HR 101

“We must recognize that each one of our employees comes to us with a unique personality and a backlog of experiences that will influence the way they work.”
My experience at Sam’s Club plays a large role in my choices as a physical therapist. Sam Walton was still alive during my first years working for the company. There were some major rules that we had to follow as employees of Sam’s Club. The first rule is the 10 foot rule. This means that any time that I come within 10 feet of a Sam’s Club member I must make eye contact and acknowledge that person. It seems so simple to just give a hello, but we all know that customer service is lacking in many companies. Customer service is the reason we are doing what we are doing. Without the customer we have no income. In healthcare, we can substitute the word customer with the word patient. Without the patient I have no income. I need to ensure that that patient is well taken care of, and that starts just by acknowledging that the patient is a person. Other things that I learned from Sam’s Club is that hard work is rewarded. I was given many merit raises during my first three years at the store. In 2003 I was the best employee out of the 200 employees. This is not subjective on my part, but I was awarded with the employee of the year award. At that time I knew I had to quit. This is another thing that I learned about myself while working at Sam’s Club. I have a drive to improve and to consistently and constantly get better. Once I have reached the top of a certain position, then it is time for me to try new things and strive to be the best. 
“… More than 30,000 physical therapy jobs that will go unfilled in 2016, it is difficult to understand why a practice owner wouldn’t make the effort to appropriately care for their therapist.”
It is easier to take care of the good people that you have working for you than to find a good person In the sea of applicants to a business.  
“Daniel Pink, In his wonderful book, Drive: the surprising truth about what motivates us, point out that people want to believe they are contributing to something meaningful.”
When I worked for Sam’s Club, we had a core group of people that we would go to bat for. We worked hard in order to make up for any shortcomings of the people that were around us. When everybody is pulling in the same direction, great things can be done. I believe that. At the time I worked at Sam’s Club we were doing great things. I currently work with a group of people at small community-based hospital in which we all have our niches. We are all really good at our specific specialties and it is fun to be a part of this team. We don’t have the newest equipment, but we are all share a passion for patient care. It is demonstrated in both our outcomes and our patient satisfaction. We are playing our part in the changes that are occurring in healthcare, which emphasize patient outcomes and improving overall health status.
“Creating strong company values, and a clear mission statement, are necessary to motivate and engage staff. Period. More than 70% of all employees were disengaged at work. Disengaged employees tend to create drama… And subtly communicate their unhappiness to patients.”
This correlates with the old saying idle time will provide for the devils handiwork. If we have something to do and are passionate about doing that activity, we will provide customer service. We have to be engaged more with our patients than with our cell phones or Facebook. 
” Pink suggest that most people are innately motivated by autonomy. Essentially his philosophy is that we should hire good people and let them do their job.”
I love this quote! The problem though is that not all companies hire good people. When you surround yourself with people who are going the extra mile, they push you to go the extra mile. I would much rather play on a team with scrappers, then play on a team with a bunch of superstars. My job is to make my teammate better and their job is to make me better, in the end the patients get better because of the team.
“Too often we repetitively train, and retrain, an employee who is falling short rather than letting them go in order to preserve the overall atmosphere within the clinic. As difficult as it is to terminate an employee, we must put the needs of the whole clinic above the negative behavior of one person.”
This couldn’t be said any more clearer. Politics unfortunately cloud judgment. Legalities cloud judgment. Dave Ramsey has said it many times over if I wouldn’t re-hire that person, then that person should no longer work here.
Excerpts from:

Stamp K. HR 101: The art of managing people. IMPACT. Aug 2016:29-30. 

HOT DOG…GET YOUR HOT DOG! Health care sales

Hot Dog!…Get your hot dog!

 

This article highlights how we, as healthcare professionals, are salespeople. Some points I don’t agree with and others I would take a step further. Enjoy!

