As an orthodontist who is running a practice, you are a business
owner - an entrepreneur. You can't ever forget you wear that
hat, and are therefore subject to one of the most fundamental
principles of profitable business: You have to make the right
investments and stay away from the wrong investments.
Everyone who owns a business can look back at investment
mistakes they've made. Not a day goes by that I'm not grateful for
my mistakes. I hope you treat them the same way because mistakes
are the ultimate learning opportunity. Unfortunately, most
people resent mistakes, which keep them from taking risks and
trying new things. Mistakes sometimes hold orthodontists back
from growing the business.
I've compiled a list of 11 investments you should make next year.
These are safe, conservative and will keep you out of trouble. But
you've got to engage with them and get your head fully in the practice-
building game. If you don't, you'll suffer some consequences.
As a backdrop for these 11 investments, I want to share two
business "laws" that form a sort of global strategy for making
sound business decisions.
Drucker's Law
Peter Drucker was a well-known management consultant who
worked with large corporations, and wrote two very famous
books. Drucker's Law states: "The business enterprise has two,
and only two basic functions - marketing and innovation. All the
rest are costs."
Ask yourself this question: "How much of my personal time
do I actually spend on developing, marketing, improving my
marketing reach and/or my effectiveness, and creating improvements
and innovations in my business?" The majority of orthodontists
spend the vast majority of their own time delivering the
service. And yet, the delivery of services is not a marketing function,
nor is it an innovation. Drucker would tell you you're spending
too much of your time on cost functions.
No question about it, this is a huge paradigm shift for almost
all doctors. You have to completely revamp your perspective on
what's really important to the financial health of your practice.
Cost functions drive up overhead. You must spend more of your
time on marketing and innovation so you can realize the big
increases in revenue and profits. This will allow you to keep delivering
your services without being overtaken by expenses!
Pilzer's Law
Paul Zane Pilzer is a highly respected American economist.
He has served as advisor to two presidents, founded six companies
and has written nine books - one of them on amassing unlimited
wealth. Pilzer's Law states: "Wealth continually grows from multiplying
existing resources using existing technologies."
To apply Pilzer's Law, "multiply existing resources using existing
technologies," you have to think more critically about everything
you already have: your existing practice, existing patient
base, existing staff, existing equipment, existing location, existing
market, existing marketing strategies, everything. Then, make
them all better.
Many of the opportunities to improve what you already have
are what I call "low-hanging fruit." That is, they're easy to reach,
easy to change and improve. It's most lucrative to maximize what
you already have before you invest in something else. It's also
faster and cheaper to impact what you already have than it is to
come up with never-done-before innovations.
With these two laws in mind, here are 11 investments you
should make next year.
1. Invest in New Talent
Be on the lookout for talented people all the time, everywhere
you go! Be aware, talk to people who impress you, no matter
where you meet them - patients, waitresses, flight attendants,
grocery-store clerks, people who work at all the places you
patronize. Identify talented people, talk to them about your practice.
Gauge their level of interest in a new opportunity. Then create
great opportunities for them to work in your practice. A
talented person looking for a great new opportunity who can
come into your practice and have an impact is a win-win for both
of you.
Equally important to looking for new talent is not letting
under-performers remain in your practice. You must decide
quickly if a newly hired person can bring value to your practice.
Adopt a 30-day policy. When I hire new people they have to pay
for themselves within the first 30 days. Depending on the position
sometimes a person can actually produce that in revenue. If
they're not in a revenue-producing position they have to bring
enough value to our company in the first 30 days to equal what
we paid them.
2. Invest in Your Facilities
Your facilities include the building, the walls and everything
within your office space that makes it look the way it does.
Unless interior design is a hobby, you probably no longer even
notice what your office looks like. You've become oblivious to it.
Your patients, however, are very aware of how it looks. They pay
attention even when you don't. Are the desks and counters cluttered?
The corners dirty? The décor ragged? Even if everything
looks fairly decent, has it looked the same for the last five years?
An untidy, outdated or dirty office is an extremely negative
reflection on you. Organized, comfortable, appealing surroundings
speak to the standard of excellence you set, which can be
extrapolated to the quality of your practice. And while you don't
need to completely remodel too often, you should regularly
invest in a fresh coat of paint in contemporary colors, new lighting new furniture and fabrics, a fancy new door, new carpet.
And even more often, change the flowers, the wall art, and for
crying out loud, change the magazines!
3. Invest in Signage for Your Practice
I realize not everyone can apply this investment advice at the
high end, but you can probably make some improvement. Best
case, you should buy the largest, most eye-catching sign you can
possibly get!
Just as you cease to notice how your facilities look through the
eyes of others, potential patients stop noticing a small sign or one
that hasn't changed in years. It just becomes an invisible part of
the landscape. They not only don't pay attention to it anymore,
they don't even remember it's there. That's why you just have to
invest in a new sign every so often.
