Track CE With Sarah Thiel, RDH of CE Zoom

Episode 090

This week on episode 90 of Business of Dentistry I talk with Sarah Thiel, RDH of CE Zoom. We have a great conversation about finding and tracking continuing education through her company CE Zoom. We also touch on how you can set up your course to provide credit through AGD PACE. Worth a listen. Thanks, Sarah – very nice to finally meet you.

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CE Zoom has been in business for 3 years and I’ve been a subscriber since 2016, so I was curious to know how the company came about. When I asked Sarah about it she explained she started dental hygienist school so she could have time for her family, while still making a good income. After completing her education she got a job working 2 days a week, but she had a hard time remembering to get her credits. Her focus was on taking care of her patients and her family.

One day about eight years ago she realized her license expired in four months and she hadn’t done any CE! At the time she lived in rural New Mexico and had no idea where was going to get the necessary credits. She was also 8 months pregnant.

Fortunately she found a conference in Albuquerque, three hours from her home. It was expensive, but she knew she had to do it. So she paid for it, attended and completed the entire conference. As she was walking out the door with her hands full of conference materials, including her certificate for her CE credits, winds kicked up and snatched paper certificate!

She knew she had get it so she dropped everything, took her heels off and ran after it – despite being 8 months pregnant at the time! She did chase it down, but the entire experience was so challenging she wondered if it wasn’t a sign to stop being a dental hygienist.

And she also wondered why were they still relying on paper for something so valuable? Why wasn’t it being done electronically? Everything else could be done online so why couldn’t this? On and off over the next few months she searched for a solution, but she never found one.

When her renewal notice came in the mail, she received yet another push to do something about the CE paperwork situation.

By this time she had given birth to her daughter so she had a four-year old daughter and an infant at home. She took her paperwork and set it down while she attended to something her baby daughter needed. In the mean time, her eldest daughter spilled chocolate milk and saturated Sarah’s certificate. The milk saturated her paperwork so badly she couldn’t decipher some of it. And that was the last straw!

A few months later she was visiting with her brother in Utah when he told her his business partners build apps. A light bulb went off and she knew it was time to take action on her idea.

Despite her brother’s protests, she contacted his business partners. She didn’t work with them but it gave her the idea to do it herself and the push to move ahead. It all came together when Cat, her old boss and now business partner, called her and said she wanted to create it with Sarah. Together they began building it and two years the state-specific CE Zoom was complete.

When telling the story of how CE Zoom came to be Sarah also mentioned she is the vision behind the company and her business partner Cat is the details person, so I asked her about the future vision for CE Zoom.

Sarah says there are big contracts in the works, soon they will be on the map for the entire country! Once that is tied up, they’ll move on to DSOs to help them track their employees’ certifications and CE credits.

Once dentistry is fully built and operational they plan to move into all professions. They have about 120 different professions that have reached out to them wanting their services, everyone from CPAs to firefighters to real estate professionals.

On today’s episode we also talk about we talk about how she met Cat, why I signed up in 2016 and how we finally met in person without knowing it! Sarah is an inspirational powerhouse, tune in to hear more from her about CE Zoom and how their company is helping the dental industry on episode 90 of Business of Dentistry.

Tweetable: “It isn’t something most people know because it’s not taught
in dental school or hygienist school.”
 

Episode Resources

CE Zoom web site
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Illusion Of Control Is A Dangerous Thing With Dr. Justin Bhullar

Episode 089

This week we have a conversation with Dr. Justin Bhullar. He has some great insight on running multiple practices plus he is just an all-around cool guy. Take a listen on episode 89 of Business of Dentistry.

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Dr. Justin and I met while looking for the hotel gym one morning before the Voices of Dentistry conference began for the day. We started chatting and it felt like we were on the same wavelength right from the start, which is why I’m really glad he sat down with me for today’s conversation!

Dr. Justin is from British Columbia, Canada and went to the University of Saskatchewan where he studied Biochemistry and Dentistry. Today he owns multiple practices – scaled down from nine offices to four core offices. He did so with the principal goal of getting his life back. He explains that when you scale a business all your small problems are magnified.

