I have known chiropractors who did well with a 3-day onboarding process, as well as a 1-day process. We routinely monitor the following with our clients and discuss them monthly in our management meetings where we set up monthly strategies for improvement. First Visits to New Patient Percent Patient Visit Average (Retention – Visits/New Patients) I want to highlight seven factors that are sometimes overlooked.

Then there are the entrepreneurial doctors, those who want to grow their practices beyond themselves. By setting goals and systematizing their procedures, it is possible to “scale,” or grow without a corresponding increase in overhead or ownership time. Unfortunately, most doctors who work to scale their practices experience the Practice Roller Coaster. This is common, but after a while, the zest for practice gets hammered down so that practicing is no longer a hobby.

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.

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.

"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.

In the end, everything we do is to help each patient reach their goal of better health. This is the ultimate goal of case management meeting

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

Leadership includes the promotion of vision and goals of the practice. Success will happen when marketing is well managed by the numbers.

Seven simple procedures to help your team implement their individual goals achievement.

Performance statistics are vital, but they are not used enough. The Fast Flow CEO system includes 11 components to help you keep track.

The importance of recognizing your support team members to keep the team strong.