{"id":1040,"date":"2007-06-21T12:43:31","date_gmt":"2007-06-21T17:43:31","guid":{"rendered":"http:\/\/pmaworks.com\/observations\/?p=1040"},"modified":"2011-01-19T12:46:48","modified_gmt":"2011-01-19T18:46:48","slug":"the-self-reliant-chiropractic-clinic","status":"publish","type":"post","link":"https:\/\/pmaworks.com\/observations\/the-self-reliant-chiropractic-clinic\/","title":{"rendered":"The Self-Reliant Chiropractic Clinic"},"content":{"rendered":"<p><span style=\"text-decoration: underline;\">Six Steps To A Clinic That Runs Itself<\/span><\/p>\n<p>Some chiropractic offices seem to run themselves.\u00a0\u00a0 The doctor walks  in, the rooms are full, and he leaves after the last patient is seen.\u00a0  The staff is efficient and upbeat. The chiropractor takes lots of  vacations and can afford to.\u00a0 New patients call in every day.<\/p>\n<table border=\"0\" cellspacing=\"2\" cellpadding=\"0\" width=\"219\" align=\"right\">\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.pmaworks.com\/main\/uploads\/on-the-beach.gif\" border=\"0\" alt=\"\" hspace=\"5\" vspace=\"5\" width=\"219\" height=\"146\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Isn\u2019t this what we all want: a self-reliant office that is profitable, gets people better, and gives us plenty of time off?<\/p>\n<p>What we don\u2019t want is a doctor-reliant office. You know, the one that  requires your constant supervision, your hourly orders, and many hours  of extra work.\u00a0 The one where you struggle for new patients and that  gives so much stress to you, your staff and family, and in return  provides so little profit.<\/p>\n<p>There are not too many  self-reliant offices, but they do exist.\u00a0 Maybe you have experienced  such a condition in your own chiropractic practice, or seen it. In such  an office, there is a lot going on behind the scenes that can go  unnoticed.<\/p>\n<p>What are these often overlooked key  components that make up a self-reliant office?\u00a0 Listed below are six of  them that you can use to make your office self-reliant.<\/p>\n<p><strong>1.\u00a0\u00a0\u00a0 Staff.<\/strong> You have to have the right staff in the right positions.<\/p>\n<p>They  also have to be trained and have the feeling of being included in the  overall growth and decision making of the office. Otherwise, they can  become apathetic, as their views have no weight and so why should they  have any views or suggestions? This is an important reason to have staff  meetings, by way. They help include everyone in the management of the  office and helps make employees feel like it is their clinic too.<\/p>\n<p>By  the way, staff also include any vendors that support you and your  business, from accountants, coaches, and consultants, to computer  support providers and lawyers.<\/p>\n<p><strong>2.\u00a0\u00a0\u00a0 Procedures<\/strong>.  As Aristotle said,\u00a0 \u201cWe are what we repeatedly do.\u201d\u00a0 This is a subtle  but huge secret of the successful offices: they do what they do  consistently. Over and over again. They don\u2019t change. Sometimes they  need to, and when they don\u2019t, their numbers start to crash.<\/p>\n<p>This  applies to staff, patients, and you personally. Brushing your teeth,  exercising, getting regular adjustments yourself, all should be regular.  Success is the sum of consistent good actions. Make sure your office  has procedures that are in writing, that are referred to, and that get  reviewed at least every three months.<\/p>\n<p><strong>3.\u00a0\u00a0\u00a0 Monitors.<\/strong> Baseball teams have a scoreboard. Golfers have a scorecard. Weight  watchers have a scale. Business owners and investors have financial  statements. Doctors have outcome studies, patient testimonials, practice  statistics, and patient surveys. Managers have all these.<\/p>\n<p>It is  hard to tell what is going on by \u201cfeelings.\u201d Sometimes, these are very  useful, but emotions can lead to incorrect conclusions. An annoying  associate may have very high numbers and great patient testimonials,  referrals, and outcomes. On the other hand, a very sweet front desk  assistant may not be able to schedule patient appointments.<\/p>\n<p>Without accurate scores, your clinic team won\u2019t know whether they are coming or going, rising or falling, and may not even care.<\/p>\n<p><strong>4.\u00a0\u00a0\u00a0 Owner\u2019s Role.<\/strong> The doctor has a number of roles. Mostly, doctor. Doctoring patients is  what the office is ALL about. However, the doctor also has the role of  the owner, and this has just a few, but very vital, duties that must be  fulfilled.<\/p>\n<p style=\"text-align: left;\">Actually, it is just one duty. Here it is:<\/p>\n<p style=\"text-align: center;\"><span style=\"text-decoration: underline;\">The owner has to be able to make everyone feel like an owner too.<\/span><\/p>\n<p>What  would the staff member do about a low new patient count if it were  their office?\u00a0 What would the associate doctor do about staff training,  promotions, and overhead? What is the greater mission of the office and  why? If the employees could share in the burden of responsibility, the  pressure of performance, the sense of duty, and in the vision of the  future, the clinic would drive itself.