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 is a network of relationships that's created and sustained through service and communication. If you aren’t communicating with your patients – active and inactive - you won’t have much of a practice.

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.

We are free and independent -- and have been given the opportunity to grow our business and serve our communities. And this is what you and your team are doing. To all of us here at Petty Michel & Associates, you, and your team, represent the American Spirit of 1776.

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.

From a marketing standpoint, you must distinguish your health services as unique from comparable alternatives. If you just go along to get along, you run the risk of becoming a mishmash, an alloy, a blend that gets lost in the crowd

Discipline tent poster . a culture of discipline is not a principle of business; it is a principle of greatness. Collins,J.C. Good to Great

Community events are a direct method to create and often strengthen relationships with people in your community. It is a form of relationship marketing and is done by meeting people and building genuine connections. This is networking. A fantastic book on networking and relationship marketing is the World's Best Known Marketing Secret,by Ivan Misner (Founded Business Networking International).

You will find that honest interest in people is one of your best “tools” for retention. People respond positively to authentic curiosity about them. “Betty, where did you find those blue shoes?” “So Frank, I have always wondered, why do you guys call yourselves the Kiwanis?

Here is a quote from President John F. Kennedy that suggests how we should express our gratitude.

the more you are motivated by love, the more fearless & free your action will be - dalai lama

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.

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.