The True Power of Niches in Private Practice

One of my mentors, and one of the best marketers and writers in the world, Dan Kennedy, has long maintained, “There’s Riches in Niches!” This is true in virtually any business you can think of.

Sure, specialized knowledge was one of the key ingredients Napoleon Hill identified in his key work, “Think and Grow Rich”. His advice is just as sound now as it was one hundred plus years ago.

Specialized knowledge separates us from the masses, allows us to perform exceptional services to humanity, and build the ultimate rewards, including freedom from debt and worry.

Your private practice is no exception; a specialty practice vastly differentiates itself from others’!

You’ll need a blueprint for design, and a very solid business model to situate yourself for success in private practice.

There are exceptions, especially if you still have powerful AND profitable revenue from referral streams. If that is the case, read on and you’ll still likely find that adding a specialty practice center or two may very well serve as a powerful level of career protection!

But many have found that third-party driven practices can melt like ice cream in the August sun! This is simply because you relinquish control of your patient flow and income streams. This is where too many make costly mistakes.

In this day and age, with internet-driven patient resources, patients smell a faux practitioner a mile away; especially if they are suffering greatly. Doing a specialty or self-pay practice wrong could cost big-time hits to not only your reputation, but future earnings.

Add to this the financial reality that many niche services are self-pay means you need to assure a Disney World-style level of service every single day!

To pull this off means you’ll need a blueprint for design, and a very solid business model to situate yourself for success.

This crucial step is the one commonly neglected by those who underperform—or downright fail—in private practice.

Don’t let this be you!

Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in practice management.

Our team may be reached for a free 15 Min “Strategy Session” by texting 339-793-8591 – just be sure to leave your name and time zone and we’ll get back to you 9-5 EST Monday-Thursday.

For further information join us anytime on Facebook and Instagram

To subscribe to our newsletters and private practice updates go to our website Perfect Practice Web

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Effective Communication Is The Key To Growing Your Practice

Effective Communication Is The Key To Growing Your Practice

Effective communication is the cornerstone of a healthy practice and good patient outcomes. Remember that good communication goes both ways. While we normally think more along the lines of how we express ourselves and our ideas, good communication also involves being a good listener. That’s especially important for private practice owners. Effectively communicating with your patients determines:

  • Whether or not a patient will actually come back to you for treatment after the initial consultation
  • Your ability to properly diagnose the patient’s problem
  • Whether or not you can determine if the patient will actually follow advice

Good communication skills build patient trust. If the patient feels that you’re genuinely listening to them, they feel like you’re really working in their best interests.

Poor Communication Can Destroy The Doctor/Patient Relationship

On the other hand, if you communicate poorly with your patients (i.e., lecture instead of listen, fail to explain care in a way that your patient can understand, don’t address patient concerns openly, etc.), the doctor/patient relationship may suffer irreparable damage. You don’t get more than one chance to truly build trust with your patients.

Design your client communications with the end result of open dialogue and mutual trust in mind. Approach your patients like you would any partnership, with respect, commitment and make sure you stay on the same page with the end result of treatment foremost in both your minds.

How Do You Create A Strong Dialogue With Patients?

Treat creating effective patient communication as a step by step process. This is another by-product of living and practicing by design. Know what you want to achieve from the very beginning. Think of the process along these lines:

First Impressions

As with any other initial meeting, you never get a second chance to make a first impression. Start with a warm greeting and treat the patient like a personal friend. Check your own attitude or mindset before you enter the treatment room and think about how you can best serve the patient.

Initial Consult

Your initial consultation with a patient will set the tone for the entire relationship. Really make an effort to connect with the patient and listen carefully to what they tell you about their current problems. Ask questions in a way that encourages them to give you more information.

Designing Treatment

After you start treating the patient, communicate with them as thoroughly as possible. Pay attention to body language and attitude. The patient may be unhappy but not forthcoming about their complaints. If you really pay attention, you may be able to address their concerns and begin to help them.

Final Thoughts

At the end of any active care plan, it is vital to communicate with your patient about the success or failure of all portions of the treatment protocol. This is an especially important time to listen to the patient. Don’t just railroad them into agreeing with your perception of how the treatment went. Pause and let them get a word in where they need to. Then learn from this and add appropriate changes to your private practice.

