What Drives Your Practice? Part 2

Turning Obstacles Into Opportunities

Knowing the purpose of your practice allows you to see the larger picture and meet obstacles head on and plan for a successful resolution to problems.  Every practice, regardless of size, location or specialty, faces obstacles.

Do any of these potential problems sound familiar?

  • Funding
  • Staying ahead of competition from other physicians and specialties
  • Planned growth and expansion
  • Managing patient outcomes and measuring success of treatment

Once you’ve determined your overall purpose and goals, you become more of a “big picture thinker” – anticipating problems and planning solutions before they occur.  If you know where you’re going, you have a better idea of how to get there.

Having a clear picture of your purpose allows you to do your homework and take appropriate action when opportunities present themselves.  You don’t circle the drain, studying the problem, asking for more information and letting opportunities pass you by while you “think about it”.

More Chronic Care Caveats

More Chronic Care Caveats

Your patients have been through a lot. In fact, unless you or a loved one have been through a protracted illness, it can be difficult to imagine. This is where compassionate care can really help recovery.

They want to finally be free from pain. Not just medicate it away! If there are good treatments and physical modalities that help, explain the hows and whys, use good tools, and make sure your staff knows all about these too, so they become educated ambassadors of health!

They want their lives back! Yes! This is key to not only getting results, but also to getting to the heart of lifestyle problems such as obesity and immobility and poor fitness levels.

But they must completely understand the process, game plan, and their responsibilities in recovery.

Broad Skills Development are Keys to Success in practice

You must take control, fully assess their intentions from the outset, and involve yourself completely in their treatment.

And then watch your referrals and practice revenues growing every week.

It’s a win for everyone involved.

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

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.

May 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.

We’ll finish this up next time, meanwhile go to Perfect Practice Web
for lots more free info.

Election Reminders For Private Practice Owners

This weekend I spent time reading the September 3rd 2009 issue of Rolling Stone magazine. The one with The Beatles breakup article on the cover. When I first glanced at it probably like most boomers, I had immediate flashbacks to 1967.

What attracted me to this issue is that a patient had deliberately placed it on my desk. No, not just for the cover story, but for Matt Tabbis’ excellent article on health care reform.

The last time I had spent time with this magazine it was a totally different format.  I must say they have them a great job with their redesign and readability.

Tabbis’ article is mandatory reading. For multiple reasons.

About halfway through the article in there is a section entitled “Provide no Leadership”.  Criticizing the president’s handling of the proposed healthcare reform bill Tabbi says Obama spoke in “generalities”.

Tabbi rightly says that at no time, “…did Obama come out and say once what he wanted Congress to do. Even in June, when congressional leaders desperate for guidance met with chief of staff …they got no signal at all about what the White House wanted”.

One of the photograph titles states, “Obama has been agonizingly noncommittal about the details of reform.”

Of course, this entire story has yet to play out to completion.

Well intentioned, but still with too many devastating consequences for America as it stands right now...

The unresolved issues remain of extreme importance to you and your patients…

When patients say “no”- improving your health care for patients

This is always a big question in private practice, getting patients to follow advice. In medicine, it’s typically dosing compliance. In chiropractic and physical therapy where patients are typically treated intensively at first, it’s in-office and home care.

But there is a bigger issue. Getting any human being to do anything they don’t fully understand or have faith in is futile. This fact drives many people crazy. As Michael Gerber asserted first in the “E-Myth” many years ago, people are basically unmanageable.

Trust Helps Patients Get Better Faster

But what are manageable are results, systems and processes. They are also measurable. The good news is that just approaching your practice and indeed your life like this frees up enormous amounts of emotional energy. Still, though, we are dealing with people, not hardware. There is one thing that almost every human beings respond to in kind, and that is relationships with other humans,  based upon trust. And of course in private practice, trust means expertise, experience and reassurance.

It’s in simply recognizing and fixing this in many offices that builds huge patient bonds, and markedly better income, results and compliance.

