“The disturbing fact…

…is that the vast majority of people, including educated and otherwise sophisticated people, find the idea of change so threatening that they attempt to deny its existence. Even many people who understand intellectually that change is accelerating, have not internalized that knowledge, do not take this critical social fact into account in planning their own personal lives”

Alvin Toffler, in “Future Shock” 1970

Change. Even the word alone makes some, even doctors uncomfortable. Yet others embrace and enjoy the entire creative process needed to adapt to it.

As a consultant, I have observed numerous times over my career, right next to one another, practices, which are booming, and then at precisely the same time and local there are those doctors unhappy, stressed out, struggling to pay the bills. They suffer from future shock, an emotional and physical shutdown that occurs when confronted by cumulative or overwhelming change.

After careful analysis, time after time, those doctors and their team members who continue to prosper, even in today’s world, have learned and fully developed the skills necessary to deal with change, to be “Commanders of Change”™.

Changes now occur so rapidly, that even our students encounter a new world upon graduation. The sheer volume of practice information, clinical, procedural and social changes can be dizzying. And it gets more complicated and faster every day! In fact, more change now occurs in a single week, than many of us older than fifty used to encounter in an entire year.

It’s in processing, sorting, scanning and ultimately applying pertinent
information, not only in our personal but professional lives that is perhaps the biggest life challenge we face today.

In healthcare practices, the systems that we used to employ for this are no longer adequate. First of all, the volume of information is too much to be handled by antiquated systems. Secondly, sorting applicable ideas and data into readily usable bits (and now bytes) is critical in today’s world.

Despite this fact, much of practice growth, development and management information as well as their delivery systems remain unchanged. Traditional consulting programs are also extraordinarily time intensive, and expensive to acquire, both of which are now totally unnecessary.

The good news is, there are now specific tools and systems that makes implementing and adapting to change much easier, far less costly and much more time effective. And it’s upon this premise that a perfect, highly profitable practice can now be built, maintained and then expanded with far less cost and time investment than ever before.

Ultimately of course, it’s up to each of us to decide what’s best for us, and congruent with our major objectives. But more and more are taking a hard look at our way. Why?

I can tell you that just as Toffler noted almost 40 years ago, it’s my observation that those doctors who do the best in today’s world are “richer, better educated, and are more mobile”. Indeed they actually “live faster” than most of the population with regard to processing and then applying change to their personal and professional lives.

They are unfazed by the sheer volume of things that need to be done, and continually upgrade their systems for doing so. They rarely complain, and get an extraordinarily amount of things done. They run highly profitable practices save more money and have far more freedom. They practice on their own terms.

And they know this is precisely what we teach, with all the modern materials, tools, live teleconferencing and support and delivery systems that are unlike anything else out there. All at a fraction of what other consultants cost.

These doctors are indeed the Commanders of Change™ in their communities. The bottom line is these doctors know that these are learned skills. Systems that are teachable, procedures that are simple to use, powerfully effective, once you know how.

Failure to thrive is correctable, no matter where you practice, or how long you have been at it. Learning to make better choices and decisions goes a long way. Of course, some find it easier than others. But to really live the life you have imagined as a student and now a doctor, decide to finally acquire the information that can help you learn, prosper and grow.

And this is precisely why I am personally demonstrating this to doctors culminating 2008 at our August 22nd SuperConference 2009.

But don’t wait too long, as seats are already filling up. As Jim Rohn once said, “Discipline weighs ounces, regret weighs tons”.

It’s all up to you.

You can still find SuperConference Seats HERE

‘I like his stuff but I hardly know this guy…’

Jes is hearing this more and more from docs around the country, who is this guy on Nantucket, Marthas Vineyard, Washington one week, then tooling around on the Bimmer?

This guy is me, a 54 year old with a 12 year olds passion for motors and baseball.

I’m the guy who pioneered the no bull way to run private practices.

Look, here’s the real deal I have never shared publicly.

5 years ago, I became instantly disabled, had to close my second office I had recently opened.

For 9 months, every movement was constant pain. During this time, I showed up in the office as the coach, every day except for the hospital admission. Spent half the days or more, between MRIs, EPs, neurosurgical and neurology consults on my back, in my office. More on that another time.

My associate doc who I pulled from the second office worked with my coaching using my systems, seeing most patients.

My practice did not drop. Not a beat! In fact, my disability insurance company ultimately gave me a real hard time because my practice income stayed up!

Why you ask? Because the real power in practice, and yes indeed life, real freedom, is in the impeccable sytems.

Now, you too can learn all of this, practice it, end up free and financially independent like our successful member docs.

Or miserable and unfulfilled in one of the greatest healing arts. It pains greatly when docs call me with those stories.

If you are ready, the teacher has appeared.

Pick my brain or just introduce yourself on Special Call in Day (781-659-7989) this Wednesday 8/5 1-2 PM EST.

I’ll take my helmet off long enough to answer your questions, first come. 5 mins max.

~

Watch More from the seat of my R1150RS to learn about the NO BULL way to run your life and practice…

Then Go To

http://perfectpracticeweb.com/annual-superconference-and-live-events.html

Have a Great Day!

John

“I’ve been a passionate marketer for many years. Recently, I’ve turned my attentions to a market that I think needs a lot of guidance in differentiating themselves for successful practice, and that is chiropractors. I’ve been doing some work with John to get his systems up and running with marketing.

As everybody before me tonight has discussed, the systems are what enables you to grow a practice. That’s what helps take you from one level to the next.

Marketing is the number-one activity you can engage in that will take it. Regardless of what your practice is or where it is now, there’s no higher leveraged activity that you can possibly engage in.

My most important message to you tonight is to remember a concept that might be novel to you. You’re not a chiropractor. You’re actually a marketer of chiropractic services. That’s a seminal point to make that everybody in business has to get their mind around.
Understand that your business really isn’t different from any other business in a lot of ways. As Billy pointed out, it’s a practice because you’re helping patients, but it’s still a business.

Some people get confused when it comes to the difference between marketing and sales. Both marketing and sales are vitally important, but there’s a distinctive difference between the two.

I think that doctors in particular struggle with this concept because they want to help people. Of course, you are helping people, but it’s also your livelihood. From that perspective, each client is also a sale, so to speak.

It doesn’t matter if you’re talking about chiropractic or any other type of small business. The concepts and goals are the same. If you’re having trouble making sales in terms of getting more patients or more of the type of patient you want, you need to see whether you have a sales problem or a marketing problem. Doing an analysis of that is pretty easy.

Which is more important, sales or marketing? That’s the $64,000 question. They both are important, but in my opinion, marketing is the more important of the two. If you have the right marketing, it will make the process of client attraction and retention infinitely easier.

If your marketing is doing the job correctly, it will deliver qualified prospects who are predisposed to doing business with you.
The next strategy to grow your practice is to define your market and your ideal customer. I’d like to go over some key points that should be part of anybody’s marketing plan. These are things you should be thinking about doing or incorporating into your business which will help you take it to the next level.

Defining your market and your ideal customer is a really important exercise to go through. If you ask most doctors who their market is, they’ll say it’s anyone who has a spine.

In any field, to have the most satisfying client or patient, you have to decide what single type of patient or market segment to go after.

Then go after it with full force.

Why not market to everybody? Just about anybody could benefit from chiropractic care, but if you go after the whole market, you will deplete your marketing resources. There is only so much time and money you can devote to marketing. If you pursue a lot of different areas, you’re not going to do more than a mediocre job of marketing to each market… ”

From Kim Canduccis’ recent interview with John

Get your SuperConference 2009 Seats while you Still Can

HERE

Marketing your practice effectively is something that requires considerable thought, and careful design. In today’s private practice it is one of the major issues and choke points with today’s marketing plans. So consider doctor, first, who is your ideal patient? What are all of their characteristics? Age, gender, health issues, demographics?

And if you are not filling your practice with your ideal patients, then a really hard look at that is a must, before you go any further. Really take time on this one. For example, when I was doing my orthopedics post-grad program, I aggressively pursued knee, shoulder and ankle injuries. These were my ideal patients then. I knew I could do a great job with them, and I really enjoyed the most challenging cases that often failed in other methods of care. Hard charging athletes were the direct targets of my marketing programs. I sponsored athletic events, gave workshops at athletic clubs, promoted my affiliations with college athletic teams, etc.

Surprisingly, very few professional owner doctors in a first contact (primary healthcare) type practice even have identified their ideal patient, and wonder why they are frustrated or unrewarded financially in practice.

Next, continue by taking a very thorough look at the demographics of your area. If you have been in practice a year or more, run these

numbers from your own software. Then, a really good exercise is to get a large local map, circle a radius around your office and have

Your team-marketing assistant can use pushpins or marker dots to plot where your patients are coming from. If I am sure you could do this with a web based tool as well. I still find a large paper map has had the biggest impact on effective planning. When it’s completed, post it on the wall right next to your marketing calendar

Doing this mapping allows you to really see where your people are coming from. Upon completing this, the next step is to identify clusters. Are these neighborhoods, industries, and certain areas of town? What are the common links, if any? Spend time on this as it speaks volume about your reach, and effectiveness of your overall plan

In urban settings, this may be only blocks. And in rural areas it could span many miles across county lines. Most every doctor who has this analysis done by her staffing assistants is astounded by the findings.

Assuming your practice is filled with your ideal patients, then you need to identify their common characteristics. If they come from groups, they have commonalities. They read certain papers, have common interests in the community, and quite likely are involved in certain activities. It could be PTO, athletics, church, or maybe its grange or the annual fair committee. Don’t neglect local radio or TV or industrial connections either. For example, the “Friday Night Lights” crowd in almost every city town, or county has a powerful

interest in not only the football game broadcasts, but also the sports shows that follow, columns in the local newspaper and now more than ever websites devoted to their coverage.

