Keep training,

Ed

P.S. Who was Clarence Gonstead, D.C.

References:

ROI on training. An Evidence-Based Look at the ROI of Investing in Training (mentorgroup.us)

Clarence Gonstead https://www.gonstead.com/

The Learning Pyramid the learning pyramid – various percentages of retention. (thepeakperformancecenter.com)

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

If your practice-building efforts aren’t taking you to your goals, there are reasons — many of which are hidden from you.

Find out what they are and how to sail to your next level by getting and implementing my book, The Goal Driven Business.

the goal driven business by edward petty

The Goal Driven Business
By Edward Petty

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Let’s Hear It For Chiropractic and Kid’s!

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Petty Michel and Goal Driven Donation to Wisconsin Chiropractic for Kids How to support the health of our children

“History will judge us by the difference we make in the everyday lives of children.” Nelson Mandela*

Here in Wisconsin, the Chiropractic Society of Wisconsin, the primary chiropractic association, is sponsoring a Kid’s Day next week, which we are supporting.

Also, I am supporting it with donations from the sales of my book. Please consider contributing directly to the C.S.W. or buying my book (or 20 of them!).

If you look into it, how we treat our kids in the 2020s is probably worse than in decades past. The Styrofoam-like food, the toxins such as Glyphosate and Phthalates in our breakfast cereal, the nano plastics now in our blood, the sugar and seed oil, the escalation of Pharma drugs and shots, the social media, the list goes on and on.

Just look at the stats for health care in America, those that you can find. They are abysmal and getting worse. (I have links to some listed below.)

There are plenty of sources to learn about how we treat our kids, but as you can imagine, they are hard to find on regular internet searches. It’s a little like trying to find the truth about cigarettes or asbestos in the 1950s — you almost have to search out whistleblowers to find out what is truly going on. An e-book that was published in 2018 called The Sickest Generation, by Children’s Health Defense, is a good place to start. (Link below)

People in your community aren’t going to hear too much about this from the media or most corporate-paid doctors – though more independent physicians seem to be speaking out. This is why your work is so vital.

As a side note, promoting health care for kids can build your practice. Helping children get healthier is a great marketing and practice-building strategy.

But first and foremost, the primary reason to see kids is to help them stay healthy.

Chiropractic care can help young children with the bumps and tumbles they take as they grow. Young athletes especially benefit from adjustments. Other independent and naturally oriented health providers, such as those practicing acupuncture and Traditional Chinese Medicine, and functional and integrative medical providers can also be of great help.

But beyond chiropractic adjustments, education and support for a healthy chiropractic lifestyle is fundamental. Educate the parents and help the kids.

Consider contributing to the C.S.W. Kids Day program.

Also, consider encouraging your state association to develop a kids’ program, and if they already have one, please contribute to that.

Ed Petty

 

Link to Chiropractic Society of Wisconsin: https://www.chiropracticsocietywi.org/chirokids-day

Link to The Sickest Generation published by Children’s Health Defense, https://childrenshealthdefense.org/ebook-sign-up/ebook-sign-up-the-sickest-generation/

More links to references:

From The Sickest Generation

American children have never been sicker. Over half (54%) are suffering from one or more chronic illnesses.

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.

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.

Mystifyingly, there is almost no outcry in medical, public health or government circles to find answers and solutions.

 

More New Chiropractic and Healthcare Patients Through Positioning

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Joe Montana and chiropractic

Positioning is a marketing term that refers to how your services are perceived in the minds of customers or potential customers.

For example, you get two different concepts when you think of a Timex $40 wristwatch and a $10,000 Rolex. In selling these products, advertising deliberately tries to position each in your mind so that they are different but appealing.

The fact is, they do about the same thing. But, positioning them can make each more appealing to different groups of people. In marketing Timex watches, for example, they might show busy people working or athletic people with a tagline that says: “takes a licking and keeps on ticking.” On the other hand, Rolex offers images of elegance or authoritative men in suits. Both of these appeal to different groups of people with different wants.

HOW CAN POSITIONING GENERATE MORE NEW PATIENTS FOR YOUR OFFICE?

Let’s start with the position chiropractic has in most people’s minds. According to a Gallup Poll in 2015, 60% of Americans think chiropractic is effective for neck and back pain. Only 11% disagree. The rest don’t know or are neutral.