So, how do we continuously build trust in our offices? By making connections on a basic, human level. Primarily through frequent, relevant contact. Multiple avenues. This is also why the social media are all the rage right now…

I’ll have way more on this in the next few days

Powerful Practices Makeover

Lets be honest with each other. Could your practice income use a BIG BOOST? Are things around the office lately just not as crisp as they should be? Would you be having a much better holiday weekend if so much “stuff” was not SLIPPING through the cracks? Having difficulty attracting and then retaining affluent patients because of what your office systems and environment “says” to them?

Do you need to be able to MAXIMIZE the impact that NeuropathyDR(TM) and other our other powerful programs can have in your practice by cleaning up and tightening some things RIGHT NOW?

Then, are you willing to invest a little quiet time in the comfort of your own home that just might add Thousands of dollars in income ALMOST IMMEDIATELY, cut your stress level, radically improve patient satisfaction, and FLOOD your office with NEW and FORMER Patients to REALLY put your practice back on top?
– Show quoted text –
Using techniques Especially important in TODAY’S Economy?

Well, doctors who implement this program tell us they accomplish just that!

Now there is an easy and convenient way to grab a POWERFUL set of methods for creating a profitable and enjoyable private practice in four  45-minute training webcasts, COMPLETE WITH the word for word transcripts.

IF YOU ACT RIGHT NOW, I’ll Even include a special BONUS Audio Session and Transcript.

AND, the best part of all, THERE IS NO WAITING!
EVERYTHING you see here will be edilvered upon successful processing of your payment!

Here’s what you’ll learn:

Through the Powerful Practices Makeover teleconference series I’ll teach you how to avoid becoming a victim of the financial crisis and take charge by building a private practice with some of the most powerful “secret weapons’ previously available only to the most successful practice owners in the world… We’ll cover strategies for new and established practitioners – Whether you’re just getting your feet wet or have been “swimming in the deep end” of private practice for years, you’ll find valuable, actionable information you can use with your practice right away.

Here’s how it will help you:

Module – 1  Clean Up Your Act!

–    We’ll start from the ground up.  What do your patients seen when they visit your office?
–    Together we’ll go through an entire tour of your physical space, and provide ideas for additions, deletions to instantly update decor, expand patient education, and more.
–    Learn how to use every square foot to reinforce your message, increase revenue, and make it fun and comfortable for your patients – and their children.

Module 2  – Massive Patient Reactivation Strategies: Think about how much revenue you could add to your practice if you were still treating all the patients you use to care for.  What if you only got 10, 15, 20% of them back… what would that do to you your bottom line?

–    An in-depth look at series of recall and reactivation strategies to flood your office with former patients.
–    Multiple on and off line strategies will be presented.

Module 3  – Overlooked internal marketing “Direct Hits” and Getting Testimonials:

If you’ve been in private practice for any period of time you’ve heard that getting testimonials from happy patients is surefire way to establish credibility and increase your patient flow.

–    Testimonials are the most powerful free marketing tool, ever. Learn to Convert current patients into raving fans who pay, stay and refer their friends.
–    I’ll teach you how to capture and use all these in your marketing, both on and off line – for just pennies-  and boost referrals instantly.

Module 4  – Marketing Automation:

–    Once and for all put your marketing on autopilot!  How to put systems in place that keep you in front of your community.
–    Learn how you can create a “competition-free zone” and recession proof your business.
–    Implement marketing systems so your private practice operates with precision …WHETHER YOU’RE ACTUALLY THERE OR NOT.

BONUS Module 5- The secrets to immediately unlocking the power behind MakeOver week.
My members got this first, and Now, you too can have the keys to the secrets of making this all WORK.

*Our Client Doctors who took this program live told me it changed their entire outlook on practicing in today’s world, the Very First Session!

JUST 27 copies are now ON SALE at just $227, and will all be edilvered as soon as your payment is processed!

By using these secrets in my own practice, (unlike most consultants we actually run practices and test what we sell) we added $16238.40 in just 4 weeks! That’s an OVA of 101.49, on NO additional external marketing expenses!!!!!  (Of course, your results may vary, and are dependent upon your own implementation and execution.)