He loved what he was doing but he still had to look at where he had to set firmer boundaries. He found a better way by scaling down, and creating more time for himself. Now he does clinical work two days a week and the other three days are left for focusing on the business aspects of his practice.

He’s been able to do so because he has a partner, associates, and great relationships with other doctors; Dr. Justin says these people are the reason he’s able to do what he does today.

Along the way he’s had to learn how not to micromanage, something dental school seems to set dentists up to be! Because dental school trains you to follow a cookie cutter recipe for everything it gives you the impression of control.

However none of us actually have control over everything so you have to delegate and automate wherever you can. You also have to take a step back in situations and ask if you are the right person to be doing what you are doing, or is there someone better suited to the task?

In general there are three questions to ask yourself when doing a task: do you enjoy it? Is there someone else who is stronger in this area who could be doing this? And is this going to bring you new patients, increase the revenue of this business and/or contribute to the growth of the business? If the answer is no to any question, especially to the last one, then you need to step back and have someone else do it for you.

We also touched on annual reviews and why we’re both changing to different ways of managing our teams performance. At the heart of it all Dr. Justin explains it is about effective communication and leadership.
As the leader of your practice you have to be able to support your team, and hold them accountable – but this is only possible through effective communication.

If someone isn’t doing an aspect of their job as well as is needed, we have to ask ourselves if we have talked to them about it and if we have taught them how to do what they are being expected to do. For example, you can’t discipline your child for not making their bed if you didn’t show them how to make their bed in the first place!

A better solution is to talk with that person and explain you have a certain goal and that goal will be measured in specific ways. Then make sure they are clear about the goal, the measurements to achieve that goal and the expectations involved. When you do all of that you’re being transparent with your staff and setting them up in the best possible position to achieve goals and for everyone to win.

You can also ask yourself: is it a training issue or a discipline issue? They are handled differently. If you’ve asked someone to do something but haven’t given them the tools or resources or guidance to do it properly and to do it in the way expected of them then it’s a training issue. And training issues fall on the shoulders of each of us as the practice owner.

The discipline issue happens when someone has the knowledge and the tools, but is still choosing not to do the task properly. How that situation is handled is quite different than a training issue. Personally I’ve found most of the time it’s a training issue and it’s my fault!

We also dig into the topics of why and how failure can be a great learning tool, why you have to be self-aware and take accountability for what isn’t working. We wrap up with how Dr. Justin turned his own health around, and why health is the cornerstone for all of us to be the best person we can be professionally and personally. Join us for all of that in our conversation today on episode 89 of Business of Dentistry!

Tweetable: “Look within before you look outwards for why things aren’t working.” 

Episode Resources

Dr. Justin Bhullar’s web site
Extreme Ownership, by Jocko Willink and Leif Babin
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Business of Dentistry on Facebook

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Leave a review and subscribe on iTunes

15 Minute End Of Year Review

Episode 088

This week on episode 88 of Business of Dentistry I recommend 5 items for a quick end of year review of our practices. This snapshot will give us a look at where we have been. It will also give us an idea of where we want to go moving forward. Happy New Year!

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Typically I don’t dwell on new year’s resolutions, I set goals but I don’t focus on that at the first of the year. Today we’re going to look back – not to regret what we didn’t do but to give us a start to the new year. We can look at what we didn’t accomplish as information that helps us determine which way to go this year. It’s looking back to look forward!

On today’s episode I’ll cover 5 quick points to look at the big picture at the end of the year. The first is where did you start last year with your team? How many did you have at the beginning of the year and how many were with you at the end of the year? How many are the same team members, and how many transitioned out of your practice and into other work environments?

Personally I started with ten and ended with ten, but two transitioned out and two new people came in.
I look at this information because I believe stability in a team leads to success. It also gives you an indication of what kind of leadership you are giving and how you are taking care of your team. How you treat your staff impacts how your clients are treated, all of which impacts your long-term success.

In my case I had a 20% transition rate – I don’t think it’s too bad although I’d prefer to have zero! The two team members who left did so for different reasons.