And herein lies the most powerful tip. Identify the target market, and then promote yourself and your practice directly, professionally and consistently.

But don’t be a shadow. Get involved in their activities. Sponsor their events. Help them out when they need it most. Go out of your way to be helpful, and these activities, combined with effective and coordinated targeted marketing will reward you for years to come.

Be sure to effectively use every tool you can. So much is available at little or no cost to you at all. We can even design a custom multi media campaign for you as well.

But Doctor, if your not filling your practice with ideal patients, make sure you start compiling their most common characteristics. Is your
location and décor conducive to attracting and keeping your ideal patient? If not, you have some internal work to do as well.

Once your vision is clarified, make sure your staff knows all about it and fully incorporate it into every step of your marketing calendar, tracking, and planning. In today’s world, do not neglect powerful modern media too.

In coordinating your entire marketing calendar and campaigns in this way, you will never have a shortage of new patients, in any area or economy!

Now more than ever, the impact of your daily decisions is multiplied exponentially. Let’s face it, It’s not the easiest job in the world running a private practice, and add additional financial and social pressures from the world we live in today, it can be downright stressful.

Fortunately, this is also the best time to be establishing yourself firmly in your community, Building the practice of your dreams. It’s easier to get noticed, because there is less marketing clutter. It’s also far easier to obtain ”pole” position in your community.

There are several things you can do to right now to facilitate in developing the skills you will need to design and have the practice you deserve.

The first item to look at is your own personal daily stress level in the office. I find that doctors create an inordinate amount stress on themselves simply due to lack of organization, and too often simply lack of direction to key staff persons. If you have not yet begun starting each day with a brief meeting, I suggest you do that first. Take three to five minutes with key personnel and make sure the major objectives for the day are outlined as well as reviewing key components of current marketing and promotions.

Second, consider your own study time. How much time do you allot to use the tools, and in skills development you will need to not only stay in practice but truly prosper over time. This of course requires you make time when you’re not seeing patients, when you’re not engaged in other activities.

Thirdly, when is visualization time? This key component is left out by far too many. The more crystal clear your vision is, better your results will be.

There are many very creative things that each of us can do in our own communities right now. Some of these things include hosting a community event (sports, cultural, etc.) And simply taking advantage of local radio and TV time. What about writing articles for the local newspaper? Simply spend more quiet time visualizing your desired results, and you’ll find these ideas continue to come to you.

And what about your own physical fitness time? Sometimes even doctors forget, that being in the best physical shape you possibly can be facilitates clear and more effective decision-making.

What about your next vacation? What about hobbies you engage in on regular basis? How much time have you dedicated to these?

The big picture.

Dr., if your practice is solely dependent upon a single stream of income, have you already designed other components of practice that will bring additional revenues your way? Some key examples include nutrition, decompression, specialization in certain conditions, etc., etc.

And what about your referral systems? Are you dependent upon a single source of professional referrals? Do you have a fully functional professional contact system in place so that you cannot only target groups but the appropriate subgroups? When was the last time you contacted them with regard to all the new developments in your practice, breakthroughs in patient care, etc. When was last time you had lunch with some of these professionals?

And what about referring to their practice? Do make consistent and appropriate professional referrals? If not, is difficult to expect the same in return.

Next, It has been said, many times that failure to plan it is just like planning to fail. Have you posted an annual calendar? Noted all the services that you plan to implement as well as all your personal time off? Do not forget the daily activities, and marketing programs that you know you will need to be engaged in to truly prosper.

This year already, is hallmarked by relentless changes. Future Shock is here, in full evidence. Quite likely, it’s only the beginning. Always remember though, the better prepared you are, the better your results will be.

Lastly doctor, what is your personal vision? What would you like to obtain both with and from private practice? If this is not clearly spelled out, I’d suggest you do this first.

Then, embark upon a new personal growth program. This is precisely what I do with my coaches and mentors. Gather all of knowledge, tools, and skills you need to implement a new game plan. This must include your goals, as well as benchmarks along the way to make sure you remain on target.

This is where your inspection and analysis skills such as keeping basic statistics, obtaining staff and patient feedback, as well as regularly kicking back and taking a look at the big picture.

Finally, here’s the key concept. Learning to really live and practice in this way not only reduces your stress level but stimulates your financial wellbeing as well.

Last week, I wrote extensively on really taking command of the direction of your practice, and your life as a powerful economic stimulus. In reality, it’s all you have in private practice. There are some really simple ways to do this, but before we talk about that, here’s an “Economic Summit” reality check-up.

If I told you right now there are doctors like you doing 7 figures cash/year, would you believe me?

If not, why?

Likely, it’s a very limited worldview on what you can really accomplish with all the correct systems and tools. And far too often, this is so defeating if it takes place early in ones career.

If I also told you Concierge MDs are collecting 10-15k per patient per year cash, and these same patients gladly pay, and in fact request that type of healthcare, and also pay health insurance premiums, what does that say about how you value, and price your services?

We’ll have way more on this very topic, with some really incredible guest instructors for members next year. Some absolutely brilliant ways to look at life and practice in this brave new world. Yes, even in a tanked economy.

Well, here is another huge economic management tip.

Regular benchmarking of your results against your goals helps put you at the head of the class.

There is a real easy way to get this done. This tip alone might put another 10K in the income column this month.

The first thing to do is take your list of basic daily, weekly and monthly targets. Higher performing CEOs/CFOs do this daily. Use your white legal pad, but better yet for this one is an Excel spreadsheet (because you can graph it easily and tweak it in all sorts of ways).

My basic daily targets are body weight, miles run or cycled, hours skied, services and income, dollars saved. Yours might be totally different, as it should be. You really can do some incredible things with these numbers, but resist that temptation in the beginning.

Put your goals or targets (BOLD) on one axis, and simply enter your results on another. Save room for notes, photos, and maybe even video clips.

Next, post this somewhere you can see it all the time during the day. Admittedly in the office, maybe it’s in your portfolio, which you pull out during the day, or simply, hidden on your desktop or handheld. Just be sure to look at it at least once daily.

Here’s why this is so powerful. Because it’s a glimpse of right now.

Many people who have trouble setting goals find new life with this method. It keeps you in the moment as well. For us type A’s, it can actually be a better way of dealing with “Futurizing”, which some might say is an unhealthy psychological trait.

But to make sure your not deluding yourself, if you use daily targets, they must be the correct fraction of the weekly/monthly/yearly whole.

Just by doing this daily exercise, some great things start to happen. Many times, I have found breaking so many things in life down into daily pieces really simplifies accomplishment and helps move me forward instead of stalling or going into overwhelm.

Now, you are forcing yourself to look at your goals. In fact, now you have actually set goals!

Next, you are inspecting what you expect, automatically!

And finally, you are really taking advantage of a tremendously powerful principle.

That which can be measured, like your results, can be improved!

And herein lies the most powerful tip of all.

Continuing to improve your results and changing your targets to suit your desires in any endeavor is the ultimate in human accomplishment.

This single hallmark of a powerful life is shaping and molding that which we can control. It is creative energy harnessed. It is fulfillment vs. frustration. Happiness vs. resentment and regret.

When combined with all the other key components of Living and Practicing by Design™, it adds a totally new dimension to who and what you can become.

I wish you the best along your journeys!

Right now, more than ever, it is time to take a real hard look at the foundations upon which you have built your practice, and your future.

Sure, you’re well aware, that if any key components of practice are on shaky ground, it will be sooner rather than later that you are liable to find out the hard way.

In any event, let’s take a look at some key, but too often overlooked daily issues one by one.

Let’s start with staffing. Likely, your staff is having a more challenging time during the sheer volume of change taking place in the outside world than you are. If you are not regularly engaged with them in intelligent discussion and leadership, and being completely supportive, you are missing an enormous opportunity in long-term practice growth strategy right now.

Have you taken the time, to have open discussions about how you can better work together as a team, to accomplish common goals? Does every staff member understand how their decisions during the day not only impact your future as the practice owner but the future of themselves?

Have you also taken every step with your team members to be not only realistic about meeting patients needs but to also explain and show how their actions throughout the day fully impact the other team members?

For example, in any business, it is critically important that new inquiries regarding the business be handled in the most appropriate manner.

This includes of course includes moving potential new clients up the ladder from simply being interested parties to someone who is automatically scheduled as a potential new patient. This is also a major stumbling block in most small businesses, and the private practice of healthcare is no exception.

You must be certain there is a mechanism in place to track these inquiries and how many of them you actually convert to active patients.

To really capitalize on this too frequently missed opportunity, start by making sure all your staff are vested with the authority to reach out to these potential new patients. You can empower them with effective, modern literature, personalized phone calls, references from your satisfied patients, web sites you have created.

And doctor, be sure to thank them and reward them for their efforts.

By now, you should see where I’m going here.

If it’s been a very long time since you have looked at your practice this way, quite simply, you are leaving hundreds if not thousands of dollars every week for your competitors.

And right now, I guarantee if you are not engaged in this intense and regular inspection and training, you are fully feeling the economic effects of it.

One critical factor, which seems to elude far too many doctors today is that the speed with which changes in society occur is accompanied by new ways in which people expect to be treated, and their concerns handled. Only the best customer service departments in any business get this.

In fact, if you are using the same strategies you were using nine months ago, very likely you are experiencing inferior results.

For example, have you gone out of your way to institute to new mechanisms and systems to make doing business with you more efficient, more pleasurable, easier to justify to a spouse or loved one? Have you expanded, rather than contracted in your menu of services?

Is every spare moment of time spent fine-tuning the new systems and procedures?

Have you reviewed your entire marketing calendar and identified the missing pieces both internally and externally that will put your practice and your future on solid ground?

