7 Key Strategies
Transcript of 7 Key Strategies
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www.medicalpracticetrends.com
By Peter J. Polack, MD
emedikon LLC 2009
Even in Tough Economic Times
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Contents
Who Am I And Why Am I Providing This Information?.. . . . . . . . . . . . . . . . . . . . . . 4...
Strategy 1
Get Clear On the Difference Between Marketing and Advertising. . . . . . . . . . . . . . . 5
. Marketing.vs.Advertising.
. Improving.Your.Practices.Marketing.Efforts
. A.Quick.Word.About.Sales
Strategy 2
Take Back Control of Your Practice.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
. You.Cant.Manage.What.You.Dont.Measure
. Consider.Switching.to.an.EMR.(Electronic.Medical.Records).System
Strategy 3
Keep Your Existing Patients Happy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
. Clean.Up.Your.Coffee.Stains
. Stay.In.Touch
Strategy 4
Turn Down Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Strategy 5
Sponsor Charitable Events .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Strategy 6
Speak in Public .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Strategy 7
Develop A Reputation As The BEST Place to Work.. . . . . . . . . . . . . . . . . . . . . . . 17
Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. . . . . . . . . . .
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Dear.Colleague,
Its.scary.but.its.true.
very.day,.talented,.ethical.physicians.across.the.United.States.are.
closing.down.their.private.practices.and.seeking.staff.positions.with.
other.clinics.After.investing.hundreds.of.thousands.of.dollars.in.
education,.equipment,.staff,.and.facilities,.these.doctors.nd..
themselves.unable.to.generate.the.revenues..
necessary.for.their.practices.to.meet.expenses
Heres.the.sad.reality.behind.most.of.these.failures:
The.problem.isnt.talent,.training,.or.a.passion.to.help.others.The.problem.is.they.
dont.run.their.practice.like.a.business
.The overall success of your practice hinges on you learning how to run it
like a business
This.report.is.going.to.give.you.an.insiders.guide.on.how.to.both.run.and.market.your.
practice.more.effectively.Youll.be.armed.with.the.knowledge.you.need.so..
you.wont.be.overlooked.by.potential.patients
In.just.a.moment.I.m.going.to.reveal.the.7.key.strategies..
to.building.your.medical.practice.even.in.a.tough..
economic.times,.but.rst.
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And Why Am I Providing This Information? .
Im.Peter.J.Polack.MD.and.I.am.a.board-certied.ophthalmologist,.practicing.for.over.12.
years,.both.in.a.solo.and.a.group.practice.I.lecture.on.corneal.diseases.and.teach.courses.
on.corneal.transplant.surgery.to.other.ophthalmologists.In.addition.to.publishing.several.
articles,.abstracts,.and.papers,.Ive.coauthored.ophthalmology.textbooks.and.write.a.regu-
lar.column.on.technology.for.Ophthalmology.Management.Magazine
I.am.a.managing.partner.of.Ocala.Eye,.an.ophthalmology.practice.in.north.central.Florida..
Although.it.is.only.a.medium-sized.practice.ophthalmology.practice.it.is.considered.to.be.
in.the.top.2%.of.practices.in.the.United.States.by.Pinto.and.Associates,.a.leading.practice.
management.consulting.rm.
And.the.primary.reason.for.that.success.is.our.ability.to.effectively.market.that.practice,.and
to.never.be.satised.with.the.status.quo.You.may.also.be.asking.yourself,.Why.would.he.
give.away.this.information.for.free?.Well,.Im.revealing.this.for.two.main.reasons:
REASON #1:..I.love.our.profession.I.think.what.we.do.is.incredibly.important.and.vital.
REASON #2:..I.hate.to.see.other.physicians.struggle.day.and.night.to.make.their.practices..
. work.It.doesnt.have.to.be.that.hard.
After.reading.this.report,.for.more.resources.available.to.help.physicians.reach.their.goals.
with.their.practices,.please.visit.us.at.Medical.Practice.Trends.But.whether.you.choose.to.
take.advantage.of.these.tools.or.not,.I.absolutely.want.to.see.you.and.your.practice.succeed..
Because.what.we.do.matters.and.we.need.to.be.able.to.help.as.many.people.as.we.possibly.
can
Okay,.now.that.you.know.who.I.am.and.why.Im.doing.this,.lets.talk.about.The.7.Key..
Strategies.to.Building.a.Wildly.Successful.Medical.Practice.Even.in.Tough.Economic.Times:
Who Am I
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STRATEGY #1
Get Clear On the Difference Between Marketing
and Advertising
Marketing.vs.Advertising.
Its.something.that.many.businesses.never.quite.get.the.handle.on..And.if.you.dont,.it.can.cost.you.and.your.
practice.dearly
So.well.make.this.both.easy.and.simple
Why.is.understanding.this.distinction.important?..Because.if.your.practice.isnt.generating.the.revenue.it.needs.
to.thrive.and.prosper,.you.need.to.be.able.to.analyze.the.situation.to.determine.where.the.problem.lies.