One left to work in her children’s school as an administrative assistant. She wanted to be off when her kids were off and working when her kids were in school. Because I couldn’t offer her that type of schedule, I understood and we left on mutually good terms.

The second person was also working in an administrative role in my office. She gave her two week notice and was a bit upset when she did. She left because I brought a newer surgical assistant from a part-time position to a full-time role, because one of my other surgical assistants was out on maternity leave.

When I did that this administrative person was upset and found another job working on the clinical side. She was trained in both the clinical and administrative side of dentistry, but I didn’t talk to her enough to know she wanted to work on the clinical side. So  her leaving was on me, that was my responsibility as a leader.

Which leads to point #2: reduction, controlling overhead and spending in my practice. I had some goals in this area and we were close to reaching them. I’m still waiting on some final numbers to come back but I believe we will have a 3.5% reduction in my practice’s overhead. I know that may not sound like a lot to some people but I think about it like a 3.5% raise!

This second point also leads to our final three: production, collections and time off. This year I had a 1.6% increase in production (or charges) over last year.

It isn’t very much nor is it impressive. In fact I was disappointed in it. Then I compared it to collections, where we had a 1.4% increase – nearly the same.

The real factor that made me feel better though was I reduced my hours; I shaved off nearly an hour every day and took 16% more time off compared to last year. Those numbers tell me I worked 16% less but still increased production and collections and reduced my overhead – all of which are positives!

Those are all things to think about: team transition, overhead reduction, production, collections, and time off. I believe they give you an indication of what worked, what didn’t and where you want to go this next year. Take a look at these five areas in your practice and let me know what you find, after you listen to episode 88 of Business of Dentistry!

 

Tweetable: “Look back to look forward!” 

Episode Resources

Voices of Dentistry Summit 2018
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Business of Dentistry on Facebook

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Leave a review and subscribe on iTunes

Schedule Like A CEO

Episode 087

We’re back after some time away from the podcast. This week we discuss a way to schedule our upcoming year like a CEO. We also talk about some ways to improve management of our email and team projects on this episode of Business of Dentistry.

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It’s the end of the year and I wanted to mention to you three things I’ve implemented as policies. The first is scheduling like a CEO. CEOs schedule months in advance, some as far as 18 months ahead of time. While we typically can’t do this with patients we can schedule our personal commitments in advance. We can put the big rocks in first, so to speak.

In our office I have a policy to go into the practice management schedule at the end of every December and look at the holidays for the upcoming year. Then I’m supposed to decide how many days off we are going to take around those holidays. For some it’s just one day, and for others it is multiple days.

I do that by the end of December so my entire staff can look at the schedule and make plans in advance for vacations and other time-off requests. This is the fourth year we’ve been scheduling like this and it has been working well.

Another thing we do is to plug-in fall breaks and spring breaks for the local school systems. They are important for those of us on the team with children, we want to plan for time off with our families.

The breaks are also important because it’s typically a highly productive time for the office. Fall and spring breaks are when many people want to schedule wisdom teeth removals and other surgeries; we need to know when these breaks will happen every year so we can schedule accordingly.

Finally, in my particular case, I have my Navy reserve obligations so I plug in the dates I know I will be away fulfilling those duties. You may have other commitments like conferences you know you are attending. You want to input those dates as far in advance as possible. For me I already know I have some conflicts with patient appointments, but I have caught those conflicts far enough in advance that we can reschedule easily ahead of time.

To actually add these dates I go through my calendar month by month. I look at which holidays fall in that month, and then I ask if I will be off on that particular holiday. Then I go back and look at any CE, conferences or Navy commitments, I add them to the calendar. Next I look at the spring break and fall break dates and add those.

If you look at this particular way of scheduling, this allows you to put in the most important things like time with kids, holidays, vacations and get them scheduled ahead of time. Doing so lets your team know those dates and plan around them. It will lessen your stress and your team’s stress, everyone can work out their requests for vacations and holidays well in advance and you all can avoid a lot of unnecessary conflict.