 

  1. “Be patient: ‘the purpose of a pitch…is to offer something so compelling that it begins a conversation, brings the other person in as a participant, and eventually arrives at an outcome that appeals to both of you’.”

 

I reminisce about my few marketing experiences that have produced major referrals. In one instance, I (there were three of us, but I did a majority of the talking) was sitting in front of a medical group (around 12 physicians) and just gave my pitch. It was great! Those that know me, know that I can be verbose and a salesperson…especially when it comes to back pain. It just so happens that it was my opportunity to tout our clinics greatness when it comes to treating back pain. I was writing checks that my a$$ couldn’t cash at the time, but in the end it worked out so well that we have more patients than we can handle.

 

  1. “Be present: Be in the moment in your encounter”

 

This holds true for every encounter throughout the day. This doesn’t apply just to “the sell”. My patients can tell when I was up late writing…like tonight. I just don’t have the same sharpness that I normally do. I try to be in the moment as much as possible and do my best to clear my head during the workday by taking a nature walk in the short time I have for swallowing my meal. Do what you have to do to make the person in front of you feel like the only person alive.

 

  1. “Be prepared: Physicians are just like everyone else, and they typically love to discuss things like football, golf, and pop culture.”

 

Look…I disagree with this to my very heart. If I have to learn about how Taylor Swift broke up with her latest boyfriend…(this statement seems to be timeless throughout the years)…in order to have a conversation, then I consider myself a failure. If I can’t make my topic of interest so compelling that I lose the physicians interest, then I need to work on my knowledge or performance of my knowledge. I go a little different direction with be prepared. Know so much about your topic that the other person actually learns something that can be helpful to your audience. If I provide a physician with information that can help his patients…I have physicians now call my personal cell phone for a quick phone consult…then I will have done a good enough job to have that physician’s trust to send me patients.

 

  1. “Ask questions” Referring to personal questions.

 

I don’t look to this as selling, instead this is simply “not being a douche”. I know as much about my referrals as they want me to know. I don’t pry, but I don’t shy away from a “normal” conversation either. Be real…be you…and if you are a douche…act like someone else.

 

  1. “Be cool: …this is a way to show off your bedside manner”

Again see number 4. I thought that this point was redundant.

 

  1. “Be punctual: Which really means, be early.”

 

Again, this goes back to not being a douche. If someone takes the time out of his/her day to meet with you, in order to further your agenda, at least be respectful of his/her time. I’ve heard that in the military if you are 10 minutes early, then you are late…but if you are 15 minutes early, you are on time. Take this to heart.

 

  1. “Be human: Give them a chance to highlight their accomplishments or current work they are doing.”

 

I don’t know how much I agree with this, especially for the first encounter. I would be just as happy to say hello…My name is movementthinker and here’s my card. If there is anything that I can do to assist you with a problem or if you have a patient that has tried everything else…give me 3-5 visits to prove myself. Wow them!

 

  1. “Be awesome: …always point out the things that you have that no one else has”

 

I think that this is a very superficial definition of awesome. Writ a check that you will difficulty cashing! Make statements that you will have trouble backing up. Push yourself to be better by putting pressure on yourself to get better.   You had better live up to the hype though. If you can’t cash the check…don’t bother even having the discussion. As a matter of fact, if you can’t cash the check…go listen to the following:

Entreleadership, Spartan up, PT insiders, the Tim Ferriss podcast.

 

  1. “ Do your homework: Find out where they went to school, where they did their residency, and most importantly what their Starbucks preference is”

 

This is infuriating! Drug reps sell drugs to physicians, but really they are just the closer. The commercials pitched the entire game and the lunches, “business trips” and other perks are acting as the Mariano Rivera of drug sales. I would rather find a good starter and have them pitch the entire game. When I need a closer, I will look into it. Give me a Nolan Ryan over Kid K. I will be advertising…no…selling to the patients. They are the ones that make the health care decisions, because as time moves on…they will be the ones paying out of pocket. I will give value.

