Monthly Archives: May 2012

Want More New Patients? Cover the phones! Tips for a healthy hygiene department

Monday, March 19, 2012

Want More New Patients? Make Sure Those Phones Are Answered During Lunch!:

We surveyed about 100 clients in our database asking this simple question, “Do you answer the phone during lunch hours?” About 15% said they didn’t.

We then sorted the data out. Offices that answered the phone during the lunch hour averaged 20 new patients per full-time Dentist per month. Offices that did not answer the phone during lunch hours averaged 14. Enough said?

Is Your Hygiene Department in a Slump?: In my travels over the Upper Midwest over the years, I’ve often compared the Doctor’s procedures vs. the hygiene procedures as the difference between a Main Menu and a “Bar Menu”. The Dentist often has access to a myriad of different procedures which has its advantages in keeping the schedules full and, more importantly, affecting his/her productivity.

If your hygiene department has a more limited menu (i.e., the “bar menu”), it becomes even more critical that your hygienists are delivering these small-scale services consistently. By small-scale services, we’re talking about laser/periodontal procedures, x-ray coverage, in-office fluoride applications, delivery of site specific antibiotics and cosmetic procedures such as whitening. Make no mistake, a gap in delivery of any of these services can make a big difference with patient care as well as hygiene productivity.

All productive up-to-date hygiene departments have one thing in common: they deliver a wide range of services consistently. 2012 might be an ideal time to schedule a Clinical Policy Summit with your staff about practice protocols specifically for hygiene related services.

A crude but simple way to measure the range and depth of Hygiene related services is “Production per Hygiene Visit.”

Metro Area
5%ile AVG 75% 95%ile
Prod/Hygiene Visit $108 $139 $147 $165
Outstate Area
5%ile AVG 75% 95%ile
Prod/Hygiene Visit $93 $123 $136 $160

Check out your Hygiene Production per patient visit (it’s right there on your “Manager Report”)
Posted by Bill Rossi at 2:45 PM
Labels: Advanced Practice Management, Bill Rossi, hygiene, new patients

What is a Lack of Confluence?

Monday, April 16, 2012

What We Have Here Is a Lack of Confluence: As you know, the outcome you can get for your patient is so often a matter of their choices, not “just” your clinical skills. Put another way, if you could give your patients a magic pill that would have them understand, value and act on Dentistry to the same degree you would, it would do more for them than if you took a magical pill to further enhance your clinical skills.

In every practice there is a gap between what you can do for patients and what they choose to have done. This can lead to frustration, compromised care and tens of thousands of dollars in lost income per year.

It may give you some comfort that you’re not alone. This is common to all health care. Just looking at pharmaceuticals:

According to Reuter’s, 22% of prescriptions are not filled, 28% are first time prescriptions (this was a study based in Massachusetts of 75,000 patients).
From Consumer Reports (2007) in a large study of over 79,000 people, fully 3/4 who got a prescription in the previous 12 months said they had not filled a prescription, skipped a dose, forgot to take a drug or had taken less than the recommended treatment.
Furthermore, 25%–50% of the people with diabetes, high blood pressure and high cholesterol stopped taking the medications as directed within a year.
All of this costs millions and millions of dollars and immeasurable loss to people’s health. In medicine the term they used to use was “patient compliance.” Nowadays, the phrase used is “confluence.”

Once you and your staff really own the fact that patients’ choices are critical to the quality of the care you can deliver, you will automatically start investing more and more of your energy and time into patient communication and other items that will help to positively influence their behavior. This affects your decisions regarding Continuing Ed, the technology you use (buying that intra-oral camera or CAESY for example), and even the staff you choose (obviously you want staff people who convey a positive attitude, communicate well and enthusiastically believe in your/their Dentistry).

There is just as much or more range of services delivered per patients between dental offices as number of patients seen. If you want to produce more, you have to see more people or do more for the people you see. For most of you, doing more for the people you see is the quickest and most satisfying way to growth. That growth gives you the resources (income) you need to further invest in the practice (e.g., practice advertising, website, technology, staff, etc.).

