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Don’t Let Old Acquaintances Be Forgotten in Your Chiropractic Practice

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Strengthen Your Network in December

“Remember, George: no man is a failure who has friends.”*

Three weeks till Christmas!

Yikes! Let’s make the most out of this month before we get into the fast lane of the New Year.

Take this month to connect and reconnect: patients, referral sources, team members and stakeholders, family friends – those dear to us. Share some good tidings and joy. Here are some ideas:

1. Keep the show on the road. While ensuring that everyone has time off, try to keep the lights on, the tables warm, and the greetings friendly all month. Anytime you close for a period of time, you can lose momentum. If you are closed for a few days, PACK the days you are open with visits! Remember:

Health Never Takes a Holiday!!

2. Thank You’s to referral sources. Plan to get out and thank all your external referral sources. Show your appreciation: cards, cookies, and guest passes for intro services! Keep your network active. Remember:

“Your chiropractic healthcare practice is a network of relationships created and sustained through communication and service.”**

 

3. Thank You’s to your patients. Show extra appreciation to your patients. It takes some courage and effort to venture out to see you for care. They are taking responsibility for their health, even though they may not follow all your recommendations. Have an appreciation party, send out greeting cards, give away poinsettias to families, or offer eggnog and treats from a local independent store with the store’s promotional sign.

4. Your Team. Look at your Profit and Loss for the year. If you have any extra dough, privately reward individual team members with a bonus. If the cupboard is empty, let your team know, but give them something. And THANK THEM!

5. Your Family. Don’t forget your family! Heavens! They deserve something for putting up with you this year! (lol)

6. The Spirit! Lastly, be filled with the Spirit of the season. You can watch It’s a Wonderful Life with Jimmy Stewart. Again!

The New Year will come at us fast… so take this time to absorb all the merriment, comfort, and joy you can so you’ll start fresh and filled with renewed energy in January.

So consider the actions above and Don’t Be Forgotten!

Should old acquaintance be forgot – and never brought to mind?

Should old acquaintance be forgot – and old lang syne?

With friendship,

Ed and all of us at PM&A

*from the movie, It’s a Wonderful Life
** from the book, The Goal Driven Business

—————————————————-

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

Who Do You Work For in Your Chiropractic Healthcare Office?

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Patients come second.

As a doctor, you work for your patients.

As a business owner, you work for the business end of the practice.

Both of these roles have different outcomes. As the doctor, your outcome is healthy and very happy patients. As a business owner, you want to see a profit.

When you begin your practice, you do so as a business owner and doctor. Any management or leadership you do is done from these roles. I call this an Entrepreneurial or Personality-Driven Practice. This is workable until you reach about 50% of your full capacity as a provider.

Beyond about 50% capacity, the practice needs focused leadership and management. It is time for you as the owner to step into the role of Clinic Director if you want your enterprise to continue to grow.

The outcome of the Clinic Director is not the same as that of doctor or business owner. In simple terms, the outcome is a well-run organization that provides excellent service at a profit.

So, who does the Clinic Director work for?

The staff! The employees. This is called servant leadership and management.

This is a major shift in mindset for most highly driven entrepreneurial business owners. But it can be done, and if done correctly, there is no limit to practice growth, prosperity, and independence.

SOUTHWEST AIRLINES

Customers Come Second, Employees Come First

Year after year, Southwest Airlines ranks at the top for customer service and profitability over other airlines. And for good reason. They are excellently managed and led!

Their goals, purpose, and values are well-defined. They are a Goal Driven Business.

In their book about Southwest, authors Keven and Jackie Freiberg reveal that Southwest believes that the love and support they show their employees will be passed on to their customers. Servant leadership is a central theme.

Chapter 18 of their book caught my attention: Customers Come Second — But Still Get Great Service. In it, they say at Southwest, “Treat your employees with care and concern if that is the way you want them to treat each other and your customers.”

WHAT YOU CAN DO NOW TO IMPROVE SERVICE AND INCOME IN YOUR CHIROPRACTIC HEALTHCARE PRACTICE

I use Southwest as an example, but there are many others.

In a smaller service company like a chiropractic or dental business, the doctor doesn’t have much time to be the Clinic Director or senior manager, isn’t paid (at least directly) for being one, and isn’t trained in management. Also, more than likely, doesn’t want to be a manager or leader. But what if there was a simple method to be an effective Clinic Director?

Well, there is. It is covered in my book, the Goal Driven Business, and is gone over in detail in our Practice MBA training program. In 2024, I will post more information on this subject and the Fast Flow CEO Method, as I am 100% certain that this is the stumbling block behind all stumbling blocks that keep practices from achieving greatness.

You can do this now:

  1. Define and communicate your goals and procedures. These need to be reviewed, in one form or another, by everyone weekly.
  2. Clinic Director. Set time aside as the senior coach of your team to develop your people professionally, and as you can, personally.

If you put your team first, they will put the patient first.

This is, when all is said and done, the Golden Rule.

Or perhaps… we could also call it the Goal Driven Rule!

