A New Blog Noting Our Observations And Experiences In Chiropractic Practice Development

Brookings, Oregon.
Wednesday, October 1, 2008

***Rock stable principles in a sea of bad news - and the future of your practice
***October promotion with sample
***Reimbursement teleseminar coming soon
***Seminars in November and December
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Are you scared?

More and more, it seems like fear mongering is used by associations, consultants, and governments.

One doctor, who is having his best year ever, recently called in worried, questioning what he should do. He had just read his state association’s monthly magazine with the headline that chiropractors earned less, again, this last past year.  The article cited a survey and offered no real encouragement about what to do.

As a client of ours, we referred him to objective evidence that the action steps he had been working on were taking his business to record highs and that we were on the right track.

Another article by a well known chiropractic and dental consultant published last year talked about how chiropractic was all washed up. He suggested chiropractors start working for massage therapists.

You can always find bad news. But the fact, and the good news, is that if you implement fundamental marketing and management systems into your practice, and keep them going on a recurring basis, it will grow.  We know this to be true as we see it demonstrated from the numbers that come in from our clients. They are growing.

For business in general, at least here in the Midwest, things aren’t all bad. A recent report says that “Business activity in the U.S. Midwest expanded in September at a faster rate than expected, with production picking up rapidly and hiring rates on the rise, a report showed on Tuesday.” (Reuters, Sept. 30)

Fear is a strong emotion. It can make you panic and lose sight of what is right in front of you. A major reason people drown while swimming is because they let fear take control of them.

There may be threats to your survival staring you down, but fear and panic only make it worse. In the martial arts, you are trained to stay calm in violent situations and use your energy only when it is most effective. You have to be willing and able to take action. Fleeing can be more dangerous. But most of all, you stay calm, stay focused, and get through the situation ideally with non violence.

While our economic system, as well as our health care system, continues to destabilize, consider these elements which are as stable as rocks in pounding surf.

Chiropractic Results. Chiropractic has worked through wars, depressions, recessions, and will continue to do so no matter what the future brings.

Need For Chiropractic Care. People have needed chiropractic care in the past and this won’t change. In fact, with an aging population and a growing orientation towards wellness, the demand for chiropractic care will only grow.

Business. Globally, the Market will go through whatever changes it needs to go through. Locally, however, the principles of the Market and fair exchange do not change. People will pay for quality services and goods that they feel they need.

Your chiropractic practice, properly systematized, is an engine that exchanges the health benefits of chiropractic care with those who need it.

So, don’t be distracted by fear mongering about the national or even the chiropractic economy. Do not panic. You are not drowning.

What is the outlook for your business? It is promising! Why? Because you are able to create your own economy by implementing and maintaining effective marketing and business systems that support your practice.

Work on your business. Make it better. Learn about marketing and how to systematize your procedures. Study and get support as needed to improve all aspects of your operation. In fact, now more than ever, the best investment you can make is in your business.  But, keep in mind the fundamentals mentioned above never change.

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October Promotion. Here is a simple promotion you can use for October, or any month. Link to promotion.

Show Me The Money – Teleseminar on Chiropractic Reimbursement. As a reminder, this Tuesday, October 7, we will have another teleconference on Chiropractic Reimbursement. Our last one was a tremendous success. Dave Michel is truly an expert in this area and your staff will benefit from attending this one hour seminar.   For active clients, the access code and phone number will be posted on our member’s site by Friday, October 3.  If you are not a client, you can learn more here -more info.

Seminars. Then, take advantage of attending one of our 3 Goals Seminars in Boston, on Thursday, November 6, or Chicago on Thursday, December 4.    More info.

Here is an animated Webtoon about the pharmaceutical industry.

drug video

2:35 minutes

(Thanks for the file, Dr. Tom!)

Note: Put this on your web site, or send your patients to this page.

Sometimes you got to get away.