 

  1. “The most important ingredient we put into any relationship is not what we say or what we do, but what we are.” Taken from Stephen Covey.

 

I have had many conversations with private practice owners and this seems to be the overarching message. Provide good care, be a good person and allow the patients to see that. The attitude of “if you build it, they will come” no longer applies in healthcare. I take pride in the fact that patient’s refer me friends and families, I will take my attitude towards providing service to whatever avenue life brings.

 

Quotes taken from:

 

Lee A. Top Ten Tips: Selling strategies for the nonsalesperson physical therapist. IMPACT. April 2016: 63-64.

The age old question (for healthcare providers at least)

The age old question

 

How do we get patients in the door? Many therapists, especially the mom and pop clinics, struggle with this question. Some physicians are spoken for by specific companies, which makes getting a referral from the physician difficult. Some insurance companies are making it difficult to see a physical therapist of choice, at least without you paying $$$$ out of pocket. So how do we get patients?

 

  1. “…marketing to physicians-would not provide the expected revenue stream. Instead, a direct-to-consumer marketing strategy was needed and needed fast!”

 

Why does it take so long for PT’s to catch on to this concept? I have heard it all my career; “patient’s need a referral in order to come to therapy, so we should market to physicians.” There’s a great documentary done by a fellow meathead called “Prescription Thugs”. Drug companies realize that if they can sell their drugs to the patients, that the patients will go to their respective physician and ask for the prescription. The question is where do we want to spend our marketing dollars or time? I have seen over and over again, the physical therapists takes coffee to the physician and tries to grab the physicians ear for a couple of minutes. THIS WILL NOT WORK! Think about it. When you go to the physician, how much time do you actually see the doctor? What…5 minutes…maybe 10 max? How much time do you think that the doctor has to offer you…for free? Not much. With that said, there are some companies that have doctors ears. I will let you make the conclusion about how they are able to get into the doctors ears for 5 minutes.

I think that a good t.v. commercial would look like this…dream with me.  A father picking up his child and having a big red throbbing circle radiating from his back.  Black screen. A mother breast-feeding her daughter and a big red throbbing circle radiating from her neck. Black screen. A weekend warrior doing pull-ups with a red circle radiating from the shoulder.  A different weekend warrior playing basketball with the circle from the knee.  Black screen.  DO YOU HAVE ANY OF THESE SYMPTOMS?  Go talk to your doctor and then see movementthinker.org.

My biggest referral source is previous patients. I have so many patients requesting me at this point that I am unable to satisfy the need in a 40-hour work week. There are many private practices that would kill to have this problem. I see this as a major problem though because I stand for very personalized care to each patient and if I can’t get the patient in the door…it’s not very personalized.

 

  1. “1. Clearly define the customer”

 

Who is my customer? Anyone that I come in contact with knows about my blog. Everyone is my customer. This is where you define your elevator pitch. What do you do? I can tell you what I do. I offer specialized care in which I take the puzzle that is your problem and break it down into smaller pieces that you can understand and teach you how to aide in not only fixing yourself, but preventing your problem from returning. I am a teacher, disguised as a physical therapist. My customer is anyone that has a problem…puzzle…that revolves around movement based pain or limitations.

 

  1. “2. answer the question, ‘Why should the consumer come to our clinic specifically and pay cash at our practice”’

 

I will give you value. Within a short number of visits I will teach you about your problem. I will guide you and teach you how to fix your problem. I will educate you on why this may have started and how to keep it from coming back again. I will ensure that you understand the basics of human movement. I will guide you to resources that you can read if you want to learn more than you can in a short number of sessions. I will tell you if therapy will help you. I will tell you if you are more likely to respond to surgery than to therapy.

 

Not only that, but I will do this in a short number of sessions in order to save you money in the process. It would be cheaper for you to pay out of pocket to see me than to go through your insurance company. I will give you value.