Seize the Future,

Ed

*Nuts – Southwest Airlines, Keven and Jackie Freiberg

—————————————————-

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 Healthcare Patient Scheduling During the Holidays

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Health Doesn’t Take a Holiday

[scheduling tools below]

Is this December going to be better than the one last year?

If so, you want to make sure that the momentum of your patient’s care does not slow down. You want to keep them on their healthcare programs these last few weeks of 2023 and into 2024.

It is a festive time of year for family, friends, and Auld Lang Syne.

But through it all, health does not take a holiday.

Your patients still brush their teeth, take showers, and sleep. They should also stick to their treatment program, their exercise program and stay on track to better health. You and your team can help them do this.

TWO GIFTS FOR YOUR CHIROPRACTIC HEALTHCARE PRACTICE

As a subscriber, I have two gifts for you that can assist you in helping your patients stick to their schedules. (Links to access them are below.)

  • A tent poster that says: Health Never Takes a Holiday. Download it and print copies for the front desk or other areas to remind patients that…Health Never Takes a Holiday.

  • A scheduling calendar for December. Linda designed a scheduling calendar for our clients.

She says:
“The goal is to keep your patients as close to their treatment plan as possible during the hustle and bustle of the holidays! I have used monthly calendars in the past and, believe me, they help with patients keeping their schedules.

“The link will take you to a sheet with 4 monthly calendars per sheet for December – a calendar for each patient to keep track of their schedules.

  1. Download and save the file to your computer.
  2. Customize your name on each section of the calendar.
  3. Print out the sheet and cut it into fours. Have a stack available at the front desk.
  4. Schedule the patient in your system.
  5. Write in the times of their appointment on the day that you are scheduling them and give it to the patient.”

We all can use support and help to keep to our goals. As long as you are friendly and have the patient’s health in mind, they’ll appreciate your scheduling efforts.

In fact, it shows you care!

Enjoy the Season – encourage your patients to do the same. Just lock in everyone’s schedule and help them keep it.

Seize better health throughout the Season!

Ed

Downloads:

—————————————————-

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

 

Don’t Turn Your Staff or Yourself into Bots in Your Chiropractic Healthcare Practice

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Goals First, Then Procedures in Your Chiropractic Healthcare Practice

I asked the office manager if I could review some of the staff’s job checklists.

I had observed a staff member training another on how to use a therapy device on patients. Their attention was on the equipment, how to position the patient and where to place the electrodes.

So, I looked with interest at the job description and checklists about placing patients on therapy. The therapy checklist listed all the procedures – what wire went where, what position the patient was to sit in, etc. But something was missing.

The goal, the outcome, of the checklist was not defined.

There was no mention anywhere about the purpose of the therapy, what it does, why to use it. And worse, there was nothing about the patient as a person. The checklist did not say how to introduce the patient to the procedures – and how to educate them on what it does. It might as well have been instructions on how to hook up jumper cables, wire a sump pump, or fill out tax forms.

I went over this with the practice manager and later was told that the staff were now spending more time with the patients explaining therapy procedures.

GREEN AND CLEAN

There’s a deeper principle here. Steven Covey has a great video on getting his son to take care of the lawn over the summer.

Rather than giving him procedures on what to do, he pointed to the neighbor’s lawn and had him notice that it was green and also clean. He then pointed to their lawn, which was becoming brown and littered. He told his son that all he had to do was keep their lawn Green and Clean. He didn’t care how he did it. He might want to use a hose and sprinkler or use buckets. The specific procedures were up to him. But the goal was –green and clean.

It is an entertaining story on video — the link is below on our blog. The son finally got the idea and worked out how best to take care of the lawn.

GOALS FIRST, THEN PROCEDURES IN YOUR CHIROPRACTIC HEALTHCARE PRACTICE

Checklists are useful for training, agreeing on who does what, and preventing key procedures from being overlooked. Please use them. We’ve used them for 30 years. (If you need help please contact us!)

But they should always begin with the goal, the outcome of the sum of the procedures. What do these series of procedures produce – and what is their mission?

If you just focus on procedures, you and your team might as well be algorithms, computerized, and repetitive functions that occur electronically. Like an Internet robot or bot! By omitting goals first, you may minimize the innate creativity and power of everyone, including yourself.

On the other hand, if you challenge yourself and your team to define the WHY for each major and even minor procedure:

  • The procedures will be better applied.
  • You and your staff can find ways to improve the procedures.
  • You will be touching upon and rekindling the innate creative force we all have.
  • Your work will be more meaningful…

…and more fun.

Seize the Future

Ed

Green and Clean Video

—————————————————-

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
 
 
 
 
 

Where Are the Leverage Points in Your Chiropractic Healthcare Practice?

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Find them, invest in them, and see your practice improve.

One of the aspects of practice development that you become familiar with after 30 or so years in the field is the concept of Leverage Points. Once you can spot them and work out methods to take advantage of them, your practice significantly improves.