That means that, in consumers’ minds, you guys generally have the position of treating neck and back pain. Here is one approach to using this:

NATIONAL PROGRAM – Spinal Health Month

You can position your services with a national health campaign. This is what Big Pharma did with the COVID jabs, and what they do with flu shots. It’s manufactured marketing, of course, and promoted authoritatively as part of a national program.

You can do the same! (An application of guerrilla marketing!)

And remember, your stats are better than Big Pharma’s and corporate medicine! (You should probably ensure that your patients know this.) While respecting the good work of individual MDs and certain medical clinics and organizations, which there now seems to be more of after COVID (E.G. FLCCC), keep in mind that the U.S. medical system comes in LAST compared to other industrial countries.(link below)

The American Chiropractic Association promotes what they call National Chiropractic and Health Month in October. Also, Congress recognizes October as National Spine Health Awareness Month. And although a bunch of MDs also promote this, you could use it. I recall when the ACA, and maybe the ICA, promoted October as National Spinal Health Month.

I don’t think it really matters. You can promote your own National Spinal Health and Fitness Month and position your services next to this campaign. We have done this over the years very successfully. Figure that your campaign is more helpful and therefore more legit than those promoted by the drug industry and its lackeys and mercenaries.

There are dozens of approaches to this. I’d be happy to spend a few minutes with you to give you some ideas that have worked. You could:

  1. Send out reactivation letters. “It’s Spinal Check-up Time!” and offer a free screening, discount massages, or just healthy cupcakes.

  2. Put a banner in your office; “October is National Spinal Health Month — Schedule your family for a Health Check-up.” Print up a poster and fliers and encourage your staff to have patients bring in those they care about for a check-up.

  3. Send out an email promotion for this important national event.

ATHLETES

How about another example, maybe for November?

Despite the little medical emphasis on the importance of exercise, people are finding out on their own how vital physical activity is to maintain their health. To some degree, more people are becoming amateur athletes.

Go with this!

Position your services as designed to improve athletic performance. Stay in the Game Longer! Position your services next to famous athletes who testify how chiropractic was essential in achieving their accomplishments in sports. (Link to some chiropractic athletes below.) Promote the fact that all U.S. professional football teams have chiropractors. In fact, you can look up your team’s chiropractor. (link below.)

You could call the team’s D.C. and possibly get a quote or meet with them for a photo opportunity. You could meet with the local high school coach, promote this, and arrange screenings for their players.

By positioning your services next to successful high-performing athletes, the audience can easily make the association that your services must improve physical and functional performance.

So those are a couple of ideas for using positioning to generate more new patients, reactivate former patients, and keep the ones you have.

You’re the coach. Get the team in for care!

Seize the WIN!

Ed

Pro football chiropractors.

U.S. Health system ranks last.

Athlete quotes on chiropractic

Some promotional ideas for October:

Gallup poll on chiropractic favorability.

—————————————————-

If your practice building efforts aren’t taking you to your goals,

there are reasons — many of which are hidden from you.

Find out what they are and how to sail to your next level by getting and implementing my new book, The Goal Driven Business.

goal driven business building methodology

The Goal Driven Business By Edward Petty

goal driven business buy now button
 
 
 
 

Chiropractic Training Doesn’t Cost – It Pays

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“The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn.” Alvin Toffler


I just returned from a Parker Chiropractic Seminar.

There were some excellent topics and knowledgeable and informative speakers. I met some wonderful chiropractors and staff, attended a few classes, and learned new things. And, as always, was thankfully reminded of old things.

Some doctors brought their staff. This can be expensive, I know. But it is worth it.

Employee education is essential. First of all, it pays off. Case studies of individual companies show that financial returns vary between an increase of 30% to even as much as 7,000%!*

Stats show that companies invest in employee training. For example, on average, smaller companies (from 100-999) spent $1,678 in 2022 and 67 hours per employee. The total spent on employee training in the U.S. in 2022 was 101 billion.**

This means that even if it costs $5,000 to take your team to a training seminar, you should see an extra $1,500 in collections on top of the money you’ve already spent.

People want to do their best but need the knowledge to do so. I often refer to the Self-Determination Theory, which, through research, has shown that all of us have an inherent desire for advancement and improvement. Good training supports this intrinsic goal.

Providing training for your staff shows that they are an integral part of providing patient care and achieving practice success. It demonstrates your respect for their value as team members.

