Is there a difference between wellness and maintenance care in today’s chiropractic practice?

As a chiropractic coach, I speak to chiropractors around the world day in and day out about their practice and life challenges, wins and how to create the life of their dreams.  And I get a good idea of the head space of what is going on in our chiropractic profession. This is a discussion that arises frequently and feel the distinction between Wellness Care vs. Maintenance Care is an important one to clarify.  From the standpoint of practice management, as well as from a person’s experience with care.

We have a Wellness Revolution that has fallen onto our laps.  The public truly wants what chiropractic can deliver, they just don’t know we do that.  They instead view us as pain relievers and back pain specialists, because that’s what we’ve educated them on in the past 90 years.

And the truth is, our chiropractic profession is still stuck in the antiquated 3:2:1 communication model of, “We’ll get you out of pain: then do corrective care: then onto maintenance”.  The only difference is now, we substitute the word “wellness” for “maintenance”.

So are they the same thing?  I think not!  From a definition perspective, maintaining something at the same level is much different than increasingly enhancing and moving towards new levels of health and wellness.  From a care frequency perspective, you might be able to “maintain” someone’s level of symptoms at a once a month frequency but you certainly won’t be helping them move forward towards greater levels of health and well-being.

Wellness care would have to be much more frequent to evolve someone’s nerve system and optimal health, depending on their lifestyle of course.  And from a person’s perception: if we are providing maintenance care at a maintenance frequency, is it possible that they have settled for their lower level of symptoms as ‘normal’? That they finally feel that chiropractic “didn’t work” because they still have x,y,z?  Or that they feel chiropractic care is only for symptom-relief care?

The big question is, how often do you and your family get checked? Isn’t it time that we told the people we care for the truth and offered them the chance to live the lifestyle and levels of health and wellness that our families do?  What’s the worst thing that can happen if they come in more often to get checked? That’s right, they don’t need to be adjusted!  We need to celebrate and educate them that this is EXACTLY what we hope for - to be functioning at 100% for that period of time.

I challenge you to look at what you are recommending for ongoing care.  Is it congruent with your understanding of chiropractic, our vitalistic philosophy and the goals of what you are trying to accomplish with people?  If you are still focused on pain relief, it might be time to recognize that people want TRUE wellness, not just an expensive aspirin.  A profession will step up to lead the wellness revolution, the question is, “Will it be chiropractors”?

If you want support and coaching, how-to’s on communicating this message, please contact us and see how we can help. Our mission is to have chiropractors be the leaders of TRUE health care and the wellness revolution!

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Tags: Chiropractic Coach, Chiropractic Practice Success, maintenance care, Rosen Chiropractic Coaching, Wellness Care, wellness chiropractic practice management, wellness revolution

Why haven’t chiropractors marketed chiropractic as well as ShamWOW has marketed a stupid sponge cloth? That thing is a global phenomenon in a microcentury and chiropractic is 1000x more amazing and has been around for 114 years! (If you don’t know what I’m referring to, click here).

One of my favourite leadership gurus is Robin Sharma who’s coined the term, Merchant of WOW.  And I think it’s time chiropractors started acting like Merchants of WOW.  It means obsessive attention to detail in every aspect of your office, it’s decor, the chiropractor’s healthy image, the “red carpet” service to every person that contacts or comes into the office. It means refining your technical skills, growing your understanding of our philosophy and taking your communication skills and procedures to the next level.

Every step of the way we want people to think and to say, “Wow”.

The trouble is, a lot of practice management companies teach chiropractors to make their patients say, “Wow, I had no idea things were so bad”.  And from our perspective, there is no place for Scare Tactics in a TRUE wellness chiropractic practice.  We feel people should say, “Wow, I had no idea chiropractic could help me in so many ways! Wow, I had no idea you could affect my nerve system and my entire body”!  We want to be motivating them by what they want, as opposed to motivating them with fear and what they don’t want. It’s subtle, but has huge ramifications on the relationship long term. Sure you might be short term compliance with fear, but it doesn’t last and the relationship is tainted.

So how do we do that? We teach them under the radar, planting seeds and asking questions to help stretch their consciousness with every interaction in the office: How the CA answers the phone, your First Visit Forms, the look and feel of your office, your communications and procedures of Visit 1, Visit 2, Daily Interactions, Re-Evaluations and Re-Reports, how you handle difficult questions and situations, and how you manage your team.

