You May Not Have The Stomach For The Future of Private Health Care…

Can we talk frankly?

In the last 30 years my generation of docs have first hand witnessed the destruction of one of the pillars of this country, reasonably compensated health care for private practice owners by third parties. Just like I wrote about in Living and Practicing By Design, society suffers greatly when it asks us to give up 7-10 years of our lives to learn to serve and one roadblock after another is put in the way of making a go of it in healthcare outside a big institution.

If you were told when applying to grad school that to be successful start-up in private practice, that you really should hire a marketer, CPA, Bookkeeper, HR Person, attorney, management consultant etc., and oh yeah foot the bill entirely, would you still do it knowing that some tradesman can make more money than you may be settling for from 3rd party payers?

A bit unnerving to say the least.

So here’s the deal, like it or not. Most of the time now a days Private Health Care is a do it for yourself gig! Being fully dependent upon third parties is a pathway to disaster.

The best solution? Find a niche you love, and engage fully in it. Better yet, find two related ones, like neuropathy and private rehab.

Or, do as many have, get out of practice.

It’s up to you!

But to stay in private practice now requires an even bigger team & skill set!

For example, my Private Clients pay a monthly licensing, training  and marketing fee and for that get complete tested marketing pieces for newspaper, radio and TV, web based office training, live webinars, multiple daily posts to assist their own social media (ignore this one at your own peril!), twice weekly emailings to their patients to keep them connected and educated, posts and updates to a unique mobile app (which is fluid and constantly updated by the way), promoted as part of a nationally recognized trademark, and the license to use and be listed in all the above, a monthly trainings and ebook…need I continue?

Above all, private practice requires you have the guts to take calculated risks, and have a real game plan for their implementation and success.

My Private clients gladly pay $1997 month and sometimes THOUSANDS MORE for services privately, because they know the real costs to do this individually would be about 20k/month!!!!

Why, because they have CEO Mentality. They understand that the ROI (return on investment) when all of the steps are implemented is enormous, way more than you may have ever dreamed!

Tell me if that’s NOT one of the reasons you originally chose private health care?

Anything less in today’s private practice arena and you could be toast.

Why not join me on the next 7 Figure Private Practice Blueprint Webinar HERE and learn EXACTLY why you need to take action NOW!

How to Drive Referrals with Better Internal and External Events

“EVENT”. Even the title should conjure up images of excitement and anticipation.

And so it is with your family of patients, and your community…


Events have some key qualities that make them the perfect direct response advertising medium.


Here are a few of my favorites:


1.    They have a set date.

2.    The events take place only at a specific time.

3.  Events last only a specific duration.

4.  They create anticipation.

5.  Events create energy throughout the project.

6.  When done properly, the effects last for weeks and when done right, years!


Internal Events


 So, let’s talk about some events that can be used to help drive new patients into your practice and former patients back to your practice. Let’s start with some of the most common.

The first is some type of patient care classes. Now whether these are done regularly or only done periodically, when executed properly they are successful at not only educating your existing patients but also introducing new patients to the practice.  These classes also naturally generate large numbers of both patient referrals and better existing patient compliance.

 With regard to patient classes, I am a firm advocate in making these voluntary.  In fact, we never advocate force feeding any patient education. However when you tell your patients that their attendance is likely to increase the effectiveness of their care and shorten its duration, they are more likely to not only attend but bring guests as well.

 The key to making these patient education events successful, like all direct marketing is to stress benefits. Now obviously, two of these patient benefits, I mentioned above. The additional benefits include getting out of pain faster, spending less money on treatment, and certainly less time in your office.

 Don’t be afraid of stressing these benefits in all your promotional materials too. Just by doing so, you will find the effectiveness of your presentation improving as well as the class attendance increasing dramatically.

 Perhaps the next most successful events are health screenings of some type.  Health Fairs, when done inside your office can also be extraordinarily effective. I have done these in my office with MDs, DMDs and PTs too.

In Chiropractic, scoliosis screenings are not only legendary, but still remain a very effective way of introducing new patients to the practice. They are also very effective at educating parents of adolescents and children about the devastating effects of scoliosis on spinal and general health when left untreated.