In any event doctor, like it or not, these are the harsh realities of private practice today. Only you can judge for yourself whether or not to are up to the task.

And Doctor, Never forget, that the happiest people in practice and indeed any worthwhile endeavor are not engaged in “paying the price”, but rather as Zig Ziglar says, enjoying the price, living fulfilled lives and really enjoying the rewards.

It’s just that in the world we live in right now, the impact of your daily decisions and actions is multiplied tenfold over what it was just a short time ago.

My wife and daughter recently brought me home a copy of “I Me Mine”, which is as close to an autobiography of George Harrison as you can get. It’s a great read. I have always respected his strong faith, as well as his music.

Some passages really shed light on how he applied ancient philosophies to modern life.

In the start of our platform series, I spoke at length about the “Gita”, and the pertinence of its philosophy 5000 years after it was written in Sanskrit. George was immersed in the Gita, and its related teachings.

This passage from George will help to remind us all of the daily application of something so basic to our professional lives, but too often forgotten.

“The problems start when you get attached to the problems! That’s when the mind gets involved in too much thinking of whether one is supposed to go here, do this or that: you know-the bullshit…The biggest thing that screws us up in life is the mind, it plays tricks on us and can trip you over”.

So, the lesson here is detachment from outcome.

Make your decisions, let go and move forward after each decision, vowing only to make better decisions as you mature. This is so true in healthcare, being called upon to continually make decisions after dealing with one problem after another. Those docs who never get this have a real hard time moving forward in life and practice especially.

This is exactly the very first question that must be answered by each and every doctor in private practice. Having said this, I will also tell you the major cause of failure in practice is a poor initial design or redesign. This is also why in today’s world we advocate a redesign by each member doctor every six months.

So think here in ultimate terms. We suggest a litmus test of 12 criteria, which when met, will propel you to personal and professional fulfillment. If you are in a group practice right now, especially as a newbie, you might have far less latitude in creation of your perfect practice.

By its very nature, private practice is entrepreneurial. Unfortunately, too many doctors do not possess the needed skills to flourish, yet others are wildly successful. Here is the one key difference. The successful ones learn these entrepreneurial skills, and never stop growing. This is a great part of the challenge of private practice, and hence the huge potential rewards.

And let’s keep it that way. Its one of the hallmarks of a free society, and really a privilege. If you want a 9-5 type job, there are plenty out there.

My first criterion for our doctors is that emotional and financial rewards are far greater than the stress level.

If this is not true, why would you continue to tolerate it without changing how you operate? Do you see how having a primary criterion like this can set the stage for success? And how practicing without these criteria being met is a recipe for ultimate unhappiness and likely failure?

By now, you get my drift. This is why I am so adamant that doctors learn fully to “Practice by Design”©.

So began my recent special teleseminar with all
12 Secrets of Private Practice Mastery.

If you are ready to change your personal and professional life for good, and would like a membership application as well as the replay contact us ASAP, as we begin to build our next class.

Contact us by email at info@perfectpracticeweb.com or call 781-659-7989. Hope to hear from you.

Overlooked Opportunities

Too often in practice development, as in so many areas of life, it seems what’s best and most powerful for us is right under our own noses. One of the big problems, and the reason for these missed opportunities is either not devoting time to look for them, and most often not making this “looking” time a scheduled priority.

So it goes. This discussion of the most common ones may really turn a practice around dramatically. Most cost little or any money. John, I suggest while reading this you compose your own opportunity list.

I just did one for our team, and came up with 8 areas that are really doing well after the last quarter, but three that seem to be the source of “irritation”, that could turn into a major wound, if not healed in time.

By the next staff meeting, they will be fixed.

Remember, the big idea is to continually correct and fine tune, before you need an overhaul.

The first one we’ll handle here is Staff. When was the last time you spent time reviewing purpose, duties clarity, and basic compliance issues. Fine tuning the staffing department can really be an enormous source of new patients, collections and overall energy, esprit de corps, if you will. And it costs just some quiet time, a pen and legal pad and the action (AKA guts) on your part to actually confront, and fix what and whom you have to.

Along these lines, how is your staffing payroll set up? Like GM or Toyota? Will you be looking for “TARP” monies or ready to compete on any scale? Hopefully, they are fully incentivised, on multiple scales.

Also, what is your practice’s fun quotient? I don’t know about you, but when the fun goes, misery follows pretty quickly. Lots of this comes from simply having the right people, and regularly showing them your gratitude, at every turn.

Lets face it. Healthcare can really be tough. Make sure you acknowledge the teams efforts based upon correct intent. Fix as rapidly and as gently as possible with what could be more in line with your vision. Strive to have a family like environment, and you can’t go wrong.

The next really big area is your office hours. How did you choose them? Are you overstaffed during slower times, but lack capacity of space, staff and equipment when patients in your area are really on the move, and want to be seen?

Also doctor, what is your own productivity like during demand times? Unless you are focused, clear headed and undistracted, patients are not getting what they deserve, and I guarantee you are leaving hundreds if not thousands of dollars in opportunities to chance, or overlooked forever.

Another issue, which can literally make or break a practice today is targeted and focused on and offline marketing. The things to look at are how do you capture “leads”? Then, how to you follow up with them? How do you ever learn their unique wants and needs?

(This is one area where PPW can really help. But you must be willing and teachable. We are even using these skills to help other business grow!)

The third area to consider here is what’s going on in your community, within just a few miles of your practice in most cases, that you could be helping, promoting or enhancing? Things like sponsored events, community awareness programs and outreach programs. Maybe its just getting more involved in your school system. Again, it’s likely just a bit of time, and no great expenditure of funds or resources.

You can take the first step by visiting city or town hall. Get a better handle on what’s going on; what the locals are concerned and talking about.

The next stop should be the local library. There is usually a wealth of information about the types of community education programs going on or coming up soon.

As a doctor in town, you may be a candidate for an interview, a talk at a community center, or maybe even classes at the library itself? Who knows, you may find as I have, these turn in to radio and TV opportunities, as well as articles in print media. All of these really can do much to not only solidify your patient base, but to grow a practice its entire lifetime.

In any event, I hope you by now see the purpose of this discussion.

If perchance it provides only temporary symptomatic relief but not a cure, you may need to reexamine some bigger issues. The most common is too much stress, not enough rest or down time or feelings of not being rewarded financially or otherwise by practice.

It’s high time we admit that this one’s all too common in today’s doctor, unless we very carefully, make our choices every step of the way.

Wherever this one takes you, I really wish you the best.

In reality, fulfillment as doctors in private practice comes only by living and practicing by design.

* The new website has been up for several days, with more material added to Members Only. Check it out HERE
Click on the upper right hand corner members login to
navigate the previews and free downloads!

Today!

Remember, the definition of insanity is doing the same old thing in the same old way expecting different results. And as the world changes, our plans often need to adapt or change as well. Realize, this is exactly why I repeat our Core Modules for members live, every twelve months. Because the pace of change is now so rapid.

And, remember Future Shock? Remember how easy it is to be mesmerized in the face of rapid changes, and the tendency to shut down and do nothing, rather than taking on a new game plan.

Now, here’s the really good news. These are behaviors, and learned choices!

If you are capable of reading this, you can fix any of the issues I discussed here today.

So, here’s a simple plan you can act upon right now to be happier, more successful and fulfilled,

1. Be a better and bigger asker!
2. Continually engage and learn! Not just practice, but all of life’s most important skills. Be willing to pay the price of success and then reap all its joy.

3. Make sure you know what you want, and continually move towards it!

Lastly, burn all your bridges to past failures. You will be glad you did.

Want to learn more? then Join Me Tuesday! Register HERE

Have a great day!
JPH

Drive Your Success with
Effective Networking

Lets face it, like any successful business, the more people you meet, the bigger your potential pool of patients. The keys to being rewarded from your networking efforts are making sure your time and energy actually produce results. And in practice this ultimately means traffic to your office.

Here are some things I have found over the years really benefit private practices the most.
Rule Number One: always be able to give an effective 30-second “elevator speech” (who-what where-this is how I can help you). You need to be able to quickly and succinctly state why someone should invest time with you, first.
Now, it makes no difference if this is in person, on the phone or on-line. You must look the part, express energy, and communicate. Effective, concise communication takes work, and time to develop. It can also take thick skin.
Not everyone will respond in kind to you and your services.

That’s quite all right. Just never stop pushing yourself forward, or dwell on the negative.
I think it was Jeffrey Lent the marketing guru who called this unabashed self-promotion. Remember, this is a who you know business as much as any other.

I am also reminded of an associate doctor I briefly employed who literally thought he would graduate as a doctor, and automatically the ‘pot of gold at the end of the rainbow ’ would magically appear. Those were his words. Of course, the pot of gold is a huge practice, just for having a graduate degree, with patients thinking he was the greatest thing since sliced bread. This is not the reality of private practice! With rare exception, you have to continuously move yourself to the pot of gold, one step at a time before you can take from it.

When you behave and express yourself in this way professionally and effectively, it gets noticed. People will want to have their friends, family and co-workers meet you too. Otherwise, from another persons perspective you might be seen, especially by busy people as a time-trap or worse yet a complete waste of time.

Harsh words? You bet. But ignore this time-tested advice at your own peril.

Make sure you understand these most important principles as the primary rules to remember. Refine and sharpen your skill presenting your 30 second speech. Be polite. Be professional and evermore effective as time passes.
The next principle is that of reciprocity. Once rapport with someone else is established, there should be an exchange of materials. Business cards, URLs, flyers, etc.

Now admittedly, some relationships will take time to nurture, but with practice and these types of business contacts, mutual sharing helps get the most results. Always be discrete and professional, especially with other professionals, or if you should encounter someone not quite on top of their game that day.