<\/p>\n<p>The owner has to put energy into the office and provide leadership. He or she also has to make everyone feel like a leader.<\/p>\n<p><strong>5.\u00a0\u00a0\u00a0 Management.<\/strong> If all the earlier points are doing well, then there should not be a  need for a lot of management. Management is mostly communication and  coordination.\u00a0 This includes regular reviews of performance monitors,  procedures, and plans that allow everyone to know where they stand and  what should be done to reach the next level.<\/p>\n<p><strong>6.\u00a0\u00a0\u00a0 Professional Service and Patient Care<\/strong>.\u00a0  The only reason there is management, owners, monitors, procedures, and  staff, THE ONLY REASON, is for that one patient that comes in to see you  when they come in to see you. All else is minor.<\/p>\n<p>It is  everyone\u2019s job to continually work on improving the quality of services  they render to the patient. Improving your craft as a doctor, educator,  therapist, hostess-front-desk-patient-service coordinator, reimbursement  specialist, etc., is the most important component in a successful  office.<\/p>\n<p>You see, patients can tell. What distinguishes you from  others is the level of your intention to care for them. Give the 100%,  and you will keep them and get their family and friends to come in as  well. Give them less and they will be looking elsewhere. Just like you  do when you visit any service professional.<\/p>\n<div>&#8212;-<\/div>\n<p>These ingredients can be applied to different departments in the  office, such as the front desk, billing and collections, adjusting,  therapy, diagnostics, and marketing.\u00a0 For example, do you have marketing  procedures that your staff understand and apply regularly? Do you  monitor not only the number of your new patients, but where they come  from? Is your marketing well managed, and do you work to improve its  quality?<\/p>\n<p>You can grade your office in terms of how complete each one of these components are present.\u00a0 (<a href=\"http:\/\/www.pmaworks.com\/main\/uploads\/self_reliant_5.pdf\">See chart.) <\/a>You  have to be honest and face the fact that many times, not all areas of  your office are in the best condition.\u00a0\u00a0 When this occurs, you will have  to get busy and improve things.\u00a0 But the reward of a well-built  business is time off and profit. The penalty, of course, is no time off  and no profit.<\/p>\n<p>In <a href=\"http:\/\/search.barnesandnoble.com\/booksearch\/isbninquiry.asp?ean=9780307353139&amp;z=y#CRV\">The 4-Hour Work Week<\/a>,  author Tim Ferris discusses how, in theory, one can earn more and work  less.\u00a0 Perhaps a bit unreal, especially for a doctor, it lays out ideas  on how, and why, you can cut your workload.\u00a0 Similarly, the by now  well-known <a href=\"http:\/\/search.barnesandnoble.com\/booksearch\/isbnInquiry.asp?z=y&amp;EAN=9780060723187&amp;itm=2\">E-Myth <\/a>by Michael Gerber, discusses the importance establishing systems (a fancy word for procedures) that will help you do the work.<\/p>\n<p>We have a proprietary term for this which we call The PM&amp;A Practice  Development Process.\u00a0 We have been helping doctors achieve this goal  for nearly 20 years, and is a core focus of our services.<\/p>\n<p>If  you are willing to do what it takes to get all six of these components  in place,\u00a0 in time you can be receiving your practice statistics via  cell phone while you are sipping lemonade along the beach in Tahiti.<\/p>\n<table border=\"0\" cellspacing=\"2\" cellpadding=\"0\" width=\"431\" align=\"right\">\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.pmaworks.com\/main\/uploads\/self-reliant-3.gif\" border=\"0\" alt=\"\" hspace=\"5\" vspace=\"5\" width=\"431\" height=\"562\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Six Steps To A Clinic That Runs Itself Some chiropractic offices seem to run themselves.\u00a0\u00a0 The doctor walks in, the rooms are full, and he leaves after the last patient is seen.\u00a0 The staff is efficient and upbeat. The chiropractor &hellip; <a href=\"https:\/\/pmaworks.com\/observations\/the-self-reliant-chiropractic-clinic\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1040","post","type-post","status-publish","format-standard","hentry","category-practice-management"],"_links":{"self":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1040","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/comments?post=1040"}],"version-history":[{"count":2,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1040\/revisions"}],"predecessor-version":[{"id":1042,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1040\/revisions\/1042"}],"wp:attachment":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/media?parent=1040"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/categories?post=1040"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/tags?post=1040"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}