The world is changing mighty fast — as you know. The Parker seminar had two keynote speakers discussing critical social and health-related issues that are rapidly developing and will impact practices. I will report on this next week. Staying current with evolving technology and social trends allows you and your team to stay innovative and in better touch with your community.

Parker has great classes, but there are many other practical seminars. In the fall, most state associations have conferences with training programs within driving distance of your office. And beyond seminars, there are online courses, books, and your personal teaching.

I often encourage doctors to assign staff to read relevant books, sections of books, or specific videos and bonus them for doing so. The staff can present what they learned at a team meeting so everyone learns.

It is easy to feel we don’t have the time or the money to invest in training – for ourselves or our staff. But with deliberate practice and coaching, training improves performance and income.

Like chiropractic, training doesn’t cost – it pays!

Seize the future through study and training,

Ed

References:

Toffler: “Rethinking the Future: Rethinking Business, Principles, Competition, Control & Complexity, Leadership, Markets, and the World” (1998m Rowan, Toffler)

Going Public or Going Purpose

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Be like a juvenile delinquent!

The chiropractic model for care follows three main stages, according to many patient educational articles. These are 1) Relief, 2) Correction and 3) Maintenance and Wellness.

I am sure it could be nuanced into other levels or worded differently, but these three make sense to me — so much that it inspired me to write a book – The Goal Driven Business.

But I had another inspiration.

I read a book about a young French-Canadian rock climber who lived in Southern California and was not finding the equipment he needed. So, he became a blacksmith and started making his own. In the late 1950s and ’60s, he started the Chouinard Equipment Co and made climbing gear for other climbers. He also wanted better outdoor gear, and so founded Patagonia, a clothing company.

The name of the book was Let My People Go Surfing. It was by Yvonne Chouinard and tells the story of how he grew Patagonia.

Patagonia, now a 50-year-old company, has done very well financially. It has also done very well for the quality of its products and services and its employees. But it is also driven by the goal of making Earth healthier.

Patagonia demonstrates three goals I believe every business has: 1) profit, 2) expert service and people, and 3) higher purpose. In my book, I reference examples of how the best companies focus, knowingly or unknowingly, on these three goals.

The best offices I have worked with over the years have also been committed to these three goals. They cared about providing the best service to their patients, but also to their staff. They were committed to helping as many people as possible be healthier. And, of course, they insisted on profits.

Chouinard, with his family, own Patagonia.

That is until this month. Valued at 3 billion dollars, Chouinard announced that they are giving the company away. He could have sold it to … Amazon, for example, or they could have made it a public company. Instead, he donated it to a fund called the Patagonia Purpose Trust. He says, “Earth is now our only shareholder.”

“Instead of “going public,” you could say we’re “going purpose.” Instead of extracting value from nature and transforming it into wealth for investors, we’ll use the wealth Patagonia creates to protect the source of all wealth.”

I encourage you to look into Chouinard’s lessons on business, which he acquired through trial and error as we do! I have some links over on the blog (see below.) There are many business lessons to learn by studying the trials of other business owners in different types of businesses.

But I guarantee you that if you commit to these three goals, in the long run, just like with your patients, your business and your life will thrive.

And one other note!

I think ol’ Yvonne would have been a natural chiropractor. He reminds me of you guys. In an interview in 2017, he says:

“One of my favorite quotes is if you want to understand entrepreneurs, study the juvenile delinquent because they’re saying, you know, this sucks. I’m gonna do it my own way. And that’s what the entrepreneur does. They just say this is wrong. I’m gonna do it this other way. And that’s the fun part of business actually.”

So, have fun, and seize the future,

Ed

For links and other references, go to our blog here: Goal Driven

Ed Petty in front of Chouinard Equipment Company, Ventura California

 

Patagonia home page
https://www.patagonia.com/home/

Interview with Chouindard
https://www.npr.org/2018/02/06/572558864/patagonia-yvon-chouinard

News articles
https://www.reddit.com/r/climbing/comments/xebzib/yvon_chouinard_gives_patagonia_to_charitable/

https://www.inc.com/yvon-chouinard/patagonia-ceo-let-my-people-go-surfing-why-company-mission-is-not-profit.html

Book
https://www.barnesandnoble.com/w/let-my-people-go-surfing-yvon-chouinard/1124064053?ean=9780143109679

Which is Better for You: Direct Marketing or Indirect Marketing?