Again, simply apply the same basic strategies. Specific date, time, duration, applied staff and office energy, and appropriate promotional materials, all stressing benefits.


External Events


 I really like external events, because they are very effective at not only bringing new patients into the practice but also very effective at introducing you to the community.  One of the largest advantages of participating in external events is that there is a wide array of media that is available to you. This includes newspaper, radio, external fliers, as well as the energy you and your team actually generates in your office.

   There are many types of external events that have proven quite successful for many practices around the country. Basic spinal Screenings, scoliosis checks, weight loss clinics, group body composition screenings, blood pressure clinics, SEMGs, etc. The list is limited only by your vision.

Just be creative here, but be very sure to  stay aligned with your personal direction and purpose. If you have a particular focus in practice, so should go your promotions. In this day and age however, a limited focus is not a strategy I advise, as the private healthcare market is just so competitive in so many areas.

 One of my favorites, out of all these external systems is forming alliances.

Why I mean by forming alliances, is that  you agree to sponsor events for a certain group or organization at their place of business. This group or organization, also in return agrees to prominently display your business cards and your literature in their place of business.

 Now, not only do you get the benefit of being a featured guest speaker or presenter, but also you become a known quantity. When a group member needs your services, the owner readily directs them in your direction.

 Honestly, I will refuse to speak for or work with any group or organization that does not reciprocate. My time is just too valuable, as should be yours.

Simply take a polite, business like stance, and be firm. Make sure staff knows your policy too. Last year, I simply refused to do an event for a very large fitness center that did not promote, or reciprocate as they had agreed to do with a prior event.

 Compare this with the strategy of blindly seeking places to speak, sponsor screenings, where there’s no reciprocity.  This can represent many hours of frustration, wasted energy and most especially a waste of finances.

 Plus, with this strategy, like me, you will get to build lasting relationships. In my main office, some of these relationships have spanned more than 20 years, and made me hundreds of thousands of dollars.

 With an effective marketing calendar, you too can skyrocket your practice, regardless of where you practice with effective event planning, and these very simple tools.

 Now, have at it! Only action produces results!

Want to really grow your private practice? Give us a call 24/7 at 781-659-7989 or take a look at our training and specialty practice opportunities at

Top-Down or Bottom-Up Strategies for Your Private Practice?

Patients naturally want the best of what you have to offer—and want to be told what’s the best, even if they can’t necessarily afford it right now. Top-down products naturally have a certain emotional appeal, as well as a status attachment. Your private practice is no exception.

One of the key areas that we see private practice owners frequently making mistakes is with the description, pricing, and “feel” of your products and services.

Too often, the tendency is to present in price from the bottom up, rather than the top down.

And too often, this turns out to be very expensive mistake.

Why you might ask? It really comes down to some basic human psychology. Patients naturally want the best of what you have to offer—and want to be told what’s the best, even if they can’t necessarily afford it right now. Top-shelf products naturally have a certain emotional appeal, as well as a status attachment. Healthcare is no exception.

If you think otherwise, not only are you doing your patients a disservice, you’re probably leaving thousands of dollars per year of potential revenues for your private practice on the table.

Another key is just making sure that you have multiple options, so the patient always has a choice. For example, products and services typically should have an A, B, and possibly C version. The A version would be your absolute best; the C would be a viable lesser-priced option.

Finally, the key to making this all work is to make sure that every team member is educated as to what exactly constitutes is included in each package of care. It’s also imperative that where legal to do so, you publish for all to see. Make sure that any appropriate disclaimers such as “this is a non-covered service” and “your ABN applies”, et cetera.

Also, be sure to include the forms of payments that you commonly accept. Make it easy for your patient to assume the services they desire!

Above all, make sure whatever you are marketing and representing in your office is top-down, completely compliant with your state and federal regulations.

The most important thing is to always make sure you know precisely what your private practice demands in terms of products and services.

Go to great lengths to train your staff make to it easy for your patient to be get what they want, and you’ll never want for business!

