5 Steps To A Successful Dental Practice
5 Steps To A Successful Dental Practice
5 Steps To A Successful Dental Practice
Tricia Casasanta
Content Page Number
Introduction 3
Conclusion 20
Does any of this sound remotely familiar? If so, then you are not alone. In school, dentists learn how to be
dentists, and not small business owners. However, when they graduate and start practicing, many of them
find themselves being just that. You don’t know what you don’t know, and THAT is where our knowledge and
experience can help you.
Our SparkPlug Dental Practice Management System™ is a unique approach that walks you through a series of
steps designed to create a system for running and growing your dental practice.
Dr. Robertson, contacted SPS June of 2012. He was frustrated with his practice and felt as if
the entire practice fell on his shoulders. He looked tired and shared his fears of getting older
and not being able to keep up the pace, not being able to take a vacation because most of the
revenue generated was from his schedule and concerns of his retirement. When asked why he
was feeling this way, he was not able to validate it with concrete facts. This is something we find
a lot with dental practice owners. Each owner gauges how the practice is doing by a specific
item they are watching; such as collections as it compares to the previous year, openings in
the schedule, or monthly production. While this can prove helpful, it does not help the dentist/
owner identify why they are not growing each year and often places the practice in a vulnerable
state if negative trends are not identified early and turned around.
SPS conducted a free practice analysis to identify the pulse of the practice. Within a few weeks,
we were able to quickly validate his feelings. In addition, we provided him with the reasons and
solutions to quickly turn things around. In our evaluation the practice had quite a few hidden
potentials posted below; placing focus on these areas would generate substantial amount of
revenue without any additional marketing efforts or work hours from Dr. Robertson.
Dr. Robertson’s hygiene department was underperforming and just breaking even.
The practice was growing; however, this was masked by the fact the dental facility could not
accommodate additional hygiene appointments. The schedule was full and Dr. Robertson did
not realize he had a ton of patients in the recall system that could not get appointments.
The practice’s business team was understaffed.
Case acceptance was below 25%, we usually like to see case acceptance for small cases at
80%, medium size cases at 65%, and large size cases at 40%.
Dr. Robertson, decided to try and work on these areas with the assistance of his office
manager. It was not till October of 2013 that SPS was contacted by Dr. Robertson to engage in
a Comprehensive Practice Analysis, some coaching services and Revenue Directed Hygiene
training. His wishes were to approach this slowly so that he could adjust as the practice changes.
With a conservative approach the practice went from an annual production of $800,000 to
$1,200,000 within one year. The practice had so many areas of hidden potential that we were
able to leverage a few to accomplish these results.
It is only by taking time to work ON the practice and truly evaluate the practice, that you can become less
reactive and more proactive. In our research and experience we have found most dental practices are run
reactively verses proactively. A reactively run practice runs pretty much status quo and only addresses issues
as they appear or put out fires as they occur. Sometimes an idea will pop up, such as how to generate new
patients, only to slowly disappear due to lack of planning and execution.
A proactively run practice is one that is action and result oriented in behavior instead of waiting for things to
happen and then reacting to them. Proactive behavior aims to identify and explore opportunities and taking
preemptive action against potential problems and threats, whereas reactive behavior focuses on fighting a fire
or solving a problem after it occurs.
It only makes sense to become an office that is proactive, right? Yet we find more and more dental practices are
reactive and dentists usually seek out help only when they absolutely have to or they are just frustrated enough
where they can no longer go it alone.
In this eBook we will go over a five step process that all proactive offices follow providing you with some
actionable items to explore and implement today or to entrust SPS to assist you with.
The benefits of a systematic approach to dental practice management provides the management
team the ability to:
Get out of the day-to-day and see the big picture
Approach your dental practice logically, practically and systematically
Assemble and develop a team that is fully engaged and cares as much as you do
Implement clear processes that everyone can understand and follow
Spot an ideal patient
Better understand what differentiates your practice
Become proactive vs. reactive
You will gain a better understanding of your practice’s current state and how to measure it against industry
standards. The dental industry is seeing new technologies and new techniques introduced at an ever increasing
rate. With the goal of increasing the practice’s performance, the roadmap will have specific recommendations to
assist you in implementing these new technologies and techniques to help you to achieve your revenue, reporting
and performance goals.
This phase will identify and prioritize the procedures to maximize your practice’s success. The analysis process is a
very detailed and specific protocol typically lasting 25-30 business days. The 5 main steps of a practice analysis are:
Financial Impact
Part of the process is to determine the financial impact the underperformance situation is having on your
organization. It is very important to assign a monetary value to any areas that are underperforming so that
we can balance the cost of living with it with the cost of correcting it. Also, the financial (and sometimes, non-
financial) impact will assist you in establishing an idea of how much money to spend on correcting the situation.
Leadership Analysis
There are many leadership skills and competencies that, when combined and applied, go toward making an
effective leader. It is one thing to have a successful and smooth running office, it is entirely another thing when
this happens consistently. Profitable offices have a common denominator, a leader who has developed each of
these skills and competencies.