The care should drive the numbers, not the other way around.That is, if you and your staff have “Clinically Calibrated” so you’re in agreement about what criteria calls for the various sorts of treatments (everything from crowns to x-rays), the numbers will move! This approach is the opposite to using “quotas” where the numbers drive the recommendations.

Patient confluence is important but as important is making sure that you and your staff are presenting your best options in the first place. Ironically, more patient care is not delivered because of providers’ fear of rejection than actual patient rejection.

Posted by Bill Rossi at 2:59 PM
Labels: Advanced Practice Management, advertising, Bill Rossi, dental office profitability, Dental Practice Overhead, Staff management, technology, website

Cost Control & Result Control – Part I

April 4, 2011

Bringing Digital Technology To Your Dental Office

According to our 2009 survey, as of this year more than 50% of dentists (54%) now have digital x-rays. Bringing computing to the operatories entails considerable expense. Usually as digital x-rays are added, other technologies are added or upgraded too, such as intra-oral cameras, patient education software, and digital record keeping. Financially speaking, this often comes out to over $12,000 per treatment room.

The pace of bringing digital technology to the operatories is increasing. Many of you will be making these investments over the next three to four years.

Since we have and will have many clients who will be investing over $50,000, $100,000 and up in this technology, I have two main suggestions to get more bang for your buck:

1) Get professional help in specs and get bids for the equipment – “cost control”

2) Commit to additional training so you get “result control”

Intra-oral cameras for example

In business, costs are inevitable. A consistent theme of my advice to clients is that you have to have “result control.” That is, if you buy intra-oral cameras, you want to make sure they’re used. Half of intra-oral cameras are used less than five times per week. Almost every office with intra-oral cameras struggles with getting them to be part of the hygienists’ routine (and the hygiene department is where they can have the greatest benefit in helping the patients understand their problems and value your solutions). Lots of offices have the capability to do chartless record keeping but less than 10% are truly chart free. With this technology in the treatment rooms the hygienist (for example) can post charges, set their next appointment, use the intra-oral camera, enter the treatment plan and use the patient education software. However, usually only two or three out of these five things are routinely done.

Professional help because the devil is in the details

Most dentists have neither the inclination or the time to keep up on computer software and hardware. I have seen many installations where there was no competitive bidding whatsoever. Or, once the equipment was installed it was glitchy… the digital x-rays would go down in one room now and then, the intra-oral cameras wouldn’t work well, there would be server problems, wires and cables in the way, poor monitor placement, etc.

With technology the devil is in the details: video cards, cabling, monitors, monitor position, support, warranties, digital x-ray choices, etc.

There are reputable and competent technology installation firms out there, such as Erickson Technologies 651-452- 6758 and Sunset Dental Technologies 612-326-8693. However, many clients have used the local “computer guy” or just bought the hardware from the software vendor or supply company.

I recommend you check out Ted Takahashi with T2 Consulting 952-891- 5177. Ted does not sell anything and makes no commission or “finder fees” on any technology recommendations. What he does is draw up the specs so you can get competitive apple to apple bids. He knows what works and he’ll help you pick the right stuff. And, furthermore, you’ll be assured that the installation will be truly functional from day one.

Don’t let the suppliers take your business for granted!

Whatever route you take, just remember to focus on both cost and result control! Don’t let the suppliers take your business for granted! There almost always is some bargaining room if you go through a bidding process.