Join the conversation here on Facebook or just call us 781-659-7989

“I Could Never Do That, Dr Hayes…”

Unless you are WILLING to do what it takes to be successful, it is unlikely you ever will live the life you are capable of.

A little while ago, I was consulting with a prospective physical therapy practice client. This is actually something I spend quite a bit of time doing these days.

And almost all our conversations are enjoyable, and very revealing at the same time. There is one recent conversation, this one I’ll never forget. Something about her attitude and demeanor, which led me to conclude this lady, was having a very difficult time in private practice.

She didn’t make the cut, and was not accepted into one of our private practice owners consulting programs.

But why? It was the opportunity of a lifetime for her. What happened?

Quite simply, she was unwilling to handle even the basics of what was required to help insure her own success!  And unless you are WILLING to do what it takes to be successful, it is unlikely you ever will live the life you are capable of.

Now you might not find this appealing at all. There is entirely too much “sugar coating” reality these days, but not in truly great organizations.

What a lot of people never realize is that willingness, like commitment has almost magical powers. This has been known for centuries. Goethe wrote “Boldness has genius, power and magic in it”, and he was so right.

So often in my own life and consulting with clients, as well as helping patients heal, it’s the willingness to do these difficult things in life that sets the stage for great accomplishments.

But more than that, at the end of the day, it creates a sense of accomplishment so few people ever feel.

Here is today’s takeaway. If you are stuck, unhappy or not growing, start doing what you have been unwilling to do before!

It won’t be the first time somebody has turned his or her private practice, and life around forever.

If you are willing to do what it takes and want to learn more about how we can help, click HERE!


Why Not You?

Recently, especially as the private healthcare environment harshens, I have been asking myself much more often about the real differences between those who are wildly successful, and those who struggle, year after year in practice. This really hit me hard after I relistened to my own most recent webinar on developing perfect practice for prospective members. Frankly, I sometimes wonder what makes those who study, implement and follow advice and become wildly successful different than those who don’t. (If you missed this recent event, you can get it at

Frankly, It hit me again just this morning after a fabulous outing at a local yacht club, why anyone would even expect to be successful, or better yet become truly independent, without careful attention to every aspect and area of business, success and personal achievement.

First, I thought about this at some length on my way home early this morning, put it aside until a little later on, then the differences became readily apparent. The answers came to me with blinding simplicity. So, I made a list of the top three reasons for failure to thrive in practice. And you know what? Its just three things!

Those who become very successful in life and practice do three unique things that those who struggle don’t.

  1. Successful people totally and unconditionally accept full responsibility for their lives and practices. They never blame the economy, insurance companies or patients who just don’t understand.
  2. The most successful are continuously gathering new information. These are the readers and seminar takers. Theses doctors take every call we sponsor, request more help, frequently with letters and emails. They travel to every live event we give or advise them to take. They regularly gather all the knowledge they can. These doctors completely understand that knowledge is power, and the ultimate in personal freedom. They have a book or CD or mp3 on success handy, at all times. It makes no difference if they are in year 3 or 30 in practice.
  3. Lastly, these doctors know what they want. They can spout off their goals and aspirations with great clarity. And when their mental pictures become cloudy, they pause, reflect and redirect. Ultimately, these doctors make their own decisions, after gathering all the data, and truly decide what’s in their own best interest, as they tweak and fine-tune their game plans. To the core, they are internally focused, but ever vigilant to support in everyway possible those who mean the most to them.

Doctors, the good news is changing from mediocrity to complete fulfillment and happiness is as simple as hitting just these three things.

But, what if you are overwhelmed with challenges? What are we to do first? What do those who are ultimately hugely successful in life do?

Ask successful people for guidance. They never fail to share and help.

Always ask for help and guidance from those who have been there. This is exactly why I have three coaches and belong to mastermind groups.

Successful people engage in all the critical aspects of living a self-actualized life. And they tell you just how they get it all done. This is the reason that continued immersion in success skills and philosophy; personal growth, physical fitness and spirituality all are essential components of a powerful life .

