{"id":1690,"date":"2011-10-03T21:58:14","date_gmt":"2011-10-04T02:58:14","guid":{"rendered":"http:\/\/pmaworks.com\/observations\/?p=1690"},"modified":"2016-04-18T07:40:02","modified_gmt":"2016-04-18T12:40:02","slug":"your-chiropractic-root-system-and-patient-retention-referrals-and-roi","status":"publish","type":"post","link":"https:\/\/pmaworks.com\/observations\/your-chiropractic-root-system-and-patient-retention-referrals-and-roi\/","title":{"rendered":"Your Chiropractic Root System and Patient Retention, Referrals, and ROI"},"content":{"rendered":"<p>Updated: April 2016<\/p>\n<p><a href=\"http:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/zuchinnis.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1704\" title=\"zuchinni's\" src=\"http:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/zuchinnis-300x199.jpg\" alt=\"\" width=\"300\" height=\"199\" srcset=\"https:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/zuchinnis-300x199.jpg 300w, https:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/zuchinnis.jpg 440w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>When people go to the grocery store for produce they are mostly just interested in their plump cucumbers, <\/strong>zucchinis, or other vegetables.\u00a0 They don\u2019t much care about the garden that actually produced these nutritious wonders of nature.<\/p>\n<p><strong>But a lot of work goes into a well managed garden.<\/strong> If you don\u2019t take good care of your garden, you won\u2019t have its fruits and vegetables.\u00a0 It\u2019s that simple. And a good part of a garden takes place underground in a network of roots.\u00a0 Roots provide water and minerals to the plant, and keep it in place when the wind blows.\u00a0 The top part of the plant, its stem, can get mowed under by a lawn mower (I have done this) and the plant comes back to life \u2013 because of its strong root structure.<\/p>\n<p><strong>Your office is kind of like a garden.<\/strong><\/p>\n<p><strong>It produces healthier people.<\/strong> You take care of your team, polish up your systems, do some training, and you will continue to have a productive \u201chealth garden\u201d that produces healthier people.<\/p>\n<p><strong>And the roots?\u00a0 <\/strong><\/p>\n<p><strong>In this analogy<\/strong>, the root system is the loyalty and good will of your patients. Here\u2019s how:<\/p>\n<p><strong>Many offices struggle to get new patients.<\/strong>\u00a0 Even offices that have been in business for years and years.<\/p>\n<p><strong>Why?\u00a0 <\/strong>No roots.<\/p>\n<p><strong>If some doctors spent the same time and attention \u2013 and money, <\/strong>on giving extra care and service to their existing patients as they did on trying to hustle up new patients, they would have more patient visits than they would know what to do with.<\/p>\n<p><strong>Why?<\/strong> \u00a0<strong>First<\/strong>, because the service and care was SO extraordinary, patients would refer their family and acquaintances because they would want them to receive similar treatment as they had.<\/p>\n<p><strong>But more obviously<\/strong>, existing patients would never drop out of care. (Some would, of course.) They would continue to come back for wellness visits. How busy would your office be now if all the new patients you ever started still came in for services? You couldn\u2019t handle\u2026there would just be too many patients!<\/p>\n<p><strong>Over the years, there have been many studies<\/strong> to support the fact that it is more expensive to chase after new patients than it is to keep the ones you have.<\/p>\n<p><strong>\u00a0\u201cA common rule of thumb is that the marketing costs of landing a new customer runs three to five times the costs of retaining an old one.\u201d<\/strong> (<u>Total Customer Service,<\/u> Davidow)<\/p>\n<p><strong>Some articles talk about it costing 10 times<\/strong> the amount to get a new customer as to keep the ones you have.<\/p>\n<p><strong>I am all for getting new patients, but do you also keep your existing patients?<\/strong> And do they refer family and friends and work associates? And why do your patients leave? An interesting survey pointed out that most companies believed it was because of price, or that the needs of the customer changed. However, from the point of view of the customer, they left because of poor service. (The Loyalty Connection: Secrets To Customer Retention And Increased Profits By Bob Thompson, CEO, CustomerThink Corporation Founder, CRMGuru.com, March 2005)<\/p>\n<p><a href=\"http:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/customers1.