Following these communication guidelines will help you build patient trust and build your successful doctors rapport at the same time. Your stiffest competition is doubt on the part of your patients. Learning to effectively communicate with current and prospective patients will help you design effective marketing programs and address concerns before they become problems.

For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice Web


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Time You Redesigned Your Private Practice?

It is so important to continue to grow, develop, and change the key elements, which make private practice successful. But beyond that there is a whole lot more to today’s private practice.

Of course some of these things never change. And that includes always being an excellent clinician first. Putting your patient’s needs above all others is so essential yet too often ignored.

Here’s one thing that too many long in private practice ignore: your skill sets always need to be kept ahead of the curve.

And the skill sets today of any private practice owner must include an extensive knowledge of both on and off-line marketing and social media especially right now with some long term players having moved to censorship and extremism.

In this world especially with all the changes thrust upon healthcare, it is so important that you continually keep your finger on the pulse of what your patients are thinking, what they are looking for, and how you can best serve them.

Of course all this demands you have excellent systems in place.

If you don’t already have a space in your practice dedicated to consuming the feedback comments and requests from your patients and perspective patients there is no way you can develop a powerful private practice moving forward.

The world right now is just so complex. There is just so much information out there that unless you stand out immediately as attentive and unique the chances of your prospective patients selecting another practice is huge!

If you ignore these key business skills then it won’t be long before you competitors literally run you out of town.

The world is changing extraordinarily fast now – change that used to take 10 years now happen in 90 days. And that’s no joke.


For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice Web


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Building a Fortress Around Your Private Practice: Part 1

Too often, private practice owners get in trouble by not building a fortress around their practice and, especially, its reputation…

One the biggest things to understand about private practice ownership is that patients have self-selected their pathway to your door.

Now, more than ever, patients choose to go outside the public health system for a variety of reasons.

But one of the most important reasons is, patients are unable to obtain the level of personalized attention and satisfaction the public system delivers.

The single most important thing in your private practice is you—your skills, your bedside manner, and everything you bring to the treatment table.

But, more than that, patients return to you because you meet a fundamental emotional need.

That is, you represent the skills and authority patients need during times of disease, injury, and healing.

To think otherwise is pure folly. Too often, private practice owners get in trouble by not maintaining their focus; protecting their practice and, especially, its reputation as the powerful business it can be. This means impeccable staffing, cleanliness, efficiency, and everything else anybody paying for premium service desires.

The challenge is living up to your reputation every day.

Slack for just a moment, and one powerful adverse event can wreak havoc with your personal and professional life.

So what can you do? Continue or, if necessary, start today to build a fortress around your private practice. For the private practice owner, this necessitates taking a very hard look at everything we’ve mentioned above.

In addition, you must know and understand what your self-pay patient population wants from your practice.

Next time, we’ll talk about some very important steps you can take today, making a difference between long-term success and failure in private practice.

How are you building your fortress? Tell us on Facebook!

Going Through “The Changes?”

Are you going through the “changes”?

Somehow, years have passed since graduation and life isn’t quite what you had imagined.

One of the major consequences of this that we see every day  are people in their early 30s to mid 50s who have a very difficult time producing the fun and fulfillment in their practice that not too long ago seemed natural and easy.

And it’s also why I have for years advocated that caregivers play hard and often, work and practice on their own terms, while simultaneously finding out precisely what’s right for them, RIGHT NOW. This includes professional practice structure, lifestyle, finances, and most especially personal and professional fulfillment.

I can also tell you that those who study and implement these basic concepts have accepted and dealt with the “changes” in a far more effective manner than those who resist, assume the world is still the same, or simply dig in their heels and refuse to believe that the playing field as well as the rule book is radically different than it was even a few short years ago.

But there’s way more to it.

For many of us who chose a healthcare pathway, our entire identities are wrapped up in our careers or private practice.*

This is a well-known fact. This is also why we’re sometimes blindsided by the future.
There are certain personality profiles and early life experiences that drive us to become who and what we are as caregivers today.

This is certainly not all bad.

However, those who fail to recognize this are also the same people that have a very difficult time adapting and dealing with the “changes.”

But those that DO recognize their strengths as well as weaknesses go on to build incredible careers.