According to Donella H. Meadows, Ph.D., leverage points “Are places within a complex system (a corporation, an economy, a living body, a city, an ecosystem) where a small shift in one thing can produce big changes in everything.” *

using leverage in chiropractic healthcare management

HIGHER LEVEL LEVERAGE POINTS IN YOUR PRACTICE

Ms. Meadows lists 12 levels of increasing effectiveness where leverage might be found. The top levels that can make the most significant changes are:

  • Goals
  • The mindset from which the business arises from
  • The power to transcend assumptions and accept new goals and values.

This is the Above Down Inside Out shift that can ignite the Innate power in a practice.

I have seen this when the clinic owner or team member becomes extraordinarily inspired and motivated, filled with a sense of mission. I also have noticed this in offices that shift from an entrepreneurial practice that is entirely dependent upon the owner to a systematized and goal-driven business.

TANGIBLE LEVERAGE POINTS

Adding a scribe or clinical assistant can be a practical example of utilizing a leverage point in a more tangible application. This might allow you to see an extra 10 patients a week and provide better service with less stress. In the end, you would have a positive Return on Investment for what you paid for the extra help.

Another example might be a situation where your front desk can’t keep up with check-ins, check-outs, call-ins, questions, data entry, cash collections, marketing reminders, and just being friendly. By adding the right person at the front desk, even a part-time during prime time in the afternoons, your volume might surge. (I have seen this.)

For a marketing example, you might be next door to a gym that sees hundreds of people each month. You could leverage your location with just a little effort to create a very beneficial relationship for their business and yours.

There are many examples of finding areas of your practice where the return will be positive when given more support.

LEVERAGING PRACTICE MANAGEMENT

In my experience, the number one leverage point is management.

As a practice grows, the admin tasks multiply exponentially. These start to fill up the doctor’s time, and eventually, growth hits a plateau.

By adding someone to take care of office administration or clarifying the duties of someone currently in that role, you can better concentrate on service, production, and leadership.

As a result, revenue increases and stress decreases. Proper training for the manager is essential and, unfortunately, usually absent.

As an aside, we are solving this now through our Practice MBA program. We are just a little more than ½ way through the training, and I am both impressed by their work and proud to be helping them become Goal Driven Managers.

But leverage points could be anywhere. Even between your ears! (haha!)

Look for where you might find a log jam or an untapped resource. Invest some time in supporting that area and see if that doesn’t make a big difference in practice.

You have untapped power in your business just waiting to be leveraged.

Ed

*Reference https://donellameadows.org/a-visual-approach-to-leverage-points/

—————————————————-

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
 
 

How to Grow a Chiropractic and Health Business

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How to grow a chiropractic business

I was recently invited to my son’s wife’s family’s apple butter cookout. Yep, that’s right, cooking apples over an open fire. It’s a tradition.

It is also apple harvest season up here in the northern Midwest. You got yur Honey Crisps, Honeygolds, Snowsweet, Fuki, Jonathans and others. Lots o’ apples!

Harvest time.

I bring this up because, well, it applies to your office. Here’s how:

THE LAW OF THE FARM

There is a metaphor called the “Law of the Farm” or the “Law of the Harvest.” Stephen Covey refers to this in his book, The Seven Habits of Highly Effective People. (I include a link to a short video below)

The concept comes from the observation that apples come from farmers farming. An apple orchard requires tender, loving care over the entire year from growers who plan and carry out disciplined regular work to ensure a bountiful harvest.

Aside from occasional droughts or freezes, if your harvest is poor, it is not because of the “apple spirits,” or that maybe you had a bad childhood. It is because one or more of the necessary preparatory actions needed to produce the apples were not done.

There are no shortcuts. Getting angry with the apple trees does not help.

YOUR CHIROPRACTIC AND HEALTHCARE PRACTICE IS LIKE A FARM

The Law of the Farm, or the Law of the Harvest can be applied to your practice in the following ways:

  1. Long-Term Planning. Just as a farmer plans their crops well in advance, a business should set clear goals and strategies for the future. This includes defining your mission, the key values of your team that determine its culture, the outcomes, and production goals.
  2. Investment and Resources. Just as a farmer invests in seeds, land, and equipment, you must invest in your resources wisely. First and most important, invest in your people, including yourself: training, coaching, and hiring. Marketing, in one form or another, is always a necessity. Updating software and equipment, occasionally, or the décor of your office is also an investment.
  3. Consistency and Diligence. Sticking to what works is vital. This is why I recommend job checklists as part of the Goal Driven System. It takes discipline to keep doing what works, but consistency brings about confidence in your patients and your team. Daily tasks and routines are like tending to crops regularly.
  4. Patience and Adaptation. Just as a farmer must wait for crops to grow and adapt to changing weather conditions, chiropractic practice owners must be patient and adaptable. Success may not come immediately, and you will face unforeseen challenges. Being able to adjust strategies and remain patient when unexpected failures occur is critical.

Looking at your practice as something you need to grow to produce excellent outcomes is a useful exercise.

Patience can be tough to master as a business owner when you have invested everything on the line. But if you have done your preparation, as all farmers must do, most of your concerns are for naught.