The next question you’ve got to answer is what about participating in business and networking groups? This is a decision you need to make early on, because most doctors will be invited to join one or more. In my experience, early in practice they can be very valuable. If there are lots of people moving through, it might be a good idea to be there every meeting. Just be very careful of accepting an officer’s post because the time involvement can be way more than you ever imagined.

The next area receiving lots of attention is Social or on-line networking. If you question its effectiveness, look back at the 2008 USA Presidential Election. The Obama camp was everywhere, penetrating MySpace, Facebook, and tons of sponsored on and offline ads.

Social networking is something you should be engaged in. The rules are surprisingly similar to face-to-face networking. Be polite, time effective and professional. Just realize right upfront that your reach on-line is enormous, potentially worldwide and gives you tremendous exposure to just about anyone. With all the social networking you may do, whether its Twitter, and Facebook most especially, it’s very important to be real though. Share something of yourself. Let potential patients see you are human. Post some neat photos too. Invite patients to join you too.
Do this right, post things of value, such as a linked blog post, and you are building your network, and your practice, on-line.

One area that I really think doctors are grossly underutilizing is using Linkedin. I encourage anyone reading this to get your Linkedin account up, and get linked to our and your patients networks ASAP. Literally, you could be introduced to hundreds of potential patients in very short order.

Herein lies the real benefit of social networking and your practice. Access to enormous numbers of people, and if your good, viral marketing at its finest!

This can have huge benefits in terms of information sharing, and most especially practice building. I have already seen cross professional referrals, from professionals who are also patients. And this was from just a few initial professional contacts we started with.

Hopefully from this brief introduction you recognize how powerful networking can be. If you’re late to the social networking arena, so be it. But, you can change it all within a couple of hours.

So, what are you waiting for?

Be sure to join us live in Plymouth March 14th! <a href=”http://perfectpracticeweb.com/special-event.html“>

Life is Difficult.

This is the opening line of a landmark book by M. Scott, Peck, MD, The Road Less Traveled.

Dr. Peck had a wonderful insight into the human experience and especially our related behaviors. And for millions of people, his passing is still mourned. If you have not read his works recently, I suggest you do.

As many doctors do, he drew many life lessons from his experiences with patients. But way beyond that, he had an uncommon knack of distilling the key reasons why some people remain extraordinarily happy, especially in times of adversity.

You probably also know that one of the biggest reasons some doctors develop huge, successful practices, especially today Is their ability to regularly step back and look at the “big picture”, and then act, quickly. And if an action is somehow taken in error, or turns out not to be effective, they see to it that rapid corrections always take place.

In fact, one of the key skills to being a good doctor is that of making many rapid decisions and choices, often times for other people.

In our experience, the happiest docs set their entire personal and professional lives up so they are seemingly perfectly executed.
The reality is that their prosperity and fulfillment is due largely to their design. Living and practicing by design gives you huge advantages.

Just like professional athletes, superstar docs make it look easy.
The “Superstars” develop many skills sets and qualities. They are perpetual students. Marketing, clinical expertise, or technology upgrades. These doctors continuously learn, and develop new qualities.

But, what is the most important of all of these advantages?

Flexibility. Because the vantage point of flexibility gives you many more choices and options as time goes on.
Lets take a look at why this is so.

Lets take finances first. If you make a regular habit of saving money, and reducing debt, early in your career especially, this decision then gives you great financial flexibility later on. The ability to ride out an economic storm. The ability to take vacations and adequate time off, etc. A buffer against downturns due to regulatory changes and natural disasters.

Technological prowess also gives modern docs enormous flexibility. The tools and systems that are available today can help you not only with patient care, but research, marketing, and yes even a complete education in practice clinical skills, and management, growth and promotion.

The next big advantage is structural flexibility. An operating business framework of your choice that can accelerate you beyond any other practice in the area.

An entire team that is so well trained, that it can expand or contract at will. Patients remark on how you never seem to miss a beat. You hire no more staff than absolutely necessary, and add to the team as practice grows. Vacations or time away by a team member create new opportunities, not added stress on the practice.

Patient Care in these offices is thus based upon options, and letting patients know about all their choices. In healthcare, like many areas of modern life there are tiers of service. This is not a utopian world as some would have us believe about healthcare today. Given a chance, most people choose what’s best for them at any given moment in time.

It is in the honest presentation of these that the doctor serves his community the best.

The third and perhaps the most important is simply ownership and it’s inherent flexibility, that of being in charge. You call all your own shots. Hours, income, time-off, strategies for marketing, patients to accept or decline, yes just about everything.

For some docs, ownership can be overwhelming. Then the choice then becomes learn new skill sets or work for somebody else.

Now the good news, these are learned skills. When they’re applied to all areas of your practice and life, the result is a much more fulfilling experience.

And if not learned regularly updated and applied, practice can be a nightmare.

It’s all up to you.

Talking Trash About Success

It’s a fact; politically self-serving agendas have been a part of history for centuries. Even back in Ancient Rome and Greece, elders warned about the expansion of self-perpetuating plutocracies.

Right now though, in the midst of an economic meltdown, the constant injection into the media is fear from politicians who we entrust to be leaders.

Rather than reassurance this trash talk about the wealthy is destructive, and controlling. Too often, the very criticisms our politicians hurl at others, mirror habits that exist in their own lives, a fact too many of their constituents and certainly the paparazzi ignore.

It’s the deeper message though, most recently not so hidden, that in my opinion is the most dangerous to private healthcare, especially for our student doctors.

That message is that being wealthy and ultra successful is somehow bad. That because you did well through your own efforts, your results must now be penalized.

Never has such a more dangerous notion been put forth with unquestioning by the mainstream media.

Its NOT wealthy successful people that brought the economy to it’s knees, It’s now many years of bad decisions and top down government and corporate corruption that transcends political parties and international boundaries, fueled by incredible greed. Unfortunately, these basic facts are too often conspicuously absent from the daily media banter.

It’s the wealthy and most successful (not the greedy and corrupt) that pay the bulk of taxes already. It’s the wealthy that are the philanthropists and benefactors in a free society.

For those younger than I, this attitude is nothing new. The problem is, in our current world, this trash talk about success is today again everywhere. This only serves to perpetuate dangerous myths, especially to our young and inexperience citizens.

In fact, the greatest minds in history have warned about the dangers of unbridled political banter.

So what can you do?

First of all, have the guts to acknowledge media BS as just that.

Don’t focus and dwell on what’s wrong with the world.

Instead, focus on improving it, one patient visit at a time.

Yes, a lot has changed in practice! It’s changed in your patient’s lives too. And some have been enormous.

So, what have you done lately to help deal with their changes and how they utilize your care, or not?

And what about their own fears and concerns? Are you like a deer in the headlights, or a pillar of community strength?

When is the last time you and your team took actions that can make their days brighter, and their futures even healthier? The possibilities for practice expansion with this one are huge!

But, most importantly, make sure your daily actions and decisions are ultimately putting you in charge of your life. Take full responsibility for your own results.

Work a little harder, maybe a whole lot smarter to develop your own future choices and flexibility.

Always remember, no matter how ineffective prior decisions may have been, or how bad things may have been this is a brand new day.

Completely new opportunities abound.

But only if you decide to be fully engaged.

Tough economy or not, there is no better time to make your mark than right now.

I would also assert that is this the very best time to refocus, and reorganize. Learn new systems. Invest in your business skills development. Reorganize. Rebuild if you must!

Be sure you are limiting your media exposure. Focus on your new business and personal goals. Plan now to be reaping the rewards, without guilt.

Almost 100 years ago, Wallace Wattles warned those aspiring to make better lives for themselves to ignore the politicians.

To focus only upon your desired outcomes with continuous gratitude being your dominant thought.

Doing everything with the utmost care and attitude of devout service.

He called his big idea the “Certain Way”.

I believe he was right.

What it will finally take is anyone’s guess. Our candidates for public office are great at talking a good game, but what ultimately it will take is a combination of “Common Sense” (written in 1776 from Founding Father Thomas Payne*) and a return of major corporate ethics, with effective, consumer driven oversight and simplified regulation.

It is likely the best solution, easiest to implement without burdening us with bigger government. I say let companies like Geico, Progressive and others that market auto insurance direct to consumers into the ring. Let consumer choice drive them to cut costs by uncoupling dollars from non-benefits payment. Give them simple rules to follow, nationwide, exempt from state lines. This could be huge, and would not take any dismantling of our major delivery systems.

Remember, Medicare runs on 4% administrative overhead, but currently private health insurers are closer to 25%. Much of this goes to the questionably ethical profiteering of extreme proportions, exorbitant salaries for executives and contributes to ridiculously poor provider reimbursements.

And, how about adding return of premium benefits to reward the healthiest while not penalizing the seriously ill. This is a tremendously powerful idea that would reap huge benefits for the consumer. It’s already done with disability and some other types of insurance and mutual insurance companies regularly pay dividends to payees. So, Lets make sure that some of insurance premium dollars can be returned if consumers stay healthy.

Lets also finally de-link health insurance from employers and employment benefits once and for all. This has been an absolute catastrophe. Even the Boston Globe recently acknowledged this. The extreme burden on US businesses of all sizes from health care premiums is well known. The trickle down benefits to business, like the automakers, municipalities and others could also be a huge economic stimulus.

Uncoupling health insurance benefits from employment would make consumers ultimately more fiscally savvy and responsible. This could quite likely increase their wages simultaneously as employees would now purchase all benefits outside of their work. Uncle Sam can help with deductibility and tax exemptions, maybe larger in the beginning to help foster the transition.

I also believe that there should be real consumer dollars available for CAM (Complimentary and Alternative Medicine) that can be used in the treatment of our most common and non-life threatening disorders especially if the consumer does not utilize more expensive traditional pathways for the same condition. Back pain and headaches are two very real examples that both happen to be still the most common reasons for doctor’s visits, and are at least in part linked to stress and unhealthy lifestyles.