It’s time that people start saying ChiropracticWOW! The wellness revolution is upon us and it’s time we step up and lead it.  If you want to know more about our chiropractic coaching and how to THRIVE in a TRUE wellness model, let us know. We’re here to help.

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Tags: Chiropractic Coach, chiropractic marketing, Chiropractic Practice Management, Chiropractic Wellness Model, communication, LAASR, Leadership, merchant of WOW, Robin Sharma, scare tactics, Success, Wellness Chiropractic, Wellness Chiropractors, wellness revolution

We hear again and again that our profession has an identity crisis, but from our perspective, we have a communication crisis!

What chiropractors know (no matter if they practice in a pain-based model or a wellness-based model) is that we help people have better lives! We’ve surveyed hundreds and hundreds of chiropractors around the world, and no matter how they practice, they all recognize that we can not only help people with their pain and symptoms, but also with improved function and a better quality of life!

Our problem as a profession is that the message that we’ve communicated and marketed to the public isn’t unified or clear.  Not like the tequila marketing sign above.  The public thinks that we help with neck and back pain and we know we help people get healthy and stay healthy to essentially have a better life!

As a profession, what we’ve been doing for communicating the chiropractic message isn’t working. Otherwise, at this 114th birthday of chiropractic, we’d be seeing more than 8-10% of the population.  If people understood what we do, because our communication and marketing was working, we’d be a lot further along right now.

If you are interested in finding out more about how to communicate in a true wellness model, in a care vs. scare approach, we encourage you to check out our LAASR program and seek out the support of a coach.  Lecturing and telling people until you’re blue in the face isn’t working. We need to figure out what people really want and then show them how to get it.  Let’s find a better way and start to move our profession into the position of leadership in the wellness revolution we deserve.

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Tags: chiropractic, chiropractic birthday, Chiropractic Practice Management, Chiropractic Practice Success, chiropractic profession, communication, communication crisis, identity crisis, LAASR, Leadership, Wellness Chiropractors, wellness model, wellness revolution

For many people, their understanding of health, where it comes from and how to stay well is as deeply ingrained as some smoker’s beliefs about smoking.

We are living and practicing chiropractic in a medical world. Although we are in a shift of a wellness revolution, the majority of people who show up in your chiropractic office are bombarded by big pharma advertising and years of thinking that health comes from drugs or surgery.  And it is your job to change their mindset and beliefs about health and healing, where it comes from and how to get it. Good luck!

Most chiropractors I coach and consult, or speak with in the field tell me that they educate the people in their office.  And the usually follow up with, “but they still don’t get IT.”  And if they did get it, our entire profession would already have thriving, true wellness chiropractic practices.  So something’s not working in our approach…

What does educate mean? To most chiropractors, they lecture and talk ‘at’ their people until they are blue in the face and the person is tuned out. There is an important distinction to make, between educating by telling or educating by asking good questions.

Try and convince a smoker that smoking is bad for him.  Tell him all the things he already knows (or doesn’t) that it is killing him. Use fear. Use threats. Use your authority as a doctor. Lecture until you’re blue in the face.  Does anything change for the smoker? Nope, he still doesn’t ‘get it’.  That’s right, his beliefs and mindset haven’t shifted one bit from all of your telling.

And this is what most chiropractors who are not having high retention, thriving wellness practices are doing.  Trying to educate by telling.  I gotta tell you, from my experience, that’s never going to work. Why? Because it’s from the outside-in, it is your idea and not theirs. Because how do human beings do react when someone tells them what to do? Resist. So you get decreased compliance, they like you less and wonder when you’ll use your authority again to get them to do what you want.

Remember a smart guy named Socrates? His philosophy was one of asking questions to have the person think. And since doctor in Latin means ‘teacher’, it’s about time our profession stopped lecturing and started asking better questions to really teach the chiropractic principle of health. Why? Because when a person thinks, processes and answers a question, it comes from the inside-out and they own it.  Since it was their idea, there is no resistance, they feel valued and given a voice. There is increased  compliance and likeability and you don’t use authority, you use leadership. How’s that for congruence with chiropractic philosophy?

But oh wait, there’s one more benefit.  Not only will they ‘get it’, understand health, healing and chiropractic at a deeper level, but do you think that it is easier for them to refer their friends and family if they can articulate their newfound understanding themselves?  And the practice itself grows from the inside out by high retention and high internal referrals.