Try THAT investment ROI anywhere else in private practice, all while in the midst of the biggest economic collapse in a century!

Read what our docs say about this, then be one of seven more to invest HERE right now

while JUST  27 7 copies remain at this LOW, LOW price!

I remain dedicated to helping you live the life of your dreams and multiplying your income,


The Most Powerful Marketing Piece Ever (Part 2)

Now, I am giving you a whole new reason to disconnect, and kick up your heels! Regularly.

It will help you build an enormous practice! Why? Because you can use your play to market yourself while feeling more rested, creative and inspired to be your very best.

Yes, that’s right! Especially now a days while it’s so easy to create media. Flip Cams, iphones, you name it.
This recently was reinforced in my practice when I sent out a reminder card to patients. I uploaded an image of me sitting on my motorcycle with a caption “Time to ride on in?”

"Time to Ride on In?

Patients loved it, and it was one of the most effective recall pieces I have recently done. And I have lots of fun photos of my adventures and likes around the office for them to see too.

Here is a strategy any practice owner can use. Do this right, your practice grows, as does your wealth account.

Step 1-
Make sure your practice is set up around your life, NOT the other way around! What do you like to do outside of practice? Where do you want to live, travel to or experience? If it’s been a while since you’ve done this, take your time, and be honest with yourself. Be sure to write or dictate all of this.

Step 2-
Start recording snippets of your adventures in media- a smart phone (iphone) is idea because you can take decent photos, video, heck even record great conversational sound bites. Of course, its even better with a good camera and an HD cameral like the FlipHD.

Be sure to keep these devices with you all the time. Some of my best marketing pieces and images have come from weekend ski or motorcycle adventures, and of course my vacations. The more impromptu the picture or video the better.

Next, Make storage and organization of your files easy. That’s why I am very partial to the Mac products like imovie, and iphoto.

Step 3-
be sure to use this material creatively. Put photos in your office news, flyers and especially on the web. This is why Facebook and other social media can be so powerful. It helps make you a real person.

Step 4-
Get some help. Too often, there is no solid marketing strategy, steps to follow or calendar for team members to focus on.
You’ll do far better to have a staff person help you with the implementation, but you’ve got to have a strategic plan they can follow. This is one of the very first things we teach in our Platinum sessions.

Step 5-
carve out regular time to make sure you are living your dreams, and your practice is supporting it! This is crucial. It’s also
why administrative and creative time must be on YOUR checklist, every week, and if you really want to accelerate your personal growth, every day!

Living and Practicing by Design

This is living and practicing by design, not default (which gets stressful and ugly quickly).
Remember, we are here to support you with the personal coaching, systems and tools that help you create the practice (and thus life) of your dreams!

For a FREE Downloadable version of my 5 star Amazon Book, “Living and Practicing by Design-Saving the Hearts that Care for Our Lives”,

Go To:

Serving Neuropathy Patients-Chiropractors and Physical Therapists

Some of our elite Member Docs and PTs are coming off a great weekend at SuperConference 2010.

We had lots of seat time, lots of hands on and a very powerful members only mastermind
with our esteemed guests on Friday Evening.

Well, just after that mastermind, around midnight at my desk, I put a post on FB for Neuropathy Patients, telling them what a great group all my docs and physical therapists are you all are, and here is exactly what they said…

“send some to pittsburgh pennsylvania i am serious I am sick of this
I have small fiber neuropathy…


…Small fiber neuropathy sucks! I dealt with severe pain for 3 years….good news is that you lose feeling after so much nerve damage is done and you go numb. That’s better than pain, but I lose my balance in really hot weather because I can’t feel my feet. Mine is from Lyme Disease.

…I almost go insane with neuropathy in my hands now,my feet are also completely dead, don’t feel them at all..but would love to be free of pain in my hands but then cant do anything!!! ”

Shall I go on?

The message is loud and clear.

Neuropathy Patients Want Many More Trained Chiropractors and Physical Therapists

These patients are right in your community.