The Law of the Farm is a principle from which you can draw many associations to your practice. As an exercise, you might discuss this with your team: How can we apply the Law of the Farm to our practice and improve our service?

APPLES DO NOT COME FROM THE GROCERY STORE

Similarly, happy patients, completing their chiropractic or healthcare treatment program, being relieved of pain, healthier, and referring others do not come from the new well-advertised social media ad campaign. All the shiny new ads and promotions don’t make up for the Law of the Farm.

There are no shortcuts.

You reap what you sow — and nurture and take care of.

We are all farmers!

Ed

PS I also discuss this in The Goal Driven Business, #15 Goal Driven Principles, page 262 Be a Farmer: Grow Your Business and Your Customers

Watch this short video about the Law of the Harvest.

https://resources.franklincovey.com/mkt-7hv1/law-of-the-harvest-2

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
 
 
 
 

Improving Chiropractic Patient Follow Through

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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

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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?

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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?

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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

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)

Hiring, Retaining, and Engaging Staff Post COVID

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The Goal Driven Practice by Gallup

I remember listening to Bruce Lipton talking in San Francisco at a Life West seminar about how chiropractic was so advanced that cellular biology, specifically epigenetics, was just starting to catch up. My thought listening to him was that, while chiropractic was perhaps ahead of its time, its management was still in the Industrial Age.

Michael Gerber of E-Myth fame and many other consultants emphasize the importance of procedures. Procedures, systems, and routine methods that bring about consistent results are the “best practices” businesses strive to achieve. This is the basis of the franchise model.

But while procedures are important, people are more important.

Therefore, the most vital procedures are those that you use to help your people become more competent and motivated. These are leadership and management procedures.

Leadership and management have always been important. But we are in the 2020’s now, long past the Industrial model of assembly-line procedural work. We are past the Information Age. And now, past COVID.

The world has changed, and how we run our practices must also change. The old model of the dominating doctor and his secretary, or “girls,” hasn’t worked well over the last 20 years. And now, we have seen many offices struggling to find, retain, and engage qualified employees and doctors.

Just as my book, The Goal Driven Business, was being published, I became aware of another book that Gallup just recently published called It’s the Manager. Not to brag, but much of what they explain is also covered in my book, especially for practices. What I like about Gallup, aside from validating my information, is the stats from the hundreds of studies they have completed.

It is now vital that you take on the role of Clinic Director or senior manager, which is different from doctor or business owner, and develop your leadership and management skills.

In short, you need to create a Goal Driven team of employees, doctors, and patients – all working together to achieve positive goals. This is a holistic, even futuristic, model of business.

We have been building new courses to train doctors and their managers in leadership, management, and marketing principles which we will pilot later this summer. (Replying to this email lets me know if you might be interested. I will keep you in the loop.)

But let’s start creating your Goal Driven Dream Team now.

Let’s begin with a recommendation from Gallup:

“Gallup recommends that organizations immediately change their culture from old will to new will. These are the six biggest changes that we discovered: [I only include the first change below.]

“Millennials and Generations Z don’t just work for a paycheck — they want a purpose. Their work must have a meaning. In the past, baby boomers and other generations didn’t necessarily need meaning in their jobs. They just wanted a paycheck. Their mission and purpose were their families and communities. For millennials and Generation Z, compensation is important and must be fair, but it’s no longer their primary motivation. The emphasis for these generations has switched from paycheck to purpose – and so should your culture.”

Seize your future,

Ed

Do What You Do Best and Delegate All The Rest!

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Doctors doctor.

They care for patients and earn their trust. They get results and sweat the details.

It is upon your services as a caring and competent doctor that EVERYTHING ELSE in your office exists. The phones, the computers, the software, the supplies, the emails to you, and of course, the support team and all of the details they deal with — the whole operation is just there so you can see and take care of patients.

The office is there for you, your doctors, and providers to improve the health of your patients. We all know this, but sometimes, we can get lost in the forest of “Everything Else.”

Everything Else is all the administrative details and the confusion and conflicts that need to be sorted out each day. Everything Else is everything other than seeing your patients.

When you deal with administrative functions, the capacity for seeing your patients shrinks.

It costs your business thousands of dollars when you spend time on administrative details that someone else could be managing.

But, if you don’t take care of the administration, who will? Staff are helpful, however they don’t know as much as you, and probably aren’t as motivated. Your license, debt repayments, reputation, and livelihood are on the line.

Most doctors find themselves in a kind of a trap.

It is a nice slogan, To Do What You Do Best and Delegate All the Rest, but how do you do this? Whom can you delegate to? Which team member should you delegate work to, and when do you have the time to train them? When do they have the time to be trained? And on what are you going to train them?

How do you break out of this trap?

There are real reasons why this is difficult to do, and there are also fake reasons masquerading as real reasons.

Many of these reasons are hidden or even counter-intuitive, and so it is difficult to breakthrough and take your practice to the next level. But if you know what these barriers are and get some help, you can break out of the trap and build a business that is less dependent upon your management of administrative issues.