The second thing I have started doing is a personal policy regarding checking email. I’m constantly checking my phone and my desktop to see what emails have come in. I’ve decided to reduce this as much as possible since it is such a distraction. Someone I have been following about this topic said checking your email constantly is like running to the mailbox every two or three minutes to see if the mail has come!

So turn off notifications and schedule a specific time every day when you check emails. It could be first thing in the morning, over lunch or before you leave the office. Just pick a time and block it off to take care of email, and then focus only on email at that time.

Finally a third policy I’ve been following is to communicate drop dead dates and deadlines with my team. This is something I’ve been good at with my military team but haven’t done so well with in the office. You may already do this but this is something I am working on getting better at now.

Those are the three things I am focusing on going forward: scheduling like a CEO, managing email better, and setting deadlines for my office team.We will see how these all work out and will adjust as necessary.

Listen to today’s show to hear those details plus a listener shares what they are doing regarding free consults and no shows. Check it out on episode 87 of Business of Dentistry!

Tweetable: “Checking email constantly is like running to the mailbox
every few minutes to see if the mail has come!” 

Episode Resources

Voices of Dentistry Summit 2018
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Business of Dentistry on Facebook

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Leave a review and subscribe on iTunes

FREE Consults – What Say You?

Episode 086

What are your thoughts on FREE consults for patients? This is a question I tackle (sorry, I don’t have the definitive answer) in this week’s episode of Business of Dentistry.

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We are dealing with a concern about free consults in my practice. In general, I’m not a big fan of giving free things from my practice. Some people think free consults are loss leaders. The idea is to give free exams to get people in the door and when they meet your staff and you and go through your customer experience  they will come to you for their future dental needs.

While I understand the concept, I think if you give something away for free people will value it and perceive it as not being worth anything. Plus consumers today are savvy, they know there is a catch to giving away an exam for free. And I think we are diminishing the value of the service we provide.

I say all of that to get into why I brought this up in the first place: we are giving away free consults for anyone looking to do dental implants.

We do a free CT scan and a free consult which is typically close to an hour to 1.5 hours of our time. Most of that is done by Meredith, my implant treatment coordinator. I come in and go over specifics as it is necessary. But regardless of who is with the potential patient we don’t charge for any of our time or our efforts.

Now our office is unique in that we do oral surgery and we get referrals from other practices for oral surgeries. We do free consults for those referrals.

But somewhere along the line people started to think we did free consults for everything. We don’t. But we have policies that conflict with each other: if you come in to talk about removing your wisdom teeth then you’ll get an office visit and will be charged for it.

But if you come in for a dental implant visit then you will get a free consult. There’s a conflict there.

In addition to the conflict in policies, another problem with free consults is we diminish the value of the implant itself.

Compounding these two issues is yet a third problem: today we get a lot more traffic online and we are getting more direct referrals as a result. We are getting people, people I call “free agents”, who are interested in dental implants and sign up for the free consult right away.

But a lot of these people don’t show up for their free consultations, as opposed to the people who are referred to us. Referrals typically show up, but the people who find us online often are no shows.

We don’t have a good process in place to pre-screen dental implants. If we had a better pre-screening process I think we could find out from people if they can afford to pay for the implants or not, and talk to them about how they expect to pay for it. Many people think Medicare will cover it because it’s a surgical procedure, but that’s not always the case.

So if we pre-screened potential dental implant patients better we’d clear up these issues and we’d avoid the no-shows and giving away our time for the consults.

What we are thinking about implementing is a consultation fee, a flat fee that includes our time plus the CT scan. People in my area are charging anywhere from $250 to $350. We are considering charging a fee in that range, but then crediting that fee back to the cost of the implants after people have the procedure done.

In essence it’s a free consult but it’s on the back end of the procedure, after the patient has followed through. But if the person opts not to do the consult then it’s a fee they have paid, and at least we have been compensated for our time and efforts.

We are considering doing this so I’d appreciate your feedback and would love to hear what you are doing and what your experiences are with free consults. Shoot me an email or leave a comment below and let me know if you have been through this and what you have done after you join me on episode 86 of Business of Dentistry.