The Comprehensive Practice Analysis requires each team member to complete a confidential leadership
questionnaire on their perception of the leadership’s team ability to inform, provide feedback, and enforce
policy and procedures to educate and motivate the team. All the responses are evaluated to provide the
leadership team will a score anywhere from 18 to 90 points. 90 points being the maximum amount obtainable.
As you are aware, one can never be too good at leadership or too experienced so the evaluations are intended
to provide informative feedback on the areas the leadership team is excelling at and provide insight into areas
that could be improved upon.
Figure 1
Recommendations
• Once we have proven the hidden potential and the areas that are underperforming, we make specific
recommendations to resolve specific causes. In other words, we make recommendations to correct each
thing that contributes to the performance situation/problem. In this manner we can ensure that the
solutions have the greatest likelihood of providing a real solution, with measurable results, sustainable over time.
• The work we are suggesting in this proposal takes you up to, and through this part of the process. Once you
have the recommendations, you are free to implement our recommendations yourself, contract Strategic
Practice Solutions LLC to do portion or all of the implementation, find another resource, or to live with the
situations cited. The choice is entirely yours.
As you can see in chart 2.2, it takes an extreme amount of time and energy to invest in team member #1 whose
knowledge, capacity and motivation to perform their duties are low versus team member #3 who has very high
levels of knowledge, capacity and motivation. Team member #3 will contribute a lot to the practice and will
be eager to learn more skills to perform their job even better. On the flip side they will expect the practice to
perform all 3 of the Organizational Components discussed to keep them motivated and a long term employee.
If you were to study the most successful organizations such as Google, Walmart and Home Depot, what do you
think you would find as the common key to their success? They follow the Performance Improvement Model
and they are strategic in the manner they hire people to join their TEAMS. These organizations hire tough. Hiring
tough means they take the necessary time and resource to find the very best person for the “open” position.
They follow a hiring system. This system ensures they are hiring someone that not only has the skills to do the
job, but just as important, that person has an intense desire to be the very best at their job. As you have just
uncovered or probably already were aware of, you have the choice to hire tough and manage easy or hire easy
and manage tough.
I believe we can agree that if you want your practice to be the best, you simply cannot be an outstanding
practice with average to below average team members. The only way you can become an outstanding practice
is to have outstanding people join your team or train your people to have the skills to help them become
outstanding. If hiring is one the most important things you do, it should be the most thorough activity that you
engage in and it needs to follow a system.
Selecting the right employee can be a challenge. Developing a winning team takes time and strategy, it does not
happen overnight and without a hiring system [ refer to chart 2.3] that is strategic to locate the talent you are in
search of to become the most successful practice you can possibly be. One that would:
Increases profitability
Increase patient referrals
Reduces your liability
Increase your willingness to delegate projects
Foster a culture for ingenuity
Increased collaboration amongst the team
Qualify Candidates Assess Candidate Use Behavioral Style Reference Background Working Interview-
based on Profile Preparedness Interview Questions Checking Checks If possible
Now you have a GREAT team in place. They are all very knowledgeable, capable and motivated. You have
provided them with the expectations you are looking for them to deliver. So you should have your best year
EVER… right? Almost! You now need to be able to monitor their performance, as we discussed in Step 2, and
provide further professional development. Remember, we can only perform to the level of our knowledge.
Many practice owners invest in technology due to the benefits towards patients and the practice. “[Refer to Step
4 of the SparkPlug Dental Practice Management System]. They attend training to improve their technical skills.
Yet, they are unaware of the lost revenue walking out their door every day. There is no system to attract, convert,
follow up and track treatment presented to patients. They are unaware of how many new patient inquiry calls
actually schedule and show up for an appointment. The team has not received formalized training to learn of
a system where they are viewed as a patient advocate and take a patient through a process where the patient
realizes they have a dental need(s), the urgency to take care of it, and are involved in finding a solution that best
meets their needs.
Practice owners and/or office managers need to always be aware of how the practice is trending in order to
make any necessary adjustments in the event the practice is trending negative.
CASE STUDY:
Dr. Frank could never get into the habit of reviewing the practice dashboard to see if the practice
was on course to meet/exceed/fall short of the current month’s goal. Dr. Frank just did not have
the time. It was important for him to know the status of the practice for he would always begin
to worry if a day suddenly fell apart or if there were “openings” in the schedule. This caused him
to come down “hard” on the team – demotivating them. We created a daily huddle worksheet
customized specifically for Dr. Frank. The worksheet included a business section where every
morning his Business Team Specialist informed him not only of the practice’s MTD stats in
relation to the set goal, but also how his previous day closed and how the current day was
trending. The daily huddle worksheet also provides the BTS with vital information on where to
focus the team on to meet/ exceed the daily goal. SPS approaches each client uniquely and
customizes reports and business systems to meet the practice’s and owner’s needs.
What exactly are the procedures and policies put in place to perform job functions? Once we have evaluated, we
will recommend ways to improve your procedures and give you the tools you need to monitor performance.