For further information join us on Facebook and Instagram  and to subscribe to our newsletters and private practice updates go to our website Perfect Practice Web


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*Tip: If you have never read Melody Beattie’s work on codependency and healthcare professionals, you owe it to yourself to do so.


Are YOU Prepared for What Lies Ahead in Private Practice?

Are YOU Prepared for What Lies Ahead in Private Practice? One of the harshest realities to face is that the landscape of private practice is changing, continuously! And there is no stronger lesson than what is happening in our world right now!

So how can we be better positioned after all the upheaval?

Respectfully, we get into trouble by failing to understand the systems that are necessary to operate and manage profitably a private healthcare practice. This includes HR, safety, compliance, record keeping, etc.  At the end of the day it also includes combining your best clinical skills with effective marketing that draws precisely the type of patient you desire into your private practice.

And you know what? It requires work. But once done you are the one deciding your future. That’s why private practice remains for those who are fiercely independent and refuse to bow to the status quo. We’re the ones who decided to work at least in part outside the public system.

Patients are extremely frustrated with so much of “public” healthcare and its seemingly insurmountable regulations. Often times they report surly “providers” who are trained to act like robots see them. No treatment outside a very narrow window is allowable or prescribed within these mandated systems.

That’s why it is more important than ever that you position yourself to effectively deal with these challenges now, before it’s too late.

But I caution you not to wait too long. The task that lies ahead may seem for you enormous in many respects, but not insurmountable with focus and simple but effective systems.

I believe after all the world has been though many more are finally considering opening a private practice.

If this is you, why not start today by doing a careful examination of precisely where what and how you want your life as a physician to be.

Remember, failure to plan right now, is in fact planning to fail.


Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in practice management.

Our team may be reached for a free 15 Min “Strategy Session” if you simply Leave Your Info HERE – or text 339-793-8591  *just be sure to leave your name, phone and time zone and we’ll get back to you 9-5 EST Monday-Thursday.

For further information join us anytime at all on Facebook and Instagram

To subscribe to our newsletters and private practice updates go to our website Perfect Practice Web

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Does your Private Practice have enough “Boots on the Ground”?

Does your Private Practice have enough “Boots on the Ground”?  I mean like right now even in the midst of a pandemic?

Too often, we are confronted by marketing gurus who suggest all or none web based private practice development approaches.

For those of you new in private practice, this may be a new concept. But for those of us who have been around it is a concept with which we are very familiar. During the 1980s there was a very popular book entitled “Megatrends”. The author, John Naisbitt is one of my favorite futurists.

Much like Toffler wrote about the all too often slow adaptability of humans in “Future Shock” in the 70’s, Naisbitt wrote about the ever-expanding need for “high tech-high touch”.

Naisbitts concept is really very simple. And that is in all business and life endeavors there’s no substitute for close human contact.  Indeed, the very reason social media has become so popular is because to some extent it has replaced these human interactions.

Nonetheless there is no substitute right now for a personal mailed note or better yet phone call, especially when it comes to dealing with sick and suffering humanity.

Too often, we are confronted by marketing gurus who suggest all or none web based private practice development approaches.

In our opinion and experience, this is a fatal path for modern private practices. In fact the more high-tech you introduce into your private practice, the more need is created for an equal or greater amount of human touch.

But like everything else in your private practice, unless these are tasked, and overseen, they never occur with the regularity with which they should.

So I encourage you to reach out, brainstorm with your current working staff, ask that they call, check in on and survey your patients. Find out what they like most, and what they like least about the current state of your private practice and yes the healthcare system in general.

And then go to work with these simple action steps that place you in frequent personalized regular communications and touches with your existing patients and yes your community at large!


Patti Hayes is CEO of Perfect Practice Web, and has 30+ years experience in practice management.

Our team may be reached for a free 15 Min “Strategy Session” if you simply Leave Your Info HERE – or text 339-793-8591  *just be sure to leave your name, phone and time zone and we’ll get back to you 9-5 EST Monday-Thursday.

For further information join us anytime at all on Facebook and Instagram

To subscribe to our newsletters and private practice updates go to our website Perfect Practice Web

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Private Practice Marketing Blunders

Don’t be a victim of these Private Practice Marketing Blunders

One of the most enjoyable parts of what I do, when helping clients with marketing, is proofing ads. Having been a student of marketing, copy writing, and advertising I hear Yogi Berra in my head saying, “You can observe a lot just by watching.