Here are just 3 suggestions that can help you.

Give It Up to Your Team. Your team wants to be empowered to do more. This fact comes from Self-Determination Theory. (I discuss this at length in my book, The Goal Driven Business.) They want their own sandbox to work, and once they have conquered that, they want to level up and somehow learn more and or do more. Just like you!

Your Lab. Part of the Goal Driven System includes the Lab. This is your Goals Laboratory. The Lab is where and when you work ON your business, not just in it. This is when you take the time for yourself, or with your team, or your coach or coaches and colleagues. This is where you will review, analyze, study, train, and recharge. Lab Time is time you take for improvement. Here you are not the DOCTOR. Here you are a coach for your team, a student for yourself, and the Clinic Director/CEO to review how your business is working.

The Vital Few and Pareto. Only a minor percentage of your work each day is vital. This is according to the Pareto Principle, which states that around 20% of what you do produces 80% of the important outcomes. The key is to recognize your 20%. With this principle in mind, don’t be fooled – you have the time to go to the Lab and work on improvement. Improving your business, like improving your patients, is part of the 20%.

If you feel that your practice growth is stuck, if you feel that your business can grow more, consider the three recommendations above. Read the book The Goal Driven Business, especially the Chapter You Can’t Get There From Here. You can also give me a call and we can talk. Maybe I can give you some tips that might help.

Let’s help more people!

Ed

PS I thoroughly cover how to get out of the Admin Trap in The Goal Driven Business.

Got a practice question? Interested in our upcoming management training program? Need help about something? Let’s talk.

Networking for Chiropractors and Health Providers

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 (This is part 2 following the last blog on the best known marketing secret.)

Networking is a marketing method that generates referrals from your direct efforts, from your patients, and from outside referral sources you have established. This is not only the most cost-effective form of marketing for new patients but helps to retain the ones you have.

YOUR PRACTICE IS A NETWORK

If you think about it, your practice itself is a network. A practice is a network of relationships created and sustained through communication and service. This is my definition, though yours could be similar.

Networking is simply creating a connection with another person in which you both share an interest in common and enjoy talking with each other.

Networking is getting to know people — who know people.

But I would also add – getting to know people you are interested in. Effective networking can’t be faked.

THE 4 COMPONENTS OF NETWORKING

I have seen 4 major components of effective networking:

  1. Genuine interest in people. The best health networkers are interested in their active patients, inactive patients, and people in their community.

  2. Genuine interest in the services they provide. The best networkers are excited about their services and what they can do for people.

  3. Give in abundance. Effective networkers are givers. They provide excellent clinical service as well as free assistance, such as health tips, special events, referrals to other providers or services, a book, or a smile. And they educate others about the health subjects their services address.

  4. Organization. A structured program needs to be in place to ensure net-working continues.

Venues for Networking

Table Talk. This is your private time with your patient. Be curious about them and how they are doing. Then, tell them about what is interesting to you about their health, about health subjects, and your services. Often, patients may see you for back pain but may not know that you also treat headaches and other issues.

Continue the Table Talk. Follow-up with your custom newsletters. I stress this routinely. You have hundreds, if not thousands, of people you have seen whose trust you have earned. You have started a relationship with them — why neglect it? This is why, for those offices on our new Mastery program (more about this soon!), we insist on sending out personal, customized emails for you monthly.

Social media is fine, but it is different. Posting a success story or an upcoming event is fast and easy. This helps with social proof and brand awareness. I have also seen it useful in short spurts for advertising, driving readers to a lead page, or making a phone call. But organically, few people will see your unboosted post. “If you have 2,000 Facebook fans usually only 2-5 people will see each post you publish” says Stuart Marler from Retriever Digital. (Mail Munch)*

Internal Events. In-house events from workshops on health to organic farming, barbecues, appreciation days, and yoga classes — the ideas are endless. And even if only 3 people show up, well promoted, you create the image that your office is an alive and vibrant health center.

External Events. There are the usual events: the Lions Club pancake breakfast, the local parade, the 5K Walk-Run, the art fair, the County Fair, and all the summer events that local communities host. These are great opportunities to meet new people.

Some doctors network with their church, or their local school affiliation as a high school coach, or with women’s groups like La Leche. Some doctors become involved with an ethnic group, and network with them. Se Habla Espanol? Often the connections are made via the patient.

You can also start creating your group. Visit the autobody shops and create a PI referral network. Or become the go-to source for local ballet, dance, and drama participants. Or, become THE motel chiropractor in town.

ORGANIZING YOUR NETWORKING

Organization. The biggest barrier to networking is a lack of internal structured organization supporting your marketing. I covered this years ago in the Marketing Manager System. Similar to the systems for your front desk and billing departments, you should have routine procedures, stats, and someone in charge of your marketing projects. And they need guaranteed time each week to work on the marketing.

Team. Each member of your team should be a trained and motivated networker – both in and out of the office.

The goal of networking. The goal of networking is the same as the mission of your practice: to help as many people as possible become healthier.