Getting New Patients from the Internet

As I wrote you in my previous bulletin, over the last three years the Internet has come on as a significant source of new patients for dental offices in our area. Just two years ago, fewer than half of area dental practices even had websites (about 70% do now).
In the “old days” of dental advertising, we had the hassles of dealing with decisions regarding which Yellow Pages to be in, Yellow Page ad design and negotiating rates. Or planning direct mail campaigns (demographics, offers, mail lists). Those mediums could be plenty expensive but they weren’t all that complicated to figure out.
Internet marketing is a whole different ball game. It can be less expensive (or not!), but it certainly is more complex. Every day you and I are getting bombarded by pitches for SEO, SEM, and this or that great new Internet marketing scheme. I know that getting new patients is important to you so you better believe that we at APM are keeping our eyes open as to what is working, what is not and what the industry trends are.
You have limited amounts of time, energy and money to spend on advertising (not to mention doing dentistry and keeping your patients and staff happy), so we understand that dealing with the nuances and sorting through the hype of Internet marketing can be overwhelming. I’m hoping these articles will help.
SOUPING UP YOUR INTERNET PRESENCE:
Stage I – Establishing Your Google Places Page & Cleaning Up Directories: When a potential patient searches for a dentist in your area, they are most likely doing a Google search for “dentist in Your City” or “cosmetic dentist in Your City.” Their results will list three to eight dentists’ in the local proximity who best match their search keywords. Clicking on the links for those dentists will take them to their Google Places page, a mini¬website of sorts listing contact information, office hours, photos, driving directions, areas of specialty and most of all credible reviews from actual patients.
An absolutely essential first step is to claim and enhance your Google Places page, complete it with information, photos, videos, if available, and then to collect reviews. Some Doctors have multiple Place Pages, for example, and that does not help you get found and in fact, can hurt you. There is often inaccurate information on these directories. We’ve seen completely wrong phone numbers, old addresses and many long¬established practices that are virtually invisible when you try to find them on the Internet. So the first step is getting your presence in the multiple directories straight. This also includes adding pictures and other content on your “Place Page.” A very important part often is getting patient reviews posted.
Then, we want to submit your practice information to the search engines and directories that are getting traction in your area so that your information is consistent across the board and you have the best chance to be featured in this suggested list of dentists. We correct inaccurate information, eliminate duplicate listings which dilute your presence and help you to establish a consistent and broader footprint across the web. We call this first stage “Cleaning Up The Directories,” a very detailed but absolutely necessary task.
Stage II ¬Website Enhancements: The footwork of “Stage I” will increase your visibility in the local directories and get you impressions, and hopefully clicks through to your website. Then, once they get to your website, it’s a matter of engaging the potential patient and moving them to make an initial contact by e¬mail or phone.
A lot is involved, whole books have been written about this. Best practices for effective websites include having a call¬to-action on the home page, pictures and bios of the doctor(s) and staff, video brochures, patient testimonials, and before and after pictures. This also may include introductory offers such as free or low cost whitening, a low cost complete kid’s check-up, or other type of offer similar to what you would see with direct mail advertising.
Different than the SEO methods that were popular a few years ago to load each page with all of your keywords, effective websites today stratege a purpose for each page and align the keywords, content, tags and descriptive code with that message. This is also an important part of Stage
II.
Stage III – Widen Your Internet Footprint: Once the housekeeping is in order, you can start expanding your presence on the web by adding content and through blogging and social media (Facebook, Twitter) or through paid advertising (such as Google Adwords Express or Pay ¬Per¬Click) and special advertising promotions (Groupon, Living Social). As they say, “Content is King.” With a little organization and persistence, your efforts will pay great dividends in expanding your presence on the Internet and attracting potential patients who are looking for a great dentist!
PUTTING IT ALL TOGETHER:
New directories are constantly coming on to the scene and existing directories update and cross check information sometimes sending bad data around like a virus. Most practices