It could be for an hour, fifteen minutes, a week, or more.  To be fully engaged in your chiropractic practice, studies have confirmed, you also have to fully disengage every now and then.

One of my favorite books on this is by Dr. Jim Loehr and Dr. Jack Groppel, The Power of Full Engagement.  Disengaging from work, and engaging in other activities, adds more power and insight when you return to it.

More than 80 years ago, this subject was discussed by B.J. Palmer, known as the Developer of Chiropractic, with insight and character. His advice is completely supported by modern research and is worth reading and applying today.

Rule No. 9

(720 words; about a 4 minute read)

You are sitting there, trying to finish your notes. You hear your phone ring. You are a bit behind. Maybe slightly irritated by an arbitrary denial of an insurance company and you haven’t yet planned out tonight’s evening with the family, spouse, or friend.The phone rings again.

What are your thoughts? What are your feelings?

Do you kinda wish it wouldn’t ring? Is it a bit of an interruption? Do-you-just-want-to-answer-the –dang-phone-to-stop-the-ringing-so-you-can-get-back-to-your-work?

Essentially, your thought is “Stop.”   It is: “Don’t call me.”  “Phone, don’t ring, don’t interrupt me!”   I am sure this has happened to you - even if ever so slightly or subconsciously.

Now, imagine if your front desk has these thoughts when the phone rings?

To some degree, even the most devoted and hard working staff can reactively feel put upon by phone calls. Or, in fact, by walk-ins. Or, in fact, by any patient encounter. I have seen this happen on the front desk when the doctor was busy with patients.  But remember, this can happen with even the most ethical team member, including you!  I have seen doctors do this too. (Extreme examples: “Oh, only two people for the spinal care class – cancel it.” “Oh, just Jim is coming in, reschedule him. I am going to leave early. It is MY office and I can do what I want.”)

Our thoughts can and do determine our behavior and affect how we treat others. Our environment actually mirrors our thoughts.

You may have heard or read about this scientist in Japan. Fascinating experiments. Dr. Peter Kevorkian introduced his work to us at our last 3 Goals seminar in Minneapolis.

The fellow’s name is Dr. Masaru Emoto and was also in the movie, “What the Bleep Do We Know?”

According to the movie, Dr. Masaru Emoto claims that crystals formed in frozen water reveal changes when specific, concentrated thoughts are directed toward them. He says that he found that water from clear springs and water that has been exposed to loving words shows brilliant, complex, and colorful snowflake patterns. In contrast, polluted water, or water exposed to negative thoughts, forms incomplete, asymmetrical patterns with dull colors.

You can check out Dr. Emotu’s new book, The Hidden Messages in Water.

So, if our thoughts can affect the formation of water crystals, they probably can have significant effect on our office.

Going back to your front desk, realize that the staff on the front desk have tremendous control over the office, nearly as much as the doctor does. The front desk can be a magnet for your patients, and attract, or repel them.

When the phone rings, you want your front desk, and all staff thinking “YES.”  “Call me. Phone -  ring now.”  “I can hardly wait to talk to this person and see how they are. I am interested in them and how they are doing. I want to help get them come in for care — and their family too.” “They must be really really cool and nice if they are calling us.” “I WANT to know more about them.” “I am grateful for their call and appreciate the effort they made in calling us.”

These are good thoughts.  These are positive thoughts that can help bring in more patients.

You can practice this with your staff at a team meeting.

ACTION STEP. As an example, someone acts as the prospective patient calling. The person acting as the front desk assistant should answer the phone with the attitude of really not wanting to talk to the person. Act it up. This can be funny. Try it a few times.

Then, do the same rehearsal with the front desk assistant positively anticipating the phone call, wanting the phone to ring, and then eagerly answering and talking to the prospective patient.

Keep it the role playing brief. You can and should do it again. It should be fun and act as a reminder to one and all that we should want to meet new people, talk to existing patients, and look forward to phone calls. We can always dismiss the occasional telemarketer or wrong number.