Remember as great as spouses and families kind support can be while you are stressed, nobody really knows what you face in practice except peers. So, when it’s really critical information you need, do you take advice from the most successful, or not? The answer should be obvious.

Next, practice total and unconditional acceptance of personal responsibility.

If you have not done this, you may need to work on this. Daily. This where reading the masters, and spiritual works such as the Bible, the Gita, Koran or simply going to that quiet place within your own soul really helps.

Lastly, if things aren’t working for you in any area of life, make a new plan!


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 six 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! Jim Rohn says the problem with most of us is that too many metaphorically go to the ocean to gather water with a thimble, instead of a bucket. Be a better and bigger asker and life rewards in kind!!!
  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. Why not do all you can this year by joining us HERE:

Doing Everything You Can to Promote YOUR Private Practice?

One of the biggest challenges that many forget who attempt to specialize in private practice is how focused and targeted their marketing needs to be.

And this is simply because too many private practice owners believe that “anyone” is their patient.

Nothing could be further from the truth. Marketing to people who are not in your niche, or interesting what you have is a complete waste of time money, and energy.

This is why the more you can focus the various departments of your private practice and market them uniquely you can add more positioning and thus income to your future.

More so than virtually any other steps that you can take!

And, this does not have to be hard, nor does have to be expensive.

Start with these suggestions right now.

Your patient base. How often are you emailing, mailing, presenting special offers?

Are you incentivizing them to refer their family to you with outstanding service and systems?

Didn’t they know you are available to do screenings and presentations in front of their pain groups? This is a very common error too many private practice owners make.

You do have a weight loss and fitness programs, correct?

They don’t have to be expensive or time-consuming because a good staff person can help you tremendously and they are very high demand.

They also fit in very well with specialty practice growth and development. They also help to draw your ideal patient to your practice!

Let us help you design your specially practice promotions by using customized brochures, posters, stay in touch campaigns to patients and healthcare professionals.

All these things have substantial impact when growing your private practice!

Want To Learn More? Visit





The Next Set of Private Practice Roadblocks




This week in our Perfect Practice Tips series we’ll continue examining the six most common roadblocks to successful private practice management.  Let’s talk about the next two obstacles doctors frequently encounter:

Roadblock Three: Reimbursement Issues

You cannot survive if you fail to pay close enough attention to your Finance Department. If you choose to participate in any third-party plans, you must thoroughly understand what constitute covered and non-covered services, exactly what the expected reimbursement will be, and how long it will take for you to be reimbursed. You also need to be sure that your participation in these plans will not automatically obligate you to participate in other plans without your knowledge and consent.

Don’t make the mistake of failing to put a system in place for collecting payment from self-pay patients, or for collecting on non-covered services. This is where you really need to do your homework. You must thoroughly understand what patients today are looking for in a private practice owner, and you must know what services they will gladly pay for.

Roadblock Four: Patient Report of Findings and Care Plans

This is another potential obstacle.

Significant attention must be paid to how the patient report of findings and care plans are presented to the patient and administered. Right from the start, your entire team needs to communicate to the patient that compliance with your recommendations is essential if the patient expects to achieve a good result. Simply, truthfully and thoroughly explain to the patient why you have suggested a particular treatment plan.

Thoroughness during the patient’s first visit has a huge impact on a patient’s future compliance. Perform any essential diagnostic tests before treating your patients, regardless of third-party incentives not to do so. Patients and their families long remember the doctor who makes an accurate diagnosis, and who presents a care plan that gets the patient better within reasonable a time frame and facilitating the patient’s financial obligations.

We invite you to join us daily on our blog for continued discussion of these principles.

If you would like to know more about our how to create a Practice by Design, please visit our website at

Private Practice Mastery

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?

What Is The Number One Secret of Private Practice Mastery?

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 all our clients extensively how to autopilot this entire system and how to go about getting all this “stuff” done.

Word of Mouth Marketing in Private Practice
Are Success And Failure Habits? Yes!

Identifying key or core basic habits of private practice owners goes a long way towards helping us become more successful.