An example is Dr. Smith’s practice; she had two people in charge of recall. As we evaluated their
recall efforts we noticed the following:
The client’s recall process could be improved upon by adding three different types of messages
in the event voicemail messages needed to be left, and each message had to be executed
within a specific time frame.
We changed the dates / times when recall attempts were being made to Wednesday 4:00pm –
9:00pm, Friday from 9:00am -2:00pm and Saturday from 9:00am -1:00pm.
The two team members had a difficult time overcoming stalls such as “I need to check my
schedule”, “I will call you back”, or “I cannot afford it now”. We taught them the verbiage to
address the stalls and noticed their confidence increase as they were getting favorable results
from the new verbiage.
Developed a tracking system the two team members completed to monitor their recall efforts
and to discuss with their Manager at their monthly team meetings.
In the event you require assistance, SPS can While processes can be changed if they prove to
review the departments you are wishing to have be unsuccessful, they should not change from day
analyzed, make recommendations to improve your to day. Also, when they are changed, the change(s)
procedures, and provide coaching on an as need should be clearly communicated and, if necessary,
basis. We will suggest ways to improve your business training should be provided.
team and clinical team; as well as, everything in the It is important to remember here that nothing lasting
middle. Very similar to the recommendations we can be built in a day. In order to create business
made to Dr. Smith’s recall process. procedures that work, you have to dedicate time
Just how every practice is unique, every segment of and perseverance. It is important, though, that you
a business is unique. In order to be successful, you do take the time to accomplish this because without
have to set standards for every area individually. it, your employees will be dissatisfied because they
Once all business and monitoring systems are in are unsure how to do their jobs or what you expect
place, consistency is key! As a leader, you need of them. This will then translate into a poorly run
to be consistent in the goals and expectations business that is a turn off for customers.
you have set for each department. If you set In order to help you create systems that will work
requirements for your receptionist to always call for you, one of the things we do is talk to your staff
patients 2 days before an appointment in order confidentially. What do they think is run properly
to remind them of their appointment, you cannot and what could be improved? If they have a problem
get upset when a patient complains that he or she with their job, what is it? After interviewing each team
would prefer the reminder to be 24 hours before the member, we will present to you the general patterns
appointment. brought out into the open by the team so we can
identify areas they would like to see improvements to.
Intraoral Cameras Diagnodent Additional tools that might help you include patient
appointment and records software along with
Lasers Paperless Technology marketing software.
Electric Hand Pieces Dental Software By bringing your practice into the present or even
These are just examples. Just because technology the future, you make a business that not only runs
helps does not mean that you should run out and smoothly, it is a place patients trust and want to go
spend a million dollars in advanced technology. We for dental services.
With Strategic Practice Solution’s SparkPlug Remember that all it takes is letting us walk you
Dental Practice Management System, we can help through five steps.
you perform this audit and take the steps to start We will take the pulse of your business.
growing your business.
We will help you build a team that is as passionate
We have been helping dentists in the area for 20 about your practice as you are and who knows how
years, and in this time we have developed a lot of to get the job done and consistently works hard to
insight into the world of dentistry. Our experience accomplish it.
can help you accomplish your business goals.
We will create a plan to incorporate useful business
As we learn how your business works and where systems.
it needs to be improved, we will create plans and
We will determine where you can use technology
train staff that will get you back on your feet. We
and show you places you can implement it.
cannot do all the work, though. You have to want
to improve and be willing to work in order to do so. We will work with you to improve your marketing
plan in order to help you find and attract new
Our business depends on your success. That is why
patients while keeping your current ones.
we are selective of the clients we work with. If you
love dentistry and are fully committed to growing Your practice depends on every process, worker, and
your practice into a top-notch patient experience, department. If any one of these is falling short of the
then we want to help. The fact that we cannot mark, then your whole practice will suffer. In order to
succeed unless we help you succeed also means truly improve, you have to look at every area of your
that you can count on us to put our full effort into business.
helping you just like we have helped all of our With us by your side, you will quickly get your
other clients. business back to where you want it to be.
Dr. Capaldo purchased a 2nd practice approximately two years ago and hired an associate to
help run the practice. Dr. Capaldo hired a practice consultant after the first year of purchase
to help grow the practice. During the introduction of the practice consultant a new office
manager was hired to join the team. In a matter of one year, the practice went from a monthly
ROI of $20,000 to a -$17,000. Dr. Capaldo was informed by the practice consultant that it was
the economy and would only be short lived. Dr. Capaldo was nervous about switching out
practice consultants, but was at a point where he had to put money into the practice to make
payroll and knew he needed to do something. He finally entrusted SPS to get the job done.
We conducted an audit of the practice and quickly identified the problem as simple as the
associate’s adjustments were being posted under Dr. Capaldo’s name causing the practice
to overpay the Associate. We also identified the hygiene department was underperforming
and case acceptance was 25%. We quickly adjusted the payroll issue, provided sales training,
implemented the Revenue Directed Hygiene training, and set up a recall system. In a matter of 6
months the practice went from an ROI of ($72,000) to an ROI of $64,000.
Visit
http://strategicpracticesolution.com
or call 888.421.1808 to request your free Dental Practice Assessment today!