So the trick is to find out how to ask better questions during every interaction of Visit 1, Visit 2, Daily Interactions, Re-Assessments, Re-Reports and in handling difficult questions. We coach chiropractors this day in and day out.  It will transform your practice, your relationship and your life. And you’ll help shift the consciousness of the world. Let us know if we can help.

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Tags: Asking, Authority, Beliefs, Chiropractic Coach, Chiropractic Consultant, Chiropractic Philosophy, Chiropractic Practice Management, Chiropractic Practice Success, Chiropractic Principle, communication, Convince, Educate, Fear Tactics, Health, High Retention, Inside-Out, Internal Referrals, Lecture, Medicine, Mindset, Outside-In, Questions, Results, scare tactics, Shift Consciousness, Socrates, Telling, True Wellness Practice, wellness revolution

Are you a pessimist, an optimist or a leader?  We need to look at how you deal with challenge and adversity to find out. Most people say they are optimists when asked, but if we look at the proof of their external results we might find out otherwise.  John Maxwell, one of my favourite authors on leadership, says this:

“The pessimist complains about the wind.  The optimist expects it to change. The leader adjusts the sails.”

Sailing without a charted course is like driving without a map or GPS, and like setting goals without an action plan.  It leads to circular action, unintentional sabotage, and rarely reaching your desired destination.

Not only do leaders have a vision and mission, they set long-term and short-term goals with a definitive action plan.  AND they consistently take intentional action, stay on the charted course, adjust the sails and the course as needed.

To manage your chiropractic practice like a leader we need to ensure you are the captain, keeping the big picture about what practice growth you want and what you are trying to achieve.  You need to look at the conditions, the charted course, and take consistent action AND you need to lead your team!  A world cup skipper cannot sail the ship themselves.  They need a solid team with the same vision, desires and willing to work hard and be rewarded for it. As chiropractic coaches and consultants, we help office create and manage a Dream Team and help Get The Team To Grow The Practice!

If you have been being a pessimist or an optimist during the stormy conditions of the past 6 months, it’s time to step up your leadership of yourselves, your practice management and your team!  People in your community need your help. It’s time to lead the chiropractic wellness revolution!

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Tags: Action Plan, Charted Course, Chiropractic Coach, Chiropractic Consultant, Chiropractic Practice Management, Dream Team, Get The Team To Grow The Practice, Goals, Leadership, mission, Optimist, Pessimist, Sailing, Taking Action, vision, wellness revolution

  VS.   

If you are a chiropractor still practicing in a pain based model of symptom relief, I hope you will realize (soon) that the future of the profession lies in wellness care. Like dentistry realized fifty years ago that waiting to pull rotten teeth from people’s mouths with toothaches is antiquated, our chiropractic profession is starting to see the light.  Treating people’s backache’s and using adjustments like expensive aspirin isn’t keeping up with the times.  It’s time to think different. 

People want wellness, look around! From organic food, to fitness gyms people are looking to get well and stay well rather than wait for a crisis.  Our culture is in the middle of a wellness revolution ~ don’t get left behind!  It is time for the chiropractic profession to lead this wellness revolution.  It is up to each one of us.

At Rosen Coaching, we look at two key stats as a litmus test for a wellness practice: your retention or PVA (patient visit average) and the percentage of internal referrals.  You may think you are running a wellness chiropractic practice, but if your PVA is below 60 and your internal referrals are low ~ it tells us that the people in your practice don’t ‘get’ chiropractic like you think they do. If I sat in your reception room and asked the next 100 people through the door why they are there, what would they say?

So what are the symptoms of practice not succeeding and not congruent as a wellness practice?  Of course, low PVA/Retention and low internal referrals as mentioned above.  But what else?  A wellness philosophy for how you manage your practice is key. Do you have systems and a communication model that is reactive as opposed to proactive?  Do  you wait for the number of new people to drop down before you do any marketing or do you have a perpetual, balanced approach marketing calendar?  Do you wait to have staffing issues or do you spend time each week cultivating a Dream Team?  Do you wait for people to drop out of care before addressing their concerns, or do you listen between the words and identify the symptoms of when a person receiving your care is unhappy?  Are you afraid to address their concerns and sweep them under the rug with an assertive or non-assertive ‘brush off’, or do you address them right then and there?  Want some more examples? Disorganization, stress, lack of income, lack of new clients, people don’t ‘get it’, clients don’t follow your recommendations, they don’t sign up for care, they don’t keep their appointments. The list can go on…

Truly the biggest difficulty I see in the profession is the amount of scare tactics that are propagated by some of the biggest chiropractic practice management companies out there.  I truly believe that there is no place for fear and manipulation in a wellness practice, as it is completely incongruent with the very nature of a wellness philosophy.  It’s time to think different and start using trust, hope and truth to help people see what is possible for their well-being. If you are going to have a wellness chiropractic practice, leave the scare tactics at the door.  And start to use a proactive congruent wellness approach in your systems, communications, and practice management.

