In a business, it is common for procedures and processes to become abbreviated, overlooked, and dropped out. When this happens, the quality of the outcomes or products deteriorates. When quality decreases, the business begins a seemingly inexplicable downward spiral. I call this Procedure Atrophy and cover it in my book, The Goal Driven Business. (page 164).

A practice manager helps put in the systems – the standard operating procedures -- in place that allow all your internal and external marketing procedures to be effective. And not just marketing. Patient retention, patient services, patient reimbursement and so on. They take the load off of you, so you are not the bottleneck!

Regular business growth is an arithmetic progression. Scaling is a type of growth that progresses geometrically over a specific period. It's not step-by-step growth.

THIS is how you scale a chiropractic and healthcare business.

A smooth and consistent patient pathway improves your patients' experience. One of the tasks we have as management consultants is to help you find and fix the biggest bottlenecks, or constraints, in your patient flow.

I call this being trapped, mostly unknowingly, in a Personality-Driven Practice. It is hard to break out of this gerbil wheel. Making the shift from personality driven to goal driven. This is what we call a Goal Driven Business, which you should have after 4-6 years in practice. Unfortunately, most doctors get stuck in the hero role of the entrepreneur who still needs to command the daily operation. The first step is to define your goals.

Offline, old-school marketing, mixed with some on-line marketing will, over time, establish your dominance in the special niche you’ve carved out. “80 percent of success is showing up” (Woody Allen)*

"The size of a chiropractor's business depends upon: -1st – His ability to notify people who he is, what he is, and where. -2nd – His systematization to take care of it as it grows and increases in volume." - B.J. Palmer (1920, from Up From Below the Bottom)

He said that the largest expense any chiropractor has was an “under-trained” team. The reason perhaps you were and are able to impart passion and education to your team, the "Why" of your practice, is because you first have it. It has to first start with the doctor.”

If you keep doing what works, and then make improvements along the way, and adapt as needed to changes in the marketplace, you will be able to generate more production with less effort.

Challenge yourself and your team to continue to master the skills of your profession. Always do this first before you worry about marketing.

Chiropractic healthcare and aesthetic practices that have managers provide better service and have greater revenue.

What stands in the way of your business being a multi million dollar business? The Fast Flow CEO System can help remove the barriers.

4 propositions, even principles, that can help you develop your practice and business. They are based upon years of working with do

A brief morning team meeting can significantly enhance patient care quality, increase patient volume and referrals, and improve organization

a true story from an office about max capacity constraints and how to find and fix the real cause.

Why employee satisfaction can help your business to be more productive and more profitable. Employee satisfaction ratings from Glassdoor.

Intrinsic and extrinsic rewards, how they both play a part in rewarding and motivating your staff.

if you want to improve your team meetings, here are some tips:

“Over the long run, superior performance depends on superior learning.”— Peter Senge