If you are a doc or PT, the only question is WHY NOT learn something that can help turn their lives around?

And build yourself a powerful, prosperous NeuropathyDR(TM) Treatment Center.

Remember, we are the only system with brand identity, and a trademarked system. Patients ask for us by name!

Does it require some effort? Of Course. And specialized knowledge. Yes. Rewarding? Beyond belief some days.

That’s why patients want YOU!

I only ask you today, are you ready for them?


As another SuperConference 2010 Bonus, my friend Nitin Chhoda DPT
and I will be doing a special live PRIVATE MASTERMIND event on

Thursday August 12th at 8PM EST

And, this one is built entirely around private practice owners like you!

ALL we ask is you take 1 MINUTE RIGHT NOW TO Register…

FREE Mastermind Event!

We’ll be personally helping each attendee
in Building a Thriving Private Practice.

Ordinarily, a powerful “Masters Table” event like
this is $997, but as a SuperConference 2010 Bonus
it’s a FREE gift to you.

all you need to do is log on RIGHT NOW at


1. use password SCb2010

2. GO TO the Question BOX (RIGHT NOW PLEASE)

3. Leave us a first name in this box and describe clearly

What are you "Tolerating" that might be holding you back?

Building a Thriving Practice.

4. Come back to


on Thursday at 8PM and log back in with your password.
(You CAN take the replay at the same URL through Sunday)

So, plan on attending this PRIVATE MASTERMIND by going to



Yours in health and prosperity,

John and Nitin

The most powerful people in Private Practice today

In just 16 more days, you’ll have an opportunity to rub shoulders with some
of the most powerful people in Private Practice today.
Nitin Chhoda DPT, David Phillips PhD, Michael Beck DC.

Chiropractors, Physical Therapists and Medical Physicians Working Together

Lets face it. Things are changing rapidly for all of us in Private Practice now.

What my very special guests will show you is quite likely going to
change the way you may have looked at practice…forever.

The special $1,500 in early bird FREE BONUSES for registering for the
2010 SuperConference – Private Practice 2.0 – Strategic Blueprint Development,
are going fast.

Your complete seminar/workshop program and your registration form are here


Don’t miss your opportunity to learn how to:

*       Acquire more of your ideal clients
*       Sell your unique services online
*       Promote career saving specialty care
*       Learn financial freedom secrets
*       Flood your practice with new patients
*       Boost referrals

This instructive, informative 2010 SuperConference guarantees to teach you the profitable revenue-generating techniques that are working today for practices just like yours.

And for registering early you’ll get $1,500 in FREE BONUSES.

All the info is here


Now, You can Achieve breakthroughs in this turbulent economy with currently-productive knowledge found only at the 2010 SuperConference.

Yours to count on,


P.S.- Reserve your seat now so you can take advantage of the $1,500 in FREE BONUSES available to those that register early


I Really appreciate the opportunity to assist you in achieving your goals!

John Hayes, Jr. DC MS DABCO

CEO Perfect Practice Web, LLC
Instant Patient Newsletter Call (781) 754-0599
Email: info@perfectpracticeweb.com
Lets Stay Connected

Don’t Forget The Power of Focus…

Its 515 AM, I’m relaxing with a cup of coffee as I get ready to speak at the South Carolina Chiropractic Convention in Myrtle Beach SC in less than 3 hours.

As I started my day, as I do each morning I pulled out my goal and accomplishments list, I call it my AAA Priority list.

And I am very thankful to work with such great chiropractors, physical therapists and physicians of many disciplines
on Private Practice 2.0, for the new world we now face.

Its only July, and almost half the goals I set for myself and our companies, and my family are accomplished already or well on their way.

Is everything perfect?

Of course not.

Challenges to overcome?

Of course. Some will be enormous.

But without the power of daily focus, I wouldn’t be in this beautiful place writing to you this morning…

Thank you for help making my dreams come true!

Have a great day!

The Power of Focus and Living Your Dreams

Strategic Bluprinting Workshop (BIG Learning opportunity too…)

Start with a clean sheet of paper and list out what really makes you happy. Personally, professionally, financially.