Marketing.is.the.total,.systematic.effort.by.a.business.(your.practice).to.compel.its.customers.(your.prospective.
patients).to.seek.its.product.(your.services).Advertising.is.simply.one.of.many.aspects.of.marketing
External marketing.is.the.face.your.practice.presents.to.the.outside.world.and.includes.advertising,.publicity,.
public.speaking,.magazine.advertorials,.direct.mail,.etc
Internal marketing.is.how.your.practice.is.viewed.from.the.inside.(but.more.on.that.later)
If.youre.not.getting.any.calls,.emails,.or.contacts.then.youve.clearly.got.a.marketing.problem
If.you.dont.know.how.to.effectively.make.your.case.to.the.average.man.or.woman.on.the.street,.they.may.never.know.which.steps.to.take.to.safeguard.their.health
Marketing is what you do to get a prospective
customer to want to contact you.
Advertising is a single form of marketing,
typically the most expensive one.
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And.if.they.dont.know.how.much.you.care,.and.the.tools.you.have.to.help.them,.not.only.could.they.suffer.long-
term.negative.consequences,.your.practice.will.fail.to.achieve.the.success.you.deserve.
Put.yourself.in.the.mind.of.your.typical.patient.What.makes.one.doctor.different.from.another?..In.fact,.how.
many.average.Americans.have.any.idea.of.the.difference.in.training.and.education.between.a.medical.doctor.and
a.chiropractor?
Probably.not.as.many.as.you.would.hope.And.I.would.venture.to.say.that.many.people.would.just.as.likely.seek.
the.advice.of.a.chiropractor.or.naturopathic.practitioner.than.their.medical.doctor.
As.you.know,.the.years.of.training.that.goes.into.your.certication.makes.a.huge.difference.in.the.health.and.
well-being.of.your.patients..And.its.what.sets.us.apart.from.all.of.the.other.healthcare.providers.Its.so.critical
that.our.patients.get.the.care.and.treatment.they.deserve,.and.it.is.up.to.you.to.see.that.they.get.that
So.is.advertising.a.medical.practice.a.bad.thing?.Not.necessarily.But.you.need.to.have.a.way.to.track.patients.acquired.through.that.medium,.perhaps.with.a.distinct.phone.number.or.promotional.code.tied.to.a.specic.web.
page.If.you.cannot.identify.the.source.of.the.new.business,.you.dont.know.whats.working,.and.thats.money.
down.the.drain.
And.make.sure.your.message.makes.sense.Dan.Kennedy,.the.marketing.guru,.puts.it.this.way:.you.cant.pay.Tiger.
Woods.$40.million.to.promote.a.vehicle.that.nobody.wants.to.buy
Improving Your Practices Marketing Efforts
To.improve.your.marketing,.the.rst.step.you.need.to.take.is.to.identify.your.practices.Unique.Selling.Proposition.(USP)..A.USP.is.what.makes.you.and.your.practice.different.from.every.other.competing.practice
Think.about.it..If.you.are.the.same.as.every.other.doctor,.then.the.only.thing.that.a.potential.patient.has.to.rely.
on.in.choosing.between.you.and.other.practices.is.an.insurance.list.You.have.let.your.practice.become.a.com-
modity
Instead,.you.need.to.differentiate.yourself.from.the.competition.by.making.a.clear.case.for.what.makes.you.
unique..Maybe.it.involves.specialization.Perhaps.yours.is.the.only.practice.offering.a.particular.service..Or,.it.
could.involve.the.fact.that.you.offer.a.greater.variety.of.services.than.anyone.else..in.essence,.you.are.a.one-stop.shop.for.the.entire.range.of.a.familys.health.needs.
Having.a.clear,.distinctive.USP.will.do.wonders.to.focus.your.marketing.efforts
For.instance,.our.USP.of.comprehensive.eye.care.for.a.patients.entire.life.is.summed.up.in.our.tagline,.Vision.
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For.A.Lifetime,.which.is.associated.with.our.name.and.logo.and.is.found.on.all.of.our.materials.from.our.letter-
head.to.our.website.
If.you.have.a.catchy.USP.or.tagline,.you.could.even.have.your.receptionist.include.it.when.answering.the.phone:.
Good.morning,.youve.reached.the.Jones.Medical.Center,.the.Number.One.Resource.for.Family.Health.Care.in.
Smytheville.This.is.Gina,.how.may.I.help.you?
And.how.about.the.practice.name?.This.is.an.important.part.of.your.marketing.as.well.The.best.scenario.is.if.the
practice.has.a.proper.name,.such.as.Dr.Jones.&.Associates.or.the.Wilson.Medical.Clinic.