Tweetable: “We have to bring value to our patients.”

Episode Resources

Voices of Dentistry Summit 2018
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Dealing With “No Show” Repeat Offenders

Episode 085

Some frustration behind the mic this week as I discuss having a repeat “no show” offender that found her way back on my schedule on episode 85 of Business of Dentistry.

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This is about a patient interaction I had, I want to know how you would respond. I have a policy we created a year or two ago so my team would know what to do in the event of a no-show or last-minute cancellations. It’s simple: 3 strikes and you are out. If you can’t be here, you cancel, or you don’t show up 3 times then you can’t get back on the schedule. I don’t think it’s harsh, even though some may think so.

We do have exceptions, if someone understands the impact of not showing up and want another chance we’ll allow them to prepay for their visit and reserve time on my schedule. Many people have done this and we haven’t had too many issues.

But this past week we hit a little bump. We had a patient on my schedule again after this person had cancelled or not shown up for 7 appointments over the last year or so.

You can imagine I almost went bonkers when I saw this person was on my schedule. I couldn’t understand why because I had specifically put an alert into our practice management software for this person’s name. The alert said this person was to receive no more appointments! And it had my name attached to the alert so my team would know the directive came from me.

My team overrode that alert and put her on the schedule anyway. When I asked around why this happened no one could give me a good reason. As I put this episode to air I still don’t know why this patient was on my schedule, even though I explicitly said not to allow her in again.

So this patient came in and I talked with her. I asked her several times if she is ready for this treatment and ready to follow through this time. She said yes.

I asked her to be sure because she has cancelled at the last minute or not shown up for 7 previous appointments. She again said yes she was ready to go ahead. I said okay, and told her my team would be in shortly to talk with her about insurance coverage and the like.

I then told my team we needed a 50% nonrefundable deposit for this patient’s procedure before setting an appointment date. I thought that would ensure this patient had some skin in the game. But at the end of the meeting when all was said and done, this patient didn’t set up an appointment.

I’m bringing this up because these are the types of things that kill me on the business side. I understand taking care of patients is important, but sometimes people don’t respect our time or the value we bring.

So don’t be like me and see someone who has cancelled 7 times previously.

My other issue with this experience is that my team basically ignored me and couldn’t give me a reason why they allowed this person to be on the schedule again.

By our office rules this person should not have been on the schedule. And I understand it can be difficult, sometimes people on the phone are pushy, or they give sob stories or all kinds of other reasons about why they need to be on the schedule.

But we can’t allow this, unless we have a very good reason. As the owner of your business you should be allowed to make an exception to a rule or policy or guideline in your practice. Be sure to write it down with input from your team. Don’t make changes based on emotions but on objective data, otherwise it will confuse your team, your patients and potential referrals.

So visit or revisit your policy on no-shows, cancellations, missed appointments. Do cancellations need to be done more than 24 hours before the appointment? Three days before? A week before? How do you define an acceptable cancellation timeframe? Whatever your window for cancellations, you also need to look at how effective you are at refilling that slot in your schedule and adjust accordingly.

These are important areas to look at in your practice and they are also important for your mental health!

To wrap up today’s show I share the three responses to have in a situation like this and the most important thing to learn from these types of experiences. Join me to hear those takeaways on episode 85 of Business of Dentistry.

Tweetable: “Perfection is a journey, not a destination.”

Episode Resources

Voices of Dentistry Summit 2018
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Business of Dentistry on Facebook

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Leave a review and subscribe on iTunes

What Would You Do If You Couldn’t Practice Dentistry?

Episode 084

A happenstance meeting in a Mexican restaurant prompted this question. How would you answer? Listen to this week’s episode of the Business of Dentistry as we discuss my take on this topic.

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There’s a little Mexican restaurant near my office and a few times a month my office manager Paul and I go there to talk politics, business, shop, etc. We did the other day and a conversation we had with our waitress opened my eyes to a few things.