Stay interested and curious — give abundantly and educate.

Let’s do it!

Ed

Need some tips on how to improve your networking? Let’s talk.

* https://www.mailmunch.com/blog/email-marketing-vs-social-media

—————————————————-

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.

The Goal Driven Business By Edward Petty

 
 
 

The Truth In Chiropractic and Health Care Marketing

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The Best Known Marketing Secret
 
The more things change, the more they stay the same.
 
Artificial Intelligence is all the rage. For good reason. It’s set to change the world as the Internet did, maybe more so, and in ways we can barely fathom.
 
Geoffrey Hinton recently quit his job at Google to speak freely about the risks of AI. He and two other so-called “Godfathers of AI” won the 2018 Turing Award for their foundational work leading to the current artificial intelligence boom. He now says a part of him regrets his life’s work.*
 
His immediate concern is that the Internet will be flooded with false photos, videos, and text, and the average person will “not be able to know what is true anymore.”
 
What is True?
 
You can fool people some of the time, but success in chiropractic marketing and practice is ultimately based on trust.
 
You may already send your patients scripted texts, prefabricated emails, and even automated educational or sales videos. You may have a testimonial service that posts positive testimonials for you.
 
Yes, the world is becoming more automated, artificially “intelligent,” and virtual.
 
But at some point, your patient, or potential patient, will start to wonder… “is this communication from Dr. Smith, chatGPT, or a robot in China?”
 
You are the Truth
 
What is the truth in marketing?
 
In this age of increasing artificiality: you are the truth!
 
Images and voices of people can be faked. You can record your voice, type in a sentence, select an image of a person, and that person will vocalize what you typed, in your voice. The future is going to be amazing in its ability for fakery.
 
But overcoming this is simple.
 
Show up and meet people. In person. In real life. (IRL) Person to person, create relationships and from these, generate referrals.
 
People want community. They want relationships. They want a real person.
 
Sometimes you want to go
Where everybody knows your name,
And they’re always glad you came;
(From TV sitcom Cheers.)
 
Marketing in Truth
 
Marketing in real life is networking. Networking is getting to know people who know people.
 
The most immediate and obvious resource for networking is connecting with those people who know you, trust you, and probably even like you (lol). Your active patients, inactive patients, friends, and community members in business or in organizations, all add up to hundreds, if not thousands of people.
 
I recently saw a dedicated chiropractor I know promote a local BNI workshop. BNI stands for Business Network International. It was founded by Ivan Misner, who wrote the excellent book, The Best Known Marketing Secret. It is all about Word-of-Mouth advertising – networking.
 
Perhaps because of technology, or the COVID lock down, or possibly more nefarious reasons, friendly public in-person get-togethers have been declining.*
 
I think now, more than ever, networking is and will be a very effective form of marketing.
 
You can spend money on Facebook ads or advertise on other platforms. Now and then, go for it! But strictly speaking ROI, a structured and continuous networking plan can’t be beat. (Contact me if you want a few tips setting up your networking plan.) It may take time to develop, but once in place, it can almost run on its own, sending people to you who need your services.
 
In his book, Misner refers to a friend of his who says that we all are cave dwellers. We live in our cave houses, get into our cave cars, and go to our cave offices. I would add that we also live in our virtual media caves, whether social or Netflix!
 
His point is that there is a whole world out there if we just get out of our caves and meet people.
 
I have seen many different and effective forms of network marketing that work. I’ll go over a number of examples in the next newsletter to keep this letter short.
 
But consider this: AI will never replace you. And it will never replace the individual across from you.
 
And THAT…is the truth.
 
Stay Goal Driven,
 
Ed
 
 
References:
*77 percent of planners find it harder to attract attendees, while 73 percent report lower attendance. (Skift Meetings, 2022)
 
*https://archive.is/2023.05.01-091113/https://www.nytimes.com/2023/05/01/technology/ai-google-chatbot-engineer-quits-hinton.html

Chiropractic Has Always Been Organic

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Chiropractic has always been organic. Earth Day, goaldriven

You can improve your marketing by aligning your services with positive causes in society.

A fitting example occurs this time of year.

Earth Day is on April 22 (Saturday). It promotes a healthy planet and stands for protecting the earth’s natural resources for future generations.

Earth Day had several early separate beginnings but was finally pushed home by a senator from the great state of Wisconsin, also its former governor, Gaylord Nelson. The first Earth Day was in 1970 and “brought 20 million Americans out into the spring sunshine for peaceful demonstrations in favor of environmental reform.”

But Senator Nelson was also a proponent of natural health and fought for chiropractic.

In a statement to Congress in 1963, Nelson said, “Chiropractic has become increasingly accepted as a safe and effective form of health care…I believe it is time that Medicare beneficiaries be given the opportunity to receive the benefits of this form of health care.” Nelson’s efforts helped pave the way for chiropractic care to be included in Medicare in 1972.

If you distill it all down, it is all about health: a healthy planet and a healthy body, naturally.

People want this – your patients and your community. They want a healthy planet and a healthy body.