This mechanism alone would foster consumer education to choose their own healthcare pathways without taking an additional financial hit in addition to premiums.

Any effective system must simultaneously provide equitable reimbursement and other incentives to all licensed doctors of all disciplines as well as ancillary providers for our society to keep great healthcare providers in the system.

This must include simplified reimbursement schedules, equal across the professions for identical procedures. I strongly favor a diagnosis-based system with utilization review only for those cases outlying the norms. This could be a technological piece of cake with a national electronic healthcare database for all Americans.

Of course, there are other issues that need to be simultaneously addressed. These include malpractice provisions (some experts suggest in a separate healthcare “court” in addition to capped awards). Better awareness of poor outcomes vs. malpractice by society at large would really help as well.

Drug costs, competition and widespread availability of tested alternatives to prescription drugs all need to be handled. Again, a consumer driven Wal-Mart type of distribution may be what already does it.

So, how can we help? Lets make sure we educate ourselves first and foremost as to what’s wrong with our current system and push our lawmakers toward better consumer choices. Take a real hard look at their differences on these topics when you vote and support any politician, as some are huge. Let your patients know who these consumer friendly elected officials are in your area are too.

Utilize cost effective preventive screenings in your practice, and advocate the same for our families. Lets make sure we teach our kids and our patients all the rewards of better health choices like non-smoking, stress management, diabetes prevention, relationship choices including illicit drugs and sexual behavior, and permanent weight control.

How it will all turn out is anybodies guess. I continue to be as vocal about these issues with my patients and community, and urge you to do the same.

Not Unlike Thomas Payne did over 200 years ago.

(*Society in every state is a blessing, but Government, even in its best state, is but a necessary evil; in its worst state an intolerable one: for when we suffer, or are exposed to the same miseries BY A GOVERNMENT, which we might expect in a country WITHOUT GOVERNMENT, our calamity is heightened by reflecting that we furnish the means by which we suffer.)

Missing real leadership in tougher times is driving responses to an entirely new set of on-line ads, that 1 year ago were almost irrelevant. It will tell you what people really want, and need right now.
The same is true off-line.
Really.
I recently took a hard look at what on-line ads are pulling the hardest.
Boy, has that changed!

How many businesses and practices are oblivious to this?

It also explains why private practices, lead by true integrity continue to support the community and are themselves very healthy.

“Networking:
Where Do I Put My Marketing Energy?”

Let’s talk about some of the more common areas that doctors usually get involved in regarding networking and their practice.

The whole purpose of networking is to build a community of people that share interests and similar activities. You can also explore the activities, business fields, and areas of expertise of those who are involved in almost any group. This has tremendous benefits to establishing yourself in the community.

The downside certainly can be the time factor. Early on in practice, you may have a lot of time to devote to this. Realistically, as time goes on, you’ll have to make some careful decisions as to how involved you want to be.

Let’s begin with the chamber of commerce. Initially, these groups are a very good move. It gives you the opportunity to meet and greet people in your community and have some professional presence at meetings. It allows you to help them with certain posts at chamber events, which can help you get noticed. You can also participate in their live community sponsored events.

All of these things are particularly beneficial as long as you remember the three basics of networking:

1.Make sure you’re dressed appropriately for the occasion.

2.Make sure you have plenty of business cards.

3.Have some professionally done brochures or newsletters handy as something you can distribute, exchange and follow up with.

The downfall of all these activities is the time trap. In private practice, it may be something that’s extraordinarily beneficial. As time goes on, you really need to, in most cases, limit yourself to attending the regular meetings.

The other thing about getting involved with chambers of commerce is to be very careful about taking officer positions because they do consume a tremendous amount of time. You’ll find yourself reaching diminishing returns quickly with your time.

Conversely, the best results from this type of professional interaction come from building alliances.

Of all the types of networking behaviors we can engage in as professionals, this should be number one on your list. This is an area that can be very fruitful for just about everybody who participates in it.

Another essential area of networking we have the opportunity to be involved in is membership in professional societies.

You can say what you want about professional societies, no matter where you practice, but generally we’re better off to belong, and participate in our professional societies than to not.

Especially in these times we live in today our future, as politicians will really put healthcare professionals on the line.

You think insurance companies screwed with your practice? Just wait to you see what’s next.

Generally those who participate in professional societies seem to be much more on top of what’s happening legally and legislatively, and events that are happening in the federal and state governments plus the industry in general.

All this can have a major impact on your practice. It’s up to you, but it is something we recommend.

Perhaps the best thing about professional societies is the group access they allow you to obtain. For example, you can access their group leverage for member benefits and services, whether it’s to buy products or information services. You often have access to some type of discounted buying options or programs for office supplies, travel, etc.

Another enormous advantage of belonging to a professional society is you have excellent continuing education access. You have access to insurance programs, especially for disability insurance. This is one area you certainly want to look at.

In most parts of the country, professional societies have a regulatory interface. They may very well come to your rescue at a time of need. This has been my experience in the past, and it’s something you should be very cognizant of.

But most importantly, our societies can serve as an organized voice. Sure we have disagreements. But coming together on common ground will unite us as best we can. Never in the history of our world has the need for this been greater.

Lastly, really bring something to the table, no matter where you are.
More often than not its encouragement and ideas, with the monetary concerns a tertiary issue.

Interface through common connections and at community events. Be ready to help when they need it.

You never know in this world when you’ll need their assistance. In my experience, it will be sooner rather than later.

Of all the advice given to me by my mentors, the one that continues to serve me the best is the power of the Mastermind. If you have not read all about this in “Think and Grow Rich”, by Napoleon Hill, do it tonight!

For serious students of life successes, there is no substitute. So, the advice here simply, is to join some form of mastermind group.

The best types of mastermind groups are those that will challenge you.

Personally, I select people who are smarter, more focused and wealthier in not just finances, but all aspects of life. The information I learn is invaluable, actually, it’s been worth millions!

You want to be part of a group that will push you a little bit. Sometimes a lot!

Make sure the group is not so huge that you don’t get adequate time to address your private concerns. You also need to make sure the people you are sharing with are bound to privacy and have certain rules as to how new members are admitted. Be careful.

Drawing on my experience over the years, my periods of continued professional growth and all the things we’ve learned in business of Perfect Practice Web have come from mastermind groups I’ve belonged to.

I mastermind with people around the world who are engaging in these types of businesses on a regular basis.

For many years now, we’ve participated in mastermind groups that every one of my members will tell you how valuable they were in terms of moving them forward personally and professionally.

BUT, you need to carefully select any group you say yes to.

Make sure you share goals with the rest of the group members.

There should be an assigned moderator.

You can take turns moderating. In fact, for most small doctor groups, this is a good idea. Just make sure you have an expertise level at or above the topic you’ll be moderating. In essence, make sure that you put yourself in a position to moderate the type of discussion about which you have a wealth of knowledge.

If you are asked to moderate a group in which you don’t have expertise, take a pass—not necessarily on that group, but on that topic.

The other thing about masterminding is your own commitment level.

*When you volunteer to participate in one of these groups, make sure you keep your word, show up on time, and do not disrupt other members of the group with your own personal agenda.

If you participate in mastermind groups on a regular basis, they can have a very powerful influence on your practice and personal growth and development.

Be cautious but fully engaged with other members with your own contributions and shares. Likewise, please compliment and politely correct other members of the group when appropriate. Engaging in this type of behavior will benefit everybody involved.

Just like planning conventional networking, your most productive time between formal meetings spent will be with local business alliances, as long as they are reciprocal and meet all the criteria we set forward.

Honestly, doctors tell me the biggest advantage of becoming a member is every time you participate in seminar conferences, even the live teleconferences, you are masterminding at the same time.

This is perhaps one of the most wonderful things about the next topic we’re going to enter.

That is the whole area of social networking.

Social networking is becoming more and more visible in many areas of our society, and not necessarily for its good functions.

Doctors have been very late to embrace these new social tools!

If you engage in social networking deliberately, you can use it to your advantage.

This is also one reason why we have established our membership site to allow various degrees of interaction with our members.

Historically, not only in our own experience but also with research studies that have been done, chiropractic doctors fall behind other groups when it comes to the use of social networking.

It’s up to you doc.

Such are the realities of modern private practice. Its full-contact entrepreneurialism.

As I often say to clients, ignore these tips at your own peril. They cost only your time and discipline.

The Power of Social networking is becoming more and more visible in many areas of our society, and not necessarily for its good functions. Unfortunately, too often in the news when we hear about social networking, often we’re hearing about somebody being questioned for illegal or unethical conduct.

Doctor, you need to know that If you engage in social networking deliberately, you can use it to your advantage.

This is also one reason why we have established our membership site to allow various degrees of interaction with our members. Historically, not only in our own experience but also with research studies that have been done, chiropractic doctors fall behind other groups when it comes to the use of social networking. The purpose of this discussion is to enlighten you a little bit and whet your appetite. Look for more information on social networking in our upcoming technology workshops.

Just make sure you adhere to the following two basic rules.

Rule 1: Your participation is limited. In other words, as one of my confidants advised me some time ago, limit yourself to no more than a few minutes per day. You can delegate or outsource this entire process, too.

Rule 2: Make sure what you are contributing is of interest and benefit.

Of course, there are exceptions. Social networking on hobby sites is something totally different.

On professional sites such as the Perfect Practice Web forum, the more doctors participate the more we start to see the benefits of sharing instantaneously.

Post something interesting. Post questions about things you need help on or recommendations for vendors and suppliers. The information you can share is limitless. As long as it’s done in a professional and timely manner, everybody in the group will benefit.