On.the.other.end.of.the.spectrum.is.a.non-descript,.plain.vanilla.name.like.Internal.Medicine.Associates.or.Doc-
tors.Clinic.Not.very.compelling,.are.they?.If.your.practice.has.a.name.like.that,.you.should.strongly.consider.
changing.it.And.dont.worry..patients.will.take.right.to.it
By.the.way,.if.you.are.going.through.all.the.effort.to.change.your.practice.name,.I.would.strongly.recommend.that.you.consider.copyrighting.it.There.is.federal.copyrighting.and.state.copyrighting..usually.the.latter.is.suf-
cient.Speak.with.your.attorney.or.contact.a.lawyer.specializing.in.intellectual.property.A.small.cost.now.can.
save.you.a.lot.of.money.as.well.as.grief.later
Having.a.well-rounded,.consistent.marketing.plan.will.put.a.very.clear.stake.in.the.ground.regarding.what.
makes.you.and.your.practice.unique.and.valuable.
Once.you.have.that.nailed.down,.all.the.rest.of.your.marketing.components.will.fall.into.place..Your.yellow.page
ads,.direct.mail.campaigns,.website,.phone.scripts.-.everything.will.be.based.around.your.USP..this.is.what.is.
known.as.branding.
A Quick Word About Sales
Almost.everyone.who.gets.into.a.service.profession..whether.its.medical.or.otherwise..did.so.because.they.
love.what.they.do..
But.did.you.ever.consider.that.what.often.occurs.between.a.doctor.and.his.or.her.patient.is.the.process..
of.selling?.
Honestly,.most.physicians.dont..In.fact,.the.stereotype.of.the.slick-talking.salesman.is.one.of.the.most.reviled.
among.us..But.as.master.motivator.Zig.Ziglar.points.out,.nothing.ever.gets.done.or.built.without.there.being.a.
salesman.involved
Convincing.a.patient.that.he.needs.a.particular.procedure.for.his.well-being.or.another.patient.that.she.should.
be.compliant.with.a.new.medication..these.are.the.same.skills.that.effective.sales.people.use
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For.example,.our.practice.has.had.an.optical.shop.since.it.was.founded.decades.ago,.but.it.had.always.been.
considered.a.service.for.our.patients.and.not.really.a.retail.business.The.idea.of.selling.more.upscale.types.of.
eyeglasses.and.premiums.to.patients.seemed.distasteful.to.the.doctors.But.we.brought.in.a.consultant.who.
pointed.out.that.as.physicians.we.had.a.responsibility.to.our.patients.to.educate.them.about.the.benets.of.cer-
tain.optical.products
It.only.took.a.couple.of.patients.returning.with.heartfelt.thanks.about.how.much.better.they.could.drive.during.
the.day.with.their.new.polarized.sunglasses.or.at.night.because.of.their.anti-glare.coated.glasses.for.the.doctors.to.get.it
Of.course,.if.you.become.mercenary.about.it,.such.as.selling.supplements.to.patients.for.conditions.they.dont.
really.have,.it.will.come.back.to.bite.you.A.short-term.nancial.success.will.turn.into.a.long-term.problem.with.
your.reputation.and.credibility.A.sign.of.inappropriate.sales.pressure,.using.our.optical.as.an.example,.would.
be.a.high.rate.of.return.of.glasses..this.is.due.to.buyers.remorse,.and.it.is.a.lose-lose.proposition.for.both.the.
patient.and.your.business
Learning.to.be.comfortable.with.the.idea.of.selling.is.critical.to.your.practices.success..So.the.rst.step.the.big.change.in.mindset.needed..is.for.you.to.grab.hold.of.that.fact.and.dedicate.yourself.to.becoming.as.much.of.an.
expert.in.selling.as.you.are.in.medicine
We.dont.have.time.to.cover.everything.involved.in.sales.technique..there.are.complete.courses.on.that...
Bottom.line,.effective.selling.boils.down.to.two.basic.principles:
You.dont.need.to.talk.fast.You.dont.need.to.use.pressure..You.just.need.to.truly.care.about.what.your.patient.
wants.and.nding.ways.to.help.them.get.it
Find out what the customer really wants.
Move heaven and earth to help them get it.
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STRATEGY #2
Take Back Control of Your Practice
You cant manage what you dont measure
Thats.an.old.adage.but.one.that.is.critical.to.the.long-term.viability.of.a.practice.My.late.father.was.also.a.physi-
cian.but.his.generation.was.never.really.concerned.with.such.concepts.as.overhead..there.always.seemed.to.be.
something.left.over.after.all.the.bills.were.paid.
But.you.cant.run.a.medical.practice.like.that.nowadays.Most.businesses.today,.especially.larger.ones,.keep.track
of.various.metrics.that.are.akin.to.the.vital.signs.of.a.patient.And.it.is.the.job.of.a.certain.executive.to.make.sure.
that.those.vitals.stay.within.normal.limits.There.are.even.software.programs.available.that.show.a.dashboard.
of.a.companys.nancials.at.a.glance.