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Tags: care tactics, Chiropractic Coaching, chiropractic profession, communication, future, pain based model, rosen coaching, scare tactics, wellness model, wellness practice management, wellness revolution

It is time for our chiropractic profession to shift.  It is time to tell the truth to the world and to ourselves.  It is time to stop fitting in to a medical infrastructure and practice model and to stop selling ourselves short by selling ‘pain relief’.  Aspirin or Tylenol is way cheaper than your services.

Here’s to the crazy ones ~ the chiropractors who want to push back against the status quo.  The ones who are standing their ground, practicing wellness chiropractic and not the treatment of symptoms, sickness and disease.  The ones who are becoming leaders in the wellness revolution, the shift that is unstoppable.

The medical system in many countries around the world is on the verge of collapse with regards to the percentage of GDP spent on health care and the increasing statistics of disease and death.  Ready to burst at the seams as soon as the baby boomers are ripe.  It’s a faulty premise to use sick care as health care and it’s not working.  

And people want something different.  They just need to know that chiropractic is a better way.  And that you are the one who will care for them with honest, loving, authentic service.  You’ve got to have enough value for your service, enough confidence in your skills and the communication level to share the truth… and the guts to do so.  

From my favorite ad campaign of all time… Apple in the late 1990’s called ‘Think Different’.  It is time to inspire yourself and the people in your community to Think Different about health.  Are you willing to be the ‘Crazy One’ in your community?

“Here’s to the crazy ones.

   The misfits.
    The rebels.
     The troublemakers. 
      The round pegs in the square holes. 
The ones who see things differently.

They’re not fond of rules.
   And they have no respect for the status quo.

You can praise them, disagree with them, quote them, 
  disbelieve them, glorify or vilify them.
About the only thing you can’t do is ignore them. 
    Because they change things.

They invent.    They imagine.     They heal.

 They explore.     They create.    They inspire.
      They push the human race forward.

Maybe they have to be crazy.

How else can you stare at an empty canvas and see a work of art?
Or sit in silence and hear a song that’s never been written?
Or gaze at a red planet and see a laboratory on wheels?

We make tools for these kinds of people.

While some see them as the crazy ones,
    we see genius.

Because the people who are crazy enough to think
    they can change the world, are the ones who do”.

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Tags: Apple, Better, chiropractic, Choice, Crazy Ones, Different, Different Way, Disease, Health Care, Medical System, Medicine, Pain Relief, Service, Shift, Sickness, Status Quo, Symptoms, Think Different, wellness revolution

Welcome to Rosen Coaching’s Blog!  This blog is dedicated to connecting the chiropractic community around the world looking to practice in a true wellness model.  I seek to inspire chiropractors to create the practice and life of their dreams.  I am committed to making this blog informative, inspiring and provocative.  It is my desire to support and challenge you to become the greatest person you can be, so that you can be a more successful chiropractor and change more lives.

My mission is to transform lives around the world, to allow people to realize and achieve their full potential.  How do I do that?  By assisting chiropractors to become leaders in their community and build successful practices!  This way they can serve more people at the highest level I know ~ through clearing their Nerve System and showing them a new philosophy for living.

Who am I?  I am you.  I am a chiropractor just like you.  I have practiced a true wellness model family practice and I have had the challenges you have had.  My wish is that through this blog, through our website  and for some, through coaching, that I may help you become the greatest person and chiropractor you were meant to be.  And in doing so, help you transform the lives of your community.  If my insight or experience may somehow make your progress faster, your thoughts clearer, your focused more refined and your mistakes less frequent, than I have succeeded.  If I help one chiropractor help more people, then I am happy.

My desire is that you will share this blog.  Pass it onto all of your friends and colleagues.  Do it for the profession, as it is time that we take the leadership position in the Wellness Revolution.  The stronger we can builld a community of like-minded chiropractors, the more sharing and comments are made, the faster we can change the world.  With technology it is easier than you think.  So pass it on and pay it forward.

Here’s to changing the world, one life at a time.  Are you in?

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Tags: change the world, chiropractic, Leadership, transform, wellness revolution