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Let's ROCK & ROLL Into 2008

WOW! Are you ready for the February Users Group Meeting?

It is going to ROCK! Terry and I are absolutely pumped up about doing the keynote and two breakout sessions at the February meeting! Our agenda includes how to Shape Up Your Practice, the Secret about Elite Practices, and how to use Breakdowns in your practice to create a world-class team.

Lets make 2008 The Year! For most of us the economic signals during 2007 were confusing for determining the impact on sustainability and growth in our practice. According to doctors we have surveyed, the industry on average has experienced "flat or negative" growth in many areas of the country. This makes practice growth the No. 1 challenge facing many practices in 2008. Clearly, this situation creates an opportunity for a Breakdown which every practice needs to address with their people!

Kick off 2008 with every member of your team proactively working to increase the patient pipeline and improve conversion rates. You can successfully insulate your practice against this trend of flat growth by building better processes and creating greater team ownership for relationship-marketing. Improve your practice "Tool Box," so you and your team can continuously rediscover the solutions that work best for your market conditions.

What is the Secret? Is it really more difficult to have a "high-relationship" focused practice? Can your practice have built-in "actions for growth" by improving internal processes and relationship-building opportunities? What is more painful, to openly address the breakdowns in your practice, or to stay in the emotional tension, knowing it isn't working? How will your community of patients benefit by your practice team's streamlined, effortless execution?

Energize Your Practice DNA

The answers exist in the potentially strongest area of your practice — Your Valued Partners™! Your team has the greatest leverage to elevate your practice, keep it growing, and make it a fun place to work. The more intentional your actions become, the greater the probability for success. It is through those actions that new patients are attracted and referred to your practice, creating the desire for treatment and producing higher conversion rates. The "Dynamic Need to Act" (DNA) in your practice makes the difference! Your practice DNA is the beliefs, assumptions, and actions your Team is willing to take in resolving any issue.

Do you know your "Practice DNA"? Are you and/or your team constantly rediscovering solutions or are you waiting for someone else to take action, solve a problem, or resolve relationship breakdowns? What makes an Elite Practice significantly different from other practices is a DNA structure of discipline and desire for constant self-improvement! It is a belief system that anyone has the power to change the course of any issue or challenge in the practice. It is the willingness to constantly look for minor breakdowns before they become major barriers to achieving the goals of the practice. These "minor adjustments" — Dynamic Actions — are so much easier to implement by simply making a request for something to be improved or enhanced.

A Dynamic Action can be a minor "tweaking" of a process, a small addition to a script, or a simple shift in an interaction. It is an internally-driven Need to Act Now instead of waiting, or worse, creating a story about why someone else is not doing what they are supposed to do. All of these attitudes, beliefs and assumptions, individually and collectively, make a significant difference in your growth capability. They also directly impact the levels of stress in the practice and increase the time demands upon the doctor to fix things.

Okay, Dave! How does this DNA impact the sustainability and growth of my practice? The DNA structure of an Elite Practice activates Valued Partners, professionally-oriented knowledge workers, who in turn convert their relationships into practice growth, internally and externally. Your VPs need to understand how to directly impact the productivity and growth of your practice. It takes committed discipline and laser-focused attention, not once a year at your practice retreat, but daily, weekly, and monthly. It becomes a way of working!

Growth & New Patient Process

For example, in the New Patient Process, it would be ideal if the Treatment Coordinator had all the information needed to process, examine, and convert the new patient. By having all the necessary information, including the patient's needs and likelihood to start treatment, the TC could reduce time and effort as well as increase closing rates. The ripple effect significantly reduces the TC's stress, reduces the doctor's consult/exam time, and allows more patients to be seen.

So, how can you understand your current DNA for getting information, create this ideal process, and modify your structure to make it produce the right results? For the NP Process, the Breakdown is in getting the right information at the right time for it to be useful and meaningful, which increases closing rates and reduces doctor time. We want to create a "positive cascading effect" that quickly builds the patient's confidence in you and in the desire to start treatment.

To keep it simple (for this article), it requires identifying the information that needs to be gathered at every point in the process and what needs to be said to the patient to promote the practice before they arrive for NP Exam. Get the whole team involved so you get different perspectives to the problem, as well as better solutions. This will also give you greater insight into your team's Dynamic Need to Act and how to create the ideal process.

Get Your DNA To Rock! Here's How!

Step 1: Decide that you want to grow your practice!