This woman was someone who had waited on us before. She spoke broken English but spoke Spanish perfectly. Something about her made me think she was from somewhere other than Mexico, somewhere like Central America or South America, and I said as much to Paul.

Because Paul is pretty direct and to the point he asked her where she was from when she returned with our drink order. She said she was from Venezuela. Paul continued talking with her and asked about her country. She described to us how it was poorly run, the food supply wasn’t great nor was the water, and the electricity was spotty.

As she left us to take care of another customer I thought she said (in Spanish) that she had been a dentist in Venezuela. When she came back to check on us, she used her phone to show us photos and videos of her working as a dentist in her home country. From what I could understand from her story, the military had come in and forced out all the civilian dental care providers and took over the hospitals. They sent her packing, basically.

Listening to this woman’s story put things in perspective for me. It wasn’t a great week at my office, we had some patient issues and other things. But hearing what she went through got me thinking about what would happen if I couldn’t be a dentist next week or three months from now.

Imagine if you were to go from a good profession like ours to not being able to do your work. Where would you go? What would you do? Some of us would be devastated if we couldn’t continue in our profession. Personally, I began wondering what would I do if I couldn’t do this. Would anything pay as well as this career? What kind of work would I do – would it have to be manual labor or could it be something more intellectual?

It also made me think, as a single practitioner in a private practice at the age of 50, what is my long play on this? I realized I don’t have a secondary source of income or another source of income. I’ve got all my eggs in one basket and I started wondering about different ways to add to my income streams.

This conversation made me think about this topic a lot: how would I add another stream of income? Would it be a product I could sell, a different business, a hobby? Is there something else I could monetize?

I have a few things I’ve thought about but never taken action on, and this experience is helping me shift my focus a bit to those things. And of course I know there is truth to doing the one thing and doing it well, but the conversation with this waitress has got me thinking about other options.

And I’m interested in hearing from you on this: what would you do if you couldn’t do dentistry tomorrow? How else would you generate revenue? Do you already have other streams in place? Do you have any other eggs in your basket? Let me know, I’d love to hear from you after you listen to episode 84 of Business of Dentistry.

Tweetable: “At what point do we start thinking about a different revenue stream?”

Episode Resources

Voices of Dentistry Summit 2018
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Patient Interaction And Reputation Management With Podium’s Nico Dato

Episode 083

This week I sit down and talk with Podium’s Nico Dato to discuss customer interaction and reputation management. He offered some great advice that apply to us as private practice dentists. Go give it a listen on episode 83 of Business of Dentistry…

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Podium is a software as a service company (SaaS) out of Utah. They work with a variety of industries, including dental practices, to help with customer interaction, communication, and online reputation management. In our conversation on today’s episode of Business of Dentistry we talk about improving our communication, his tips on how we can use Google chat and three steps to dealing with negative reviews.

We begin by talking about what Podium is and what it provides for businesses. Podium software offers everything from setting appointments to feedback on the appointment to online reviews. Podium’s software exists as more of a platform with the focus being on interaction between the business and the consumer and is meant to help the practice and patient develop a stronger relationship.

To elaborate on that point I asked Nico to spell out what he sees dental practices not doing, and how they can improve regarding communication with patients.

There are a few common mistakes or missed opportunities he sees regularly. The first is how a practice communicates with its patients. What will determine the preferred method of communication is who your demographic is, so you must find out what is convenient for the patient AND for your practice. In general, the easier it is to keep in contact with your patients the more money you will make. You will have fewer no shows, more appointments will be kept and more patients will become repeated patients for the long-term.

As far as feedback and online reviews: getting positive reviews is good but the piece so many practices miss out on is the actual feedback within the reviews. So dig in and understand what the patients says in their review, and then make changes within the practice. This is what the really smart practices are doing – it is gold for them!

Being focused on those two things is what the best practices are doing: communicate with patients how they want to be communicated with and adjust your practice based on the feedback you get within your online reviews.

We also talk about Podium’s Google click to chat feature. This is Google’s attempt to add another way for consumers to interact with businesses. From Google’s search results you can call, get directions, go to the web site or now with the click to chat feature you can message the business. It’s basically a text message sent to your practice.