This can also be rehearsed in other types of patient encounters, from taking the new patient back to the exam room, sitting down to do a financial consultation, or checking a patient out and collecting their payments.

(Note to PM&A clients & members: Your PM&A Coach is experienced in these types of trainings. Have one of us facilitate one of these trainings next time we visit your office.)

ACTION STEP. And speaking of how our environment does mirror us, here is a little trick you can use.  Get a real mirror, about 4 inches by 4 inches, and put it at the front desk counter so that the team member can see it. You can write something on it like: “Are My Teeth Showing?” “Am I Smiling?” And staff, you can also put one of these in your doctor’s office on any day that he is feeling grumpy. It applies to us all.

So, the next time the phone rings, smile. Be interested and curious in who is taking the time to call.  Make your thoughts happy so they help create an office that is brilliant, colorful, and full of happy patients.

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[Petty, Michel & Associates offers special practice development programs designed to help you achieve your goals.  For more information on our 3 Goals Seminars, coaching programs, and products:  Services   Products]

Dr. Don Warren and his happy team of professional chiropractic assistants created one of the greatest and most fun special promotions I’ve seen a long time. They call it Spinefest.

One type of an effective Special Promotion  ties into a donation program, which in this case, was a food drive. Not only were they able to generate money for the “Feed the Hungry” program and get great publicity doing so, they also fostered good will in the community and as a result, saw their new patient numbers head skyward.

They do this every fall. A recent magazine article just came out featuring Dr. Warren on the back cover. (Note: The article states that Dr. Warren is president of his state association which is incorrect.)

Summer is a great time to promote your services.

While all marketing starts from the “inside” and internal marketing can be very effective, so can external marketing.  Internal, or in the office marketing, is a form of networking. The most effective form of external marketing, or marketing to non patients outside of the office, has also been networking.

In our world today, we are “spammed” to death.  It is estimated that we are hit over 2,000 times each day in the US with advertisement impressions. There is just too much “noise.”

One of the reasons social networking on the internet has grown is that it allows people to bypass the noise and network on a more personal basis.  But real world local networking opportunities exist right in your back yard: summer “block parties”, church socials, Lions Club pancake breakfasts, parades, 10-Ks and other walk/runs, donation drives - the list goes on and on.

You can just show up and meet people. Let them meet you.  Much like an elected official does when she runs for office.  You can also get a picture taken of the event and then use this in your internal promotions.

Here is a picture of me waving to the crowd with our state representative, Dr.Sheldon Wasserman, at our local 4th of July parade.

Get a list of upcoming community events from the Chamber of Commerce and schedule a screening, talk, an information booth, your own participation (volunteer your help), or just a visit. Be neighborly.

There is often a run or walk as part of a donation program during the summer months in which you and your staff can participate.  We have seen offices proudly wear their office t-shirts and recruit many patients to do the same.

When you are networking, you get to know people. Be interested in them and thier interests. Then you can hand out your cards. You an also hand out coupons for a screening or workshop at your office. And then, of course, there are on site screenings.

Screenings still work. You better believe it! But they have to be well organized. Most importantly, the people doing the screenings have to want to be there and have fun doing them.  We have been doing screenings for over 20 years and they can be as effective now as they ever were.  But whether you do a screening, or run, or just show up with your friendly conversation and cards, there are many summer events for you to get out and do some networking.

Here are just some of the benefits:

• Meet new people who can eventually become new patients or new referral sources.
• Meet active patients and strengthen your relationship with them in a different setting.
• See inactive patients and reactive them, or encourage referrals from them.
• Get out, get some sun and have some fun!

As Woody Allen is to have said:

Eighty percent of success is showing up.

 You can’t loose. It’s Summer. Get Outside.

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As we have said MANY times before, the number one problem with the marketing in most offices is that— it just doesn’t get done.What is the solution?A big part of it is just scheduling them.

To help you with this, you need a marketing calendar.

