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Private Practice Mandates

Private practice mandates an entirely additional set of skills today. More so than any other time. Not instead of but in addition to your healers skills and instincts.

And honestly, failure to realize this, or especially educate our students creates every unpleasant and often painful experiences ranging from unrest to bankruptcy.

Interestingly, with patients we tend to be extraordinary analytical, follow algorithmic, logical sequences, and frequently just one or two steps at a time.

It’s this thought processes that lends itself to accurate diagnoses and rapid, critical action.

But private practice demands an entirely different set of skills, especially when marketing, finances, and staffing are concerned. Let alone technology, human resources, your web-facing efforts, and wealth building.

In fact, modern private practice demands an entrepreneurial mindset. The days of just being a great doc without , marketing and management and exceptional business skills is, with rare exception, over.

This is why despite everything else you may do, you have got to have an excellent business training to fall back on again and again.

This is exactly what we have been doing for those of us in private practice since 2007.

For further information including a free “Fast Track Guide” leave your info at at Perfect Practice Web

Patti

#privatepracticebuilding #lovinghealthcare #livingpracticingbydesign

Times are never good or bad..

Times are never good or bad, only different.
Sage advice from a master, spoken many years ago.
I am not sure exactly who or I would give due credit.

And you know what? It’s very Darwinian, especially today.

Only the fit will make it. And
come out so much better. I know this as I speak
with doctors all over the USA.

This is a great time to reinvent yourself
personally, spiritually, and refine your practice
make-up, vision, goals, and especially your
systems.

So much is happening so fast right now.

Just ask your patients.
Ask them what they need. What they want from
you to achieve their own objectives.

And by asking this, you find out how good
a job you have done educating your patients.
Or not.

Times are never good or bad, only different.

And for these different times, there is Living & Practicing by Design to guide you every day.

We hope you’ll join us!

Let’s take a look at these skills…

 

Let’s take a look at these skills so essential to phenomenal success but so often overlooked.

Number one on my list is the ability to organize and sort incoming “stuff” and data.

Really.

A messy desk (or home or personal life quite frankly) makes for a clouded mind. That’s why extreme and easy organization is the first lesson in Living & Practicing by Design

Along side of this skill, you also need to be able to organize, focus and direct output and productivity. This includes everything from processing new patients to getting the income to run, gwo and market your  #privatepractice, and especially build long-term security.

Think about this one. There is not one area in practice where the rule of this skill set does not apply.

The second skill set is just as critical.

And that is developing a CEO/CFO mindset that you’ll have to use right along side the Dr. before your name.

This is perhaps the one that takes the longest to develop for docs. But like everything else, just a little regular study leads to mastery.

And if you do this right, an incredible professional and personal life and career.

For further information on exactly how we teach these skills leave your info at Perfect Practice Web

You can also call or text the main office at 781-659-7989

Let’s talk.

#privatepracticebuilding
#lovinghealthcare
#perfectpracticeweb
#livingandpracticingbydesign

Are your patients getting mixed messages?

Are your patients getting mixed messages, and you don’t even know it?

Most especially, might there be an incongruence or two with regard to office policies which might not only be slowing you down, but could be like driving your car with the brakes on?

Well, if you have more than one staff person, the answer might be yes. It’s so important to try and head this off with the policies and procedures covering every little detail.

Even in our practice, I discovered this quite by accident last week. The problem began with a newer staff person getting into encounters for the first time by herself.

It seems like everything has broken in our office in the last 3 months. Computers, phones, credit card swipe machines, and even a diagnostic unit. Stay in practice long enough and stuff just happens to fail eventually.

Anyway, last week it was the card swipe machine. This can really hurt the income for a day or two as you know.

Now my staff is very bright, and they know our policies on collections. So why did the failure of one simple device cause chaos at the front desk?

It was simply because the basic “fix” that is in the office manual was not referred too. Once I pointed this out, we were back to normal quickly.

Once again, a smooth running private practice is all about congruent policies and procedures. This is where Living and Practicing by Design membership can help you accomplish and then stay on top of this each week.

For further information please contact my team HERE or shoot us a call or text to 781-659-7989

Patti

A Doctors Natural Gifts

A doctor’s natural gifts. That’s what you possess as a healer. You can put patients at ease; physically and quickly abolish their pain and discomfort. Restore hope, and actually save their lives by doing what seemingly is very natural for you.

