Chiropractic Economics Masthead
HomeMagazineNewsBuyers GuideStudentsCONTACT USSUBSCRIPTIONS
Spacer Advertisting
CLASSIFIEDSCARDPACK ONLINEDATEBOOKPAST ISSUESCHIRO HISTORYMARKETPLACE
Timeline 1985 1900s 1910s 1920s 1930s 1940s 1950s 1960s 1970s 1980s 1990s 2000s
Line
 

Editor’s note: Forces beyond your control — including managed care and the general economy — can make practice building a challenge. But it can be done. According to this 1975 article, building a practice is a matter of attitude.

Who Controls the Economy? You!

By Tom Owen, DC

1975 — That’s right, you direct your own economic well-being! As a chiropractor, you have a greater degree of control over your economy than almost any other single factor in existence. For instance, you may not be aware that most chiropractic “fortunes” (if you will) have been built during what some people have called depressed or recessed times. In fact, I opened my own office at such a time. I’ve seen them fail miserably in so-called good times. Let me give you an example.

A chiropractor in St. Augustine, Florida, opened at a time when the five primary sources of economy for the community were in confusion:

1. Railroad — on strike
2. Aircraft Factory — no contract, closed
3. Tourists — bad year for tourism
4. Shrimp and fishing — poor shrimp and fishing year
5. Farming — freeze killed the crops.

The yond chiropractor said he would pay no attention to these external factors. He would not let them penetrate his mind. He would do what he was supposed to do and what he had planned to do and what had been laid out for a successful experience under our management program. He continued to grow every week and every month throughout the first year.

It would be well to note that several years later when the railroads were going full blast, the aircraft factory had a full contract, the shrimping and fishing were good, the farmers had an excellent year and the tourism was unsurpassed, but the doctor’s mind was not on his practice. He had done nothing to improve his service. He was not active in promoting or stimulating his community chiropractically or personally. Several other negative experiences and activities included being seen in the wrong places and in the wrong circumstances.

Would you believe his practice went down, down, down? Yet the times and economy were up .up. up! It would be foolish to say the economy has no effect because it certainly does; however, it is a minority effect, not the majority effect as demonstrated by the St. Augustine chiropractor.

Your economy is controlled by your attitude. Attitude is always more important than fact! Your economy is governed by your actions as well. We all know thought without action doesn’t do anything. It’s similar to an automobile without gasoline.

It reminds me of the old Southern gentleman who said, “When I pray to the Lord to send me a chicken, I very seldom get one. But when I pray to the Lord to send me after a chicken, I usually come home with one.” Yes, your actions or lack of them will have a major effect upon your practice.

Have you considered broadening your base to a threefold practice ? A balanced practice? The balanced practice or threefold practice which we espouse in our offices and clinics, in seminars, classes, and management programs, stresses the fact that any business or practice with a broad base will not be grossly affected by outside forces. We consider the threefold practice one in which one-third of the practice consists of specialized situations requiring the very best of care rendered under a case program. One-third of the practice should be that everyday kind of patient who says, “I like chiropractic. I want an adjustment every two weeks. I’m willing to pay. I’ll send other people to you regularly.” The foundation of your practice! This pays your overhead — the per-visit patient. The other third should be based on personal injury, workmen’s compensation and insurance related cases.

Any of these I have mentioned could be affected by outside factors such as the economy, but rarely will all three be touched at the same time. If there’s a negative effect on one, there’s a positive effect on the other. In any good community with a stable economy, there is a broad base created by various sources of income. Why not the same for your practice?

What Did You Do To Build Your Practice?

We have a long list of things to do. Specific thoughts and procedures are used in our multiple offices as well as in the scores of offices we have managed, and are presented in seminars around the country. The first thing on the list of referral getters or practice stimulators is this question — what are you not doing now that you were doing when you first started building your practice?

Doctors, I mean specifically in all three places of life — the physical, mental and spiritual? Go back in your mind’s eye and remember your mental attitude toward your patients. Compare that to your current practice.

If your practice has plateaued or is decreasing or remains stagnant, then chances are your attitude now is not as good as it was when you first opened your office. How important were your patients to you then? How important was a brand new patient to you then? How important was making your practice succeed?

Let me pose this question: Can you remember your first patient, your second patient, your third patient? You probably can! You knew them well and probably still recall what the conditions were, what the chiropractic response was, where they lived, and many personal things about those patients. Now ask yourself, do you remember patients number 103 or 1030? What can you tell me about a new patient you had three weeks ago? How really interested, sincere and dedicated were you toward that patient? How important was that patient to you? Was that patient treated with your whole heart, soul and being, with intense desire to make certain he succeeded in getting well? Further, did you stimulate that patient into helping your chiropractic practice?

I’m talking of an attitude of dedication, mental direction and quality of service. This is important. Now is the time to concentrate on broadening your base of practice, and more importantly, on improving the quality of your service!

