What Do You Promise to Patients?

Did You Ever Make a Promise to a Patient?


This is an area that far too many clinicians regardless of the specialty get into trouble with. It is so important to understand that the only real promise to patients you or I can and should make to patients is that we will do our very best to help them.

That’s it, nothing more. To make promises of anything more is just fraught with peril!

Furthermore, it’s not good informed consent it’s also grossly unfair to yourself and your entire team.

As the old saying goes under promise and over deliver. It’s a far better strategy for practicing long-term.

I know there are many legal ramifications and obligations too…

Let me tell you what I’ve heard as a consultant.

“This WILL Fix You For Good Mrs Jones!”

“I know Jimmy, you have been sick for years but with this NEW treatment if you are NOT FIXED in 3 weeks you can have all your money back!”


Promise to Patients?


But lets get real. Why not be 100% honest and say something like…

“We will do all we can to help you to the best of our ability…these are the risks associated with treatment…these are the risks if you do nothing…”

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 our team experts for a free strategy session HERE


Have a great day!

the PPW team 

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!

“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!


The Final Roadblocks

Doctor sitting behind her deskThis week in our Perfect Practice Tips series we are examining the final roadblocks of the six most common to successful private practice management.

Roadblock Five: Failing to Give Patients the Big Picture

A component of practice that often seems to be forgotten today is ensuring that you are giving patients the “big picture” of health. In order for a doctor to be effective, the doctor must live the message they are attempting to communicate. This includes practicing and advocating lifestyles and systems of health care that promote long-term health, fitness, overall life satisfaction and personal fulfillment.

Some of these components may include the practice of well patient care, dietary supplements, massage, fitness programs and physical therapy. The doctor and his or her team must be effective at sharing this extraordinarily valuable information with their family and friends, children, and the community at large.

Roadblock Six: Failing to Make Time For You

One of the biggest factors that leads to burn out and dissatisfaction among doctors in practice stems from not having enough time away from the office.

The reality is that maintaining a private practice is extremely physically and psychologically demanding. It taxes your mental and emotional capacities. There is no way that you or I will ever perform to our fullest potential if we are not rested and completely healthy.

So here is the big idea: Strive to become more efficient in every aspect of your practice management.

Your goal should be to increase your efficiency and effectiveness in the office so that with each passing year you see more patients in less time.

This will allow you to take a more balanced approach toward work and personal time. You can then pursue other interests in your time off that help to keep you fresh and passionate about what you do, for many years to come.

Keep in mind that failure to think critically about all of these issues and their long-term impact on your personal goals and lifestyle will have a significant impact on many areas of your life.

This is why I continually advocate that the doctors of the future must continue to Practice by Design™, not by default.

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

Dr. John Hayes, Jr.
Perfect Practice Web

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

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?

Join our conversation on Facebook!

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!

Join our conversation today on FB. Are you ready for your future? Click HERE!

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!

Post your comments and join our conversation on Facebook HERE!

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!

Want to learn more, visit us HERE!


“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.

Learn more by visiting us HERE!



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.

See more HERE!


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.

Learn more HERE!

It’s Midnight. Do You Know Where Your Patients Are?

Are YOU and your private practice visible where your patients are?


Well, like most people who are suffering at home, they are either reading a book, listening to radio, watching TV or more than likely combing the web with their tablet or smart phone.

So let me ask you, are YOU and your private practice visible where your patients are? How about when they are consuming their media, are you visible then?

As a private practice consultant, I can tell you with confidence very few practice owners have this one down.

Why? It’s usually because they have neglected to get good training and advice on this vital subject we call private practice marketing.

Don’t let this be you.

Think about it. Marketing your private practice correctly can mean the difference between personal financial freedom and living debt free someday or bankruptcy.

That’s a huge gap, and it’s getting wider thanks to the sharp division drawn for you between public healthcare and private practice.

And more and more, marketing is about positioning, pulling people towards you by establishing a solid reputation, and fully developing the communication skills to capitalize on this.

For example, how does your practice look to a patient searching your area on Google? On Facebook? And even on Twitter.

How about the way your phone is answered after hours, does it say warm and friendly, and inviting enough for patients to leave all their vital info, or better yet get a personal call back by you?