Healers have commonalities in backgrounds and life experiences. Actually, our pathways as doctors of all disciplines is remarkably similar, often times being touched at a young age by illness or death. Doctors minds and hands posses the unique ability to alleviate mental and physical anxiety, and often time anguish.

Beatte and Beck among others have written on this, and it’s helpful to look at this is you’ve never done it.

However, private practice mandates an entirely additional set of skills. Not instead of but in addition to your healers instincts.

In today’s new world, you must blend all your clinical skills with excellent judgement and powerful business and social skills. All of these are taught by our team daily in simple, easy to use formats.

Our team is ready to help you Live & Practice by Design, not default! You can even call or text our team for personalized help 781-659-7989

It’s Time For A New Vision Of The Future. Read More HERE

#privatepracticebuilding, #perfectpracticeweb, #lovinghealthcare, #livingandpracticingbyddesign

Doctor, Are We Focused on the Right Things?

Doctor, are we focused on the right things? Honest to God, its 3:10 AM. I can’t sleep, but I feel so lucky. One of my patients died last week. My wife of 30 plus years is asleep next to me. How lucky am I?

Judy presented to me about 10 weeks ago with acute sciatica, and low back pain.

At first, it seemed simple enough. By the end of week one, I sensed something completely different. Nothing gave her anything but very passive relief, nighttime was unbearable. Then she developed significant weakness of the legs and gait changes. Interestingly, her neuro signs were still benign, but that changed oh so quickly within 48 hrs. Something was “bad wrong”, here as one of my earliest professors would say.

He husband who I have cared for for 25 years was with her every moment. Very concerned. Scared for Judy.

I called her PCP who immediately began a hospital intake after we both voiced concerns about unrelenting night pain and progressive leg weakness now justifying admission and a complete workup.

Judy went down-hill fast. Initially, what started as a simple sciatica was next thought by her neurologist to be Gullien-Barre’ Syndrome.

When medication (steroids, etc) did not help significantly she then quickly had plasmapheresis, and was sent to transitional care. She never improved significantly.

Very quickly, it was established she had some very aggressive non-specific demyelinating disease.

In essence, all this happened inside of 3 months.

Judy and Bob were married for 50 or so years. Over in a flash. There is nothing any of us as her team would have done any different, or better. But, it still sucks.

Of course we see this as part of practice, and way more if you spend a lot of time in hospitals. I did four years of this type of transitional care, and I still see the face of the pretty 23-year-old girl dying of a brain tumor, and many others 30+ years later.

So, yesterday morning, after my staff broke the news (we had called Bob the night before to check on Judy), instead of bitching about how so many obstacles are being hurled onto the path of us in practice, I felt really lucky. I immediately thought about my wife and daughter.

For some reason next I start thinking this morning about the doctor from an insurance carrier trying to lecture me on another patient last Monday morning on absolutely ridiculous daily record keeping, way beyond any standard of care. I told him so. I also told him I would gladly perform a high level encounter at each visit as long as it was paid for. I also explained that the company he reviews for denies such services as “not medically necessary”, so this will cost the patient an additional 150 or so out of pocket, for each flare up of the SAME condition.

Huh?

And I am thinking this is just nuts. There’s no common or rational clinical sense in this at all. This is not good chiropractic or good medicine.

And I told him, “Screw all of this. Patient care always has to be the most important thing here”.

He’ll never get it.

A year ago, it still made sense to work for these people. I’m still #lovinghealthcare

But, if this keeps up they are history in my book.

Because when its done, that’s all there is.

 

It’s all just a “test”

It’s all just a “test”

We speak often about the power of planning, and then implementation.

All fine, and essential. But happens when your plan does not work as intended?

There is a saying in marketing that there are no failures, only tests. It’s all just a “test”.

And so it is in the world we live in right now. What worked so great in practice a while back may not be working so well right now.

What do most people do? Stop trying!

What’s a better way?

Analyze, fine tune, make some appropriate changes, and “test” again.

Then again.

Seriously. Every great practice and business is built upon the backs of many, many failed “tests”…

Learn much more about “Bullet Proof Marketing & Media Expansion” HERE: https://perfectpracticeweb.com/living-practicing-by-design

#privatepracticebuilding#lovinghealthcare#livingpracticingbydesign

 

“Now what do I do?”

Doctor, if you have asked yourself  ‘Now what do I do?’ even once in the last week, something is incorrect, broken or missing in your game plan.