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Last week I sent an email with a link to Ode to Joy.

Ode to Joy is from Beethoven’s 4th movement of his 9th symphony, considered one of the top three symphonies ever created.

It was a short 5-minute rendition. It is beautiful and evocative – listen to it again. (Link below.) Plus, its performance was a masterpiece.

But it was actually an ad.

It was a brilliant advertisement for a Spanish Bank. It was promoting Sabadell Bank’s 130th year anniversary in 2012. According to one website, it has had 90 million views since 2012, while another posted in 2015 has received over 18 million views.

That is a lot of exposure. But does it generate new business?

This type of advertising is called brand marketing, or what I call indirect marketing. It is the opposite of direct marketing. Direct marketing, also called direct response marketing, tries to generate an immediate response. Knowing the differences will help you manage your marketing and make it more effective for your particular situation.

Direct Marketing

The goal of direct response marketing is to generate qualified prospects that respond to an offer. When you receive a card in the mail that promotes a free dinner about retirement funds, the company that sent you that mailer hopes you reply and attend the dinner and accompanying talk. At the dinner, a speaker gives a presentation with the hope of scheduling you for a private consultation later that week. When you see an ad on Facebook for a free manual, the advertisers intend that you respond and order their manual. The distinguishing characteristic of direct marketing is numbers – you can quantify the results of your marketing efforts.

Indirect Marketing

The goal for indirect, or brand marketing, is for the name of your business to be well known and well thought of. When you volunteer at the local food bank, co-sponsor a kid’s little league team, or simply provide excellent customer service, these are all examples of indirect marketing. The results of indirect marketing are difficult to identify immediately.

Until you are in Stage 4 in the growth of your business (about 75% or more full capacity), most of your marketing efforts should be direct marketing. Indirect marketing supports direct marketing, but even if your entire town knew about your business and thought highly of it, there is no guarantee that anyone would come to see you as a customer.

Handing out your business card to someone would be an example of indirect, personal brand building. However, handing out your business card with a handwritten note on the back that said something like “N/C screening in May for Joe M. Dr. EP” might be an example of a direct response marketing.

Marketing Mix – Direct, Indirect, and Internal, External

Another factor to consider in managing your marketing is how much should be directed externally – to non-patients and customers and how much should be directed internally to your existing and former patients and customers.

It has been my experience that too few practices are industrious enough with marketing to and communicating with their existing and former patients.

Below is a chart that gives approximate percentages of how to balance your direct and indirect marketing for your practice. I have divided the development of a business arbitrarily into 5 Stages. Figure each Stage to be about 20% your full capacity.

Telling your story and the successes of your services should never end, regardless of how successful you are. Change your marketing strategies depending at what Stage of development your business is in — but keep marketing.

Carpe Posterum (Seize the Future),

Ed
GoalDriven.com

Ode To Joy

Are Your “Engines” Driving Your Practice?

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A service business needs 5 different engines to become a Goal Driven Business

Five engines drive your business to its goals.

If these are installed and firing at 100%, practicing will be enjoyable and profitable. When these engines are not fully performing, the daily demands of running a business shift to, and fall upon, the owner.

These engines are functions and characteristics of a dynamic team that drive the practice toward its goals.

Many offices that seem to be doing well are driven by heroic owners fighting each day to grow their practices, and not by their engines. But this isn’t easy to sustain. At some point, it becomes too much, and they settle into a comfort zone below their abilities. As a result, their long-term goals remain unfulfilled.

This is the plight and path of the entrepreneur – brave, independent, but too often without a map on how to build a strong business that drives itself.

The five engines that drive a business to its goals are:

  1. Marketing
  2. Leadership
  3. Management
  4. Service
  5. Personal Integrity

I want to begin passing on tips on the marketing engine– what is working now and my best estimation of what will be working in the future. Marketing is vital, for without paying customers, the other engines won’t work and aren’t needed.

But before I do, I want to invite you to look at your business and gauge the health of each of your engines.

You can do this by reviewing how successful you are at achieving each engine’s outcomes (goals) and giving them a grade from one to five (1-5). 5 would be the point where the engine is achieving its goals.