If your patients are not regularly asking you questions via the social media, you are likely failing to 1. Get them to like you, 2. Get them to trust you and 3. More than likely you are not getting them to believe you.

Prospective Patients can now pop from one media to the next, and with todays smart phones and apps, they are doing this in seconds, not even minutes any more!

And that begs the question, what’s your strategy to deal with all of this?

Hopefully, it’s to learn all you can and then execute and monitor a powerful multi-media marketing game plan!

For our clients however, worry is not necessary. We’ve got you covered!

Want to find out how we have you covered? Click HERE!

Dedicated Goals and Dream Time For Private Practice Owners

If you are determined to actually live the life you so deserve, make sure you learn to organize and focus in this way.

Do you regularly ask yourself why you do what you do in the clinic every day? Now, I don’t mean some altruistic thing like I just want to help sick people. That’s a given if you are reading this!

BoatsWhat I’m really talking about is your own personal lifestyle. How often do you regularly revisit what your ideal lifestyle is? Even more importantly, how do you benchmark your day’s performance against your ideal lifestyle?

Well, one of the reasons you may find this so difficult is you may not actually KNOW for certain the financial cost of your desired lifestyle?

For example, lets say you have 5 goals, 1 major to be mortgage free in 7 years. Do you know exactly how much after tax money that early mortgage pay down will take per month? Per Year?

And how about those other goals like take the kids to Disney, a retirement party for Dad, and oh yeah that new dress and Louis bag to go with it?

How about then the translation of these numbers into an average after tax income needed per week? Per Day?

I hope you see where I am going here.

One of the major reasons for life dissatisfaction, and career dissatisfaction is not supporting your BIG dreams by knowing these numbers!

And then of course the ultimate task is actually executing the correct plan to reach your goals!

To pull this off successfully requires two big things. Number one, the quiet time each week to plan, and number two, a few minutes daily to assess your progress.

So, if you are determined to actually live the life you so deserve, make sure you learn to organize and focus in this way.

Then, set in motion all the practice development strategies you’ll need with some extra cushion (and tax money) built in!

We can help you with your goals. Click HERE!

Was Your Private Practice “Done” Wrong?

But then in PRIVATE practice, everyone  is depending upon you to lead the way.


There’s an old saying, you get what you what you pay for. Nowhere else will this ever be so true as in your private practice.

But let’s say for example you are one of those private practice owners who purchased a cheap (or MORE expensive!) or imitation private practice-consulting product.

Very rarely in this world do you get Bentley quality at Kia prices!

Sadly, clinicians who not only have failed to not only grow their private practices but also get their patients results have contacted us.

Some have even been in trouble with their boards of registration.

Worse yet, is lacking the academic and clinical skills necessary to help really seriously ill patients.

Well, you could be like the multitude of clinicians now calling us with significant concerns, not the least of which are having some very sick patients they are unprepared to serve.

Being really successful in private practice requires that you FIRST be an excellent clinician.

But then in PRIVATE practice, everyone (your spouse, kids and staff for example) is depending upon you to lead the way in marketing, communications and most especially competent business skills!

As we predicted, the backlash from not doing this is incredible.

Not the least of which is huge professional liability.

So here is what you can do. Make a decision RIGHT NOW to very really investigate all decisions that impact you much more carefully.

Especially when it comes down to your livelihood, and reputation as a private practice owner.

In any event, should you already own neuropathy or other specialty treatment equipment like decompression or pain management, we are in a position to help you make the best of your current situation.

More importantly we will do whatever we can to help deliver the clinical results your practice and your community deserves.

But don’t delay; it may already be too late!

Find out HERE if we can help you!

Would you trust your health to somebody who is not a complete expert?

Private Practice owners are taking more risks than ever before.


As clinicians, we should not even need to question this statement. Of course you wouldn’t trust your health or a loved ones with somebody who is not a complete expert.

Unfortunately with the current economy combined with aggressive marketing tactics from a whole host of so-called “consultants” clinicians are taking more risks in this area than ever before.

These risks include treating conditions for which you have little or no training.

This is a certain recipe for disaster. Not only because of increased liability but the long-term damage done to your practice when your reputation in the community is damaged.