So, lets cover some of the more common social networking sites , Facebook, LinkedIn, and Twitter. I’d like to address these individually a little bit at a time. They’re all very important, and each has its place.

With regard to online social networks, Facebook is the most widely used in North America. Nexopia is used predominantly in Canada. There are other sites such as Bebo, Highfive, MySpace, Tagged, Skyrock, Orkut, etc. There are also a couple other sites around the world such as Friendster and Cyworld.

The amount of sites is relatively unlimited, especially at this stage. I urge doctors participate in those forums that will provide visibility and the opportunity to have a professional but friendly image. Facebook would be number one on my list, not only in my personal experience but in the experience of the other people in the field we talk with every day.

One of the other advantages of Facebook is you can link videos and blogs to it. You can do this with other sites as well, but Facebook is so hardwired in through Google that the opportunities are limited only by your imagination and your financial resources.

MySpace is similar to Facebook. We have found it to be not quite as popular when we survey other professionals.

Twitter, on the other hand, is a fun site that can allow you to put yourself in front of thousands and thousands of people quickly.

The caveat with all these sites, but especially for the first three mentioned, is to understand that when you post, it is permanent. You have to make sure this information gets disseminated. It can be used against you. God forbid something unintentional gets posted on a particular site. You have to keep in mind it is subject to the highest level of public scrutiny. One of the scariest things now, not just for healthcare professionals but other people, is that Facebook and other online posts are being used against them in legal matters.

Be professional, cautious and intelligent about what you’re doing.

The next site is LinkedIn. This site is pretty cool. It seems to be a little bit more difficult to get into. It takes a little bit more time with regard to networking, simply because it is professionals.

LinkedIn sends regular updates by email of what’s going on with other members of your network.

It also gives us a good idea of what other things might be going on with the other online communities. For example, if you take a look at allied professions and what’s going on online, it gives us a great idea of what we should be doing.

If you have a Facebook account, you should be linked to ours. We have my personal one, which is the one I prefer. It’s the John Hayes, Jr. site. Then we also have the Perfect Practice Web, which feeds into my personal account.

Get yourself up and running. Get out there. I encourage all member and guest doctors to do this and list yourself to each others Facebook Friends Lists!!!

This will have tremendous benefit. You automatically get more exposure on-line, just from linking with us and your profession and others on Facebbok.

Be professional, friendly and proud, and take some time with it.

…can be devastating.

It’s a fact. Failure to act, and act swiftly and decisively causes more lost opportunity than perhaps any other single human behavior.

Likewise, making the little decisions more quickly, and the bigger ones with more clarity will move you ever closer to your goals.

This, is the biggest take away from our conferences this week with our Gold and Plus members. Those who make it big, live their entire lives on this basic principle.

Beating Peripheral Neuropathy

Through out my career, and now with increasing frequency, I have had the occasion to treat patients with peripheral neuropathy, (PN) often with varied success.
While consulting other doctors, I discovered some were still very frustrated with their results treating PN as well. Because I was seeing so many of these patients, I began researching alternatives to current therapies. I was fortunate to find David Phillips. PhD. Dr Phillips is the inventor of many medical devices, and Founder of ReBuilder Medical.
Dr. Phillips was kind enough to discuss with me the use of his device, a dual frequency neurostimulator, with nutrition support. He also has excellent knowledge of the mechanics of spinal subluxation and other somatic dysfunctions upon these patients which has greatly enhanced the care of these PN patients.
Together we discussed a combined treatment protocol using his devices, chiropractic spinal manipulation, joint mobilizations, and other mechano therapies, as well as our combined years of experience with therapeutic nutrition.
A short time later, I put together a treatment protocol using both of our inputs. Within 6 weeks, I was astounded, not only with the results, but how many people responded to our notices that we now had powerful, effective care for a condition that devastates the health and well being of over 20 million Americans.
What follows are synopses of case studies. To the best of my knowledge, this is the first time a comprehensive outpatient drug free treatment for peripheral neuropathy has been so effective.
The first patient is an 80-year-old female who presented to me with a long history of diabetes. She’d been diabetic for about 10 years. She was suffering so badly from peripheral neuropathy that she had been unable to sleep for four years. She was complaining primarily of burning, tingling, very significant sleep disturbance, and a complete loss of sensation in the left great toe.
When I did her sensory examination, I found she had a complete loss of sensation to light touch and vibration at her left great toe. She also had decreased sensation to touch along the lateral aspects of both feet, the dorsum of both feet, and also some decrease in vibration, but not the total loss that was shown at the left side.
Using this new protocol, four sessions into her first one-month trial in the office she started to experience sensation in her great toe.

Five weeks later, she was discharged with a home treatment program.
It’s important to note that after the second week of treatment, she was sleeping through every night except for one with almost no PN symptoms. She had absolutely phenomenal results. Needless to say, I was blown away.
A short time later, there presented in my office one of the most challenging and sad cases I ever seen in my entire life. This particular lady is a 53-year-old woman who presented with her husband in a wheelchair.
At age 47, she was diagnosed with cervical cancer. Her cancer was cured. During her cancer care, she was treated with Cisplatin, which is a very potent neurotoxin. When we did her examination, obviously she had a very difficult time ambulating because of the complete loss of sensation from her hips to her toes.
When we did her sensory examination. She had no light touch from the hips down. Her feet were ice cold. Her legs were pale. She had no vibration at all anywhere distal to the iliac crest.
Learning what I could from Dr. Phillips, I decided that this would be a very good test case to take in. I’m certainly glad I did, because five weeks into treatment, I helped her walk down the hall without assistance. It was absolutely unbelievable. This woman has been in a wheelchair for four years
The last one is another very amazing chemotherapy patient. This lady is a 54-year-old accountant. Unfortunately, she had colon cancer at a very young age. She was treated with mixed chemotherapy. Her treatment included radiation, chemotherapy, colostomy, and ultimate reversal of a colostomy. Following the cancer treatment, she was left with peripheral neuropathy involving both hands and feet.
She presented to the office as a patient with a stocking-and-glove type of neuropathy, complaining of tingling and sleep disturbance. At the time of her initial presentation, she was also taking Lyrica, which did give her some softening of her symptoms but not alleviation.
After beginning the treatment protocol she started to get the sensation back in her feet. At two weeks, not only had her peripheral neuropathy symptoms improved, but also her skin temperatures and textures have improved.
In addition to having restoration of sensation to her feet, she is now having restoration to her hands.
These cases are nothing short of miraculous. Previously, treating peripheral neuropathy patients hasn’t been really successful. Often, it’s been hit or miss. We’ve had some pretty good results in the past with nutrition therapy, but I’ve never seen total resolutions like we’re seeing in these cases.

These cases highlight the need for more research.
Meanwhile, it’s important more doctors learn how to help these patients. To that end, Dr Hayes has produced training webinars and support to help more doctors provide help to these many patients who perhaps never would have considered chiropractic as part of their treatment program.
For more information on the Hayes/Phillips PN Treatment Protocols, contact
John P Hayes, Jr, DC DABCO, CEO Perfect Practice Web at 781-659-7989
or email info@perfectpracticeweb.com.

What’s a perfect practice?

This is exactly the very first question that must be answered by each and every doctor in private practice. Having said this, I will also tell you the major cause of failure in practice is a poor initial design or redesign. This is also why in today’s world we advocate a redesign by each member doctor every six months.

We suggest a litmus test of 12 criteria, which when met, will propel you to personal and professional fulfillment. If you are in a group practice right now, especially as a newbie, you might have far less latitude in creation of your perfect practice. So think here in ultimate terms.

And let’s keep it that way. Its one of the hallmarks of a free society, and really a privilege. If you want a 9-5 type job, there are plenty out there.

My first criterion for our doctors is that emotional and financial rewards are far greater than the stress level.

If this is not true, why would you continue to tolerate it without changing how you operate? Do you see how having a primary criterion like this can set the stage for success? And how practicing without these criteria being met is a recipe for ultimate unhappiness and likely failure?

By now, you get my drift. This is why I am so adamant that doctors learn fully to “Practice by Design”©.

So began my recent special teleseminar with all 12 Secrets of Private Practice Mastery. If you are ready to change your personal and professional life for good, and would like a membership application as well as the replay contact us ASAP, as we begin to build our next class.

If you haven’t already tried this tip, I suggest you adopt it for 2 weeks, and tell me if it does not make a huge difference. 10 minutes before starting a patient shift, gather all your team in a private area. Have a copy of your Schedule, New Patient Log, and Missed appointment log. Go over each briefly, with the entire team. Make sure full communication is present amongst your players. Make sure your Team Captain (even if its you) are acting as the moderator.

Just doing this alone can have a huge impact on your practice.

Here’s a challenge to all clients and guests. Try this your next full week. Then email us or post to our Blog the results. I look forward to sharing your experiences.

I am hosting a free special webcast event, “The 12 Secrets of Private Practice Mastery” with room for a few more docs on Tuesday. You can register at http://practicebydesign.net
Spend an hour with John Hayes, Jr DC DABCO, Author of “Living and Practicing by Design” 2008 Evvy Award Nominee

Let’s face it, It’s not the easiest job in the world running a private practice, and add additional financial and social pressures from the world we live in today, it can be downright stressful.

Fortunately, this is also the best time to be establishing yourself firmly in your community, Building the practice of your dreams. It’s easier to get noticed, because there is less marketing clutter. It’s also far easier to obtain “pole” position in your community.

There are several things you can do to right now to facilitate in developing the skills you will need to design and have the practice you deserve.

The first item to look at is your own personal daily stress level in the office. I find that doctors create an inordinate amount of stress on themselves simply due to lack of organization, and too often simply lack of direction to key staff persons. If you have not yet begun starting each day with a brief meeting, I suggest you do that first. Take three to five minutes with key personnel and make sure the major objectives for the day are outlined as well as reviewing key components of current marketing and promotions.