  1. Marketing. Abundant new patients and goodwill with local allied businesses, organizations, and your community. A waiting list practice. (1—5: ___)
  2. Leadership. A business with clearly defined goals that are agreed upon and pursued happily. (1—5: ___)
  3. Management. Expert team members, acting as an expert team, implementing simple but effective procedures. (1—5: ___)
  4. Customer Service. Customers (patients, clients, customers) who are extraordinarily satisfied with the services they receive and their outcomes. (1—5: ___)
  5. Personal Integrity. Each team member is happy because of the positive and and responsible manner in which they manage their personal lives. (1—5: ___)

By grading each engine’s “output,” you can immediately see what needs the most work.

But these engines do not work independently. One affects the other so that there is a synergy created. As one improves, so do the others. The opposite is also true – the more one engine dies down, the more the other ones do as well.

It could be said that everything begins with leadership, and that may be true. But unless you are marketing your services, there will be no one to lead!

So next week, let’s look at a few effective marketing strategies and tactics that will help drive your business to its goals.

And by the way, how to achieve a 5 for all your business engines is described in The Goal Driven Business. If you haven’t read it yet, I encourage you to do so.

A great new February to you all,

Ed

The Cathedral, Stone Blocks, and Your Goals

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stone cathederal

(This is the third in our series on goals.)

The Cathedral, Stone Blocks, and Your Goals

Christopher Wren was one of the greatest English architects. He designed 53 different churches in London before he died in 1723 at the age of 91.*

There is a story about how he walked unrecognized one day among the men who were at work upon the building of St. Paul’s Cathedral — which he had designed. St. Paul’s Cathedral sits on a hill and is one of London’s most famous and recognizable churches.

“What are you doing?” he inquired of one of the workers, and the man replied, “I am cutting a piece of stone and working hard so I can feed my family.”

As he went on, he put the same question to another man, and the man replied, “I am an expert stonemason, and I am building a solid wall.”

He walked a little further, and around the corner, he asked a third man what he was doing. “I am helping Sir Christopher Wren build a beautiful cathedral that will be a place for worship, where people can come to pray, where the poor can come for clothing and food, for the Almighty.”

This is a parable that has some measure of truth, but I have not been able to find any credible verification. But the point of a story such as this is to illustrate an idea or moral.

All three workers had goals. They expressed these to Sir Christopher when asked what they were doing. We can assume that each stone cutter was skilled, worked hard, and did the same work as the others.

One can guess that their goals kept them motivated. But each viewed their goals differently.

The first two workers had immediate tangible objects as goals – a cut stone block and a well-built wall. However, the third stone cutter’s goal was a purpose, a vision of the future he was working to help achieve.

From this, we can look at all goals at two different levels: at a higher level, such as a purpose, and at a tangible level, which is a practical manifestation of the purpose.

In your practice, these two levels of goals might look something like this:

Higher Goal: Our mission is to help as many people as possible in our community become healthier, relieved of discomfort, and better educated so that they continue to improve their health and those around them.

Practical Goal: A person who completed a program of care, whose pain was relieved and is now healthier and incredibly happy with their results and of the service they received and has enrolled in a wellness program.

stone mason building a wall

Practical goals are quantifiable in a set period. For example, how many new patients can we generate, how many visits can we achieve, and how many programs of care can we complete next month?

There must be an equal emphasis on the higher goal, often called a mission, and the tangle goals, often called quotas or objectives.

Too much attention on the mission, and we live in a dreamland and go broke. Too much attention on production quotas, and we eventually feel like we are on an endless assembly line, find no meaning in our work and lose our motivation.

Like the stone cutters, dream about the cathedral but also set a target for how many blocks you will cut and how many walls you will complete next month.

Both echelons of goals should be viewed, reviewed, revived, and recalculated as needed at each team meeting.

Goals are your future – where you want to be. And, where you want your patients and your community to be. So, nourish them both as a mission and as outcomes, and the work to achieve them will come much faster and easier.

Carpe Posterum (Seize the Future),

Ed

*Wikipedia

Faith Demands to Make a Difference

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GoalDriven.com - Faster to a Better YearDecember 30, 2021

A year ago, who knew what the next 12 months would be like?

Yet, here we are today.

As the New Year is just before us, again, one can only wonder at what the future holds. Is this the “New Normal?”  How far will it shift in the next twelve months? For you, your patients, and your business?

Whathe goal driven businesstever new realities lie ahead, we are ready to help you and your business. We will be launching a new approach to practice and business building with the theme of Faster to Your Future in January. It is based upon the book the Goal Driven Business.