There are all types of social evidence along these lines but now there is good scientific evidence that our nervous systems respond in kind to habits and very specific behavior patterns.

This also helps explain why clinicians in private practice who are successful continue to be successful throughout their entire career.

Unfortunately, it also explains why unsuccessful practice and personal patterns often continue until a major crisis occurs.

So what are some of these most successful habits and routines?

And what about the impact of stress and other outside forces on our habits in our daily schedules?

Here’s the deal. Sociologists and human performance experts now know that our personal habits most especially our diet, exercise, and stress control are predictors of other successful habits more so than any other basic human functions.

Now philosophers and success gurus have told us this for years but now there’s scientific proof and evidence that this is in fact reality!

And when you think about the conversations you have with your patients every day in your practice, it makes sense doesn’t it?

As it turns out there’s a whole set of events that occur when proper habits are followed.

This includes a more regimented approach towards managing internal affairs such as personal finances and practice production numbers etc.

Strong personal habits also help give us the resilience necessary to build enduring and profitable careers.

And this of course also explains why proper coaching and consulting can be so successful. Working on these key issues and behaviors in a supportive environment can help us all achieve unparalleled levels of satisfaction, as well as financial achievement.

Identifying these key or core basic habits of private practice owners goes along way towards helping us become successful more than any other single effort.

Habits are also like muscles, if you don’t use them, you can lose them very quickly.

As you know just as in human physiology that can be disastrous.

Join our conversation today on Facebook by clicking HERE!

A Simplified Approach to Private Practice Marketing

What Kind of Challenges face you in marketing your private practice?

Marketing any business but especially private healthcare practice today can be a challenge. Most people however who are marketing their private practice successfully are using a combination of methods and procedures.

The reason for this is quite simple. And that is we all have preferences in terms of how we like to consume our information.

For example some people like to receive emails and see Facebook posts. Other patients prefer a phone call. Other patients prefer videos.

Still other patients prefer the personal touch of a handwritten note or newsletter. We strongly recommend that your private practice marketing systems include components of all the above.

You can greatly simplify this by tasking these amongst your staff members. For example it’s a simple matter for your staff to be addressing birthday cards and thank you notes in between patients.

Likewise, they should be maintaining a professional mailing list.

Too often, private practice owners nowadays tend to focus on more elaborate and expensive marketing procedures and overlook the time-tested methods like hosting workshops, open houses, and simple polite communications like telephone recalls to patients who have helped build your practice.

If this all of this sounds like a foreign concept to you, I strongly suggest you consider purchasing a copy of Maximum Referrals HERE!

“Maximum Referrals” was designed years back to give you a theme for each month of marketing. We’ll even provide you with the sample verbiage to use in your promotions. Then, you put your staff in charge of developing each month’s marketing team at least six weeks ahead of time.

There still is no substitute for this personalized approach in building, developing and growing your private practice in these very challenging months ahead.

If you’d like to learn more, take a look around HERE or call us for more information of personalized assistance.

What are your most troublesome marketing challenges?

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The Perfect Time for Changes…

The Perfect Time for Changes…


The Perfect Time for Private Practice Changes…


…is today.

This is one of the only times of the year where people expect changes. So, if you have not done so already, post new fees, office hours, but most especially policy changes, designed to make your life less stressful.

In our previous tips, most of which are up on our blog, reside numerous areas for effective change and growth in modern practices. Please don’t neglect your own vision, goals and purpose in this process. If you have not done this vital work already, get up earlier, stay up later, whatever, because it’s that important! Write it all down, and reread it three times a day minimum. It will be a work in progress, putting you light-years ahead in the “game” called practice.

Complete this by next Monday AM at the latest. Now the hardest part is consistency in follow through. If you have made decisive shifts, some staff and patients will doubt you. Be real steady handed with daily implementation for a month, then you will wonder why you ever did things the old way. By the time the month has passed, you will be on your way to being truly “Independently Affluent” in 2014, our primary goal for our clients this year!

My Neuropathy Patient Almost Died

Guillain-Barre Syndrome often comes with Autonomic Neuropathy.