And you know what? This never changes. Errors from layout as well as placement are so common. Sometimes, a well-meaning person changes a tested font or something else that causes the un-proofed ad to tank.

Here are a few things that I have seen just in the last few months.

A radio announcer for an urban doc spoke so fast on his ad, the docs phone number was not identifiable. Needless to say, a totally failed radio campaign—and a very costly error. Almost unbelievably, another client’s radio ad was shortened, with the phone number omitted!

A TV campaign was run that had no call to action inserted in the ad—where space was left just for that purpose.

An artist didn’t like the submitted newsprint layout, so she substitutes images and rearranges tested headlines.

A salesperson takes a ¼ page ad that is designed to be a “booster”, usually run for a couple hundred bucks, turns the same content into a half page ad costing over $2000.

Testimonials omitted. No clear call to action. No offer. No deadline.
No website URL in an online ad.

And so the end result is no reason at all for patients to see only you.

The list could go on forever. It makes no difference in the media you are using; basically the same rules will still apply.

Of course, these are all preventable by very careful attention to the ad structure, layout, and component function, no matter where your media goes.

Needless to say, we have saved our clients from many needless disasters by tweaking, fine-tuning, and making sure all is as good as can be BEFORE a campaign to promote their private practice ever launches.

I invite you to visit here frequently for more tips about creating a sustainable private practice!

I wish you the best along your journeys!

Want to learn more about how to build your private practice?

Then Join my team experts for a free strategy session HERE

Have a great day!

The PPW team

Dairy Consumption and Your Patients’ Health

Do yourself and your private practice patients a favor by learning all you can about dairy consumption and health!

This series of articles will not be “politically correct”. Nor will it likely be popular with the mainstream press. But the fact of the matter is, anybody with a degree in healthcare who has done across the board research understands the dangers of dairy products and human diet.

A landmark book on dairy and health called The China Study was published some years back. As serious students of health and nutrition, I recommend you get and read at least this book at least once.

There are several major problems with the consumption of dairy in the human diet, but by reading magazines and watching television you would never know it.

The dairy industry is a huge industry—unfortunately, one with an incestuous relationship with the FDA.

Almost everybody knows about struggling with lactose intolerance. Lactose is a milk sugar, which is difficult for some people to digest. But the dairy story goes far deeper.

One of my professors once said it best: Milk is designed to be a hormone delivery system from cow to calf. It is not intended for human consumption. Human milk is for humans, but only in the first two years of life.

Let’s first start off by talking about osteoporosis. Both doctors and patients alike are taught dairy builds strong bones. Yes calcium, and vitamin D are essential for human health, but there are far healthier ways to get both of these besides milk consumption.

One of the most eye-opening facts regarding osteoporosis is when scientists look at relatively primitive cultures, which are active, consume a plant-based diet, spent a fair amount of time outside and almost never get osteoporosis.

This is in stark contrast to developed countries, like the USA, where osteoporosis is rampant and people consume large amounts of dairy and animal products.

Also, milk contains certain hormones, like ILGF and BGF which are detrimental to human health. Some of these compounds have been linked to the development of cancers, especially prostate, breast and ovarian.

But, most importantly to your patients, dairy can aggravate inflammation.

And it almost always makes patients with peripheral neuropathy chronic pain suffer far more than necessary.

There are now many readily available alternatives. These alternatives include products made from almonds, coconuts, and rice.

It takes a little bit of experimentation to find exactly what works best for everyone, but making the shift towards a more healthy diet goes a long way towards providing healing environment for your neuropathy and chronic pain patients.

Do yourself and your private practice patients a favor by learning all you can about dairy consumption and health!

I invite you to visit here frequently for more tips about creating a sustainable private practice!

I wish you the best along your journeys!

Want to learn more about how to build your private practice?

Then Join my team experts for a free strategy session HERE

Have a great day!

The PPW team



The Critical Patient Moment in Private Practice!

Make sure your patient IS heard and feels heard in your Private Practice. 

One of the most common reasons that patients change doctors and therapists, or move from the public to the private practice pay system is they feel strongly their personal health complaints have not been listened to. And unfortunately, often times it’s an intense personal feeling that something is seriously wrong with their health.

