Two Minute Drill: Sharing the chiropractic message
Dr. Jay has one important question for you this week, “How are you sharing the chiropractic message?”. Listen to this week’s Two Minute Drill to hear how you can help grow the understanding and impact of chiropractic.
How do we get the word out?
One really important question for you today, how are you sharing the chiropractic message?
Recently Dr. Jay had a friend who was having some issues, went to see a doctor and the doctor told her she was a good surgical candidate. That was a joke because when he talked to this person they were not a surgical candidate whatsoever.
There is so much guideline discordant care going on in our country and around the world and that is not ok. So, how do we get the word out? How do we educate other healthcare providers and the general public about what great care looks like, based on the evidence?
How do we do that?
First and foremost, there are two channels we can address. The first is the general population. Creating content that comes from the evidence is not so hard to do. When you are speaking through your voice it can have a really great impact on your patient population and those who want to be part of your patient population. So, find articles that are relevant to chiropractic, to your patients, and to the population at large and answer some of their key questions like, “Am I a surgical candidate?” and “What does a surgical candidate look like for spine surgery?”. That might be a really good post that you can put out there that will help the general public.
The second thing is sending brief narrative reports of exams and re-exams to your patients referring physicians or their PCPs, OBGYNs, orthos, even if they didn’t refer the patient to you. Letting them know what you are doing, how you are treating and evaluating their patients, and helping them understand how you are a valuable part of the healthcare team is critically important. Don’t stop at just sending over the narrative form, also reach out. Try and connect with them, have a conversation about your mutual patient. It’s called care coordination and it’s really important and can not only be great for the outcome of the patient but can also be great for the income of the practice. Once those providers connect with you and they know you know your sh*t they are going to want to send you more patients. The more they understand about chiropractic, the fewer drugs and surgery there will be in the world and more referrals to your practice, and better outcomes.
So let the general population know about chiropractic. Use the evidence that is out there. You can go to https://clinicalcompass.org/, there are tons of resources on that site that you can pull from and answer the questions your patients have, communicate with other members of the healthcare team, and grow the understanding and impact of chiropractic.
That’s this week’s TMD. Head over to our Facebook page and let us know how you are going to share the chiropractic message this week.
This week Dr. Jay is coming to you from Virginia Beach for the Two Minute Drill. His good friend Brad Cost is playing cameraman as they were attending the UVCA convention. In this week’s TMD we are talking about beauty and the need to celebrate achieving your goals.
Take time to celebrate
Look at this beautiful beach and beautiful ocean, at this amazing setting in Virginia Beach at the UVCA convention.
What Dr. Jay is trying to convey to you in today’s Two Minute Drill, is when things are beautiful, when you are doing great things, when you are achieving your goals, take time to celebrate.
One of the most intelligent brightest behavioral scientists, BJ Fogg, talks about the importance of celebrating victories and building great habits. So, every time you build a habit in your practice or your life, celebrate the fact that you have achieved the goal.
Take the time to smell the roses people!
Celebrate the victories and you will not only be happier, but you will build in even more great habits that achieve even greater levels of success.
That’s this week’s TMD. Head over to our Facebook page and let us know what you are celebrating this week.
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.
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.
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
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.
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.
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.
This past weekend was very interesting because we had the end of the Olympics coinciding with two Hall of Fame induction ceremonies, the class of 2020 and the class of 2021. In this week’s Two Minute Drill Dr. Jay is breaking down what ingredients he saw in these athletes that we can use to create our best selves.
What does it look like to be our best selves?
Today’s Two Minute Drill is about creating our best selves inspired by this past weekend where we had the end of the Olympics coinciding with two Hall of Fame induction ceremonies, the class of 2020 and the class of 2021.
We all love watching the athletes, listening to their stories, and getting inspired and motivated by seeing the best in the world do their thing. So what does it take for these athletes to be their best?
It starts with setting a clear goal. Molly Seidel, who won the bronze in the women’s marathon, set a goal in fourth grade to win a gold medal in the Olympics! Ok, she didn’t win the gold but she is the third-best in the world and it was only the third marathon that she has done, EVER.
Ask yourself: Are your goals written down?
Second, make sure you have a great team around you. Charles Woodson said over and over again in his hall of fame induction speech “Without you, I’m not here”. Every single one of those Hall of Famers acknowledged all the people that helped them along the way.
Ask yourself: Are you developing? Have you intentionally built your dream team that aligns with your core values, your mission, your vision, and all of the goals you have for your professional lives and even your personal lives?
Third, all these athletes work hard but also work smart. They are relentless at being their best physical and mental selves. They are students of the game. It was really interesting to watch Molly Seidel run this great race, she ran a smart race. She used the shade to decrease the impact of the heat on her. She also gave it her all. She worked the hardest she could possibly work. During the interview at the end, she said I am so tired. A great and shining example of what it takes to give it literally everything you have.
Ask yourself: Are you working as smart as you can work? Are you working in a way that you can decrease the energy expenditure and get the same and or better result?
The fourth element of the secret sauce is adaptability. All of these athletes, all had new coaches over time. None of them had the same coaches they had at the age of 6 as they did when they were professional athletes. There is new science, new ideas. Sydney McLaughlin, who won gold in the 400m hurdles, hired a new coach and learned how to hurdle leading with both the left and right leg and that changed the game for her. The idea that we can be adaptable during these times is critical.
Ask yourself: How are you refining your skill of adaptability?
The last element of the secret sauce is resilience. Rebecca Andrade, a Brazilian gymnast, had 3 ACL surgeries in the last 4 years and she won the gold medal in the vault. Watching her was truly inspiring. This young lady never gave up and found ways to dig deep so that she could come back to the Olympics after 3 ACL surgeries and win gold. It is one of the best stories of the Olympics.
Ask yourself: What is your opportunity to increase your resiliency skills and how are you building resilience to skills in your dream team?
The secret sauce around being the best we can be is not complex but it is hard. It’s difficult. Remember it’s a journey, not a destination.
All we can do every day is try to be that much better. How can we be 1% better every day? Over time, that 1% better turns us into a different human being.
So, are you setting goals and writing them down? Have you built your dream team? Are you working as hard and smart as you can? Are you maintaining adaptability, growing your skill of adaptability? Are you building resilience and the resilience of your team?
Those are the secret sauce ingredient that Dr. Jay got out of the Olympics and the hall of fame weekend and hope that it helps inspire and motivate you. Don’t forget to share the ingredients to your secret sauce on our Facebook page.