Worse yet, is when clinicians engage in treating outside their scope of practice?

So, what is the solution for the private practice owner? Start with good decision-making.

Will this new system keep you clinically and academically challenged? Does it make economic sense? Every private practice owner should run his or her own numbers!

It should be obvious to0 that you need to first fully understand the limitations of your license and scope of practice.

Secondly, seek out experts with academic credentials as well as clinical experience. Thirdly, make sure that any equipment employed in the treatment of patients is fully approved by the appropriate regulatory agency.

Lastly, be completely honest and open with your patients. It’s very important to engage them in frank discussions.

Give patients the chance to seek second opinions as well as try various treatments if there are no good alternatives for their condition.

Always place a note to this effect in the patient’s paper as well as electronic chart.

Make sure you have a signed informed consent and that this is witnessed by staff member of legal age prior to the commencement of any treatment.

Check out our experience HERE!

What can I do today to prepare for the future of my Private Healthcare Practice?

Unfortunately, too many private practice owners ignored once timely advice and are now faced with trying to play catch-up.

This is a question I have been answering since 2005. As I’m sure you understand, private practice has become a vastly different animal than public health care. No more readily is this apparent that in primary care medical practices. And now, physical therapy and chiropractic practices are faced with the same decisions.

But as naturally smaller and more fragmented organizations, we do not have a lot of the advantages of hospitals or public facilities. We are not supported at all by taxpayer dollars. In fact, it is quite the opposite.

Unfortunately, too many private practice owners ignored once timely advice and are now faced with trying to play catch-up.

Perhaps the most critical thing that too many private practice owners have failed to recognize is that the way patients communicate both with one another and other providers is vastly different than ever before.

This coupled with deep economic uncertainty as well as uncertainty regarding healthcare plans has made staying ahead of the curve much more difficult on private practice owners than ever before.

So here are some key points to be thinking a lot about on this Monday morning.

Have you instituted all the marketing and positioning changes necessary to ensure your success? You have invested an incredible amount of time, money and energy in your career. Are you taking the critical steps now necessary to preserve that future.

If not, I would strongly suggest you start by taking a hard look at your patient’s perception of your practice. The quickest way to do this is simply survey your patients.

Often times the easiest thing to do is to have a contest at the front desk. Take a very simple suggestion box which can easily be managed by your front desk person and decorate it. Let your patients know that those who participate and give their input will be put in a drawing for some type of reward. Make it simple, make it fun.

But the most important thing of all?

Continue to pay attention and provide your patients not only what they need but what they want and are asking for from you their private practice owner.

Your future in private practice depends upon this.

Are you doing enough? Check us out HERE!

What does your staff really want?

I find one of the biggest mistakes private practice owners make is not being crystal clear as to what is expected from the staff members.


Make no mistake about it. Staffing your practice will we be one of the biggest challenges you’ll ever face as a private practice owner.

One of the biggest mistakes that we may as private practice owners is to assume that staff values money more than any other reward.

The reality is, when HR experts are surveyed they actually tell us that money is far from the first thing on your staffs mind.

Rather, your staff likely values appreciation more than any other single thing from you!

It is also very important to understand that when staff of any great organization is asked, they also indicate that the hallmark of a great leader is giving them really accurate feedback. Most people want to be told the truth more than anything else.

Of course, there are exceptions but because you have great hiring procedures in place you don’t have to worry about that.

I find when consulting private practice owners, one of the biggest mistakes they make is not being crystal clear as to what is expected from the staff members.

Admittedly, as the business owner, coming from a healthcare background we are not adequately trained in staffing our practices like the high performing organizations they are capable of being.

So what’s the solution? In my opinion, the solution is to make sure your staff knows exactly what is expected of them. This is where some very basic tools such as job descriptions manuals and duties list go along way towards greatly simplifying the staffing process and making sure your private practice experience is one of the best available anywhere.

Another thing that gets ignored by all too many practice owners is failure to meet with your staff on a regular basis. Do not under emphasize the importance of this.

I have for many years advocated meeting with your staff in a nonthreatening environment by daily basis.

Honestly, just making some of these simple changes will go along way toward accelerating your own private practice growth and profitability.

Would you like to learn more on how to improve your practice? Click HERE!