In fact, I’m sure to consult somebody who has been to several offices, who will say, “Nobody ever sat down and listened to exactly what has been happening to me”. This is very sad. But also a key point for private practice owners worth visiting.

Once upon a time, I was taught by very senior clinician the following words: “LISTEN to the patient, for they will tell you exactly what is wrong with them.”

Of course you know, as a clinician, that history-taking is both an art and a science. Patients very often will give you clues to the underlying diagnosis.

But, more than that, it is essential that the patient get to know, trust, and respect you before you can ever have an effective relationship. Patients who don’t trust their clinicians won’t normally continue care in any self-pay setting, but—more importantly—they don’t get better.

So the reminder from today’s discussion is to simply take a hard look at your initial intake of all new and former patients. Make sure your staff knows the importance of adequate time, and not being interrupted.

Above all, make sure your patient is heard and feels heard. One of the best ways to ensure that this has actually happened is to conclude every consultation with the following words:

“Mrs. Smith, do I understand everything correctly? Is there anything else I need to know?”

Do this every time, and you’ll never have to worry about new patients in your private practice again.

I invite you to visit here frequently for more tips about creating a sustainable private practice!

I wish you the best along your journeys!

Want to learn more about how to build your private practice?

Then Join my team experts for a free strategy session HERE

Have a great day!

the PPW team

It Just Takes Guts

It just takes Guts

Guts and determination. Powerful words. But why should they be used in the same vein as healthcare? Unfortunately, because of the world we now live and practice in.

It takes guts to say what you believe is best for a patient, on so many levels.

It takes guts to buck the status quo with our patients and their families, to tell them the newest designer drug is not going to cure their obesity or poor health habits.

Contrary to the incessant drug company advertising, life will never be all be flowers, endless orgasms, smiles and happy fields of dreams due to the newest ED med or antidepressant, if patients don’t make some critical life choices for themselves.

It takes guts to tell it like it is, to really separate the valid life advice from the endless barrage of crap hurled at patients day after day.

This however, I believe can be the only true way out for all doctors in private practice today. And a big win.

For everybody.

Society will win. Not all of it, of course but much bigger segments.

Crisis based health care expenditures would drop like a stone if we helped to prevent, or at the least reduce the complications from heart and vascular disease, depression and chronic back pain, diabetes to name only a few were to decrease even just a little.

And doctor, if you are in alignment with my philosophy, continuously developing your perfect practice, you are already well on the way to making this a reality.

And what happens if we all practice this way?

Once again physicians of all disciplines become the real decision makers. We decide collectively to continue to be teachers, and leaders by example. Refuse to cave to third party based interests and administer only to the patients needs first. Not the insurance companies, drug companies or hospitals.

To truly stay Commanders of Change™ will takes guts.

Simply, just being good doctors first, one patient at a time, regardless of which initials you have at the end of your name.

But, to do this for any period of time requires very powerful support systems behind you. It can be stressful, unfulfilling and eat you up otherwise. As a consultant, I see this firsthand.

First of all, your beliefs (guts and determination) and personal lifestyle. Beliefs about what constitutes true health, self-reliance, responsibility and innate intelligence vs. an artificial intelligence and dependency.

And money. What is your care and advice really worth? What about those who can’t pay?

Secondly, a staff who supports your vision.

Lastly, powerful and extraordinarily effective systems and technology.

But doctor, none of this can ever work without a powerful philosophy that you can communicate.

Patients must know what your about. They need to feel it. I’m not saying you should be flamboyant or radical.

In fact, this turns way too many away from you whom might otherwise benefit from your care. But I am saying you must clearly stand up for what you believe.

Never forcing, but presenting, supporting and helping those patients and staff who can align with your purpose and vision.

And gently getting the rest out of your life.

It just takes guts.

But, here is the reward. In the long run, you will be much happier, more prosperous and healthier yourself. You will help tons more people. Have a much broader reach. And patients, and indeed entire communities who are wanting to see only you.

Yes, even in today’s world.

*Wan’t to personally strategize about how our business and CEO systems can launch you to more success than you ever imagined? Just sign up HERE

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

Better Design Means a FAR Better Private Practice!