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

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

Here are some key issues to consider right now.

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

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

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

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

Let’s talk money.

Are you spending money on your continued growth and education, or did you axe that too. Will you be joining us to learn from some of the brightest people in healthcare, EMR, marketing, interdisciplinary care and law right now? Are you fully engaged in continuous self-improvement? Books, CDS, podcasts, teleseminars and webinars?

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

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

The good news is, that’s what we do together in our memberships.

And doctor, based upon the events of the last few weeks, you will need to create all of this stuff in your own life.

But ONLY if you LEARN THESE RIGHT NOW. Get Started HERE

 

What too many private practice marketers forget

What too many private practice marketers forget is just how changeable the landscape is! As a private practice owner it’s never enough to set up any online or social marketing campaign without paying regular (daily) attention. Otherwise, you are broadcasting thousands of wasted dollars into the wind. Now couple this without paying daily attention to other key systems, disaster is only a question of when not if

But there is a better way to live and practice by design.

You can learn so much more about private practice marketers, our story and about building your practice for a lifetime upon timeless systems HERE

He called his big idea the “Certain Way”.

About 100 years ago, Wallace Wattles warned those aspiring to make better lives for themselves to ignore politicians, naysayers and media. He called his big idea the “Certain Way”. Focusing endlessly only upon your desired outcomes with continuous gratitude being your dominant thought.

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

I believe he was right. It’s a fact; politically self-serving agendas have been a part of history for centuries. Even back in Ancient Rome and Greece, elders warned about the expansion of self-perpetuating plutocracies. Right now though the constant injection into the media is fear from politicians who we entrust to be leaders.

Rather than reassurance this trash talk about the wealthy is destructive, and controlling.

Too often, the very criticisms our politicians hurl at others, mirror habits that exist in their own lives, a fact too many of their constituents and certainly the paparazzi ignore.

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

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

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

It’s NOT wealthy successful people that bring the economy to it’s knees.

It’s now many years of bad decisions and top down government and corporate corruption that transcends political parties and international boundaries, fueled by incredible greed. Unfortunately, these basic facts are too often conspicuously absent from the daily media banter.

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

For those younger than I, this attitude is nothing new.

The problem is, in our current world, this trash talk about success is today again everywhere. This only serves to perpetuate dangerous myths, especially to our young and inexperienced citizens.

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

So what can you do?

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

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

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

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

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

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

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

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

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

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

Completely new opportunities abound.

But only if you decide to be fully engaged.

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

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

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

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

Learn More HERE:

How Your Staff Answers The Phone

Now of course, this is something I regularly do with enjoyment. I can tell so much about a doc and their practice, based upon how your staff answers the phone.

Timing, attitude, how questions are handled, are they organized? And are all their tools obviously at their fingertips?

In fact, if your not doing great at the moment, ask three friends to anonymously call your office. Two as new patients with no health insurance. You should listen in. You may however be shocked.

When it comes to collections at the counter its “Here’s your options Mrs. Jones, would you like me to put the entire week (month) on the same card?”

Or more like “Oh that’s OK don’t worry about it…”

Here’s my point.

Those who build powerful practices, and indeed personal lives continuously aim to master each area!

No, it’s never perfect, and always require measurement and attention, but none-the-less the process is in place via policies, procedures and trainings.

Clinically, it’s also very important to your patients!

This is also why your staff must be darn good on the phone, so patients know to expect clinical excellence, which is not as common as you would think.

Now in our office, new patients still tell me almost 30 years later, “That was the best exam I have ever had in my entire life!”

Why?

Because on each new patient we still insist on a thorough pre-exam presentation by staff,  yes even interns, while finishing the first visit with the best physical examination they have ever had, hands down.

To learn more about this style practice and get your free “Fast Track Guide” go HERE

Patti

Private Practice Systems

The most important of all Private Practice Systems is…can you guess?

Answering telephones by script. It is simply a mechanism to ensure two things. One is that patients are not turned off by what is said. The other is to obtain valuable information in terms of what parts of your marketing campaign are working. You have to make sure that whoever is answering the phone is ascertaining exactly how these particular people are finding you.

The second daily marketing task is to make sure that your new and returning patients are now automatically enrolled in stay in touch “sequences”. You certainly can enhance the effectiveness of autopilot marketing by making sure that you’re subdividing these patients, putting them into different groups and categories. This is now much easier with modern software.