Second, consider your own study time. How much time do you allot to use the tools, and skills development you will need to not only stay in practice but truly prosper over time. This of course requires you make time when you’re not seeing patients, when you’re not engaged in other activities.

Thirdly, when is visualization time? This key component is left out by far too many. The more crystal clear your vision is, the better your results will be.

There are many very creative things that each of us can do in our own communities right now. Some of these things include hosting a community event (sports, cultural, etc.) And simply taking advantage of local radio and TV time. What about writing articles for the local newspaper? Simply spend more quiet time visualizing your desired results, and you’ll find these ideas continue to come to you.

And what about your own physical fitness time? Sometimes even doctors forget, that being in the best physical shape you possibly can be facilitates clear and more effective decision-making.

What about your next vacation? What about hobbies you engage in on regular basis? How much time have you dedicated to these?

Register now for

2009 Superconference

http://perfectpracticeweb.com/annual-superconference-and-live-events.html

Please take 2 minutes or so and complete this survey by clicking the link below.

http://www.surveymonkey.com/s.aspx?sm=QU4k7E2X4VRyF41OWiy7Pg_3d_3d

Have a Great Day!
JPH

The big picture.

Dr., if your practice is solely dependent upon a single stream of income, have you already designed other components of practice that will bring additional revenues your way? Some key examples include nutrition, decompression, specialization in certain conditions, etc., etc.

And what about your referral systems? Are you dependent upon a single source of professional referrals? Do you have a fully functional professional contact system in place so that you cannot only target groups but the appropriate subgroups? When was the last time you contacted them with regard to all the new developments in your practice, breakthroughs in patient care, etc. When was last time you had lunch with some of these professionals?

And what about referring to their practice? Do make consistent and appropriate professional referrals? If not, it is difficult to expect the same in return.

Next, it has been said, many times that failure to plan is just like planning to fail. Have you posted an annual calendar? Noted all the services that you plan to implement as well as all your personal time off? Do not forget the daily activities, and marketing programs that you know you will need to be engaged in to truly prosper.

Register now for

2009 Superconference

http://perfectpracticeweb.com/annual-superconference-and-live-events.html

Please take 2 minutes or so and complete this survey
by clicking the link below.
http://www.surveymonkey.com/s.aspx?sm=QU4k7E2X4VRyF41OWiy7Pg_3d_3d

Have a great day!

Fixing HealthCare with Common Sense

What it will finally take is anyone’s guess. Our candidates for public office are great at talking a good game, and oh what a show Wednesday on ABC promises to be, but what ultimately it will take is a combination of “Common Sense” (written in 1776 from Founding Father Thomas Paine*) and a return of major corporate ethics, with effective, consumer driven oversight and simplified regulation.

Assuming we keep a private, free enterprise system, lets finally put the consumer in charge, just like with other types of insurance. Lets simultaneously expand HSAs and FSA programs and benefits to further breed responsible healthcare consumption.

It is likely the best solution, easiest to implement without burdening us with bigger government. I say let companies like Geico, Progressive and others that market auto insurance direct to consumers into the ring. Let consumer choice drive them to cut costs by uncoupling dollars from non-benefits payment. Give them simple rules to follow, nationwide, exempt from state lines. This could be huge, and would not take any dismantling of our major delivery systems.

Remember, Medicare runs on 4% administrative overhead, but currently private health insurers are closer to 25%. Much of this goes to the questionably ethical profiteering of extreme proportions, exorbitant salaries for executives and contributes to ridiculously poor provider reimbursements.

And, how about adding return of premium benefits to reward the healthiest while not penalizing the seriously ill. This is a tremendously powerful idea that would reap huge benefits for the consumer. It’s already done with disability and some other types of insurance and mutual insurance companies regularly pay dividends to payees. So, Lets make sure that some of insurance premium dollars can be returned if consumers stay healthy.

Lets also finally de-link health insurance from employers and employment benefits once and for all. This has been an absolute catastrophe. Even the Boston Globe recently acknowledged this. The extreme burden on US businesses of all sizes from health care premiums is well known. The trickle down benefits to business, like the automakers, municipalities and others could also be a huge economic stimulus.

Uncoupling health insurance benefits from employment would make consumers ultimately more fiscally savvy and responsible. This could quite likely increase their wages simultaneously as employees would now purchase all benefits outside of their work. Uncle Sam can help with deductibility and tax exemptions, maybe larger in the beginning to help foster the transition.

I also believe that there should be real consumer dollars available for CAM (Complimentary and Alternative Medicine) that can be used in the treatment of our most common and non-life threatening disorders especially if the consumer does not utilize more expensive traditional pathways for the same condition. Back pain and headaches are two very real examples that both happen to be still the most common reasons for doctor’s visits, and are at least in part linked to stress and unhealthy lifestyles.

This mechanism alone would foster consumer education to choose their own healthcare pathways with taking an additional financial hit in addition to premiums.

Any effective system must simultaneously provide equitable reimbursement and other incentives to all licensed doctors of all disciplines as well as ancillary providers for our society to keep great healthcare providers in the system.

This must include simplified reimbursement schedules, equal across the professions for identical procedures. I strongly favor a diagnosis-based system with utilization review only for those cases outlying the norms. This could be a technological piece of cake with a national electronic healthcare database for all Americans.

Of course, there are other issues that need to be simultaneously addressed. These include malpractice provisions (some experts suggest in a separate healthcare “court” in addition to capped awards). Better awareness of poor outcomes vs. malpractice by society at large would really help as well.

Drug costs, competition and widespread availability of tested alternatives to prescription drugs all need to be handled. Again, a consumer driven Wal-Mart type of distribution may be what already does it.

So, how can we help? Lets make sure we educate ourselves first and foremost as to what’s wrong with our current system and push our lawmakers toward better consumer choices. Take a real hard look at their differences on these topics when you vote and support any politician, as some are huge. Let your patients know who these consumer friendly elected officials are in your area are too.

Utilize cost effective preventive screenings in your practice, and advocate the same for our families. Lets make sure we teach our kids and our patients all the rewards of better health choices like non-smoking, stress management, diabetes prevention, relationship choices including illicit drugs and sexual behavior, and permanent weight control.

How it will all turn out is anybodies guess. I continue to be as vocal about these issues with my patients and community, and urge you to do the same.

Not Unlike Thomas Paine did over 200 years ago.

(*Society in every state is a blessing, but Government, even in its best state, is but a necessary evil; in its worst state an intolerable one: for when we suffer, or are exposed to the same miseries BY A GOVERNMENT, which we might expect in a country WITHOUT GOVERNMENT, our calamity is heightened by reflecting that we furnish the means by which we suffer.)

The first most important Daily Office System is…

Answering telephones by script. It is simply a mechanism to ensure two things.

One is that patients are not turned off by what is said.

The other is to obtain valuable information in terms of what parts of your marketing campaign are working. You have to make sure that whoever is answering the phone is ascertaining exactly how these particular people are finding you.

The second daily marketing task is to make sure that your new and returning patients are now automatically enrolled in marketing sequences. These marketing sequences should include…

You certainly can enhance the effectiveness of autopilot marketing by making sure that you’re subdividing these patients, putting them into different groups and categories. This is now much easier with the release of our software.

Third, you need to make sure that your primary care docs and other professionals who share the care of your patients with you are being updated by you on a regular basis. It is important to have this on autopilot.

In our office when the doctor finalizes an examination report, the doctor or a staff person prints it.
The staff will make sure that I have indeed inked the professional copy.

If it’s a primary care doc who I haven’t handled before or haven’t had the opportunity to meet, I will put an introductory letter in there as well as a letter on treating neuropathy or spinal decompression.

This is just another good usage of the four-colored newsletter templates that we have designed for you.

The fourth task to continue to drive referrals to your practice is that you have to make sure you’re always keeping your word. If you told Mrs. Smith that on this particular visit she’s going to begin rehab or have an evaluation for carpal tunnel syndrome, you have to make sure this is indeed happening.

The fifth point is to make sure that you have surrounded yourself with a team of “can do” and not “I can’t.” The worst thing that can happen to you is to have your plan stymied by somebody who is continually coming to you with, “I can’t,” or “I didn’t get to it.”

In my practice, especially at this particular stage of my life as I’m running Perfect Practice as well, my tolerance for that is virtually nonexistent. Those of you who know me personally know that I mean exactly what I say. Thats why we’ll be teaching this extensive Staffing BootCamp on August 22nd

Now let’s talk about some of the other marketing tasks to make sure that your marketing campaigns are on autopilot…

What do You stand for?

It has been said, that “If you don’t stand for something, you will fall for anything”.

To be truly independent, especially on a great day of American Independence you need to know where you stand on the major cornerstones of your life (Personal, Spiritual, Material, Fitness and Financial).

A strong personal philosophy on each of these is vital to your success, and developing an evolving professional life and practice .

This is a great day to ask yourself if are truly living the personal and professional life you deserve. Are your actions leading you in the direction of the goals you set at the beginning of the year? If not, make the midyear corrections NOW to insure not another precious moment of your life is wasted! (This is one place where one on one coaching can really help this to take shape for you!)

When I think and read about what our American forefathers accomplished, (while spending the Fourth on Nantucket, steeped in American History), especially in light of the challenges they faced, most of the tasks we have at hand seem to pale in comparison. (I firmly believe this is also why America needs to continue to be clear on what we stand for!)

What do you stand for? Make sure your patients and your staff knows your personal philosophy on these vital cornerstones or you are liable to ‘fall for anything’!

If you are not crystal clear on your personal philosophy, or even if it needs some updating or fine tuning, get out a blank legal pad, sit in a quit place, close your eyes for a while and list what comes to mind. Just make sure you do it before you go to sleep tonight!