If.you.are.not.sure.where.to.even.get.started.with.metrics.and.benchmarking,.consider.hiring.a.practice.man-
agement.consultant.Check.with.your.specialty.organization.or.your.local.medical.society.Some.consultants.are.
specialty-specic,.but.many.can.work.with.any.type.of.practice.The.consultant.can.teach.you.what.metrics.are.
important.and.how.to.measure.and.track.them.That.way,.you.can.always.keep.your.nger.on.the.pulse.of.your.
practice..
Consider Switching to an EMR (Electronic Medical Records) System
Its.been.said.that.Charles.Dickens.could.walk.into.any.health.care.clinic.today.and.totally.understand.the.sys-
tems.used.to.handle.patient.records..Even.after.over.a.century.of.technological.advances,.every.patient.gener-
ates.a.long.and.lengthening.paper.trail.
Moving.to.an.electronic.system.isnt.just.trendy,.its.critical.to.your.business..The.overhead.associated.with.
maintaining.paper.records.is.quite.literally.burying.many.practices.in.lost.hours,.inaccurate.reporting,.and.inef-ciency.A.practice.with.centralized.charts.and.multiple.locations.can.count.on.chart.pulling.and.transportation.
costs.of.ve.dollars.or.more.per.record.
Washington.DC.has.made.it.clear.that.signicantly.upgrading.the.medical.record.systems.across.the.country.is.
a.huge.priority.Why?.The.better.to.track.and.control.costs.And.it.is.now.offering.carrots.(in.the.form.of.bonus.
payments).as.well.as.sticks.(in.the.form.of.cuts.in.reimbursement).So.if.youre.not.already.using.EMR.software.in
your.practice,.nows.clearly.the.time.to.start.
Now.understand.implementing.an.EMR.system.changes.everything.
Literally.every.aspect.of.your.practices.procedures.and.protocols.will.be.affected.In.essence,.its.like.starting.
from.scratch.None.of.the.standard.procedures.and.assumptions.your.staff.has.relied.on.up.until.this.point.will.
still.hold.true.after.your.new.system.is.up.and.runningand.that.reality.has.to.be.factored.in.the..
planning.process.
If.yours.is.a.new.or.small.practice,.you.have.the.advantage.of.exibility.in.adapting.to.how.your.new.EMR.system
works.Larger.practices.will.most.likely.want.to.customize.the.EMR.system.to.some.degree
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However,.long.before.the.boxes.of.hardware.show.up.on.your.doorstep,.you.and.your.staff.should.be.working.
together.to.devise.new,.better.ways.of.working.once.the.system.is.fully.installed.Take.a.good.look.at.your.work-
ow.and.draw.out.some.process.maps..once.again,.you.cant.manage.when.you.dont.measure.Look.for.inef-
ciencies.Just.because.youve.always.done.something.the.same.way,.doesnt.mean.it.cant.be.done.better.
Vendors.of.EMR.products.seem.to.appear.daily,.each.with.compelling.claims.of.cost-efciencies,.product.features
and.ease.of.implementation.Trust.me,.move.carefully.Implementing.a.full-blown.EMR.system.will.require.a.
signicant.investment.of.money.and.time..Dont.be.too.hasty.in.choosing.a.vendor.This.is.a.critical.decision.and.one.youll.have.to.live.with.for.years..
In evaluating EMR software product vendors, you should look for the following:
1.. The.vendor.should.have.at.a.least.a.moderate.market.presence.-.you.dont.want.to.be.up.and.running..
. with.your.EMR.system.only.to.nd.out.that.the.vendor.went.out.of.business
2.. The.EMR.program.should.already.be.working.in.the.eld..Dont.go.with.a.just-released,.untested.product
. .this.is.an.almost.certain.recipe.for.disaster
3.. Strongly.consider.an.integrated.platform;.ie,.a.system.that.contains.both.EMR.and.EPM.(practice..
. management).software.This.can.avoid.a.lot.of.nger.pointing.when.there.is.a.problem4. Finally,.the.vendor.should.have.some.experience.in.creating.software.for.your.particular.eld..Make.sure
. to.ask.for.references.of.existing.installations.so.you.can.get.rst.hand.accounts.of.how.the.software..
. worked.for.their.practice.
Theres.a.lot.more.to.a.successful.EMR.installation.than.just.the.software.and.hardware.You.must.get.your.entire
staff.on.board.as.well.The.surest.way.to.doom.your.EMR.implementation.project.to.failure.is.to.impose.it.on.you
staff.with.no.prior.discussion.or.consultation.Its.perfectly.normal.for.people.to.resist.change,.and.the.prospect.
of.transforming.every.aspect.of.the.ofces.standard.workow.is.bound.to.be.a.bit.overwhelming.
.