Podium plugs right into this feature so you can manage it through their software, versus going to an individual’s cell phone. Nico says they’ve seen a lot of dental practices receiving messages after hours from this feature. Patients communicate and ask questions at their convenience, and the convenience aspect is important because it means it is easier for a patient to come and see you. The easier it is for them the more likely they will be to choose you now and in the future.

I also wanted to know what he recommends doing when you get a negative review. He broke it down into 3 steps:

1. Respond calmly and from a detached perspective.
The person responding to the review should be detached from the situation and not emotionally involved. If that is not possible then make sure the person responding is level-headed and doesn’t get defensive. Of course it’s easy to become emotional about it because it’s your business and your livelihood but it won’t help the situation if you become defensive in your response.

2. Apologize and move the conversation offline.
As we said in step one, avoid defensive responses when you respond. Also when you respond apologize for the person’s experience and move the conversation offline. Offer to talk about it offline or via email. Give them a phone number and email address so they can communicate with you and your office.

This is good for the relationship with the reviewer but it also shows potential patients you will address their needs and work with them to right any wrong that may happen when they come to you.

3. Actually have the conversation offline.
Chat with patient offline either via email or on the phone, and hopefully come to a resolution. At this ponit you can often have them add another review or leave a follow up comment on their original review sharing how the issue was resolved.

On this episode we also talk about where you should focus on getting more reviews online, what it means to “gate” a patient and why you shouldn’t do it, and why collecting reviews should be done on an on-going basis. We finish up with details of Podium’s services including costs and contracts. Join us to hear all of those details on the 83rd edition of Business of Dentistry.

Tweetable: “Adjust your practice based on feedback from online reviews.”

Episode Resources

Podium’s web site
Podium’s blog
Email Nico
Voices of Dentistry Summit 2018
Email me

Business of Dentistry on Facebook

Connect with me on Twitter
Leave a review and subscribe on iTunes

Capitation Woes And #SmallThanks

Episode 082

This week on episode 82 of Business of Dentistry we talk capitation plans when working as an associate and #SmallThanks from our friends at Google My Business…enjoy!

More About Business of Dentistry

Today’s first topic comes from a conversation I had with a young dentist who is new to his own private practice. Recently we talked about his journey from dental school to working for a corporate dental entity to now into having his own practice.

His path was very similar to mine and it was interesting to hear his reasoning for the decisions he made. What really intrigued me was the employment agreement he had with the dental group, what surprised him and what he struggled with and what he wasn’t aware of before going into the agreement.  I wanted to pass along the lessons he learned because I think they are valuable for anyone considering going into this type of arrangement.

One day while working for this company, the office manager asked him if he could see an emergency patient after hours. The person had broken #16 at the gumline and was in a lot of pain so naturally he agreed to take care of the patient. He did the right thing and it all went fine, the patient was happy and grateful to have been treated.

Here’s where it gets interesting: bearing in mind that this man was getting paid on collections, he had a certain number he had to reach every month. He was given a guaranteed salary plus incentive bonuses along the way based on his collections.

After this patient left he thought he’d have a little extra from the work he had done. But when he asked about it he found out the patient was on a DMO plan, a capitation plan.

I’ve never worked with a capitation plan so I asked him to remind me how they work exactly. He explained that the corporate entity gets paid a certain amount of money for each person in that plan. Basically the patient comes in, the dentists do the work and the fee is paid to the corporate entity. But he as the dentist doesn’t get any share of it, meaning he basically worked after hours for free.

But he was never told about this type of situation ahead of time, it was this case that showed him how capitation plans worked. When he told me about this I asked if I could share his story, and he agreed. While I’m not going to give his name, I wanted you to know this is something you should look into when you consider going to work for these corporate dental entities or any associate type arrangements.

If you’re going to take care of patients and treat them, but not get a portion of the fees that’s a bad deal.
Be sure to ask questions and talk to your potential employer about situations like this so you know what you are getting into on the front end. It could negatively impact your income as an associate but it won’t hurt the corporation or the owner of the practice. You want to know something like this in advance, not find out when you get paid!