Far too often, people spend more time planning leisure activities than they do vocational. But the most successful carefully carve out a practice that meets their needs as well as their patients.

What if you were so excited about going to the office that you applied the same level of research and step-by-step planning as you would the trip of a lifetime?

In ninety days, do you think you’d have an entirely new outlook on practice!

One place I see people really get hung up is “tolerating”.

What are you "Tolerating" that might be holding you back?

By that I mean accepting as unchangeable perpetually irritating conditions, or people. In the office, it could be a staff person that never should have been hired, or you are quite frankly too timid to demand adherence to policy. Or that insurance company that drives your staff nuts you should have cut ties with months ago.

Kind of in the background but none the less, these “tolerances” can be HUGE wastes of time and opportunity.

Honestly, you are a little spooked by all of this, and unsure how to change any of this.

But there is a solution! Come to SuperConference 2010! The entire day will be spent helping each other surmount the biggest issues in private practice right now!

Register while you can still save a fortune, be with some of the best minds in the business and still score some spectacular bonuses!

Do it now, and leave with a new outlook on practice, with your own strategic blueprint!


In addition to what you see at


act now and get this brand new program!

Scoliosis-patients you can now help more than ever!

Register RIGHT NOW, and I’ll include my complete August “Adult and Adolescent Spinal and Scoliosis Screening Program” FREE!

I’ve never shared this before. You’ll get my complete internal and outside marketing pieces, including a powerful newspaper ad, a beautiful powerpoint to use inside and outside the office all year long, screening forms, as well as participation in a very exciting upcoming Scoliosis workshop.

This is a huge area to expand into for any DC or PT. And very rewarding too. This is another BIG opportunity. I have patients driving an hour each way just to bring their kids, and yes even themselves, the often overlooked adult with scoliosis.
Over the last 2 years we’ve seen some great results with rehab and night-time only bracing, exercise and manual therapy.

This will soon be a course product all its own, but act today, and you can have it all FREE! Everything!

BUT, you must register at http://privatepracticedomination.com


This one item alone could drastically alter the way you look at private practice, forever!

Learn the corrective techniques and unique night time only bracing...

Strategic Blueprinting the Modern Practice

Most of you know I’m a motor head. Have been since I was 3 years old with the toy trucks. Bought and disassembled a VW Beetle at 13 years old. In fact, one of my uncles taught me to drive his MG with a stick shift that very same year. I’ve built and raced cars, and you’ve seen me on my Bimmer. But THAT’S a whole other story.

I’ve always been fascinated with high-performance machines. And I am particularly attracted to high performing people in all walks of life. I talk to many of you every day now!

One thing I learned very early is that the BIGGEST KEY to high-performance on the track and indeed life is the process of blueprinting.

Now with machines, blueprinting is taking every possible specification of an engine the engineers originally designed and thus engine performance to the finest, highest performing levels.

And I advocate the very same thing for private practice owners. Take an existing practice, fine-tune and maximize its performance. Everything. Staffing, marketing systems, patient care, flow inside the office, etc. It costs only time and a big vision.

Well, here’s what’s different than when I first wrote about this in 2005.

In order to stay profitable, you’ve got to realize the big divide now upon us between private and public health care.

They are actually entirely different strategies.

Talk about a High-Performing, Blueprinted life! George has done it!

How you get paid, how you market. And, make no mistake about it, your personal life too.

That is an entirely new strategic practice Blueprint that has emerged.

So here’s where to begin. Start with a clean sheet of paper and list out what really make s you happy. Personally, professionally, financially…

We’ll have way more next time.

Strategic Practice Blueprinting

Shortly, you’ll be receiving a very important invitation to SuperConference 2010.

Here’s the scoop.

Private Practice for all of us is changing, rapidly. What worked a year ago
on-line and off to get new patients just does not anymore, and next year
it’s certain to differ still.

And the same goes for in office procedures, third party insurance, staffing
to name just a few.

So over the next week, I’ll be giving you some special opportunities
to get and keep you on top.