One of the rarer acute types of an acute peripheral neuropathy is Guillain-Barre syndrome, sometimes called Landry’s paralysis or Guillain-Barre-Stohl syndrome.

Guillain-Barre turns up most frequently in people who have recently had an infection, like a lung or gastrointestinal sickness. Unfortunately, it can also be a consequence of some immunizations.

Guillian Barre has just been in the news again as a direct complication of the once in the news every day Swine Flu vaccine.

Fortunately, the condition affects only about one or two in every 100,000 patients far fewer than the more common neuropathy types. Most affected by Guillain-Barre syndrome are between age 30 and 50.

Guillain-Barre syndrome is diagnosed through nerve-conduction studies and by studying the cerebrospinal fluid.  History taking is critical! Early medical intervention like plasmapheresis can save the patient years of suffering. But, you the neuropathy treatment professional MUST be alert to its possibility!

Most sufferer’s experience ascending paralysis (loss of strength in the feet and hands that migrates towards their core), along with typical polyneuropathy symptoms such as pain and tingling in their extremities. Typically, the duration of onset is short, and it’s progression rapid. I remember how quickly one of my patient’s condition progressed- a delay in treatment may have killed her! You’ll learn about that story next time!

Perhaps most serious of all, Guillain-Barre syndrome often comes with autonomic neuropathy. These neuropathy patients will then of course then suffer multiple autonomic related issues that will challenge the most seasoned clinicians!

There is still a lot we don’t know about Guillain-Barre syndrome, such as why it attacks some people after an infection and not others, or what actually sets it in motion to attack the nerves. We don’t have a cure for GB yet, either, but there are now treatments available to help manage symptoms and restore quality of life to those suffering from the after effects of the acute illness.

Next time, I’m going to tell you about a very unique post GB neuropathy case, and very fine neuropathy patient I’ve known for 30 years!

Join the conversation on Beating Neuropathy!

The Power of Becoming a True Private Practice Expert

In private practice, positioning yourself as, but becoming less than a true expert is not only dishonest, but patients can smell it a mile away.


In private practice, if you have been following us for any time you know we strongly advocate specialty platforms from which to practice.

But there’s one key thing that too many private practice owners ignore. In order to be a true expert, you must invest the time in really developing your skills.

Neuropathy is a great example. As you have probably heard me say before neuropathy is one of those conditions that has many sub niches including things like shingles, RSD, et cetera.

Recently, I have been asked to comment on just those not only on my radio show but also in the clinic for patients and their families.

In todays Internet driven world, becoming a true expert requires not so much time as it does incredible organization.

It is now very easy to find and store documents on mobile devices such as iPads and then to retrieve them, with highlights and notes.

For example, a patient writes to you about a neuropathy related condition on Facebook. Now, maybe it’s been a while since you studied this intently and you need to brush up on the research.

You simply need to go to Pub-Med or other reliable source, get your supporting PDF, s and organize everything so it’s readily accessible in your office.

This is the new face of becoming a true expert in private practice.

I will caution you though.

Positioning yourself as, but becoming less than a true expert is not only dishonest, but patients can smell it a mile away.

Make sure you are willing to invest the time necessary to develop all the expertise you are going to need to continue to thrive in private practice.

Remember all good things in your private life will continue to come from your private practice.

Make sure you know exactly what they should be. This is the true essence of Living and Practicing by Design.

Join our conversation today on Facebook by clicking HERE!

Are you still a good student?

We are seeing private practice owners encountering great difficulties in adapting to change.


Some private practice owners mistakenly believe that when they graduated from school, their study time would diminish.

Now it’s true, you probably are no longer burdened with final examinations, research papers and the like. Now however, you need to acquire an entirely new set of skills.

In addition to learning CEO skills, you need to develop your observation skills. You see, the private practice of healthcare is changing very rapidly. Gone are the days when changes take place over years.

As Toffler described in “Future Shock”, what used to take a decade to make sure in society now takes place much more quickly, sometimes in about 90 days.

In some cases the social media has moved change to instantaneous!

The viral nature of such changes demands that you have the skills necessary in order to respond appropriately.