You.need.to.persuade.your.staff.that.implementing.EMR.is.the.best.course.of.actionnot.only.for.the.practice.as.a.whole,.but.also.for.each.individual.staff.member.Solicit.input.as.to.what.type.of.system.they.think.would.be.
most.benecial.With.your.staff.on.board.every.step.of.the.way,.its.much.more.likely.that.youll.be.able.to.maxi-
mize.your.return.on.your.technology.investment
And.lastly,.in.making.the.changeover.to.an.EMR.system,.do.some.upfront.planning.and.take.the.process.in.
manageable.phases..Even.with.a.plan,.things.will.not.go.smoothly.start.to.nish.Setbacks.and.problems.are.an.
inevitable.part.of.any.technology.change.effort.Before.you.go.live,.have.multiple.contingency.plans.in.place.in.
case.of.system.failure.
An.added.benet.of.an.EMR.system.is.one.of.internal.marketing:.it.gives.your.practice.the.impression.of.being.state.of.the.art.Dont.believe.it?.What.if.you.walked.into.a.doctors.ofce.and.they.were.making.appointments.
on.a.paper.calendar?.And.writing.receipts.on.a.carbon.paper.ledger?.Wouldnt.seem.very.high.tech,.would.it?
Although.it.will.likely.be.a.signicant.investment,.moving.to.an.EMR.system.is.a.unique.opportunity.to.rebuild.
the.way.your.practice.runstake.all.the.time.you.need.to.make.it.better!
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STRATEGY #3
Keep Your Existing Patients Happy
Master.marketer.Jay.Abraham.makes.the.claim.that.there.are.only.three.ways.to.grow.any.business:
Too.many.businesses..medical.practices.included..focus.almost.solely.on.getting.new.clients.(or.patients)..We.
tend.to.put.all.our.attention.and.resources.into.generating.new.leads.and.bringing.in.new.patients
Now.I.certainly.dont.recommend.you.put.a.stop.to.all.your.marketing.efforts.at.bringing.in.new.patients.I.do.
think,.however,.that.all.of.us.are.too.prone.to.overlook.the.opportunities.available.in.the.customers.we.already.
have.And,.yes,.it.is.best.to.think.of.them.as.customers,.not.merely.patients.Because.in.addition.to.having.their.problems.solved,.patients.are.also.looking.for.a.satisfying.experience.and.great.customer.service
Think.about.it..Its.a.lot.easier.to.get.an.already.satised.customer.to.do.more.business.with.you.than.someone.
who.has.no.knowledge.of.you.whatsoever..A.patient.who.already.has.had.a.great.experience.with.your.prac-
tice.and.its.services.is.clearly.more.inclined.to.come.back.over.and.over.again,.as.well.as.to.recommend.you.to.a.
friend
Clean Up Your Coffee Stains
Coffee.stains,.according.to.John.Pinto,.of.Pinto.&.Associates,.can.be.literal.or.gurative.These.are.the.little,.
sometimes.subtle.things.that.make.a.big.impression.on.patients.And.this.is.part.of.what.is.known.as.internal.
marketing
Have.you.ever.been.to.another.doctors.ofce.and.noticed.a.splotch.on.the.waiting.room.carpet?.Well,.anybodys.
ofce.can.have.an.occasional.coffee.stain
But.what.if.it.is.there.the.next.time.you.visit?.And.the.next?.Makes.you.kind.of.wonder.if.that.doctor.ever.washeshis.hands,.doesnt.it?
In.short,.a.coffee.stain.is.anything.that.makes.a.patient.have.second.thoughts.about.her.decision.in.choosing..
her.doctor
1. Get new clients2. Sell more to existing Clients
3. Increase prices
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Other.coffee.stains.include.a.rude.front.desk.person,.a.doctor.who.always.keeps.patients.waiting.a.long.time,.
lthy.bathrooms,.an.ugly,.outdated.ofcewell,.you.get.the.picture
So,.clean.or.replace.the.carpet,.re.that.rude.employee,.and.get.on.your.partners.case.about.his.work.habits.
.its.all.good.for.the.bottom.line
Stay In Touch
If.you.ignore.your.customers,.you.fall.off.their.radar..They.tend.to.forget.about.what.a.great.job.you.did.for.
them..And.over.time.they.grow.more.open.to.other.options.for.your.services
Thats.the.reason.its.so.important.to.stay.in.touch.with.your.patients.regularly.There.are.many.different.ways.to.
accomplish.this,.for.example:
Also,.maybe.even.a.personal.call.just.to.see.how.theyre.doing.after.receiving.services.at.your.clinic.Is.everything
going.well?..Have.the.results.been.as.good.as.hoped?.
In.a.long-standing.practice.tradition,.our.surgeons.call.our.patients.the.night.of.their.procedure.to.check.on.them
.youd.be.amazed.how.much.they.appreciate.that
Let.your.patients.know.you.care.about.them.as.individuals..Stay.in.touch.with.them..