Develop Your Unique Strategic Practice Blueprint on August 21st, 2010

But the BIG IDEA is to walk away from SuperConference 2010
with a Strategic Practice Blueprint all your own.

I hope you’ll join us while you still can get seats…



I Really appreciate the opportunity to assist you in achieving your goals!

Private Practice 2.0: Dominate or Perrish.

In just a little bit, I’ll be on my way to New Jersey to speak at the Referral Ignition Bootcamp my friend Nitin Chhoda DPT is hosting.

This is a closed door session all day Saturday for those who clearly understand that NOW is time to be planning your future private practice strategies. *(if you are local to NYC and still want to sneak a seat, TEXT My Cell at 617-947-2050).

Where Does Your Practice Stand Right Now?

And you know what, as my friend and MD Practice Web partner Dr. Chakrabarti says, “We have way more in common than we do different.” The reality is that there will very likely be much sharper lines drawn between public and private health care systems in the USA. This is demanding a real expansion of the on and offline marketing, management and even staffing techniques we first proposed in 2006. It is also demanding that chiropractors increasingly develop relationships with other private practice owners of the same mindset.

And I am calling this new strategy Private Practice Domination. And thats because those who do really well, in every discipline, chiropractic, medicine and physical therapy will be the dominant forces driving private care in their neighborhoods. Much of this will be specialty care, fitness, anti-aging, and chronic pain.

Seriously. I had this discussion with an oncologist who loves our approach to private practice earlier this week.

But too many practices in all disciplines will likely be shut down. It’s already happening. Disjointed or weak marketing, Medicare and HMOs pulling the plug on major hospitals, community hospitals on the brink of closure.

And too much of the time it’s because staff are not fully conversant in cash sales, dealing with the ” insurance only covers” mentality  (both staff and patients).

All of this needs to be clearly handled in your practice or institution one by one, ASAP.

Make no mistake about it. This is a great time to be in practice. Maybe, better than ever before.

IF you know how to capture opportunity.

More to come in the next few days…

It’s only a test…winners always look at the big picture

During the last 6 months all our businesses have continued to grow, yes even in the worst economy of our lifetimes.

In fact. a look at YTD numbers shows big gains in every category.

Now I’m talking averages here, because some projects, ventures, campaigns we thought would be killer just were not. Others have wildly exceeded expectations, leading to all types of adaptation, and growth, both inside and outside the core business.

My longstanding private practice is still seeing patients, also experiencing substantial growth and bigger profits. And I only see patients 3 days and 2 hrs/week! That’s all about to change, but thats another story too.

This is the same pattern in every business. The bigger the business the bigger the gains and losses.

Who is YOUR Ideal Patient?

But here’s what differentiates the absolute winners. When something fails, two events simultaneously occur.

1. The next campaign is launched (which is why we teach our clients to have an internal theme EVERY Month!).

2. A careful analysis of what did not work so hot takes place. Remember, all of marketing is simply a TEST.

In practice, like so many other areas, there are reasons things go awry in marketing.

Here’s some biggies:

1. No basic understanding of who your exact target is. Unless you can clearly identify your ideal prospective patient
you’ll never be effective at getting them to respond to your marketing enough to call you, let alone visit your practice.

2. Your practice lacks sufficient capacity to handle large numbers of new patients so some significant self or internal team sabotage occurs. Even if you’ve spent a fortune on ads.

3. There is no clear benefit, offer or deadline to encourage action on the part of the prospective patient or family member.

And of course there are many more.

So, as you look at why something is working great or not, make sure you document the answers.

You’ll need them while planning the next campaign.

The Critical Event That Changes Everything

One of the greatest things about the work we do as docs, and now especially the work I get to do with Clients, is that I get to witness some incredibly productive and powerful people…

Now you might ask, what defines power?

I define it as really living the life of ones dreams.

Despite fear. Despite the economy. Despite sometimes insurmountable odds.

And with every powerful person I’ve had the pleasure of  working with along the way, they all have experienced what I call  “The Critical Event”.