Design a powerful private practice that supports YOUR dreams, and not someone else’s!

Last time, we spent our time together gathering the key pieces of data needed to design a powerful private practice. The two big issues for all business and private practice owners are, of course, time and finances. Taking the time to carefully outline needs, wants, and obligations—doing so in a visible format reaps big benefits, and far better designs.

Doctor with clipboard

Now that you have your key pieces of data, how do you make better design decisions for your private practice?

The first thing is to understand that time gives perspective. This is so critical. Don’t make big decisions quickly; every option should be explored. Ask yourself, are there people in your life a big decision will impact? If so, be sure to include them in your discussions and outlines. This is also where keeping a journal of some type can really help greatly. Use it to organize your thoughts and fact-finding.

Next, make sure you have dedicated quiet time to really sort all this out. So often, bad decisions come in haste, when under stress. The more relaxed and comfortable we can be, the easier we can tap our internal reserves.

Once a decision is made, outline it again in writing. Don’t ACT on a major, non-urgent decision for at least a few days. Let some time pass—let it sit with you and see how it really feels.

To build an extraordinary life will require an EXTRAORDINARY private practice! Can you see how applying these careful steps can make a huge difference?

Think for a bit: might things be different now if you applied this strategy to who you hire? How about that office space? And would you still be working for third-party payers if you applied all the key strategic thinking we are talking about here?

Finally, understand that no one can create urgency for you unless you let them. Sometimes the best decision is to decide, “I’m not making any decisions today!”

Like any super-successful private practice owner, you’ll be saving your energy, cutting your stress, and really building a powerful private practice that supports YOUR dreams, and not someone else’s!

Count yourself among us who choose to live and practice by design, not default!

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

Private Practice Owners Business School

It is the journey, not the destination that determines the ultimate reward of private practice ownership.

One of the harshest realities for today’s private practice owner is the fact that professional college has left them woefully unprepared for the demands of today’s private practice!

Private practice now is a business more than anything. And it is an entrepreneurial business requiring many more skillsets than most graduates realize, or are prepared for.

There is the marketing component; miss the marketing component and you may as well never have opened your door. Then there are staffing skills, hiring, termination procedures, compliance with state and federal laws—and on and on.

Lastly, and perhaps the most important of all, are the skillsets required of a CEO.

Like it or not, when you open your doors as a private practice owner you became the chief executive officer. If you’re like most practice owners, you’re also the CFO and HR department. At least in the early stages of your private practice development.

So what is one to do?

Like all successful private practice owners, you will need to be in education in what I call the private practice owners business school.

This means that you will need a team of trusted advisors, as well as the training necessary to accomplish all of the above.

If you find this less than an exciting process, it is entirely possible that you are better suited for public health care as opposed to private practice.

On the other hand, if you find yourself “unemployable”, or simply unwilling to work for someone else, the rewards of private practice ownership are still enormous.

This is not only true from a medical perspective, but also the process it takes to get where you want to be enormously rewarding!

So begin to get together all the necessary tools. Make some phone calls. Interview prospective team members. This includes consultants, coaches, as well as attorneys and accountants.

Always remember: it is the journey, not the destination that determines the ultimate reward of private practice ownership.

Would You Like Help Perfecting Your Practice? Feel Free To Call Us at 781-659-7989 and join us 24/7 at

The Only Thing you have to manage in your Private Practice is “Systems”

If you reinvent or break the system that already works the net result is too often disaster for the private practice owner.

”You can’t manage people because people are basically unmanageable.” So said long ago Michael Gerber, author of the E-Myth. Now for those of us in private practice we see this every day.

Systems do work

Let Your Systems Do The Work!

We see this with patients, but more especially working with the team of human beings we are proud to call our staff members.

What are the key takeaways from today’s discussion is to understand completely that to improve your practice outcomes you must improve your systems.

One of the things that is painfully obvious to me as a consultant is that success is very formulaic. When certain rules, and systems are followed, executed, and then continually improved upon private practice runs like a well oiled machine.

Conversely, reinvent or break the system that already works and the net result is too often disaster for the private practice owner.

And the same is very true clinically. I was fortunate enough to be taught this by wonderful instructors over 30 years ago. When you have a specific formula let’s say for patient suffers from a herniated disc, follow the formulas and the techniques you are best at.

