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One Negative Employee Costs More Than You Think
A disruptive employee doesn’t just affect morale—they can quietly impact your entire practice culture, productivity, and patient experience. When one staff member consistently creates tension, is constantly complaining about how much they have to do, gossips, resists accountability, or negatively influences others, the effects often spread faster than leaders realize. High-performing employees may become disengaged, team…
Your Next Great Manager may Already be on your TEAM
When a management position becomes available (or necessary), many podiatrists immediately begin searching outside the practice for someone with “experience.” While external hires can bring valuable perspectives, promoting a proven team member often creates stronger long-term results from both a culture and accountability standpoint. An internal candidate already understands your practice values, workflows, patient expectations,…
New Patient No Shows are Usually not Patient Problems
Most practices blame patients for no-shows, but high no-show rates (above 5%) are usually caused by inefficient scheduling systems, poor communication, or too much delay between booking and the appointment. If your new patient no-show rate is climbing, focus on tightening the process instead of just getting frustrated. Ways to Reduce New Patient No-Shows (think of this as your “Get…
SOP Reality Check: The “Replace Them Tomorrow” Test
Now that the process of creating new or updating existing SOPs is well underway, it’s time to ask yourself – honestly: If a key employee didn’t show up tomorrow, could a brand-new hire step in and perform their job using only your SOPs? Not “eventually figure it out.” Not “after asking a bunch of questions.” Not…
If You Don’t Know What Your Manager Does, That’s a System Failure—Not a Staffing Mystery
Several of my recent conversations with new and potential clients have included the statement “I’m not really sure what my manager does or what he/she should be doing.” If this sounds familiar or not, the following Pro Tip and included SOP is well worth the read. . . If you’re not exactly sure what your practice manager does all…
Does Your SOP Need an SOP?
How are those SOPs coming along? Have you started yet? Are you or your staff unsure where to begin? Well, you can start by re-reading the Pro Tip from March 16th (15 SOPs that Impact Revenue Most) and use that as a jumping off point. Just as an aside. . . If you have fallen…
15 SOPs that Impact Revenue Most
15 SOPs That Protect the Most Revenue in a Podiatry Practice In most practices, a small number of operational processes control the majority of revenue. If those workflows are inconsistent, practices can lose 15% or more of collectible revenue through denials, missed charges, or uncollected patient balances. 1. Insurance Verification (Pre-Visit-not when the patient arrives)…
You’re the Boss
In another 2025 year end and 2026 goal setting meeting last week, the doctor had an epiphany of sorts… “I don’t want to be in clinic 5 day a week.” Below were the reasons for this decision, but please don’t overlook the fact that, as a practice owner, justifying changes to your schedule or the “rules” in general is not…
Add to your Calendar to be More Productive
Happy December 1st!! As you make your way through the holiday checklist and realize there are never enough strategically placed outlets for your Christmas decor, open your calendar (Google, Outlook, old fashioned kind that you have to manually move to the next month) and start adding key dates and “rhythms.” Begin with special dates like Birthdays (family,…
Use it or Lose it
There are officially less than 30 working days left in the year (that includes if you work the days after Thanksgiving and Christmas and half days on Christmas and New Years Eve- so maybe less). That also means potential savings and spending benefits for you and your patients. Begin by taking a close inventory of your supplies, making note of what…