Shifting gears I also want to talk about another topic: reviews. Every month I get an email from Google My Business. It sends me a dashboard overview that tells me how many have visited my site, asked for directions, made phone calls, etc. It’s a good overview of how the site is doing and how the reviews are helping my practice.

I got an email the other day and I thought it was my monthly overview, but it wasn’t. It was something called #smallthanks. I looked it over but didn’t give it much more thought and moved on – until I saw Dr. Alan Meade post about it.

I revisited it after he posted about it, I think there is some potential from it. To hear what they offer, why it may benefit you and how it works join me for episode 82 of Business of Dentistry.

Tweetable: “Know what you are getting into on the front end.”

Episode Resources

Small Thanks with Google
Voices of Dentistry Summit 2018
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A Problem Focusing

Episode 081

In episode 081 of Business of Dentistry I revisit the topic of maintaining focus. We discuss getting things done while simultaneously keeping our eye on a single idea within our practice.

More About Business of Dentistry

Recently I had a meeting with a young man who just finished his undergraduate degree in Media Studies. I brought him in to discuss some marketing ideas and side projects he could work on for my practice.

Our meeting lasted for almost 2 hours, and as we talked we went down the proverbial rabbit hole. After he had left I reflected on what we had talked about and made some notes so he and I could move forward. I realized that we talked about a lot of ideas, but we didn’t focus on one thing. I noticed I have a problem with that: focusing on one thing.

I have difficulty in focusing on what I need to do in the moment. I’ve been working on it in my practice and I’ve gotten better at it. but I bring it up on episode 81 because I’m wondering if anyone else has that issue or if it’s just me.

I find that we get more accomplished if we focus on one thing and go after it til it’s done. For example, my focus one day might be on completing my office notes in my electronic medical record before I leave the office. some days I’m great at fulfilling this and some days I am not so great at this task. I believe it boils down to a lack of discipline along with a lack of focus on the task.

I struggle with focus and discipline quite frequently to be honest. And I realized I did this during my conversation with this young man. During our meeting I didn’t even allow him to respond to one idea before moving on to the next. That’s problematic!

If you have that same issue consider this episode as a reminder to focus on the one thing until it’s completed. To be effective, you have to go through and decide what is the most important thing in your day or in your meeting – and then get that one thing taken care of and addressed before moving on to something else.

Sometimes that one thing you are focused on isn’t the fun thing, but you have to buckle down and do certain things to keep you on track. Otherwise you leave a lot of things undone, there are days when I look around at the end of the day and feel like I got nothing accomplished.

And the reason I feel that way on those days is because I didn’t focus on the one thing that I needed to do. I’ve really struggled with this lately because we’ve had a lot of things going on here. I mentioned this in my last episode: I found out certain things weren’t being done that I was told were being done (and these were things I was paying to have done).

When that happened I decided to revisit other people I’ve been in business with so I could verify we are getting what we are paying for from them. Things like that can really negatively impact our businesses so I wanted to trust and verify all of our existing business partnerships.

That’s something not everyone understands – that we have to wear many hats and do many things as private practice owners. I’s easy for us in our situations to lose focus because we shift our focus a lot. So my pep talk on today’s show is don’t lose focus! Pick what you need to do and knock it out.

And I’m talking about this to call myself out. This is not meant to be me preaching to you, it’s about reminding myself to be conscious of what I’m doing and focus on one thing at a time. I hope this is something you are good at or are working on improving, too. I appreciate you being here to listen! After you’re done I’d love to hear your thoughts on today’s episode of Business of Dentistry.

Tweetable: “Pick what you need to do and knock it out.”

Episode Resources

Episode 80 – IT issue episode
Episode 01 – 3 Hats of a Private Practice Dentist
The One Thing, by Gary W. Keller and Jay Papasan
7 Habits of Highly Effective People, by Stephen Covey
Voices of Dentistry Summit 2018

Email me

Business of Dentistry on Facebook

Connect with me on Twitter
Leave a review and subscribe on iTunes