No longer, can you as a private practice owner ignore this trend. Soon, more people will be communicating upon mobile devices than ever before. Email will likely radically be reduced!

Already, we are seeing private practice owners encountering great difficulties in adapting to change, as well as dealing with an ever demanding and knowledgeable patient base.

So respectfully, I suggest to you that it’s decision time.

Why not take advantage of everything we have available now, to set the stage not only for transition, but your future in a powerful private practice?

Right now, the public health care system is undergoing rapid transformation. How this will ultimately affect us in private practice remains to be seen.

One thing however is certain.

And that is that those remain powerful communicators across several different platforms simultaneously will continue to do very well in private practice.

So, like so much in life your future in private practice will be dictated by the decisions you make, today!

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Realizing the Full Impact of Your Private Practice.

If you choose to stay your course in private healthcare, you must strengthen your relationships, your staffing, and your systems.


One of the things that is becoming much more common, especially in the United States as healthcare shifts, is the private practice owner is making a resurgence.

Unfortunately, government mandates, profiteering by third-party executives have left too many practices high and dry.

This is also the reason that many chiropractors, physical therapists and physician private practice owners are failing, going bankrupt, or choosing to leave healthcare altogether.

Those clinicians, who search out new methods of doing business however, are finding themselves in a wonderful position.

And that position is assuming the role of the private practice Doctor of bygone days.

You see, patients always buy what they want.

Ignorance of this fact costs hundreds if not thousands of healthcare providers their careers. Quite honestly it’s because nobody ever taught them the business skills they need to prosper!

Don’t let this be you!

Patients have come to realize that if they want a true relationship with their healthcare professionals, that they can indeed have it.

But at cost. More and more, they realize they need to pay out-of-pocket to have an excellent healthcare experience.

These are also the patients that are fed up with the system. They are sick and tired of politicians and insurance executives telling them who their providers are going to be.

Thus they seek out and find you.

This style practice however will only work if you’re fully prepared.

Honestly, if you screw this one up, you may not get another chance.

Time is NOT on your side.

If you choose to stay your course in private healthcare, you must strengthen your relationships, your staffing, and your systems to handle these patients seeking excellence in healthcare, and are willing to pay for it.

But first of all, you must acknowledge this will require a radical departure from the way you were trained in school.

We can help.

But you simply must ask us how!

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Don’t Miss this Key Opportunity To Grow Your Private Practice!

In order to thrive in private practice, you need to keep your finger on the pulse of your community.

One thing that the most successful in any business do is to carefully watch for trends, and survey their buyers frequently. The reason for this is quite simple.

The reality is people buy what they want, not necessarily what they need. In order for you to continue to thrive in private practice, it will be imperative you to keep your finger on the pulse of your community.

For example, what is the most popular type of afterschool activities young athletes in your area engage in? This can tell you a whole lot about the demographics of your community.

When this is known you have a better idea of the services these people are seeking.

What types of adult recreation and education programs are popular?

As in many parts of the country classes in Yoga, Pilates, etc. are extremely popular and well attended.

This presents a tremendous opportunity to grow your practice! I think you see where I am going here.

But unless you know what your patients like and gladly pay cash for, you will be fighting an uphill battle in private healthcare practice.

The reason for this is very simple. In the not-too-distant future many practices will not accept third-party payments at all. Unless you give your patients and their families a good reason to seek you out private practice will become much more difficult.

So, to practice consciously like this requires good systems, but also keeping your finger on the pulse of what your patients and your community wants.

Be sure to offer those things patients respond to in your requests.

Always reward patients for their input, and most especially their referrals.

The time-tested method of a thank you phone call and note card should not be overlooked. Always be on the lookout for new opportunities to expand and grow your private practice!

This is the mark every true private practice champion!

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“Dr. Smith, I’m sorry you can’t help me, nobody can…”

You have a choice in private practice when it comes to who you accept, do not accept, and who you refer on.


One of the most challenging but important things to understand in private practice is not everybody who comes to you as a patient really wants to get better.

Now admittedly most of these patients are in the minority. But unfortunately, most problems usually result from the smallest number of patients.