The good news is 80%+ of your patients will do extremely well with the formulaic approach to care.

The very same approach is very useful for staffing and marketing your private practice. That is, be sure to use tried-and-true systems. More importantly, make sure that each key component of the system is acted upon every day.

Make sure your staff knows how important keeping to systems actually is. Emphasize how much easier it makes their daily tasks, and accountability

Be sure to take a hard look at your private practice, systems, what drives the systems and what improvements you can make to smooth out any bumps, increase profitability and most especially the fun quotient in your private practice!

Want to learn much more about effective practice development via systems? Go To

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:

Influence-The Doctors Who Will Save Healthcare

Without power, profit and influence, in your own life and practice, you are unlikely to learn from the past, deal with the present and plan as accurately as possible for the future. But just why are these so important?

One of my fascinations as a consultant comes from dealing the vast differences in how people view the world, as well as their own professions.

Even more fascinating, is how they respond to the wide variety of situations we are all presented with every day. Now this is something I’ve written on extensively, during the last three years, and continue to research on almost daily basis.

Of course, there are many reasons for these vast differences, even amongst similar groups of people (like DCs MDS, DMDs JDs etc.). No doubt, some are biologic and likely even genetic responses. Some are cultural. Some are environmental. And lets not forget education and professional training.

No doubt, the largest factor accounting for all these differences is personal beliefs about the world we live in and then how we should act upon incoming information and react or not to the situations we are faced with on almost a moment-to-moment basis.

Our personal beliefs are what comprise our self-image. Many years ago, Dr. Maxwell Maltz, a plastic surgeon observed this in his patients, and then went on to write about it extensively in his landmark work, “Psychocybernetics”.

Dr. Matltz’s observations at the time were, and still are landmark, in dealing with human behavior and achievement. Matlz observed that humans have the unique capacity to set courses like a missile, and hit targets with precision. He also astutely observed that these missile courses are never over a straight line, and indeed the vast majority of travel time is off course.

Q. So what causes a missile, or you or I to hit our targets?

A. It’s actually continual course correction.

Q. And which is the faster course?

A. It’s always a straight line.

Q. Which combination of characteristics produces a straighter line in professional practice development?

A. It’s Personal Power, Profit and Influence.

Success, happiness and fulfillment in practice and in life are always a combination of accurate assessment and response, over and over again. (This is also why the mechanisms we teach to run and grow a professional practice actually work.)

As keen as Maltz’s observations were, it really wasn’t until 1970 when Alvin Toffler wrote “Future Shock” did we come to understand again, some of the reasons why we have vast differences not only in human behavior, but society as a whole.

Toffler’s work also clearly demonstrates how ignorance of these factors can lead entire groups and organizations to become ineffective, powerless and unprofitable.

Seemingly very quickly.

So how can we not only survive, but also prosper and grow as individuals and professionals? How can we stand for solid principles and render the excellence in human services we have been trained to do?

Not because they (we) changed, but rather the world changed.

It will be only through Personal Power, Profit, and Influence.

Not unlike healthcare professionals (“providers”).

Personal Power comes from building all aspects of our lives on a firm foundation. Personal power in this day and age fully develops only with an eye clearly on the future. Ignorance of either the speed of change or the magnitude of change will lead to failure. Without firm foundations, principles and beliefs, we are like trees without roots.

With a firm foundation however we can weather hurricanes, tornadoes and tsunamis.

And profit. You, and you alone will determine your financial future. Without profit and savings, a strong financial future is impossibility. Without a strong financial position, we actually end up powerless, in so many ways.

Lastly, let’s talk about influence. Many of us ignore the impact of our influence on our patients, our staff, and most especially our communities. Those doctors, who maintain a high degree of influence not only in their offices, but also in their communities, will undoubtedly be those who master personal power and profit.

In “Future Shock- Personal Power, Profit and Influence”, we will together, around the USA be exploring the role all these have not only in our personal and professional lives, but the significant impact our collective efforts have in producing meaningful results and a bright future, not just for a very unique profession, but for our healthcare system. And, most especially our patients.

I hope you will join me on the quest to preserve patient choice, the affordable access to private healthcare, and the highest quality of care possible.