All successful people can clearly define their stand. You must count yourself in these ranks.

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The better way for Doctors to run their practice and their lives.
For more info please visit www.PerfectPracticeWeb.com.

Those who continue to be very successful in private practice have an ever evolving vision about the way they want their life to be and then carefully design the way they want their practices to support their personal goals and dreams.

Never before, have their been more simultaneous changes facing those amongst us who continue to choose the private ownership of a viable business, the entrepreneurial pathway.

Make no mistake about it; private practice today is not for the indecisive or faint of heart. There are easier ways to make a living.

So the question becomes then, why would somebody choose this more challenging pathway over different and in many respects far easier routes?

In my opinion, and in my experience as a private owner for many years and now as a consultant, those who continue to be successful recognize fully the immense rewards that only ownership and being 100 percent in charge can bring.

Indeed, it is that same spirit that drives anybody that strives to stay on top in any worthwhile chosen endeavor.

There’s something about going to the office each day, knowing that you are the creator, the implementer, and the manager of your entire life that really separates the private practice owner of today.

There is also the immense reward of knowing that you are part of a very small segment of humanity. In fact, you are at the absolute pinnacle of successful people!

But what really drives you and I down this pathway is the realization and ultimate human satisfaction that no challenge is too great and no single obstacle too big.

And given the complexities of the world we live in necessitates more effective systems than ever before and the leverage only powerful design can produce. Not to mention supplying our teams with impeccable tools.

So why then, does it sometimes seem to the outsider that a powerful practice is elusive and not attainable?

Almost universally, it is because the first secret of private practice mastery, the habit of continually visualizing “The end in mind” it is neglected!

Most often, in my consulting time with doctors, failure in private practice results because doctors too often wait for far too long before making crucial changes in design.

Why is this so? I’ve often observed that It’s simply because as good as doctors are at giving advice they are often very reluctant to engage their coaches and mentors, especially those who have achieved similar goals or greater successes.

Another really big point. Jim Rohn said, one of the reasons many people do not do well is they do not have enough reasons to do well!

So if it’s been quite some time since you’ve really looked at the reasons that get you out of bed every day, what are you waiting for? Maintaining vigilance with your thoughts and keeping your reasons in the forefront make even the toughest days seem far easier.

Once your “end in mind” is clearly delineated, powerful systems, and the leverage a team that shares your vision is absolutely paramount to your success.

Of course design alone is not enough! It is however the most important, and the most powerful weapon in the owner doctors arsenal.

I tell doctor’s time and time again, those who continually do well are those that continue to engage in frequent redesign!

This does not necessarily mean completely overhauling the entire practice. On the contrary.

What it really means that you will refine systems, carefully consider the addition of better of technology, and better staffing that really sets your practices apart in terms of economic and personal satisfaction.

And you must continually provide your team with only the finest marketing and communications to get the job done.

Simplification, organization, but most especially surety in their personal actions throughout the day while in contact with your patients and your community.

This is today’s reality, but it’s also the reason we teach doctors extensively how to autopilot this entire system and how to go about getting all this “stuff” done.

To Learn more strategies and systems, listen to our special FREE CD, “The 12 Secrets of Private Practice Mastery”.

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It’s a fact; politically self-serving agendas have been a part of history for centuries. Even back in Ancient Rome and Greece, elders warned about the expansion of self-perpetuating plutocracies.

Right now though, in the midst of an economic meltdown, the constant injection into the media is fear from politicians who we entrust to be leaders.

Rather than reassurance this trash talk about the wealthy is destructive, and controlling. Too often, the very criticisms our politicians hurl at others, mirror habits that exist in their own lives, a fact too many of their constituents and certainly the paparazzi ignore.

It’s the deeper message though, most recently not so hidden, that in my opinion is the most dangerous to private healthcare, especially for our student doctors.

That message is that being wealthy and ultra successful is somehow bad. That because you did well through your own efforts, your results must now be penalized.

Never has such a more dangerous notion been put forth with unquestioning by the mainstream media.

Its NOT wealthy successful people that brought the economy to it’s knees, It’s now many years of bad decisions and top down government and corporate corruption that transcends political parties and international boundaries, fueled by incredible greed. Unfortunately, these basic facts are too often conspicuously absent from the daily media banter.

It’s the wealthy and most successful (not the greedy and corrupt) that pay the bulk of taxes already. It’s the wealthy that are the philanthropists and benefactors in a free society.

For those younger than I, this attitude is nothing new. The problem is, in our current world, this trash talk about success is today again everywhere. This only serves to perpetuate dangerous myths, especially to our young and inexperience citizens.

In fact, the greatest minds in history have warned about the dangers of unbridled political banter.

So what can you do?

First of all, have the guts to acknowledge media BS as just that.

Don’t focus and dwell on what’s wrong with the world.

Instead, focus on improving it, one patient visit at a time.

Yes, a lot has changed in practice! It’s changed in your patient’s lives too. And some have been enormous.

So, what have you done lately to help deal with their changes and how they utilize your care, or not?

And what about their own fears and concerns? Are you like a deer in the headlights, or a pillar of community strength?

When is the last time you and your team took actions that can make their days brighter, and their futures even healthier? The possibilities for practice expansion with this one are huge!

But, most importantly, make sure your daily actions and decisions are ultimately putting you in charge of your life. Take full responsibility for your own results.

Work a little harder, maybe a whole lot smarter to develop your own future choices and flexibility.

Always remember, no matter how ineffective prior decisions may have been, or how bad things may have been this is a brand new day.

Completely new opportunities abound.

But only if you decide to be fully engaged.

Tough economy or not, there is no better time to make your mark than right now.

I would also assert that is this the very best time to refocus, and reorganize. Learn new systems. Invest in your business skills development. Reorganize. Rebuild if you must!

Be sure you are limiting your media exposure. Focus on your new business and personal goals. Plan now to be reaping the rewards, without guilt.

Almost 100 years ago, Wallace Wattles warned those aspiring to make better lives for themselves to ignore the politicians.
To focus only upon your desired outcomes with continuous gratitude being your dominant thought.

Doing everything with the utmost care and attitude of devout service.

He called his big idea the “Certain Way”.

I believe he was right.

Ready to change the way you look at practice and maybe your entire life in a single Day?
Have your entire team trained for you by experts? Come away with an entirely new vision?

Then do it while a few seats are left…

“Oh my God, now what do I do?”

Doctor, if you have asked yourself this question even once in the last week, something is incorrect, broken or missing in your game plan.

If you have paid attention to Perfect Practice Web in the last 3 years, you have built your practice and indeed your personal life as a fortress, and have been largely unaffected by the events of this year, except to be a sounding board for those who reach out, and want to know why YOU are so happy.

Your practice is strong, your investments are worth more not less and you lead your team with eager anticipation of the future by example.

If not though, a really critical appraisal of EVERY system in your practice, and probably personal life is long overdue. You should be doing this every six months at a minimum anyways.

Here are some key issues to consider right now.

Have you made your patient care plans simple, understandable by your patients? Or, are they confused, and when it comes time to pay say all too often “Let me think about it.” “I can’t possibly afford THAT right now.” And you watch them drive off in a better car than yours.

Are you asking your patients what they want and going out of your way to provide it?

And your team. Are you reassuring, or frightened? Are you complaining about how much money you either don’t have or lost, or are you supportive, and doing everything you can to ensure them a bright future? Do they absolutely know where they stand on everything about your practice??? Or, are they spooked because you are taking calls from your broker when with patients.

Are you making them feel confident, or scared??? Do they talk about you, and in what vein? Are you working every week to make their jobs easier or more difficult and confusing?

Lets talk money. Are you spending money on your continued growth and education, or did you axe that too. Will you be joining us in California to learn from some of the brightest people in healthcare, EMR, marketing, interdisciplinary care and law right now? Are you fully engaged in continuous self-improvement? Books, CDS, pod casts, teleseminars and webinars? Have you lost tens of thousands trying to do multidisciplinary, or do you actually care for your local MDs, RNs and their children too? Oh, by the way, you get most of their specialty referrals too.

And what about marketing? Still losing money on the yellow pages and newspaper ads, or does YOUR name come up when they google their health concerns. Is it YOU on the local radio health shows, or your competitors? Is your website up to snuff? Are there ways on YOUR website to capture New Patients on-line? The Same Day? Are you targeting your marketing, or broadcasting dollars into the wind?

While writing “Living and Practicing by Design”, little did I know at the time how quickly much of what I wrote about would be a bullet proof strategy against the ever changing economic and practice landscape.

The good news is, that’s what we’ll be doing together in a very rare live event, next in Plymouth Ma, on August 22nd.

And doctor, based upon the events of the last two weeks, with all due respect you need to create all of this in your own life. But YOU CAN ONLY LEARN THESE RIGHT NOW by getting yourself and your key team players to Plymouth.

Get your plane tickets now, get your seminar seats WITH Big Bonuses.

The better way for Doctors to run their practice and their lives.
For more info please visit www.PerfectPracticeWeb.com.

http://perfectpracticeweb.com

There are 12 Secrets of Private Practice Mastery…

http://perfectpracticeweb.com

There are 12 Secrets of Private Practice Mastery…

http://perfectpracticeweb.com

SuperConference 2009 takes place in Plymouth Ma on Saturday August 22nd. Get your seat wile you still can!!!

The better way for Doctors to run their practice and their lives.
For more info please visit www.PerfectPracticeWeb.com.

http://perfectpracticeweb.com

SuperConference 2009 takes place in Plymouth Ma on Saturday August 22nd. Get your seat wile you still can!!!

The better way for Doctors to run their practice and their lives.
For more info please visit www.PerfectPracticeWeb.com.