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1692\" title=\"customers1\" src=\"http:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/customers1.gif\" alt=\"\" width=\"425\" height=\"356\" srcset=\"https:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/customers1.gif 425w, https:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/customers1-300x251.gif 300w\" sizes=\"auto, (max-width: 425px) 100vw, 425px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>There are a number of procedures to improve your services to patients \u2013 to help generate stronger and more productive \u201croots\u201d,<\/strong> or <u>healthy patient relationships<\/u>. Let\u2019s focus on the most fundamental: <strong>Communication<\/strong>. \u00a0To put it more accurately, let\u2019s call it \u201cconversation.\u201d<\/p>\n<h3><em><strong>BEGINNING THE CONVERSATION<\/strong><\/em><\/h3>\n<p><strong>A conversation is a dialogue<\/strong>, a giving and receiving of communication back and forth. It is an interactive exchange of thoughts. It shows that you <u>respect<\/u> the other person and that you are <u>interested<\/u> in them and what they have to say.<\/p>\n<p><strong>Many patient conversations are one-way<\/strong>, from the staff and doctor to the patient. They are also rote, robotic, and too scripted to be genuine.\u00a0 Do an audio recording of how the front desk answers the phone or how you do a consultation and you might be able to see room for improvement.<\/p>\n<p><strong>The conversation usually starts with the first phone call<\/strong>. Does the prospective patient feel that the front desk is listening \u2013 really? Is she interested, or just reading her script and trying to get to her next task and hang up the phone?\u00a0 Does she introduce herself and show interest and even gratitude for the call?<\/p>\n<p><strong>It is these little things that make such a big difference.<\/strong>\u00a0 Think about how you like to be treated when you contact a business\u2026<\/p>\n<p><strong>In the consultation, do you really listen and seek to understand the patient,<\/strong> even though it is like the 5 millionth time you heard about someone\u2019s low back pain?<\/p>\n<p><strong>In your report, do you have a conversation with the patient,<\/strong> or do you just rehearse your script to the patient while they are nodding in appeasement?<\/p>\n<p><strong>You see so many patients\u2026 and have so many tasks\u2026 that real conversations are too often sidelined. \u00a0<\/strong>You don\u2019t have much time, usually. But in the time that you do have, <u>you have to be present.<\/u> You have to be THERE, with <u>all<\/u> of your attention on the patient, and not on your next task.\u00a0 That moment with that one patient will never happen again. It is its own time that just you and that person share.\u00a0 The Japanese have a saying for this: \u201cIchego Iche.\u201d\u00a0 One time, one moment. This is a plaque that is often found in tea rooms in Japan.<\/p>\n<p><a href=\"http:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/ichigo-ichie-kanji_1.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1693\" title=\"ichigo ichie kanji_1\" src=\"http:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/ichigo-ichie-kanji_1.gif\" alt=\"\" width=\"213\" height=\"65\" srcset=\"https:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/ichigo-ichie-kanji_1.gif 435w, https:\/\/pmaworks.com\/observations\/wp-content\/uploads\/2011\/10\/ichigo-ichie-kanji_1-300x91.gif 300w\" sizes=\"auto, (max-width: 213px) 100vw, 213px\" \/><\/a><\/p>\n<p><strong>You have started to create a relationship.\u00a0 <\/strong>Now, you have to continue to nurture it. This is done by <u>continuing the conversation<\/u> \u2013 and of course, great clinical and administrative service and care.<\/p>\n<p><strong>With each patient encounter, you have to be interested<\/strong>, attempting to understand and then get understood. Improve this and you are well on your way to better patient retention and referrals.<\/p>\n<h3><\/h3>\n<h3><em><strong>CONTINUING THE CONVERSATION<\/strong><\/em><\/h3>\n<p><strong>But when your patients are not with you<\/strong>, you have to find ways to continue the conversation.<\/p>\n<p><strong>How?<\/strong><\/p>\n<p><strong>Your Newsletter<\/strong>.<br \/>\nYou can easily set up an email newsletter with an a provider such as Constant Contact or Mailchimp. Send these out monthly or even twice per month. The most important aspect of these letters is to keep <u>them real, personal, as if you were writing to a friend.<\/u>\u00a0 It could simply be a few paragraphs from the doctor relating a recent case success, or a home health tip. You can also include patient testimonials and a review of a recipe.<\/p>\n<p><strong>But we are inundated each day with hundreds of emails<\/strong> so keep in mind that old fashion snail mail still works, and in fact, works better.