During the great depression, may companies prospered. They delivered with quality service, a quality product. People still spent money. They wanted a quality product worthy of their financial consideration and having a real, tangible, and lasting value.

Don’t be slipshod! Inferior products show up primarily in a fast economy. Look around you at today’s toys, houses, automobiles and what-have-you, almost all inferior products. Quality always has to be provided when building a solid economy.

So, what is your attitude? What types of services of the mind, heart, and physical planes are you giving to your patients?

Building and growing principle number one: Improve your quality of service. Be in tune today, not tomorrow! Begin today to straighten your economy.

Many years ago when our practice was growing by leaps and bounds (right in the middle of what was known as the recession of the fifties) a chiropractor for whom I had great respect called one day.

“How’s business, Tom?”

I responded, “Well, Bill, it’s terrific! We’ve got three new patients in the office, 10 or 15 waiting in the reception room and several out on the sidewalk trying to get in. It’s fantastic!”

He said, “Well, boy, it’s sure bad here.” He proceeded to tell me about the recession they were having in his community barely 150 miles away from mine. I listened intently (the young inexperienced doctor just building a practice) to a respected, authoritative doctor in my profession telling me things were deteriorated.

So I, too, began looking around, and, sure enough, in Jacksonville, Florida, the shipyards, Navy and railroads were all laying off people. The fact is, we had a very bad economic situation in Jacksonville. But frankly, I hadn’t been aware of it as my practice was growing.

Suddenly, with new found realization, I discovered we, too, were involved in a thing called recession. My practice immediately dropped almost $2,000 a month and stayed that way for several months.

Finally I had the opportunity to realize what had happened. I changed my attitude and the practice flourished again.

The next time I saw my revered doctor of chiropractic, I asked him how the recession was doing in his town. He said, “What recession?” He told me I had convinced him that things were so good when he had talked with me, his practice began to boom, and lo and behold, there wasn’t a recession!

Somewhere in this little story, my fellow chiropractor, lies a message … one worthy of your consideration.

A widely acclaimed chiropractor I once knew very well, B.J. Palmer, expressed it this way. “Never mind the business outlook, be on the outlook for business.”

What are you doing to broaden your base of practice? Are you on the outlook for business? Are you stimulating your practice in your community? Believe me, the worst thing you can do is nothing!

So what can you do? Make an analysis of your past and present — when you were building and now. Make a comparison in terms of:

1. Your attitude toward the practice.

2. Your attitude toward the patient

3. Your willingness to serve

4. Your enthusiasm for the principles of chiropractic

5. You enthusiasm over results

6. You enthusiasm over practice growth

7. Your attitude toward doing whatever is necessary to make the practice grow.

8. Your willingness to go to seminars and improve your span of knowledge and your quality of service.

9. Your willingness to get our and meet people, letting them know who you are, what you are, and where you are.

10. Your willingness to talk about chiropractic and its results with people you meet

11. You singleness of purpose.

Never forget that the rays of the sun, when passed through a magnifying glass, condense to a fine point, creating great heat and enormous energy. Dispersed rays do not have such a definitive effect. Many of us have our lives and minds scattered in so many directions, we no longer have that heat of purpose or energy of conviction.

The Master states, “Where two or more are gathered in My name, I will be with you also.” Paraphrasing a bit, “Where your mind is I will be with you also.”

Let me run through a “How Long Has It Been” check list:

1. How long has it been since you sent out a newsletter or made contact with your patients, educating them in advancements in chiropractic; making them a part of and not apart from your practice? Let them know what you are doing to improve and upgrade service to them.

2. How long has it been since you’ve maintained files and sent birthday cards to build good will? It makes people feel good on the personal day.

3. How long has it been since you’ve sent four or five thank-you-grams, letters or notes of appreciation to patients and other people in your community?

4. How long has it been since you’ve sent a congratulatory message to someone who has made a worthwhile achievement in your community?

5. How long has it been since you’ve given a lay lecture or patient education lecture or purchased something for your office which educates your patients on chiropractic and its services? It’s an old and simple rule that a patient will discontinue going to a doctor with he no longer knows or has a reason for going to him!

6. How long has it been since you attended a progressive, positive seminar presented by those who are willing to share ways for you to get what you want?

7. How long has it been since you attended a seminar that really got you enthused and challenged concerning your practice or your profession?

8. How long has it been since you evaluated your staff as to its attitude and productivity?

9. How long has it been since you called a patient at his home to see how he’s doing or to give additional instructions to him?

10. Are you conducting or have you checked yourself on a total compete service visit according to a six-point program? Are you following a definite procedure for acquiring referrals from the patients you have or stimulating referrals on a positive basis in the first ten visits to your office?

11. When was the last time you had lunch with an attorney, a minister or your banker? When was the last time you activated the old and well-known “bird dog” acts?

Allow me to conclude with a statement we make to our doctors in our clinics: Count your blessings for what you have. Have a soul-searching “where is your mind and heart” session, remembering the old Southern gentleman…go bring home some chickens.


 
Give us Feedback