Then,.when.you.do.send.them.a.direct.mail.letter.or.postcard.or.email.announcing.a.new.service,.they.see.it.as.
information.from.a.friend.who.cares.about.them.and.their.well-being..Not.as.some.kind.of.sales.pitch
So.take.the.time.to.develop.an.ongoing.contact.system.with.your.patients.Youll.not.only.see.an.increase.in.re-
peat.business,.youll.also.be.able.to.use.these.personal.touches.to.motivate.referrals.which.is.the.most.effective
way.to.bring.new.patients.to.your.practice
And.speaking.of.contact,.make.sure.that.you.have.a.functional.recall.system,.whether.it.is.an.automated.one.or.a.
manual.one.where.you.simply.use.employees.to.mail.cards.or.call.patients.directly.The.rst.thing.a.good.prac-
tice.management.consultant.will.do.when.asked.to.help.a.stagnant.practice.is.check.its.recall.system.This.can.
be.a.signicant.source.of.lost.patients
Birthday cards Holiday greeting cards
Anniversary cards Thank you cards or gifts
Monthly newsletter Gift Certicates
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STRATEGY #4
Turn Down Business
What!? Turn down business?!
Trust.me,.this.one.strategy.can.mean.the.difference.between.a.successful.practice.and.one.that.runs.itself.into.
the.ground
Its.not.just.the.number.of.patients.you.see.that.drives.your.revenue.Its.the.quality.of.the.relationships.you.
develop.with.your.patients..
Research.has.proven.over.and.over.again.that.the.80/20.rule.holds.true.in.just.about.every.business.operation..
Over.time,.you.may.discover.that.80%.of.your.referrals.and.positive.experiences.come.from.20%.of.your.pa-
tients.(and.if.you.have.a.retail.component.to.your.practice,.they.may.even.be.responsible.for.80%.of.its.revenue)
Conversely,.a.different.20%.of.your.patients.may.be.responsible.for.80%.of.your.problems:.complaints,.refunds,.verbally.abusing.your.staff,.non-compliant,.etc.In.short,.patients.that.are.just.too.big.a.pain.in.the.butt.to.deal.
with..
These patients represent business you just dont need.
Think.about.it.Do.you.or.your.staff.have.the.time.or.energy.to.deal.with.high.maintenance.patients.wholl.never.
be.happy.and.never.provide.you.any.referral.business?..When.instead,.you.can.focus.on.the.patients.who.ap-
preciate.what.youve.done.for.them,.come.back.again.and.again.for.more.services,.and.tell.their.friends.all.about.
how.wonderful.their.experience.was?..
Those.are.the.kinds.of.patients.you.want.to.be.spending.your.time.and.energy.on.
Im.not.saying.you.should.treat.anyone.with.anything.less.than.total.courtesy,.professionalism,.and.respect..Not.
in.the.least.When.someone.comes.to.you.for.your.help,.you.have.a.clear.and.total.responsibility.to.work.to.solve.
their.problems
However,.you.should.recognize.that,.in.some.cases,.a.patients.needs.could.be.better.served.by.someone.other.
than.you.Look.for.potential.cross.referrals.with.practices.you.get.along.with..and.perhaps.even.those.you.dont.
.who.may.offer.a.particular.service.that.you.either.dont.offer,.or.is.not.cost-effective.for.you.
Something.to.think.about
If.you.do.have.to.formally.dismiss.a.patient,.be.sure.to.document.the.reason.(breakdown.in.doctor-patient.rela-
tionship,.poor.compliance,.etc),.give.the.patient.a.list.of.alternative.physicians,.and.tell.the.patient.that.you.
are.available.for.emergencies.until.he.is.established.with.his.new.physician
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Sponsor Charitable Events
Doing.the.right.thing.not.only.feels.good,.its.good.for.business
If.you.let.your.business.operate.according.to.the.lowest.level.in.Maslows.Hierarchy.of.Needs,.youll.always.re-
main.there..Sure,.the.bottom.line.for.any.practice.has.to.be.paying.the.bills.and.making.sure.you.and.your.familyget.fed..
You.will.nd.real.fulllment.in.your.business..and.your.business.will.achieve.its.maximum.potential..when.
you.start.taking.the.major.step.towards.helping.your.community..And.one.of.the.best.ways.to.give.back.to.your.
community.is.to.take.the.lead.in.sponsoring.regular.charitable.events
Im.sure.that.if.you.spent.ve.minutes.you.could.brainstorm.15.to.20.different.local.causes.in.your.community.
that.could.use.extra.support.right.now..Were.all.facing.a.tough.economy.Many.of.your.own.neighbors.are.strug-
gling..As.licensed,.practicing.physicians.we.all.feel.an.obligation.to.help.those.in.need..
And.it.will.be.good.for.your.practice.as.well.How?..There.are.several.reasons.
First.off,.by.sponsoring.events.your.name.and.your.practice.will.get.known.across.your.region.as.one.of.the.key.
contributors.to.the.community..Make.sure.to.let.all.your.patients.know.what.youre.doing.and.how.they.can.par-
ticipate..For.example,.it.may.be.clich,.but.you.could.certainly.put.a.giving.thermometer.in.your.clinics.waitingroom.At.a.minimum,.you.should.create.yers.about.the.event.and.distribute.them.to.your.patients.