This may not be apparent because of advertising and corporate news. There is a relentless pitch to your patients and community to eat cheap bad food, that a toxic environment is no big deal (“move along, nothing to see here”), and that drug stores are health stores.

But despite the billions spent on promotion and lobbying for bad food, bad medicine, and covering up the poisoning of our planet, the innate (and tribal) wisdom of us all prevails. The sales of organic foods and health supplements are booming. The natural healthcare industry, including chiropractors, acupuncturists, and integrative health providers, continues to grow. And there is increasing concern about how pollution causes deaths and illnesses, not to mention climate change.

I bring this up for two (2) reasons:

Reason #1: Marketing: Chiropractic and Earth Day

By aligning your office with Earth Day, eco-conscious consumers who value natural and sustainable products and services will see your services as a desirable alternative to medical practices. You are the obvious choice as health doctors.

Years ago, we put together some posters and pins related to Natural Health Week, coinciding with Whole Earth Week and Earth Day. Some offices still use versions of them! (Link below.) You can do something similar this Friday, next week, or all month. For example:

  • Hand out seeds to grow vegetables in the backyard. Include a coupon for a family member or friend.

  • Support a local health food coop and bring in healthy muffins for your patients.

  • Create a community clean-up drive.

  • Partner with environmental and health organizations. You can share events, newsletters, and create allied relationships.

But there is another reason I bring this up.

Reason #2: This reason is BIG. It will have to wait till tomorrow,
Wednesday, April 19.

But please stay tuned!

See you Wednesday!

Ed

Link to Posters and References at our blog.

 

Will AI replace chiropractors? I asked AI.

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AI robot in office setting typing. I ca-an adjust you no-w.

AI is all the rage. AI art, AI music, AI writing, and on and on.

These services are impressive. Manufactured-for-you newsletters, articles, art, and music. All done at relatively high quality.

AI could replace writers, artists, and musicians as it has with taxicab drivers with Lyft and Uber. Maybe it will soon replace truck drivers, computer coders, customer support specialists, media jobs, legal assistants, accountants, etc.

So, I wondered, how about chiropractors?

I asked a few AI-powered services about the future of chiropractic and how AI might affect chiropractors. Here is an example of one of the answers:

“Could AI replace chiropractors?

“According to the current research, AI is unlikely to replace chiropractors [3]. Chiropractors perform several tasks that require human capabilities, such as manipulating the spine and musculoskeletal system to treat patients, diagnosing health problems, and advising patients on recommended courses of treatment. However, AI can assist chiropractors in various ways [1]. AI can help with data management and analysis, providing insights for personalized care and health research. Moreover, AI can save time and money, allowing for more high-level tasks and automated back office work in a chiropractic clinic. It can help clinics put computer intelligence to work and improve patient journeys [2].

References: [1] Chiropractic application of artificial intelligence in medical … [2] Chiropractors Embrace Artificial Intelligence and Create … [3] Will “Chiropractor” be Automated or Replaced By Robots?

= = =

So, for now, I think you’re safe. But automation is increasing – exponentially.

In my book, the Goal Driven Business, I address this issue and refer to other scientists and authors who have studied the subject.

“Your Replacement is Being Shipped Now

“According to Richard and Daniel Susskind, the traditional professions will cease to exist in the state that we currently know them. In their very capable book, The Future of Professions, the authors state: “Whatever terminology is preferred, we foresee that, in the end, the traditional professions will be dismantled, leaving most (but not all) professionals to be replaced by less expert people and high-performing systems.” (Page 185)

= = =

Obviously, no machine is going to adjust patients any time soon.

But we have to be careful that we don’t substitute AI and automation for our personal care for our patients.

I recently talked to a chiropractic assistant about sending out birthday cards to patients. You, know, an actual card (postcard), hard copy, mailed. She couldn’t see the point. “Why not just send a text? It’s part of our automated program.” I pointed out that the text could be coming from an apartment in Nigeria, and your patient would never know the difference.

Nothing against texting, but our world is superficial and impersonal enough.

Here is my recommendation: AI, automation, and electric screwdrivers are all tools. Used correctly, they can help you provide better service. Used incorrectly, you can be persuaded to have automation take the place of you.

A pathetic example is the bulk chiropractic electronic newsletters you can buy as an automated service. I am all for newsletters, but these types of newsletters do not improve the communication between the doctor, the office, and the patients. They are just bland content.

This is why we help our clients send out their own newsletters to their patients.

AI and automation will never replace you if you utilize them as tools to improve your services, outcomes, and communication with your patients and patients to be.

Delegate and Automate
But Don’t Abdicate

Happy Spring(Autumn Down Under!)

Ed (Written by Ed Petty!)

The Patient Handoff

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doctor and two women introductions.

Improving your patient’s experience.

There are subtle and brief moments in your practice when you and your team can earn or lose your patient’s trust. It can make the difference between your patient agreeing to your care program or finding a reason to delay the decision.

Excuses can be easy to dream up. There are hundreds of reasons why someone can’t, or won’t, agree to a care plan or follow through with their care. But the reasons presented may not be the actual ones.