And that Critical Event is simply the decision point out of which issues a bold VISION and then DESIGN.

Or very often it’s a redesign of their path in life.

But far too often, this is where even highly educated professionals get hung up.

Far too many continue to accept “fate”, and never allow the time, make the space in their busy days or give themselves the “permission” to make it to their decision points.

And life continues to reward in kind.

So as we highlight personal freedom this week, if you are really living your dreams think, go back to your decision points along the way. Congratulate yourself as you move forward.

But if you are not, be sure to begin the process every day, starting today!

Always, Live and Practice by design, not default!

Live and Practice by Design-not Default!

Private Practice 2.0

Right now, all of the USA is at a crossroads for sure. Health care is no exception. In fact, it’s been in the sights of the media for some time now. We’re seeing the effects of declined revenue streams in crumbling institutions elsewhere, and unfortunately in health care too.

More and more, hospitals and professional practices alike are finding daily operational capitol strained to the max. Once lucrative venues have been eliminated or slashed. In many cases, procedure reimbursement from 3rd parties alone is unsustainable.

All of this has us thinking about what the next generation, Private Practice 2.0 is going to look like.

What are the skill sets we’ll have to possess?

Private Practice 2.

About the only clear thing is that there will likely be a BIG separation between “public” and government/insurance controlled systems and self-pay.  And likely a widening gap in care quality, the exact opposite of the philosophical intent of “universal” care.

But most especially for this discussion, many current private practice models will continue to fall.

How this plays out in the real world over the next 2-5 years will be interesting to say the least. Politicians and actuaries versus doctors and patients.

But for those of us on the outside of the public systems, this can also mean incredible opportunity.

And that’s what Private Practice 2.0 is all about.

Over the next several days in a unique series of events, we’ll be exploring these implications, and  the impact of TODAY’s  decisions.

But most importantly, we’ll give you Private Practice 2.0

Stay Tuned …I’ll be taking the wraps off

“Private Practice 2.0″…

It starts NOW, and ends on July 5th at 5PM EST…

PS Call Jes at 781-754-0599 if you just cant wait.

Shes got the low down on opportunities so big…

Obama, BP and Chiropractic Leadership Skills

Put aside all political feelings for the moment, and just observe what’s happened to Americas perception of President Obama as a Commander in Chief in recent days. Ask around, read the media, in fact, pole the patients in your practice.

The BP debacle, failure to act in the very first days of the BP Crisis now has even members of his own party running for cover.

Mr Obama has gotten to where he is politically with very savy marketing, being very short on experience in government AND business by his own admission.

But his lack of business and CEO skills are now blatantly apparent.

And I do not doubt his intentions as President. But will the current political and massive environmental crisis be his permanent undoing?

And if so, why?

If you study history and great leaders it becomes so easy to see.

Failure to ACT LIKE A LEADER.  Timely. Incisively. Effectively

And therein is the most powerful lesson of the week, whether it’s just getting yourself out of bed on time or running a country.

Actions speak volumes about real intentions, and even the best marketing in the world can’t overcome leadership failures.

Why the Captain Must Be the Captain!

This past weekend I had the opportunity to boat-side and release a 200lb Bluefin Tuna. In case you don’t know, the waters just in my back yard of Cape Cod Bay are amongst the finest in the world for catching these fish.

The experience is like hooking onto a freight train. Seriously. These fish can pull hundreds of yards of line in less than a minute.
Do something wrong, and someone could get seriously injured. So, in small boats especially, it’s got to be a 100% group effort.

But, only one can be in command. The one with the most experience at the helm.

And in practice Doctor, that had better be you. Because when the challenges are on, your team needs to know exactly what, how and when to do what.

Everything from the routine daily tasks to what happens in the event of a bona fide emergency.

Just like on the water, there is no substitute for systems, training and checklists.

And when big quarry awaits, you the Captain must call the shots.

Or risk losing the prize or injuring a team player.

Which is why there is no substitute for training, systems and periodically
reviewing scenarios that we all deal with in day to day practice.