Secondly,.you.should.use.this.event.as.an.opportunity.to.network.with.other.leaders.in.the.community..Ask.themfor.their.help.in.making.your.event.succeed..And.dont.forget.to.offer.to.help.them.with.their.programs.as.well.
.people.can.always.use.more.volunteers.By.running.your.event,.and.working.with.others.on.theirs,.you.will.
become.part.of.a.local.network.of.public-mined.professionals..Almost.certainly,.youll.wind.up.building.both.
personal.and.professional.relationships.in.the.process.Thats.denitely.good.for.your.business...
Third,.its.good.for.employee.morale.Our.staff.has.been.involved.with.major.charitable.events.such.as.the.March.
of.Dimes.and.a.Bicycle.Ride.benetting.the.local.Hospice.clinic.They.wear.t-shirts.emblazoned.with.our.practice.
logo.and.it.is.a.great.source.of.camaraderie.for.all.of.them
Finally,.its.good.karma:.what.goes.around,.comes.around..Doing.good.for.your.community.will.usually.pay.you.
back.in.spades
STRATEGY #5
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Speak in Public
Another.great.way.to.put.your.practice.on.steroids.is.one.that.most.doctors.never.consider:
Go.to.meetings.and.tell.people.what.youre.doing
All.across.your.community,.there.are.clubs,.groups,.and.organizations.that.meet.regularly.for.breakfast,.for.lunch
and.for.networking..Lions,.Kiwanis,.Rotary,.Meetup,.LeTip,.Chambers.of.Commerce..just.take.a.stroll.through.
the.yellow.pages.or.do.a.quick.search.on.the.internet.and.youll.uncover.a.wide.variety.of.different.opportunities.
to.present.what.you.do
Similarly,.you.can.teach.a.course.at.your.specialty.Academy.meeting.on.a.particular.procedure.you.perform.or.
some.tips.on.practice.management.for.your.colleagues
Now.if.youre.one.of.those.who.would.rather.be.a.funerals.main..
attraction.than.speak.at.one,.you.probably.
should.get.some.training.before.hitting.the.
platform..Dont.despair.There.are.some.
wonderful.programs.out.there..
For.example,.your.local..
Toastmasters.Club.will.give.you.training,.
support,.and.plenty.of.chances.to.hone.your.rhetorical.skills..If.you.dont.have.a..
Toastmasters.chapter.nearby,.nd.a.group.
of.friends.and.set.up.a.regular.meeting.
with.them.to.exchange.tips.on.giving.
presentations..Regardless.of.the.struc-
ture,.nd.some.safe.and.supportive.venue.
where.you.can.practice.speaking.in.front.of.
others
Once.youre.comfortable.in.front.of.an.audience,.start.looking.for.opportunities.to.speak.Your.topic.should.be.something.of.general.interest.to.others.that.they.would.nd.useful..
For.example,.if.you.specialize.in.a.particular.procedure,.you.could.create.a.talk.on.that.
Your.talk.shouldnt.be.a.direct.pitch.for.your.services.If.you.do.that,.you.wont.get.many.opportunities.to.speak.
because.groups.dont.invite.people.to.come.advertise.themselves.at.least.not.overtly..An.event.organizer.for.a.
STRATEGY #6
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group.like.the.Rotary.Club.wants.a.speaker.who.has.something.useful.and.interesting.to.offer.to.their.group
Many.speakers.nd.it.easier.to.get.scheduled.to.talk.if.they.have.a.book.to.discuss.at.the.meeting.Being.an.
author.lends.an.additional.level.of.credibility.to.your.talk..It.doesnt.even.matter.if.the.book.was.self-published!..
The.fact.of.having.written.a.book.just.immediately.changes.your.positioning.from.speaker.to.author/speaker
. . .. . Again,.you.might.be.asking,.
Why go through all this effort? .
The.point.is.your.getting.your.name.and.your.message.out.in.front.of.more.and.more.people.in.your.community..
Remember.our.earlier.chat.about.the.importance.of.having.a.USP?..Well,.giving.regular.speeches.to.potential.
clients.where.you.show.that.youre.the.local.expert.on.a.specic.topic.clearly.makes.you.the.number.one.choice.
for.that.specialty.With.a.bit.of.self-promotion.via.press.releases,.etc,.you.could.even.nd.yourself.on.the.front.
page.of.your.hometown.newspaper..Wouldnt.a.little.positive.recognition.be.good.for.business?..