 

But just before we start the New Year, I wanted to pass along a message of encouragement.

It often amazes me that with all the wars, both “hot” and cold, the greed, the fear, and tyranny, with all of mankind’s utter insanity over the centuries, we are doing as well as we are. Somehow, as Abraham Lincoln predicted in his first inaugural address in 1861, “…the better angels of our nature…” came through and prevailed. Whatever challenges we may have, his were enormous. He was facing a nation divided, secession of the southern states, the policy of human slavery, civil war, and a world of other conflicts.

But in the end, there is something about the Innate Goodness of Life that seems to propel mankind forward towards a better future, however slightly. I think that the more we trust in the Better Angels of our Nature, and in the Goodness of Life itself, the more sure our road will be toward a better year for us all and a happier future.

“I have one life and one chance to make it count for something . . . I’m free to choose what that something is, and the something I’ve chosen is my faith. Now, my faith goes beyond theology and religion and requires considerable work and effort.

My faith demands — this is not optional — my faith demands that I do whatever I can, wherever I am, whenever I can, for as long as I can with whatever I have to try to make a difference.”

― Jimmy Carterjimmy carter supervising

So with this, we look forward to working with you to help make 2022 both prosperous and rewarding.

With admiration from all of us at Petty Michel and Associates,

Ed

SPECIAL PROMOTION – The Kindle version of the Goal Driven Business is FREE Oct 21st – 25th.

