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A publication of the World Chiropractic Alliance

 

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October 2002

Using the basics 

by Dr. C.J. Mertz

Based on our own research results, we've discovered a practice building formula so simple — yet so profound — it has the potential to revolutionize the way chiropractors practice.

Most D.C.s have always been convinced that fundamentals are vital to achieving higher levels of practice success, but often haven't been sure which fundamentals to implement. Chiropractors read through trade magazines, listen to audiotapes, are present for philosophy and motivational forums, attend technique conferences — and even do fire walks! Yet, frequently they don't know what they're searching for and hope they'll know it when they find it!

The doctors I work with have an incredible desire to serve but have been frustrated with this uncertainty as to where to go or what to do next. The truth is, they and their teams need to build, attract, serve, invest, commit and sustain. In other words, they need to master the basics.

Understanding the basics, mastering the components — along with key targets for breakthrough practice growth — it's possible to grow a practice to any size!

Building is the first component, based on the biggest open secret of the biggest practices in the world: they adjust families. Most chiropractic teams can count the number of whole families they serve on fewer than 10 fingers (the majority, less than five). So, the first key improvement target is increasing the number of whole families you adjust per month. Every policy, procedure and communication with patients must be congruent with your building target or your practice will slip right back to the old pattern.

Attracting is the second basic component of high level practice success, one that leads to an unbroken flow of new patients. Therefore, the second key improvement target is increasing the number of monthly new patient opportunities.

It's simple. If 1,000 people hear about your practice, 500 are seriously considering making an appointment. Of those, 400 will make an appointment and 350 will actually show up. Out of those, 250 will convert to excellent care programs. So, you decide how many new patients you want this year.

The number of internal and external marketing events and the quality of their results must be matched against your goal of how many new patients you wish to start each month. The quality of these results will determine the attracting target of new patient opportunities you create monthly, thereby eliminating gimmicks and guesswork in favor of a steady and continuous flow of new patients into your practice.

The third "basic" component is serving. Scheduled adjustments are a thousand times better than rescheduled or nonscheduled adjustments — making the third key improvement target increasing originally scheduled adjustments (OSAs) kept per week. It may take you a full year to correct this one target, yet your practice will be made ready to serve four or five times the number of patient adjustments you are currently seeing.

When patients determine their own schedules, they fall away from care. When patients drop in for adjustments, they wind up "dropping out." When patients reschedule adjustments, they eventually reschedule their priorities, and those priorities will not include you.

Investing is the fourth basics component. Patients who pay you in advance for care, stay for a lifetime and those who don't, don't. The fourth key improvement target is increasing the percentage of pay-in-advance, per month. At least 60-80% of patients getting adjusted today won't be making any payments because they already did -- weeks or months ago!

Put simply, patients who have the highest level of commitment to care, the greatest compliance, the best results, the most number of referrals and the best attitudes (which C.A.s absolutely love), pay in advance. If your procedures don't produce this result, throw them away quickly. You're not only wasting a lot of time and money, you're wasting many potentially great patients. Pay in advance is not your only option, just your best.

Committing is component number five. When patients are told the truth about the cause of their problems, they choose to correct them. While you're not supposed to convert every patient who walks through your door, you must convert each one who's ready to follow your best recommendations for subluxation correction. The fifth key improvement target then is increasing the percentage of patient conversions (to corrections) per month.

The term "subluxation" must become a household word in your community and, as it does, new patients will come in asking for a subluxation check-up. If your new patient reporting system doesn't accomplish this and if your examination and patient education process doesn't accomplish this, stop and re-tool immediately.

Sustaining is the final component of the chiropractic basics leading to higher practice success levels. Patients who continue with lifetime care, started with lifetime care. When patients learn their spines should be properly maintained from birth, everything changes. Maintenance is not something patients move toward after correction, but something they must go back to once correction has been achieved. Families of lifetime patients should be the result of your practice strategies.

Wonder no more about which fundamentals need your attention in order for your practice to grow. Mastering (and using) the basics works. Build — attract — serve — invest — commit — sustain. It's a simple formula that answers the questions about building the largest, most successful chiropractic practices in the world.

(Dr. C.J. Mertz is founder and head coach of the prestigious Waiting List Practice chiropractic training organization. If you would like more information on how you can learn to master the B.A.S.I.C.S — or about other WLP services and products, call 877/TEAM-WLP.)

 

 

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