Know Your Private Practice “Seasons”

Astute private practice owners know that using seasonality to their advantage can have HUGE benefits in their clinics.

Seasonality: seasons of the year and natural cycles. Why is this important for private practice owners?

Seasons and cycles govern movement of the natural kingdom of mammals, birds, fish, and people!

Think about it. When you were a little kid, did you act differently knowing summer or winter was about to end or begin?

Of course you did! And if you ski, boat, or otherwise play outside, you still know exactly what I am talking about!

Astute marketers and private practice owners know that using seasonality to their advantage can have HUGE benefits in their clinics too. Think about what’s on patients’ minds at any given time of the year, and compliment and embrace it!

For example, every holiday season doing little extras for patients, things like “making your life simpler” with Gifts of Health can not only BOOST your private practice’s own income, but can also make your patients lives easier during the holiday gift giving season. It but also encourages them refer—while your colleagues are complaining about being slow “this time of year”.

Now, those who really master this also engage patients during the seasons of their lives—births, weddings, and even at a time of grief. It’s compassionate to do so… but also good business.

It could be you never thought about private practice like this. If this is all new to you, you may want to pick up a copy of “Maximum Referrals”, a DVD I did a few years back, to help plan the marketing year out in advance.

Of course, we embrace seasonality. To count yourself in the ranks of the ultra successful private practice owner, start thinking and planning in this way too!

Just remember, these tips can be used year after year. Time spent now building your plan will have impact upon your private practice growth for years to come!


How Do YOU Make Your Private Practice Decisions?

Don’t get your specialized knowledge from professors who failed in private practice or colleagues who are struggling!

One of the things we encounter in all business, especially private practice, is that major decisions are often made by individuals, not large committees.

Unlike large businesses that have a Board of Directors to call upon, it usually is the private practice owner who is in charge of making the most critical decisions.

For example—who to hire and why, which marketing programs may be most effective, or what other components should be added to a private practice.

All of these are decisions that need to be made, but they need to be made with clarity and focus.

Too often, as consultants we find private practice owners have gotten into trouble by making hasty and ill-considered decisions, often without the benefit of somebody who has extensive experience.

Perhaps, this is the most vital role for seeking the services of a consultant.

For example, when we launched our multimedia-driven neuropathy and chronic pain patients’ outreach, we sought out the most experienced consultants and technical consultants in media, publishing, etc.

And, we went right to the very top.

In fact, the hallmark of all great executives is that they are not afraid purchase specialized knowledge.

Specialized knowledge, as Napoleon Hill wrote about extensively, is one of the key things that separates the greats from the rest.

So, where did you get your specialized knowledge from? Was it from professors who failed in private practice or colleagues who are struggling?

I would respectfully suggest that this is one the most important decisions you can ever make; be clear here!

And also vow to make this the most important decision, with focus, clarity, and commitment to purpose.

You will be glad you did.

For more on private practice building go to PerfectPracticeWeb

Could this be the Missing Link from Your Private Practice Success?

As we both know, building a large, powerful private practice is not simple. It does require a variety of skills.

Once upon a time, over 30 years ago, one of my early mentors told me to never come to the office with a bad attitude.

Other than the obvious reasons, why would he say something like that?

What he said next blew me away. He said, “Come in with a bad attitude and watch the number of cancellations rise. Come back with a great attitude and be busier than you can handle.”

Now trying to examine this statement on the surface, it seems preposterous. Are there doctors and therapists who are gruff with their patients, but still fill their practices to the brim? Yes, but more than likely a practice fed by the public or third-party pay health care system.

But as you well know, or are starting to figure out for real, is that the private practice of healthcare is a radically different arena than the public system.

This is especially true when patients pay for much all or more of their care directly out of pocket.

And pay handsomely they will, if they feel attracted to and welcomed by your presence and, in reality, everyone on your private practice team.

The opposite is so true too!

A bad attitude, by yourself or any staff member, will repel patients like oil and water. This is an absolute recipe for disaster. It doesn’t make a difference if you have been in practice for one or forty years. As we both know, building a large, powerful private practice is not simple. It does require a variety of skills. But one of the first skills I teach my students to perfect, much like I was taught many years ago, is to, above all else, protect what’s in your own head, to build the private practice of your dreams.

For more on private practice success visit PerfectPracticeWeb