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the goal driven businessSPECIAL PROMOTION
National Chiropractic Month
The Kindle version of the Goal Driven Business is FREE
from Thursday, October 21 to Monday, October 25
= = =
What’s in the book? To give you an idea of some of the subjects covered in the Goal Driven Business, I put together a list which you can find below. You can also access this on the website, GoalDriven.com
In addition to the Free Kindle version, when you also sign up for our
Goal Driver’s newsletter with tips you won’t find anywhere else, you will receive 10 Powerful Goal Driven Tools FREE to build and develop your practice.
or go directly to Amazon and get the Goal Driven Business book only, in hard copy or Kindle download
I truly recommend you get the free Kindle version of the Goal Driven Business book. I also encourage you to pick up a hard copy. It is valuable information which we have used over the years to improve offices, just like yours. A hard copy book is nice to read, and re-read, like Dr. Peter Heffernan mentions:
“Ed has nailed it, with all his years of experience, in this book!
Read it and reread it, it is that valuable.”
J. Peter Heffernan D.C. DPhCS.
= = =
The Goal Driven Business –
A New Business-Building Methodology
List of subjects and key concepts
Part 1. Your Road, A Hero’s Journey.5
We Can’t Get There from Here.7
The Practice Roller Coaster and What Causes It10
Symptoms Of a Personality Practice12
16 Attributes of A Successful Business and Practice13
The 3 Goals Of “To Live Better.”19
First 2 Goals and The Eisenhower Matrix20
Goal 3: Your Greater Purposes23
Applying the 3 Goals to Improve Business Performance 24
The Synergy of the 3 Goals 33
The Hidden Barriers to Practice Success35
The E-Myth and Michael Gerber39
Your First Big Shift to Your Goals: The Goals Lab Where You Work on Your Business.43
Pareto Principle and How to Add More Time to Work ON Your Business. 47
Parkinson’s Law of Time 52
Edwards Deming and Kaizen54
Goals Achievement Process (Kaizen for Practice and Business Improvement.)54
The Coaching Review for Team Member Improvement 56
Your Practice Development Map: The Stages in Developing Your Business61
The 5 Engines That Drive Your Business to Its Goals66
The 20 Big Shifts You Will Need to Make to Achieve Your Goals67
Self-Study and Review of Part 170
Part 2: The Map and Manual to Your Goals72
Stage 1. Launching or Relaunching Your business. The Marketing Stage75
Peter Drucker and the Purpose of Business79
What Is Marketing79
Becoming a Marketing Evangelist 80
Simon Sinek and Your Why82
8 Successful Marketing Attitudes83
Overcoming Fear of Marketing Using The 8 Marketing Attitudes and WOC
86
Direct Marketing Versus Indirect Marketing 89
Unique Selling Proposition and Your SOB92
Marketing Boosters and Fast Action Marketing Tactics 93
Stage 1 Study Review99
 Stage 2 Blueprinting Your New Business. New Roles, Goals, & Flows 101
Moving Past the Personality Driven Practice103
Servant Leadership: Your New Role – Coach And CEO.105
Goal Driven Team Members – Characteristics and Key Training Elements109
The Goal Driven Manager – A New Role Than Leverages The CEO Role112
Your Marketing Coordinator and Other Key Roles in Your Business114
New Goals: Determining Your Higher Goals and Calculating Your Financial Goals116
Tony Hsieh and Your Core Values123
New Service Flows: More Efficiency for Better Service 126
How To Find Bottlenecks, Eliyahu Goldratt and The Theory of Constraint
127
Creating Your Systematized Marketing Machine129
Marketing Mix Chart for Each Stage of Your Growth 132
Time And Money Charts to Showing How Much to Spend on Your Marketing at Each Stage. 134
Study Guide Review on Stage 2  136
Stage 3 – People and Procedures: Implementing the Blueprint141
Why Employees Are Disengaged: The Assembly-Line Mindset144
Hierarchy Of the Boss and Employees as “The Girls”146
Summary Of the Old Practice Management Model149
Big Shift #12: The Employee as A Goal Driven Expert and Team Member
150
Self-Determination Theory and Edward Deci: Secrets to Employee Motivation152
Daniel Pink: And Greater Purposes and What Motivates Us154
9 Steps to Making Goal Driven Expert Employees155
Hiring The Right People – Jim Collins157
Let My People Go Surfing – Yvonne Chouinard 159
Goal Driven Procedures: Faster and More Effective159
The Humble Checklist162
The Checklist Manifesto – Atul Gawande 163
Simplicity And 80/20 Principle – Richard Koch163
A Sample Checklist165
Big Shift #14: Goal Driven Continuous Improvement – the Engine Within Your Business. 166
The Learning Organization – Peter Senge168
Study Guide Review on Stage 3 172
Stage 4 – Using Lean Management to Improve Customer Service and Personal Power175
How To Deal With 5 Common Challenges When You Are Winning178
Lean Management: How to Get More for Less180
Why Your Service Needs to Be World Class 183
Your Replacement Is Being Shipped: The Dismantling of The Professions — Susskind & Susskind185
7 Barriers to Extraordinary Service187
9 Components to Delivering Goal Driven Outstanding Customer Service190
Ken Blanchard and Raving Fans190
Become The Best Like Pablo Casals, Jiro Ono, Clarence Gonstead191
19 Steps to Create Extraordinary Customer Experience194
Freeing Your Personal Power201
Ben Franklin and His Practical List of Virtues202
Martin Seligman And Virtues in Action203
The 3 Goals and Your Personal Power205
Study Guide Review on Stage 4 207
Stage 5 – Total Team Leadership – Your Goal Driven Business211
Managing The Groundhog Day Syndrome to Avoid Burnout214
Creating Team Leadership Is Now Possible. Here Is How:215
Integrating Your Greater Goals for a More Powerful Business220
The Golden Gate Bridge Again – and Your NEXT New Game.224
Study Review on Stage 5  226
Part 3: The Reason for Everything: The Heart of the Goal Driven Business228
Getting Out of The Box. How Quantum Physics Can Help You to Your Goals. Sheldrake, Frankl 231
Conclusion – Liberty 237
Part 4. The 23 Principles of the Goal Driven Business238
1.      Power of Choice 241
2.      Constant Improvement 244
3.      Goals 245
4.      Self-Determinism and Drive 247
5.      Reality – Confronting the Brutal Facts 248
6.      Communication 247
7.      Collaboration and Self-Organization Works Better 251
8.      The Bridge to Your Goals: Procedures and Policies 253
9.      The Vital Few and 80/20 254
10.  Keep It Simple, Make It Simpler 255
11.  Log Jams 256
12.  Leverage Points 257
13.  Newton’s Laws 259
14.  Be A Farmer – Grow Your Business and Your Customers 260
15.  Be A Hunter – Direct Your Unique Selling Proposition to You Target Market 261
16.  Goals, Games, Groundhog Day 262
17.  Deliver the Goods – Abbondanza! 264
18.  Roles 265
19.  Getting Away 266
20.  Training and Coaching Make an Expert Team 268
21.  Network Effects 269
22.  Our Thoughts Affect Our Business and Life 270
23.  The Golden Rule 272

Why What You Stand For is Important

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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

Goals, Games, and Groundhog Day

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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!