Third, you need to make sure that referral & primary care docs and other professionals who share the care of your patients with you are being updated by you on a regular basis. It is important to have this on autopilot. In our office when the doctor finalizes an examination report, the doctor or a staff person prints it. The staff will make sure that we have indeed personally signed the professional copy. If it’s a primary care doc who I haven’t handled before or haven’t had the opportunity to meet, I will put an introductory letter in there as well.

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

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

Do you see how important all this is? Then why doesn’t every practice operate this way? Don’t let this be you. Our team can help.

Learn how you can have twice the income and half the hassles HERE

 

Decisions we make every day

My wife and daughter recently brought me home a copy of “I Me Mine“, which is as close to an autobiography of George Harrison as you can get. It’s a great read. I have always respected his strong faith, as well as his music.
Some passages really shed light on how he applied ancient philosophies to modern life. In reality, its all about decisions we make every day.

At the start of our “Perfect Practice Platform” training, I spoke at length about the “Gita”, and the pertinence of its philosophy 5000 years after it was written in Sanskrit. George was immersed in the Gita, and its related teachings.

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

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

So, the lesson here is detachment from outcome. Make your decisions, let go and move forward after each decision, vowing only to make better decisions as you mature. This is so true in healthcare, being called upon to continually make decisions after dealing with one problem after another.

Those docs who never get this have a real hard time moving forward in life and practice especially.

To learn more, grab your copy of the “Living and Practicing By Design”  HERE 

Private Practice Marketing Mistakes
Private Practice is Dead. Or is it?

One would think with all the changes in healthcare nowadays, that private practice is dead. So many doctors are flocking to what they believe is the protection of large networks, our healthcare landscape is changing. What are we losing as this evolution occurs?

With the thriving world of private practice, there are many ill outcomes that begin to govern our society and our healthcare dynamics. For instance, just imagine there are no longer local docs whom you turn to and trust with every member of your family. Just imagine, that all those reasons we become doctors in the first place no longer exist.

What are some of the reasons?

  • Provide great care to our patients
  • Create our own business – a mini culture so to speak
  • Make a good living – thoughts on deservingness

Doctors generally become doctors because we want to care for patients, right. Of course, we do! If you didn’t want to take care of people and make a difference, you never would have made it through medical school. It’s not a walk in the park!

We want to make a difference in the lives of others. Most, if not all of us, believe we can make a difference. For some, that’s a small-town doc who makes house calls. For others, maybe it’s staying late because we know our local mill shuts down at 7 pm. We’re the ones who take care of rusty nail feet, pregnant moms (maybe), strep throat kids and we may even see patients at the local hospital too.

What we aren’t is a conglomerate. We are our own business. We make our own living. However, we choose to do that, we do it our way. But what’s the other way that is overtaking us?

Is Private Practice Really Dead or Can We Change the Landscape?

The healthcare landscape has “forced” many physicians to close shop, for fear of being run out of business. We become corporate robots instead of independent practitioners which is what we set out to be.

So, has the establishment brought us to a halt? Is private practice dead or do you just not know what to do? If the latter is your story and you want to rewrite your story with your own ending, we can help you do that.

So, is private practice dead? Only if you let it be.

At Perfect Practice Web, our team of experts has put it alltogether to help others like us. We did the testing for us all, we suffered thebumps and bruises along the way. We’ve worked with clients around the world and perfected the private practice methodology. Go here to learn more.

Quote-Business Basics
You Can Breathe Life Into Your Private Practice

If you are ready to get down to the basics of business and achieve real success, then we challenge you to read our back to basics series beginning here.

Business back to basics team togetherness

Private Practice Basics

It’s time we take private practice back to the basics.

If you’ve been on social media and a lot of places on the web lately, you probably already get the gist of what this article is about. Things have just turned into a free for all, it seems. Anyone and everyone can jump on the internet and multiple social media platforms and claim to be anyone or anything.

Unfortunately, there are many of those individuals who take advantage of readers. This, in turn, can affect how people see legitimate businesses as well.

It’s sad to say it’s necessary to have to reiterate that foundational practices are necessary. Anyone who indicates you can get by without a business foundation is nothing more than a shyster. Don’t listen to them.

There are basic principles necessary to accomplish a solid foundation. Beyond the brick and mortar, the staff, the equipment and supplies, there are a few critical components to accomplishing real success. Now the first thing everyone wants to know is, “what are they?”

