Chiropractic Practice: Practice Rescue Volume 2: Patient Compliance

Chiropractic Practice: Practice Rescue Volume 2: Patient Compliance

*The following is an actual transcript for Chiropractic Practice: Practice Rescue Volume 2: Patient Compliance. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.*

Chiropractic Practice: Practice Rescue Volume 2: Patient Compliance

Hello everybody. And welcome to Thrive in Five I’m Dr. Dennis Perman, and I’ll be your chiropractic coach for today. The series and I’m doing these days is called practice rescue. And the reason I got involved in practice rescue is because so many doctors that I know of are really having a hard time. They’re coming through the post COVID era, not near as effectively as our usual members are. In fact, the analysis I did on our members showed that 86% of our doctors were up 21, over 20, over 20. And most of them are headed forwards, uh, for a, a great 22 as well. So how do they do that? Well, let’s talk about practice rescue. If you look at your practice, there are three places where you might need to rescue. One is in new patients. One is in patient compliance and PVA. One is in office visit average ova and money management.

Today. We’re gonna be concentrating on patient compliance. Now you can easily tell whether your practice needs to be rescued by looking at your PVA, because the number will tell you where you need to intervene in order to make it better. So, for example, if your PVA is 12 or under, that probably means you’re not doing the first PVA skill effectively, your entry procedure and your reporter findings. A good entry procedure has a consultation, history and exam includes some basic concepts that you orient the patient. And then the report of findings is gonna have three, three parts. First, you answer the four questions. Can you help me? What’s wrong with me? How long is this gonna take? And what’s it gonna cost? Then you explain the program of care, your responsibilities in the patient’s responsibilities. And finally, you end with a commitment. If you do those three things, chances are your PVA is higher than 12.

What if your PVA is in the low twenties? Well, that typically means that you need to do a better job educating your patients. It means that they came along for the ride because they came in, you pulled the thorn outta their foot. You gave them some relief, but they left shortly thereafter when they started to feel better. And for that reason, you needed to do a better job, communicating the chiropractic message to them, do a better job, educating the patients. Now, what if the PVA gets up towards about 30 or 35? Well, what that tells us is that you probably did a pretty good job on your report of findings. You covered the three educating your patients on a day to day visit to visit basis. But what you’re probably not doing is a consistent reexamination. You’ll notice that I think in terms of do dozens of visits, a dozen visits means the patient didn’t get a great report of findings.

Two dozen visits means they got an okay report, but they weren’t educated properly. Three dozen visits means they probably got a good report. They probably were educated. Okay, but you did not in, in the way that you would need to. You did not punctuate the care. Every 12 visits to let them know here’s where you were. Here’s where you are. And here’s where you’re headed. Now, when you monitor patients this way, then you keep a close eye on where they are in their program of care. And they feel you. Now, likewise, if the patient has 40 or 45 or 48 visits, the chances are you did a pretty good job with your reporter findings. You did a pretty good job educating them. You did a pretty good job on your re-exam, but you have not recalled people effectively. Cuz the fourth PVA skill is the recall system.

So you can easily learn if your practice needs to be rescued by noticing what your PVA is. If your PVA is 12, you need the first skill, which is your entry procedure. If your PVA is 24, you need the second skill, which is your patient education. Communicating the message. If your PVA is around 36, then you need the third skill, which is your re-exam mini report. And if your PVA is 48 or so, that means that your practice probably doesn’t need to be rescued, but it could probably be enhanced by having a better recall system so that people don’t slip to the cracks and they make up visits when they miss them. This concept of practice rescue is designed so that you can notice anything in your practice that isn’t working as well as it could. And you can use a specific intervention, a specific procedure that you can go ahead and fix it with. If you want more information about this, you know how to get us, you can call. You can call 800-451-4514 or you can email me at We’ll get you to me. And my turnaround time is usually within a day. So if there’s any of this material, that’s not clear, or if you’d like to go farther with it, gimme a call, gimme an email. It’s my pleasure to serve you. This is Dr. Dennis Perman signing off of The Masters Circle Global and Thrive in Five.


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