 

  1. “3. Determine how to effectively reach that target market”

 

You’re reading the first way that I am answering this question. I just realized that I have reached over 900 “visits” over the previous 4 months. Officially, this blog now reaches more people than I can care for in the clinic. This is my start of marketing myself and my knowledge to others. Whether you choose to come see me or not, you will be better after having read the blog.

 

Quotes from:

 

Clinton SC. OVERCOMING MARKETING OBSTACLES: A cash-based practice perspective. IMPACT. April 2016: 52-56.

 

 

Predator or prey?

 

Predator or prey?

 

We are being sold to every day. Credit card adverts in the mail. Spam email. Donations requests that tear at our heart strings. Drug companies listing off symptoms until you notice that they are talking about you. We are always being asked to open our wallets. My turn to ask.

 

  1. “Awareness: Before all else, the target of your sales efforts must know you exist.”

 

We are all in sales. If you don’t think that you are in sales, you are an employee, not an owner. Please see my previous post about taking ownership. Once you realize that you are selling, you have to understand what you are selling. When you understand what you are selling, then you must figure out who would buy/use/partake in your product or wares. Regarding PT, I am always selling myself. I used to think that if I was good enough, that people would find me. Boy was I full of shit! Word of mouth is great, but my words are my best marketing tool. If you hear me speak…hear my passion…hear my attitude towards mechanical pain…you would want me to treat you. I have to go out and take your ear, otherwise I am not selling…just hoping.

 

  1. “Engagement: Once they are aware, you must engage their interest or be forgotten.”

 

I met many people throughout my career that didn’t know that I was a therapist…and still don’t. Previously, I did a poor job of awareness, but now I engage…and do I! If you see me on the street, walk away! I will talk your ear off about your pain or symptoms. I will go so far as to offer to treat you for free sometimes just because I get a thrill from solving the puzzle that is your pain. Many people have come to my home to be treated…none paid of course, as that would be unethical/illegal in the state of Illinois. The home of the unbalanced budget, high taxes, inept politicians, Governors that call prison home…but I can’t charge for my services without a referral from a physician. Huff…Huff…Huff. I digress.

 

  1. “Education: Once they are engage, you have the opportunity to share your value through education”

 

Look, I don’t have cable. I don’t have Dish, Comcast, U-verse. I admit it…I don’t have t.v. I do have Netflix and Hulu and Youtube. I love that I can watch what I want, when I want. It just so happens that I have an addition to crab fishing, weightlifting /crossfit and documentaries. I can’t watch these in marathon format on t.v. What I am saying is that I have money that I spend wisely, only on things that will benefit my life. Once I have your ear, I will educate you to the point that you will understand how I could benefit your life. Even if I can’t solve your puzzle…I will at least educate you to such an extent that you will understand why I can’t fix you (or help you fix yourself) and I will refer you to the best person that I think will be able to give you a better opinion or fix.

 

  1. Conversion: Once they are educated, you can comfortably make “the ask”, converting the sale”

 

I don’t like this saying as much. By the time I get to step 4, I shouldn’t have to make the ask. I picture the guy at the baseball game…you’ve seen him. HOT DOG…GET YOUR HOT DOG HERE! I only have to let you know that I have a hot dog…and you should want it. (Pun intended). By the time I get to this step, you should be seeking me out, I shouldn’t have to seek you out. If you don’t seek me out, then I feel that I have failed at steps one through three.

 

  1. “Amplification: Once you have made the sale, you can now amplify sales through new relationships.”

 

I will be a blood sucker. I will hound you to tell the whole world. I take that back…profess to the entire world how great I am! Just joking. I will ask though that if you know someone that could benefit from my services that you simply give them my number.

 

Give me their ears and I will take their money…sorry…make them better.

 

Quotes taken from:

 

Quatre T. Marketing Strategies: Five-Step sales for Physical Therapists Who Hate Selling. IMPACT. April 2016:12-13.