Once a month, take an hour off and plan some internal and external events over the next several months.

If you wonder where your patients are, make sure your front desk has them scheduled to come in.

Next, you better make sure you have your promotions scheduled to encourage new people to come in.

To help you with this, here are 4 great resources:

1. Essential elements about your chiropractic practice marketing plan.
2. Sample three month planning calendar for download.
3. Sample 12 month marketing calendar for down download (81/2 x 11).
4. Large, 2 foot by 3 foot marketing wall calendar for purchase.  Post this in your break room and to plan and coordinate your upcoming promotions with your team.

Just caught a minute of CNN Wednesday morning (June 25) about chiropractic and strokes.

The news anchor interviewed CNN’s resident M.D., Dr. Sanja Gupta, who reports on a specific stroke victim, Britt Harwe. He refers to an “advocacy group” for other stroke victims of chiropractic, and uses the term “Chiropractic Stroke.”  He also interviews a representative from the American Chiropractic Association who gives a pretty lame presentation.

So, to start off with, the piece is slanted negatively.

Then, the M.D. recommends that viewers only see chiropractors who have been licensed and who have attended chiropractic colleges, which are 2-4 year programs.  I may have missed something, but I have never seen, or heard of a chiropractor who has attended a two year D.C. program. Again, another slant covertly snuck in.

But then I checked: this  lady had a stroke FIFTEEN years ago! CNN is Cable NEWS network.  What about this is news?

To be fair, Gupta had a nice piece about chiropractic a few years ago.  And, not to pick on CNN, as I saw at least one negative article at another network’s web site.

While a stroke can be tragic, as in the case of Ms. Hawre, a quick glance at at least one study shows that chiropractic patients are no more likely to suffer a stroke following chiropractic treatment than they would after visiting their family doctor’s office.

Stroke victims deserve all the help, understanding, and care possible.  The chiropractic profession needs to always honestly review their standards of care for improvement, as does any profession or business.

But for a negatively slanted piece to come out 15 years after the fact belies the real motivation of the report. We have seen the medical establishment try to contain chiropractic in the past. This has been proven in the Wilk’s case.

The chiropractic profession is, and has been, the leader in the Wellness Revolution.  But it has not been easy.  There are and will continue to be sucker punches thrown at you and your patients.

Not supported by pharmaceutical funding, the responsibility of chiropractic public relations has to be shouldered by chiropractors and their professional staff.

I thought I would bring all this up because of your patients.  They hear garbage like this and it can dull their appreciation for chiropractic and what it and you have done for them.

You have to know what you are up against, as do your staff, as do your patients.

Educate them. Stay in the fight. Get a little outraged. It is good for you. Makes you strong. Tell your story and the chiropractic story. Improve your services and pursue your greater purposes.

This is the real point of this post: protect your patients by educating them.  Get them through their care and onto wellness care. Have them join the fight.

We put together a poster regarding strokes in case they bring it up to you for your use in patient education. Down load it and use if you want. You can get more data at the A.C.A. site here.

CNN link

How do you start your day?

The fact is, the way you start your day will determine, largely, how you end your day.

Start it right and you’ll end it right.

Start late, flustered, groggy, moody, cranky, and your day will be longer, harder, and less productive.

Time and time again, when we work with doctors and their teams on starting their day off correctly, we notice that the patients become happier, the appointment book fills up,  and the doctor feels more in control of her patients.  Just last month, as a matter of fact, one doctor implemented this procedure and hit her highest new patients – ever.

Another doctor gets to the office before his staff and associate doctors and reviews the day’s schedule.  Before the patients come in, he reviews each patient, as needed, and makes sure all patients are set up for the right procedures that day. In spite of the fact that he has several clinics, and a handful of associate partners, it is no wonder he still averages over 1200 visits per month. So can you.

You can start your day any dang way you want, the choice is yours. Actually, you have two choices as diagrammed below.