The cost of signage varies greatly, but you have to consider the
return on your signage investment. There's something engaging
and memorable about a sign that's odd shaped or flashing a message.
A typical pole sign with LED lighting ranges from $15,000
to $80,000 or more. One of my clients actually tracked his new,
big, flashy sign with a call tracking phone number and said he got
10 new patients from it in the first month.
4. Invest in Training Your Staff
Your employees don't spend their days off taking self-study
courses on how to be better, more productive employees, or
learning how to improve your profitability. So, you need to take
the initiative to get your staff trained and to create a culture of
continuous improvement. If your employees don't seem committed
to their work or to improving business results, it's up to you
to change that culture. Set different expectations and make sure
your staff is trained to perform differently.
Really successful offices hold a training day once a month.
Their culture is one of "We learn, we grow, we change." They also
often rely on outside resources that are far more skilled at training
than the doctors themselves. That's how they ensure their
investment in training is lucrative - by making sure it's getting
done right.
5. Invest in Your Own Fitness
Your personal health might not seem as relevant to growing
your business as investments made more directly into the business,
but it is. But your health, your energy level and your
longevity play a huge role in your business and relationship success.
Undeniably, when people feel better about themselves, they
have more confidence, which improves attitudes and behaviors,
which translates into greater personal satisfaction and better business
results. Start by getting a physical, getting your "baselines"
such as body mass index (percentage of body fat), and what tests
you should have done based on your age. And if you're not already
doing it, start a fitness routine.
6. Invest in Cash
Like most people in America, most orthodontists are undersaving
and under-earning. This strategy will ensure you increase
your savings by making the process second nature. The first lesson
to learn about saving money is that nothing gets saved unless
it's automated. So set up an online account, such as E-Trade or
Fidelity. Or maybe you already have some kind of a pension or
tax-advantage account. It doesn't matter where you do it just that
you do it and start yesterday! Connect this savings vehicle to your
business account, because that account usually has money in it.
Then schedule to have money automatically transferred every
single month into your savings account. Now you may be thinking,
"I don't have enough money to save." That is absolutely not
true. It's just that now you're probably spending it as soon as it
hits your account so you never have the chance to save.
7. Invest in Providers
Providers are people who have the ability to produce income
for you. That would be associates and assistants. If you're not
employing this investment strategy then your staff 's productivity
is directly tied to yours. In other words, when you go on vacation,
the business stops earning. When you're not producing, they're
not producing.
You need to have more people in your business, directly or as
associates, who are income producers. Then employ Drucker's
Law and work on the marketing and innovation to help keep
them keep busy and keep them producing income for themselves
and for you.
8. Invest in New Capacity
If one treatment room produces $25,000 a month then just
adding another treatment room adds another $25,000 to your
revenue each month. Sometimes orthodontists are bound by the
space they're in and only what they can fit in that space. Think
outside the box (literally) and add space, which will add capacity
and ultimately add revenue.
9. Invest in Self-development
"Spend money to make money" is also true when it comes to
self-development. In many ways, investing in your own self-development
is what will give you the fortitude to make many of the
other 11 investments. Develop your marketing skills. Develop
your ability to innovate. Invest your time in reading, invest your
money in seminars and training, invest in whatever energizes you
and then maximize your return.
10. Invest in Relationships and Family
Your most important relationships likely include your
spouse, your kids, your parents and siblings and other family
members, your patients, your staff, your friends and yourself.
Your family should be your most important set of relationships.
It translates to business success because a happy, stable
home base supports a more stable, more profitable base at work.
Plan regular quality time and activities with your spouse, your
kids and your whole family. That could mean vacations, projects,
homework help, a date night, a family picnic - whatever
those things are, get them on your calendar. Never take your
family for granted, or consider them "separate" from your business
success.
Ask yourself what you can do to invest in all your relationships.
Plan for it and execute it. Start by writing down all of your
important relationships. Then list at least two or three things
that you can and will do to invest in making each one better.
The personal and professional rewards will be more than you
can even imagine!
11. Invest in Reducing Debt
Accelerating the pay-down of debt is a guaranteed investment.
It not only feels good, but its really good business. You want to
use the same strategy as for increasing your savings. That is, do it
monthly, and do it automatically. Make it a habit that you don't
even have to think about. Some good rules to live by that will help
you aggressively reduce debt are:
- Always make more than minimum payments.
- Re-finance out of your 30-year home mortgage into something
less.
- Pay an extra $10,000 (or as much as you can) on your office
building mortgage whenever you can. The interest savings will be
huge over time, and ultimately, you'll be in a position to generate
rental income from your building once you own it.
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