What Are the Success Principles of Private Practice?

Bringing a business back to the basics is sometimes difficult. However, if the initial foundation is not laid based on a shared mission and vision, honesty, and principled care, there will not be success. That is, until you get back to the basics.

If you don’t already have a mission statement and a written vision, now is the time. This is a visual reminder of why you and your team do what you do. This is what you accomplish when you can’t do anything else. The fulfillment of a good mission and vision is why your patients will come to you.

Though there are more critical components such as marketing, the web, social media, etc., without the mission and vision, you shouldn’t even open the doors.

So, in our first article on business back to the basics, we highly recommend you develop a mission and vision, if you don’t already have one. If you do have one, review it to make sure it captures your essence correctly.

Come back next week and join us for another edition of business back to the basics. Learn much more and contact us HERE

Dollars and Scope of Practice
Practice Out of Scope Costs Dollars

If you’ve got money to burn, don’t read this. If you don’t and you want to have more, check out how we can help you here. Read more about the impacts of your scope of practice here.

Physician Scope of Practice

Your Scope of Practice

Have you ever considered exactly what your  scope of practice is? If you haven’t, you are most likely cutting your own proverbial throat when it comes to your earnings statement.

Wow, that sounds powerful don’t you think? We want it to!

This is a no BS wake-up call for any doctor who is not making the dollars you expect. That said, we will be the first to acknowledge it’s not all about dollars. Money in the long run means nothing if you don’t have happiness and pleasure in what you do.

Yes, dollars are nice, but satisfaction and happiness are critical as well. So, don’t think we are only talking about money here as we address your physician scope of practice.

What Is Your Scope of Practice?

Sometimes it’s easier to state what your scope of practice is not. As a matter of fact, this is one of those instances. In your practice, you should not take out the trash, make appointments, draw blood, work on computers, file, etc. Of course, this list goes on and on.

What you should be doing is seeing and treating patients, period.

You should delegate the rest of the tasks of the office appropriately throughout your staffing makeup. But, then again, you must have the correct staffing model in your office. It’s also critical to make sure everyone works to the top of their license and skill level.

There are hundreds of staffing models out there. Many of them put together by people who know absolutely nothing about running a physician office.

If you want to learn how to do it correctly, you want to turn to someone who has walked in your shoes and knows where you are coming from on all angles.

Is that possible? It most definitely is!

Our team over at Perfect Practice Web has put over 30 years of knowledge together to help others learn to achieve the success we have discovered. These are tried and true and time-tested success methods.

We’d love to help you take yourself to the next level, so you always stay within your scope of practice. Come see what we have to offer HERE or give us a call at 339-793-8610. We’d love to chat with you!

Rich Doctor Syndrome Starts Here

Are You Financially Independent Doctor?

A lot of would-be medical and healthcare students think just becoming a doctor will make them rich. Though the profession will pay you well as compared to other professions, it takes a lot of money to get there also. That’s money most of us must pay back, unless you’re lucky. That cuts into the dollars made for several years.

Aside from that, the costs of running a practice and keeping everything afloat can be quite burdensome as well. All these components can eat into your take home pay and lessen all worries of falling into the “rich doctor” category.

So, what can be done about that?

If you or others you know are struggling to make the types of salaries you should be making, perhaps there is something more you can do. There is one requirement to though. You have to be willing to learn and act.

After all, we work hard, we learned hard and we deserve to enjoy the fruits of our labors.

SO, if you’re ready to do something about it and take your life to the next level. If you are ready to enjoy your life with some of those extra things (boats, vacations, hobbies, etc.), then we want to help you.

It’s not a dream or a fantasy.

Living the life of means you desire is possible! We offer you step by step instructions and all the tools on how to run your practice to maximum efficiency. But, more than that, we help you in learning how to step beyond the norm and make yourself a thriving practice that earns you the living you deserve.

Here’s the best part. You can do this without having to work 90 hours a week!

If you’re ready, let’s just get to it. After you’ve grabbed a copy of  Giant Steps to Success. Give us a call and we’ll be more than happy to help you get going. 339-793-8610

We look forward to hearing from you!

Giant footprint in sand
Giant Step to Your Success

STOP just getting by! It’s time to do something about it. You can increase your income exponentially!

Take a GIANT STEP.

Click HERE to find out more.