So.put.together.a.fun,.fascinating,.and.valuable.talk.on.your.favorite.subject.and.tell.as.many.about.it.as.pos-
sible..After.all,.if.youve.got.something.special.to.share,.you.have.an.obligation.to.let.others.know
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STRATEGY #7
Develop A Reputation As The BEST Place To Work
And.not.just.for.doctors.either..Every.staff.member.at.your.practice,.from.nurse.to.receptionist.to.the.kid.who.
troubleshoots.your.network..everyone.who.works.in.your.ofce.should.feel.like.this.is.the.very.best.place.
theyve.had.the.pleasure.at.which.to.work
Our.practice.in.central.Florida.employs.nearly.140.full.time.staff.members,.and.our.turnover.rate.is.under.5.per-
cent.And.the.local.technical.school.tells.its.newly.trained.medical.assistants.that.they.should.apply.to.our.prac-
tice.because.it.is.one.of.the.best.places.to.work.in.the.area.And.no,.we.didnt.pay.them.to.say.that
Each.year.at.our.Holiday.Party,.a.formal.sit-down.dinner.with.dancing,.we.honor.employees.for.their.longevity.
And.we.have.had.several.who.have.been.with.us.for.over.25.years!
Having.people.love.their.jobs.and.want.to.stay.isnt.an.accident.When.the.practice.was.founded,.we.made.the.
conscious.decision.to.treat.our.employees.well..Of.course,.that.means.we.treat.every.single.one.with.courtesy.and.respect.We.do.not.tolerate.anything.less..And.were.not.stingy.when.it.comes.to.doling.out.rewards..ev-
eryone.gets.prot.sharing.as.well.as.great.benets.and.a.top.notch.work.environment.This.is.another.form.of.
internal.marketing
I.will.admit,.however,.that.we.do.all.of.this.out.of.purely.selsh.reasons.
Getting.a.job.with.us.isnt.easy..We.take.the.hiring.process.very.seriously..We.look.for.top.candidates.We.do.
background.checks..We.even.call.references.We.give.second.and.third.interviews
You.need.to.have.not.only.the.right.qualications.to.work.for.us,.but.also.the.right.track.record.of.quality,.profes-
sional.achievement
But.once.you.become.part.of.the.team,.we.treat.you.like.family..And.why.not?....
Consider.the.cost.of.losing.a.good.employee..Other.staff.members.have.to.make.up.the.slack.until.a.replacement
is.hired..Theres.the.time.involved.in.creating.the.classied.ad,.reviewing.resumes,.conducting.interviews,.and.
then.making.the.hiring.decision..
Then,.when.the.new.employee.comes.on.board,.they.need.several.weeks.to.several.months.of.training.to.get.
anywhere.the.level.of.productivity.of.the.person.they.have.replaced..
So.replacing.a.great.staff.member.can.be.extremely.costly.
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And.then.theres.the.somewhat.intangible,.yet.very.real,.element.of.atmosphere..When.your.entire.practice.is.
pulling.together,.working.together,.all.for.the.common.good.of.the.patients.and.the.business,.its.just.obvious.to.
anyone.who.steps.inside.your.waiting.area..You.can.read.it.in.the.faces.of.your.receptionist,.your.ofce.manager,
and.your.IT.guy..They.like.working.here.and.it.shows
I.once.had.a.patient.tell.me.that.she.was.going.to.have.all.of.her.companys.employees.switch.to.our.practice.after.she.had.visited.us.Why?.Because.she.was.impressed.with.the.way.our.doctors.spoke.to.our.staff.members
Now.thats.some.powerful.marketing.
You.cant.create.this.kind.of.practice.by.accident.or.overnight.You.need.to.set.this.level.of.employee.satisfaction.
as.one.of.the.core.goals.for.your.business..Youll.need.to.develop.policies,.procedures,.and.compensation.models
all.around.these.objectives..So.theres.real.planning.and.real.work.involved
But.the.payoff.to.your.practice.will.be.huge
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There.you.have.it.--.the.7.key.strategies.you.can.use.today.to.build.a.successful.medical.practice.even.in.tough.
economic.times:
If.this.seems.a.bit.overwhelming,.dont.be.discouraged.You.dont.have.to.do.all.of.them.at.once.Pick.one.that.
seems.right.for.now.and.then.take.massive.action.to.make.it.happen..Then.move.on.to.another,.then.another,.
and.so.on.As.the.motivational.writer.Robert.Ringer.says,.Nothing.Happens.Until.Something.Moves
Little.steps,.one.at.a.time,.will.eventually.take.you.and.your.practice.very.far.
And.if.youd.like.some.help.along.the.way,.please.feel.free.to.contact.me..Thats.why.were.here
. . . Sincerely.yours,
. . . Peter.J.Polack.MD.FACS
SUMMARY
PS.For.more.information.about.our.other.services,.along.
with.many.free.resources.you.can.use.in.your.practice,.
please.make.sure.to.check.out.our.website:
Get.Clear.On.The.Difference.Between.Marketing.And.Advertising
Take.Back.Control.of.Your.Practice
Keep.Your.Existing.Patients.Happy.
Turn.Down.Business.
Sponsor.Charitable.Events
Speak.in.Public.
Develop.A.Reputation.As.The.Best.Place.To.Work
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