Unfortunately, there are significant numbers of patients who personalize and deeply identify with their illness. Some times, patients exhibit “illness and/or drug seeking behavior”. They seek only to reinforce their own sense of self-righteousness. They carry illnesses as a “badge”.

Unfortunately sometimes this includes justifying their continuing bad habits such as over eating, cigarette smoking and unfortunately prescription drug use.

There is a tendency for us as healers to reach out and want to help everyone who sets foot in our practices.

One of the best pieces of advice I was ever given I’m now passing to you.

And that is not everybody is your patient.

I‘ll supplement that and say it’s a choice to fill your practice with ideal patients, or no patients.

Private practice in this day and age especially is very challenging. If you’re going to be emotionally as well as financially satisfied with your practice, it’s important that you the owner control whom you treat, and how you treat them.

But you need to understand you have a choice when it comes to who you accept, do not accept, and who you refer on.

This is of course why are you are in private practice and not the public healthcare system.

So the next time, the patient says, “you probably can’t help me”, they may be right.

The reality is you may be the 10th or 15th provider this patient has sought within the last few months.

There also some other red flags I’m sure you have as well. The bottom line, just as in many human relationships, think twice, and act prudently.

The private practice you save may be your own.

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Do you “Cheap Out” during Case Reports to patients?

Private practice owners forget to look at their practice as the always-viable business it should be.


If so, you are likely digging a gigantic hole in your financial future by not telling patients exactly what they require to return to optimal health.

One of the biggest mistakes we can make in private healthcare is to treat the patient based upon third-party benefits (or lack of) and our own perceptions of what the patient may or may not be able to afford.

Worse yet is the private practice owner that lets their staff dictate financial policies in the practice, based upon their own financial belief system.

One of the reasons this happens is private practice owners forget to look at the practice as the always-viable business it should be.

You need to know your expenses, staffing costs etc., but you need to know most especially the life you desire to fund from the practice.

With all due respect, if you find frank discussions about finances and patients spending money uncomfortable, you are far better served working for somebody else or practicing in the publicly funded sector.

This is becoming truer day by day.

The reality is you can start by taking a hard look at your own financial belief systems. If you think, that “no one in this town has any money”, I guarantee you this will manifest itself.

If however you move towards specialization, providing unique services that your patients really want and are asking for, creating a more spa like environment as I spoke about many years ago in “Living and Practicing By Design”, the reality is you can thrive and make an exceptional living in private healthcare.

If you doubt this, get a membership at a local health club.

Better yet, sit in the reception area of a local spa, or even massage therapy franchise.

The very same patients that are telling you they can’t afford your services are spending money on themselves elsewhere, I guarantee you.

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What Are You WAITING For?

Begin TODAY with those few daily disciplines that are critical for all private practice owners.

As Joan Rivers says, Can we talk?

In today’s article I want to talk a little about private practice owners behavior. And I’m not singling anyone out because I too used to wait on “Someday Isle”.

You know, “someday I’ll have the practice I really want”. Or the nice car, dress or new home in an incredible location.

But I got turned around very quickly when some mentors who really cared about me weren’t afraid to tell me thinking small was selling myself short.

Now, make no mistake about it, it IS a lot of work to build the life you really want. But who you become in the process teaches everyone around you what they can accomplish too!

What really struck home with me was working with patients that were sick, and dying in nursing facilities for 5 years while a student. Or watching patients die in the hospital. As a young, impressionable nursing assistant, doctors, nurses and yes especially patients always encouraged me never to drop an anchor on “Someday Isle”.

Because you never know when life will end. Game over.

“Discipline weighs ounces, regret weighs tons”, as Jim Rohn, said.

Begin TODAY with those few daily disciplines that are critical for all private practice owners. You know, tweaking your staffing systems, fully developing specialty care. Marketing like you know you need to in a crap economy.

Write out your goals, and then have the guts to double them!

Be all you can be to your patients today.

Serve them, not some 3rd party BS.

This is after all where all your rewards in your life in healthcare will come from.

Never forget it.

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