Step 2: Set Rockin' 2008 goals. How about these?
Achieving these goals should produce growth and sustainability! Right?

New Patient Process — 2008 Goals
1. Increase patient case acceptance by __%
2. Streamline your New Patient Process
3. Reduce Doctor-TC stress
4. Amplify your relationship marketing

Step 3: Get your Valued Partners™ (all of them) together for 1 - 2 hours quarterly.

Step 4: Do the "Service Impact Process — 5x5 Enhancement."

a. Break your New Patient Process into Process Steps or Patient Touch Points. (See example at right.)
b. Take one Process Step at a time (at first)
c. Set your "intention" and "laser-focus" your attention on two questions:

• What five actions are done exceptionally well? (Five Positive DNAs)
• What five things can I improve to achieve our 2008 goals? (Five DNA Enhancements)

Step 5: Now, stand back and look at all the "improvements" you have identified. What connects or creates a positive cascading effect? Look for the Dynamic Needs to Act created for each of you from this process.

Step 6: Activate your Monday Morning Actions (MMAs). Take Action Now!

This DNA and Breakdown Process always stimulates great team discussion, if facilitated effectively. It can be used to address the issues or problems in every area of the practice. The Process gives you great insight into how your practice team sees their role and accountability in your practice. Remember, the Practice DNA is what you and your team believe! What are your beliefs about relationship building and relationship marketing? What data should or can be mined throughout your NP process? How can you script each step to promote the practice? What is your "story" about why patients start or don't start? Whatever it is, your DNA (Dynamic Need to Act) drives what is possible for growth and sustainability in your practice!

Real Life Solutions
Here are real examples of what this simple exercise can discover. Within one of our client practices, there was a Treatment Coordinator. We will call her Bobby Jean. She was new to the practice but truly embodied our DNA concept. She had an enthusiasm for "positive action" combined with a belief that there isn't anything "we," the Valued Partners, can't resolve in the practice. Well, shortly after coming to work, she mobilized the whole practice team to solve a significant and recurring breakdown in the patient flow: the doctor's availability to be in a NP exam and in the operatory at the same time! Can you relate?

According to team members, the breakdown is clearly the doctor... right? Well, the real breakdown is in the "blending" of the new patient process and the clinical schedule which always gets "out of sync." It is like gravity... it just has a natural sensitivity to getting out of balance. It is an unavoidable "Doctor Trap." The team always gets upset because the doctor messes up the schedule (You can make up the reason). The doctor is stressed by "living-in-the-tension" between meeting self-driven, high-standards of performance and satisfying the multiple demands of team and patients. Bobby Jean's DNA just wouldn't let it stay a major, recurring issue, so she moved the team to resolution!

Another example of a Rediscovery was made by a client during their Annual Retreat where we did our Service Impact (5x5) Process on their New Patient Process. The client wanted to increase patient case acceptance. We discovered two DNA breakdowns in separate steps of their process. The team's beliefs were reducing case acceptance, disrupting the patient flow, and causing unnecessary stress in the office.

The first breakdown was in the initial call —
What information will increase conversion rates? The person taking the initial call did not get the proper information to streamline the NP Process. She didn't ask the patient the needed questions because "they will think that I am being too pushy or prying"! This belief (DNA) had a profound "ripple effect" when the patient arrived. The missing pre-qualifying information disrupted the NP Exam process through loss of time (TC and Doctor) and decreased the chance for conversion.

Can you say "Stress" on the TC?
The second breakdown was in the "pulling" of the doctor between the clinical schedule and the NP Exam/Consult schedule. You can't get the doctor in or out on time... Right! Everyone has experienced that Breakdown? Through the 5x5 Process we applied a system that enhanced the TC-Doctor-Clinic effectiveness and relationships with patients. The result was improved closing rates, a reduction in time away from the clinical area, happier patients, and less team stress. Note: The DNA and Breakdown Processes create solutions from clerical to clinical, relationships to treatment results, marketing to managing referrals. The process we have discovered is critical to achieving desired practice outcomes and team harmony.

2008 The Year to Act

Your practice DNA can make your practice ROCK & ROLL in 2008! We would love to hear about your breakdowns, so come see us at the February meeting. Set your goals for 2008! This is the perfect time to discover how close you are to having significant productivity. It has been our experience that a 5–10% improvement can translate to an additional revenue stream of $50,000 to $100,000. All you have to do is make 2008 the year of "tweaking" your processes for significant results!

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