Kelly Larson
need at least some directory work. And you should be checking your listings periodically to make sure they are still accurate. You may have paid your website company to help you with directories at one point, but it’s been our experience that they are often like bad painters. They’ll throw some stuff together but not really pay attention to the details and therefore, some potential patient traffic is lost. Or, you may be already getting a decent amount of traffic to your website but the website itself needs work. Perhaps it doesn’t really reflect the nature of the office (i.e., it looks too “cookie cutter” or too “Plain Jane”) and doesn’t really give the patient a reason to e¬mail or call you.
The devil is in the details. Just the technical nuances in getting the directories straight, the organization of the website and its pages optimized, pictures uploaded, patient reviews, etc. can be a daunting task. But again, it helps to have your priorities. For example, it doesn’t make sense to have a graphically beautiful website if the directories are haphazard and you get very few impressions. And, it doesn’t make a lot of sense to spend time on Facebook and doing blogs if you don’t have your website in order so that as you get interest, people can learn more about you in such a way that they’ll want to become new patients.
Our clients work with the whole gamut of website providers…everyone from their sister¬in¬law to the big generic companies like Officite and Prosites. It’s been our experience that website providers are happy to take your money each month and not really do much. That’s why we brought Kelly Larson on board. Her job is to “ride herd” over website companies and to keep us and you absolutely up¬to¬date on what is really working in Internet marketing.
I’ve met people with more technical knowledge of HTML programming. I’ve met others who are great graphic designers. I’ve certainly heard from others who are great sales people. I have not yet met anyone who really knows as much as Kelly Larson does in terms of the nitty¬gritty of all this, focused on getting new patients through your door. Whether you are just getting started or already have a sophisticated Internet presence, she can give you a push and help keep you ahead of the competition.

How To Know Your Dental Website Is Making Progress Online?

Advice about choosing a dental seo companyWe know from our work in the field and our large client data base that the internet has become an important source of new patients. (Patient referrals are still the #1 source, followed by signage/visibility/location, advertising and insurance company lists). Like you, almost every week, we hear of a new Internet marketing company or product or scheme. They all promise great results—”Lots of new patients”, “You’ll be first on a Google Search” or “You’ll be on the first page.”, etc. We see that the follow through varies but is often weak.

So, in addition to taking a very measured and research approach to the Internet, we also see our job as helping act as a “filter” to help our clients sort through the various options and avoid spending their money and time on bull. So before you sign up for anything, call! We are not “all knowing” but can help you sort things out.

Which Online Marketing Programs Are Working to Bring In New Patients?

One of the ironies of advertising schemes is that by the time they’ve proven they work for lots of dentists, they no longer work as well because everyone is doing it! So, you do want to be on the edge but you don’t want to be on the bleeding edge.

Google-Analytics-snapshotYour website/SEO people should be able to provide your “Google Analytics”. This is part of the data you can get off of Google Analytics (this is an actual client’s data from the first four months of 2012).

There is much more to this but here’s a sample bit. You can check your Google Analytics over time to see if your number of visits are increasing. This sample shows a pretty good rate of 73% of traffic came in by Search and they’re getting nearly 50 people a month visiting their website from that (decent for that market).

Places Scout® Report Gives Snapshot of Your Local Search Status

We are able to provide (and some SEO people will provide, but not all) a Google “Places Scout” report.  This is a special tool that shows your ranking based on various key words, both in organic search and local search results.

Google-Places-progress-report

For XYZ Dental Office
3/20/12 to 4/30/12

As you can see, the client went from “Not in Results” to #1 in the “7-Pack” for a Google search for the “cosmetic dentist” keyword in their area.  For the “dentist” keyword, they went from #3 to #2.  In local search results, they went from #8 to #1 and from #3 to #2, respectively.  All this is to say that they are moving up in the search order.

What Is The Most Important Online Statistic to Dentists?

Easy, the number of new patients you’re getting per month!  The number of new patients are in your Manager Report (we track Comprehensive Exam New Patients for most of you).  If that number is going up, that’s a good thing, right?!  However, even if they are not up yet, they will be over time if your web presence is improved.

We can help you sort out what really is working and what isn’t.  This will help make sure you get the biggest bang for your buck over the long haul. Ready to give your website presence a push or want to check up on your SEO people?  Just call.