\u00a0 It does cost, of course, but the return on investment makes it worth it. \u00a0A hard copy newsletter will have \u201cshelf life,\u201d and can be read and reread.\u00a0 Most emails are overlooked -there are just too many of them.\u00a0 Send out a hard copy newsletter every 4-6 months.\u00a0 It can even just be a one page foldover, self-mailer.<\/p>\n<p><strong>Other Mail.<\/strong><br \/>\nCards are very considerate. Just think about the few you receive. You may still have them! A system can be set up to send out birthday cards, welcome cards, humorous reactivation cards, bereavement cards, and congratulation on starting your \u201cwellness program\u201d cards, as well as other cards each month.\u00a0 These all help keep the conversation going.<\/p>\n<p><strong>Social Media.<br \/>\n<\/strong>Facebook is your primary social media with your patients. This can be similar to your newsletter.\u00a0 Like email, it has become glutted with ads and \u201ccontent\u201d information.\u00a0\u00a0 Ask your patients to \u201cLIKE\u201d your page so that they can stay in touch with the office and receive new information about health and upcoming office events.\u00a0 Some offices even hold special contests only for their Facebook \u201cfriends.\u201d\u00a0 Then, post regularly fun and education information. For example:<\/p>\n<p style=\"padding-left: 60px;\">\u00a0\u201cOur patient, Burt, just got accepted back into his hockey league thanks to chiropractic. Here is a photo of Burt and Dr. Smith and his new puppy eating apple pie made by Rose, a long time patient who can\u2019t stop bringing us apple pies!\u201d (Of course always get patient approval to post their picture.)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Upload patient testimonials<\/strong>, in writing or even videos. If they are interesting, other patients can comment, or even share.\u00a0 And if anyone does comment, make sure that you comment back.<\/p>\n<p><strong>Delegate <\/strong>these types of communication to your team, but you have to be the one to ensure that the conversation continues.<\/p>\n<p><strong>If you have good roots, there is nothing to fear.<\/strong>\u00a0 Insurance reimbursement can decrease even more, the economy can decline, staff changes can occur, but if you have taken good care of your patients, they will take good care of you.\u00a0 Conversations with your patients will help nurture a strong \u201croot system\u201d that will keep your office productive, no matter the storms that may come.<\/p>\n<h3><\/h3>\n<h3><em><strong>SUMMARY \u2013 TAKE AWAY:<\/strong><\/em><\/h3>\n<p><strong>\u00a0<\/strong><strong>When the patient is on the phone or in the office:<\/strong><\/p>\n<ul>\n<li>Be present and attentive.\u00a0 (Present Time Consciousness \u201cPTC\u201d as Jimmy Parker would say.) Be genuinely interested.<\/li>\n<li>Seek to understand the patient.<\/li>\n<li>Get your point understood and have a conversation.<\/li>\n<\/ul>\n<p><strong>When the patient is out of the office \u2013 continue the conversation:<\/strong><\/p>\n<ul>\n<li>Snail mail real newsletters and cards mailed.<\/li>\n<li>Emailed newsletters.<\/li>\n<li>Get Facebook \u201cfans\u201d and post local\/personal news.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Updated: April 2016 When people go to the grocery store for produce they are mostly just interested in their plump cucumbers, zucchinis, or other vegetables.\u00a0 They don\u2019t much care about the garden that actually produced these nutritious wonders of nature. &hellip; <a href=\"https:\/\/pmaworks.com\/observations\/your-chiropractic-root-system-and-patient-retention-referrals-and-roi\/\">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":[5,155,171,10,172],"tags":[361,357,375,359,376,173],"class_list":["post-1690","post","type-post","status-publish","format-standard","hentry","category-chiropractic-marketing","category-chiropractors","category-extra-ordinary-service","category-marketing","category-patient-referrals","tag-chiropractic","tag-chiropractic-marketing","tag-extra-ordinary-service","tag-marketing","tag-patient-referrals","tag-patient-retention"],"_links":{"self":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1690","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=1690"}],"version-history":[{"count":20,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1690\/revisions"}],"predecessor-version":[{"id":4080,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1690\/revisions\/4080"}],"wp:attachment":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/media?parent=1690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/categories?post=1690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/tags?post=1690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}