Some offices call this their morning “huddle”, or “case management” meeting. Whatever you call it, here are some successful procedures to start your day:

1.    Discipline. Make sure that it starts on time. Only have it 2-3 times per week to start with. Keep it simple, FAST, and fun. This will be the biggest hurdle. But, just schedule it and make it happen.

2.    Humor. A staff member should start off with a good joke. For example, the front desk has the first Monday, the doctor on Wednesday, the Accounts CA has to bring a joke for Friday, and so on. It goes on a rotational basis. If this is hard to do, then that is all the more reason to do bring a joke. If you are bad at jokes, again, all the more reason to bring a joke. :)  Need a joke? We have a few over here.

3.    Patients. Then, go over each patient that is coming in that day and decide, as needed, what extra should be done with him or her.  For example, does Patient A need a progress exam, need to be scheduled for the care class, another financial consultation, or be seen to schedule her family for no charge “check-ups?”  If your office is seeing over 800 patients that day, probably best to just check over some of the patients — no need to cover each one. Just see if any of the doctors or staff have any input on anyone.[We have seen an 800 visit day. Lots of fun!]

4.    Office. Then, review how the office is progressing towards its goals for the month.

5.    Goals/Visualization. Then, set realistic daily goals, and look at and even visualize not only achieving them, but achieving the weekly and monthly goals as well.

6.    Miscellaneous. No more than two quick minutes for a miscellaneous announcement, if needed.

7.    Motivation. Finally, the clinic director should end off with a patient success story, or something inspirational and motivational. A quote, a story, etc.  We have lots of quotes in the Marketing Manger System computer program. You can also take one Chiropractic Principle each day, discuss it with the staff, and work out ways to apply it that day.

The whole meeting should be done BEFORE patients are seen, and last no more than 15 minutes.  Use it in your group, and use it on your self, and watch your practice grow.

We just finished our Minneapolis seminar and WOW! Not trying to exaggerate here, but it was great.

Highlighting our the seminar was Dr. Peter Kevorkian who gave a rousing presentation. Dr. Peter’s animated talk interwove science, chiropractic history, and practical patient education procedures that both inspired and informed.

Like many of you, I have been to scores, if not hundreds of chiropractic talks (not counting listening to Dave go on and on about insurance companies on our long driving road trips). Dr. Peter was masterful at integrating philosophy and science with the practical nuts and bolts our clients could use to develop their practices. One of the best presentations I have heard.

And like a true leader, he practices what he preaches, seeing well over 3,000 visits per month with his wife, in three days per week. He actually is achieving all three goals and represents our 3 Goals Program well.

Phyllis Frase gave specific tips for staff team members and doctors in her presentation that was energetic and passionate. Dave Michel and I also gave talks that provided sound business and marketing advice.

One doctor almost complained to us that the day after the seminar his staff were so on fire and motivated he could hardly recognize them.

One of the most glowing reports stated that the seminar was a “Good balance of hard facts and philosophy.”

New seminars coming up in Chicago and possibly on the East coast. Stay tuned…

Photos here.

Here are some comments:

Good balance of hard facts and philosophy.

There were many ideas that we could apply in our office.
The information was incredibly useful. We need to recognize that we are in a business.

I also liked the fact that you were punctual. This leaves a huge impression on your company.

Great seminar.

Learned many new ideas. Loved the focus on service — there were many example we can implement that were new and many great reminders. The information was absolutely useful.

Speakers were dynamic and to the point.

Information was entirely useful. I liked the 3 Goals Process and the 9 roles on it. It was a practical seminar – not too much info, not too little. Easily refreshed on some things and good reminders on what to implement.

Great speakers.

Information was very useful. Great job!.

Like the marketing ideas and positive energy.

Information was simple but useful kept short as not to lose focus. Great energy and from the heart .. can feel the passion.

Thank you for a great day of learning how to be better than yesterday. I have really enjoyed going to work so much more since we have joined PM&A these last few months. And, we have gotten busier – so fun!!