Surveys show that customers cease their relationship with a business when they experience an attitude of indifference on the part of the employee or business. People hate to be ignored.

You know this, so you ensure you and your team communicate well with patients at the front desk and during the report of findings and case presentation. These are obvious communication events.

But just as important, but not always as obvious, is the communication that occurs when the patient is transferred from one staff member to another.

This is called the Patient Handoff.

For example, the doctor has spent time reviewing the exam and imaging findings with the patient and correlated them with their history. The doctor explains the health issues and the care plan to the patient. The patient nods in agreement. With other patients now waiting to be seen and the doctor feeling rushed, the doctor may leave the patient and ask another staff member to schedule the patient for care and to work out their finances.
It would take another 3-5 minutes for the doctor to introduce the patient to another staff member and relay the key information to them in front of the patient. It would be minutes well spent.

“Hi Betty (Patient Accounts Specialist). This is Sam. He works out at the same gym as I do over at Acme Fitness. He wants to keep up with his workouts so I have worked up a treatment plan to help him recover from low back injuries. I’ve included the info in the back (hands written report to Betty). Could you schedule him for his appointments and discuss his payment options?”

“Sam, any questions or comments?”

“No.”

“Ok, great. I look forward to working with you here at the clinic and also at the gym. See you soon.”

After the report of findings is a handoff event that can be too easily cut short or skipped altogether. Another handoff I have often witnessed omitted entirely is introducing the new patient to their therapy and rehab services.

We are all in a hurry, but these patient care transition points hugely impact how your patient experiences you and your clinic.

In sum, patient handoffs help with the following:

  1. The continuity of care ensures that the patient receives consistent and appropriate care throughout their treatment plan.
  2. Minimizing misunderstandings or errors in their care.
  3. Improving your patient’s satisfaction and trust in you and your clinic.

Take time to do thorough patient handoffs, and you will see retention improve, referrals increase, and happier patients.

Working towards a healthier future,

Ed

Failure to Follow Through

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It is the ‘follow through’ that makes the great difference between ultimate success and failure, because it is so easy to stop. — Charles Kettering

Failure to Follow Through

If it worked once it probably will work again

There is a management disease that many businesses, including chiropractic and other health practices, can suffer from. It is called “Failure to Follow Through.”

I noticed this at one of the first offices I worked with in Northern California – years ago. Their numbers were down. When I visited their office on a hot summer day, the reception room was empty, and few patients were scheduled. I noticed they had a thick binder of photos of patients and staff on the lower shelf of a dusty bookcase. The photos showed happy staff, doctors, and patients. There were also patient success testimonials, several years old.

We all met together for a staff meeting. I asked the doctor and staff if they could name a few specific actions they did back then. I said, “let’s start with marketing.”

Well, it turned out that they ran advertisements for a bi-yearly promotion. So I asked if they had done this in the last few years. “No” was their answer.

“What else were you doing at the time,” I asked. They said they always discussed financial and scheduling arrangements away from the front desk. Are you doing that now? “No.”

What else were you doing during that time? “We used to call the new patient after the first adjustment.” They also did progress exams. “Doing it now?” “No.”

The list went on and on.

Being the brilliant practice management scientist that I am, I encouraged them to re-implement what they had been doing. They did, and a few months later, the office was filling up again.

Practice Management

If it worked once, it probably will work again. Make minor improvements as needed, but why change the system if it is working?

Well, you can get bored, right? Or a staff member who knew the system left and their duties were not replicated by someone else. Or, everyone gets bored, so you feel the need to change things to bring excitement back into the office, and key procedures quietly start disappearing.

Discontinuing your successful procedures can create a roller coaster ride for your practice, with numbers going up and then down. And this can cost you thousands, even tens of thousands of dollars.

A checklist of successful procedures is essential, but that is not enough. They need to be reviewed regularly.

That, too, is not enough. We need to keep the practice environment fresh and lively while still maintaining those activities that are helping us grow and develop. We are not on an assembly line, and we are not robots!

I cover this in my book, The Goal Driven Business. (See Goal Driven Principle #17, Goals, Games, Groundhog Day). This is part of the Goal Driven System of practice development and includes checklists, reviews and coaching, and other components, such as gamification.

Gamification is a new term for an old principle: we like to play games! As video games became more prevalent, businesses saw that they could adapt elements of gamification to help engage employees and customers. Nothing new, really.

To make your office feel new again, you can think of a new promotion for this summer or new colors to paint the office. Spend a morning reviewing your goals, mission, and policies, and then go to a spa for a reward! One office creates a health theme each year and makes t-shirts promoting the theme for staff and patients.

Keep it fun — but stick to your winning ways.

Patient Management

ALSO… like practice management, patient management can also be affected by failure to follow through. Your patients need help to adhere to their treatment plan to achieve their health goals.

Stick-to-itiveness is simply being true to our goals.

Make improvements along the way and keep it fun. But help each other and your patients follow through.

Your goals are waiting for you!

Ed