Today’s topic of conversation is about bad behavior. Dr. Jay is a HUGE Ohio State University fan and so this weekend’s football game is the inspiration for this week’s Two Minute Drill. Make sure you listen until the very end as Dr. Jay also included a little bonus about his trip to Sicily at the request of a few friends.
People forgive, but don’t forget
Dr. Jay has had a few moments of bad behavior in his life, mostly in college but maybe a little bit in his later adulthood. No one is perfect, however, Saturday’s incident at the Ohio State football game is the inspiration for this week’s Two Minute Drill.
On Saturday K’Vaughan Pope, a senior linebacker for Ohio State decided he was going to quit the team, throw his equipment (his gloves specifically) into the stands, and then send out two tweets to the universe. One was “F*CK Ohio State” and the second one was “good luck to my teammates”. Now, he has subsequently apologized, and he also said in his apology that he was going to be working on his mental health and we appreciate that. We don’t know what he was going through or what his experience has been like at Ohio State. What we do believe is that people will often forgive but they rarely forget. So, his ability to go into the transfer portal and find another team or another coach that sees this behavior and says, “I don’t know if I want that on my team” could be a problem for him.
So, when we think about this in terms of our leadership skills, capabilities, or even our leadership faux pas, when run into a situation that makes our heads want to spin like the exorcist there are a couple of things we can do to prevent us from having bad behavior that people will often forgive but rarely forget.
Take a deep breath, walk away from the situation. Go into your car and close the doors and windows and scream as loud you need to (we’ve done that several times) but do something that doesn’t create a bad behavior memory. It will save you a lot of humiliation and a lot of apologies and a lot of regret in the future.
That’s today’s topic for the Two Minute Drill. Let’s minimize the bad behavior so we don’t have to worry about the apology, the forgiveness, and people not forgetting.
BONUS SECTION
This is a special bonus section. A request from Dr. Jay’s very close friend who wanted him to comment on his time in Sicily. “It was a great experience, beautiful country, food was incredible, wine was fantastic, views were amazing, and it was not that expensive. One thing that I will share with you if you are going to go, try and check out the north coast, the east coast, and the southwest coast. Just see the whole island because it is truly a beautiful place. Of all the places we went to, Ortigia was my favorite. We stayed in a gorgeous hotel, had a great room, great views, and just enjoyed ourselves. If anyone is interested in going to Sicily, reach out to me. I’d be happy to share all the places we went to with you, so you can enjoy them too.”
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This week Dr. Jay is traveling again, bringing you the Tuesday Two Minute Drill from Detroit, Michigan. In today’s TMD he is completing the circle on the discussion of self-discharges.
Patient goals
Today we are completing the circle on the discussion of self-discharges. We talked about the importance of tracking the ratio of self to doctor discharges. Then we talked about the importance of tracking the reasons why your patients self discharge from care. Now Dr. Jay is talking about how to move the needle to reduce the number of self discharges in your practice.
There are three steps to reduce the number of self discharges in your practice:
Make sure that somewhere on your intake paperwork or patient portal you have a spot for your patients to report what their goals of care are.
When you do your report of findings discuss their specific goals with them and make sure you share the vision-making with them. Also, at this time make sure you employ shared decision-making. This means when you tell them this is the treatment plan, this is the treatment we are going to employ, this is the frequency and duration of your care based on the evidence and my clinical experience, make sure they say yes I understand, yes I agree, yes this is going to help me achieve my goals.
When patients are coming in for regular visits and re-exam make sure you discuss what they believe their progress is toward their goals are. It’s not enough to just ask what is your pain level from 0-10. That’s not enough. You want to make sure you are also tracking their perceived progress toward their goal. So if they want to run a marathon, are they able to run a certain distance now that you’ve delivered a certain amount of care.
Tracking those goals that are important to your patient is critically important to reducing self-discharges. Employ these tactics to make sure your patients complete their care and get the best possible long-term outcome.
Head over to our Facebook page and let us know if you track this information already or how you are going to start tracking your patient’s goals.
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Dr. Jay in Ortigia, Italy for this week’s Tuesday Two Minute Drill. He is continuing the conversation on metrics that matter. This week he is adding one more thing you should be tracking on your weekly spreadsheet.
Metrics that matter
This week Dr. Jay is continuing the conversation around metrics that matter. Last week he talked about the importance of tracking self vs doctor discharge patients.
Self-discharges are critically important to track for a variety of reasons. There is certainly a business use case, but it is really about the patients at the end of the day. It’s about making sure we can reduce this self-discharge number as much as possible because we know one of the most common reasons patients discharge is because they feel better.
We also know from the scientific literature that the most accurate predictor of any future injury is a past injury. Many times this is because patients stop treating a problem when the symptoms go away.
Having a baseline number to know where you stand with the patients that are not completing their care is an important first step. We talked last week about running a report and tracking these numbers at the end of the week in an excel spreadsheet but the next thing we want you to do is to start adding in the reasons WHYpatients are self-discharging.
We know from our own data it could be a wide variety of reasons:
They feel better
They don’t feel better/you didn’t get a good clinical outcome with them
Insurance reasons
These are common reasons why patients may self-discharge but you have got to track this information to know about your own patients. So, don’t just create the spreadsheet that identifies if they are doctor or self-discharge but make sure you design the spreadsheet so you know exactly the reasons why.
At the next Two Minute Drill, Dr. Jay is going to talk about what to do for these different categories of reasons of self-discharge so you can attack the issues, get a better result, and get a better clinical outcome for these patients that are self-discharging too soon.
Head over to our Facebook page and let us know if you started tracking your self discharges after last week’s TMD.
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It’s a new week and a new location for Dr. Jay. This week Dr. Jay is in Sicily for his Tuesday Two Minute Drill talking all about metrics that actually matter. Listen to find out what one metric isn’t being tracked nearly enough.
Metrics that matter
Today we are talking about metrics that matter. When Dr. Jay is speaking across the country or having conversations with other chiropractors, there is one metric that isn’t being tracked nearly enough. It’s the self-discharge to doctor discharge ratio.
People know their metrics like MVA and other metrics like billings, collections, and new patients but if you are not tracking the percentage of patients who self-discharge versus those who doctor discharge you are missing out on a huge opportunity.
Why?
First, you are missing an opportunity to improve the doctor discharge number and reduce the self-discharge number because self-discharge patients typically are not adherent patients and therefore may not have the best outcomes.
Secondarily there is a business use case for checking this. When you know where you stand with doctor vs self-discharges you can then take steps to improve.
So first thing we want you to do if you are not tracking this metric, at the end of each week run a list of your patients who are no longer in the practice and identify them as either self or doctor discharge and do this for the next 90 days. If you have an EHR system that tracks it for you and the reason why then great. Track it, run the reports, and check them so you know where you stand.
In next week’s Two Minute Drill, we are going to talk about how to move the needle and improve it.
Head over to our Facebook page and let us know if you track this important metric.
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